PRE 2010 DOCS0
Application for Power Plants and Hearing, 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 ............
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
N6 Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
Each add. 200 sq. ft. EDR Steam ......................
Each add. 320 sq. ft. EDR Hot Water ................. .
8.00
$
8.00
$
8.00
$
2.00
$
5.00
$
5.00
$
2.50
$
8.00
$
8.00
$
2.50
$
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
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
REMARKS:
-� b t%
Location (ry (`' 'Q -t -s . -n _ e
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, Minn 195—
Owner d1 '# "' 195—
Kind of Building {` 195—
Used as �- e 1 r C-%
To be completed about
Estimated $
Old—New. Building Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Size No_. J
Capacity+b Sq. Ft. E.D.R BTU H.P.
Total Connected Load -7� </ '% f `i Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signed:
a
By f i fC'
09�11 POST 1M-12-58 Business Phone No
T Q
D-16
HEAT LOSS CALCULATIONS DEPARTM&T 0#' BUILDINGS
j,,tZ�!IDLEY, MINN.
Weatherstrips Construction No. Insulation
-V. E.
Guide_
Windows Doors ReferenceIlij
...................... How Applied
.....
esNo1 9,>
F. C Width L
1 L&t�.6 Room Length Height X: Room ength Width Y Height
Windows and Doors- Crackage and Area Windows and Doors--Crackage and Area
Ineal ft — At ea Tineal ft, Area tl
of pane of pane hghti_ of cra+ k 6,1 ft f pe nw of pull, lights of crack Eq. ft.
2- 21 -3Z t2 Z -
C) Coef. Btu Coef. Btu
Infiltration 3z Ac 17- &0
Infiltration
Glass Glass
C 1,
,E iwil, rj Exp. wall
Net exp. wall
C,Net exp. wall IS4- 16 jl--�4-L
Int. wall Int. wall
Ceiling 7 Z C< Iv L , , 7 Ceiling 12 1 IG a IC'
I- loor 12 -
Total Btu.
Total Btu.
Required sq. ft. E.D.R. Or sq. Ins. W.A. Le Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room lLength 0 Width Ilk Height 8'�
I FV Roomil-ength 119-- Width Height -LO
Windows and Doors- -Cr4ckage and Area
I I !L- Height
pryE
Windows and Doors—Crackage and Area
Width Heli—h—tNo
No. of pane of pane
of Lineal ft. Area
lighte of crack Oq. ft
of Lineal ft.
lights_ of crack
14- q
A-
Btu
Infiltration
7-
Glass40C
SL
�,
Coef.
Btu
IR61tration
---Net- exp. wall
5'C
4-C
Infiltration
Glass
4o
L
`,(-)
`1 o 0
'Fffi�
Exp. wall
19S L
Net exp. wall
Net eup. wall
Int. wall
--Gelling
Floor
F D R or sq. ins. W.A. Leader
Int. wall
Ceiling
4
#j-,
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
P ir1.1 T) Moom ILcngtn I = Width
I I !L- Height
pryE
Windows and Doors—Crackage and Area
I.-Lec,
Width He ht
No.— of pane of P. no
of Lineal ft.
lights_ of crack
Area
sq. ft.
"Z 4
Btu
Infiltration
Glass40C
SL
Exp. wall
---Net- exp. wall
Coef.
Btu
Infiltration
16
4o
L
Glass
Width F-
Height F'
Exp. wall
Net eup. wall
Int. wall
--Gelling
Floor
F D R or sq. ins. W.A. Leader
3
Windows and Doors—Crackage and Area
Width Height No, of Lineal ft Area
No. of pane of pane lights of crack sq. ft.
Z
Infiltration
Glass
3 2-
2- Z-
A<,
I.-Lec,
<,L-
I co
Exp- wall
Net exp. wall
Int. wall
JL31—L
Btu
Infiltration
Glass40C
SL
Exp. wall
---Net- exp. wall
10
Total Btu.
Int. wall
5 9 G,
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
-R.. I Length
Width F-
Height F'
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of Pane lights of crack sq. ft.
14
Coef.
Btu
Infiltration
Glass40C
SL
Exp. wall
---Net- exp. wall
10
15(c C,
Int. wall
Celllljv
Ifi�
Hour (P4
-7
Total Btu. I -7L.Olk
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
City of Fridley, Minn.
BUILDING PERMIT No
Date: ___ ...._.
Owner. ...�� :..__ __.. Builder ............ ... ,._....
..
Address _ f.t. _ _ .. Address
s� O TION OF BUILDING
No. _4'2 ".. . Street ._._ . _...e..„ � �.---......._.............. Part of Lot..----._.__._..__...._.__._...._...___.._...._.._..�
Lot ._.._...--- _.........-........ Block -._ ....... ... t ......................... Addition or Sub -Division .._ ....... ... _ __.._. .. s. !....-•-•-•
Corner Lot ........................ .......... Inside Lot ....._... ............. Setback ....._... .J_�........ Sideyard ..._ _ a.......... ..............
Sewer Elevation....._......._...._............._............._............._......._...._.._._......_........ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
�..�+� .. Front _ _-• Depth ...:��d. Height .... Sq. Ft.Cu. Ft. -3aWC
•-•---•-------•-•--.............--•---•--..............� C'c►5��� ight ............... .... Sq. Fi.................. ..... Cu. Ft. ................... ...
.^
Front Depth ....................-. e
Type of Construction ........�'.�':�?-+tl� -..... Est. .......... ... ...G'.....:.............. To be Completed ............. _.................. ....... -........
CAUTION
THIS PERS sIT DOES NOT AUTHORIZE VI LAT -
ION OF ANY PRIVATE LAND COVENANTS AND
BUILDING RESTRICTIONS.
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
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 tigne upon violati, of any of the provisions of said
ordinances. ✓" r /7 e
Building Inspector
NOTICE:
This permit does 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.
4
0 — •- "
Owners Name
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDIN
c�,
No. Street _ Part of Lot
Lot Block TAddition or Sub.Div.
Corner Lot Inside Lot_,�,Set Back Side -Yard
- G
SEWER ELEVATION p FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be, u as: /
- Front Depth_ZZ Height
Sq. Ft.--- Cu. Ft.
Front DepthJ1eight
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 a facts and representa-
tions state in this application are true and correct. J
a ��
DATE � SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
/ u City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures x $1.50 d
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening ............ x 1.00 $
Catch Basin ............................ / x 3.25 $
Water Beater (Up to 200,000 BTU) ...... Z x 2.00
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... Z x $1.50 $_
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................ $-
TOTAL FEE 1 • d
DepL of Bldgs. Phone SU 4-7470
Location e� a %w – l�� h
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 applicationaretrue and correct.
Fridley, Minn_ dP L4-
Owner 19—
Kind
9Sind of Building �/`���� 119—
Used
19_Used as���
D
To be completed about
Estimated Cost, $
hDO. v_-
Old—New. Building Permit No
Signed
By
Business Phone No
Connection Permit No. .........................
60
19 Water
MAY 3
Sewer
11 IM -8-58
Meter Deposit
y
OZ1z
OT
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t9
G
Z
W
WATER HTR.
3c�
m
a
3�
c u
vi
OJ�
ac
��
m
5 a
¢!(7O
F
N
GAS
ELEC.
Base
1st
!
%
2nd
3rd
4th
` Future Connection Openings
Connected With
New Fixture, Old Openings
Sewer El
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures x $1.50 d
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening ............ x 1.00 $
Catch Basin ............................ / x 3.25 $
Water Beater (Up to 200,000 BTU) ...... Z x 2.00
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... Z x $1.50 $_
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................ $-
TOTAL FEE 1 • d
DepL of Bldgs. Phone SU 4-7470
Location e� a %w – l�� h
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 applicationaretrue and correct.
Fridley, Minn_ dP L4-
Owner 19—
Kind
9Sind of Building �/`���� 119—
Used
19_Used as���
D
To be completed about
Estimated Cost, $
hDO. v_-
Old—New. Building Permit No
Signed
By
Business Phone No
Connection Permit No. .........................
60
19 Water
MAY 3
Sewer
11 IM -8-58
Meter Deposit
APPLICATION FOR BUILDING PE WT
CITY OF FRIDLEY, MINNESOTA
Owner's Name_j4L �:j��
Address
02,-76 ��� % l�� _Address `/S�'� ®
LOCATION OF BUILDING
No. Street Part of Lot
Lots Block e -a _ Addition or Subdivisio
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
--Pt-j�-
To be used ass-
FrontDepth AM
Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Cgnstruction b`.AU Estimated Cost 16- ® C
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 representations
stated a application axe true
DATE
%A Schedule of Fee Costs can be found on tine neveraw viuw.j
City of Fridley, Minn.
BUILDING PERMIT N° 5 3 3 5
Date:
owner: Builder ---
Address _ _ Address '
O F BUILDING
No. i� Street r..Z.At 6wA ,dc — _ _ Part
Lot Block, _, Addition or Sub-iDi on '--
Corner Lot __._ Inside Lot _ ,�tback - . Sideyard —
Sewer Elevation F dation Elevation
DESCRIPTION OF BUILDING
To U as: _
_ Front Depth Height r� Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft.
Type of Construction; _ Est. Cost 4f 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.
A
In consideration of the payment of a fee of S #'rsf ��- , 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 upon�riolatio�y of the provisions of said
ordinances. .s�''"'�r 7 , '
Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas beating, sewer or water. Be sore to see
the Building Inspector for separate permits for thea items.
0
! `
City of Fridley, Minn.
BUILDING PERMIT N° sass
Date:
Owner: Builder Z--zT2:f.�-4d—'C-
���� � ALO ION OF BUILDING
No. ® Street ---- Part of Lot
Lot _ _� Block Addition or Sub -Division.
Corner Lot . _ Inside Lot _ _ Setback —+ _ ideyard r_
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
14- =%:�eFront
/- Depth IZ Height _ _ Sq. Ft. Cu. Ft.
Fro
it I Depth Height C Sq. Ft. Cu. Ft.
Type of Construction -�.. Est. C� " 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.
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
nthe city limits and thins permit maybe revoked at any t;ue`u� violapv of any of the provisions of said
1 '_ 1
Building Inspector
NOTICE:
Ibb permit does not ewmr the construction, f mftllation for wiring, pbmbing, gas heating, sewer or water. Be sure to ssy
the Building fespeetor for aparab permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Herbert Blevens Builder MILES CONSTRUCTION -COMPANY
Address 6270 6th St. N.E. Fridley Address 4500 Lyndale Ave. No. MAls.. 12..
LOCATION OF BUILDING
No.
6270
Street
6th Street
N.E.
Part of Lot
Lot
2
Block--------!
Addition
or Sub.Div, Upland's 2nd addition
Corner Lot Inside Lot_ t Back,
Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Basement room Front 40 Depth 11 Height
Sq. Ft. 440 Cu. Ft.
Front Depth Height _
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost $1000.00
To be completed As soon as possible
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
oe
DATE February 6, 1963 SIGNATURE-��^�`�!!''
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Ming Pernat
DESCRIPTION OF WORK
Dept. of Bldgs. Phone SII 4-7470
��.
Number, Kind and Location of Fixtures Location / -7,;70 _ � -
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL-
Number Fixtures ....................^� .. y x $1.50 $
Future Fixture Opening x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... .....................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
x 3.25 $
x 2.00 $
x 3.25 $
NO. RATE TOTAL
x $1.50 $
x .50 $
x 2.00 $
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
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 fact
and representations stated in this application are true and,correct.
Fridley,
194
Owner /
Kind of Building '
Used as
To be completed about
Estimated Cost,
Old—New. Building Permit No Permit No.
Signe
By
Business Phone No. ,/:z
ROUGH / f `I! - 6-3
FINAL
Description ................................................$
TOTAL FEE a z 2M
<
s
i
Z
i
Z~
z
rc
p z
O
z
S ej
O
J
6
t�
Z
U0'
z
a
t90
•
F
•
N
WATER HTR.
GAS
ELEC
Base
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL-
Number Fixtures ....................^� .. y x $1.50 $
Future Fixture Opening x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... .....................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
x 3.25 $
x 2.00 $
x 3.25 $
NO. RATE TOTAL
x $1.50 $
x .50 $
x 2.00 $
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
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 fact
and representations stated in this application are true and,correct.
Fridley,
194
Owner /
Kind of Building '
Used as
To be completed about
Estimated Cost,
Old—New. Building Permit No Permit No.
Signe
By
Business Phone No. ,/:z
ROUGH / f `I! - 6-3
FINAL
Description ................................................$
TOTAL FEE a z 2M
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes)
All Others/Repairs and Alterations
1% of Value of Appliance or Work.
RATE TOTAL Job Address 6270 6th St. NE
$ 20.00 $ 20.00
$ '10.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00) ON
Rough Insp.
Date
Final Insp.
Date
Approval for Permit /
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,
PLUS $.50 STATE SURCHARGE
$ .50
$ 20.50
Attach stack verification form with replacement furnace permits
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. June 28 , 1988
X3'.5, yi7
KIND OF BUILDING Frame
USED AS Residential
TO BE COMPLETED ABOUT
ESTIMATED COST $1300.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. One
Trade Name Carrier size No. 58SS06OBC
Capacity Sq. Ft. EDR BTU 60,000 HP
Total Connected Load Kind of Fuel nat. gas
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company . Dependable Heating and /A.0
Signed By Y o l 7L� `1 T �A `��LA
w
Tel. No. 757-05040
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (x,-� No
2. Is free from rust or deterioration Yes (v4 No ( )
v
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 connected Yes (-Y No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Com .. ny Zo;ilk �. ALLI
Signed By
1. te `