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PRE 2010 DOCS• City of Fridley, Minn. BUR DING PERMIT N® 3735 Date: .... .. .. ............ Owner....................................... Builder . j .. .��II ...... Address ...................................... Address. �j LOCATION OF BUILDING No.4�SiZq.t Street ... Part of/Lot ............................... Lot ...l.?.... Block ... ft--? ........... Addition or Sub -Division ... [:Efirf................ . Setback �. Comer Lot ............ Inside Lot ... a� ,........ ..... Sideyard ........................... DESCRIPTION OF BUILDING be Used as: r T5of... From • ' Depth . Height ../... Sq. Ft. cuL /° �8S®Front ..fes... Depth ems./ . Height . AV—Sq. Ft.� Cu. Ft.. aa.?Construction ................... Nat. Cost. "Xs�Oro........ To be Completed . In consideration of the issuance to me of a permit to construct the building desribed 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. .41 In consideration of the payment of a fee of $WM20..., 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 with- in the city limits and this permit may be revoked at any time)pon violation of any of the provisions of said ordinances. .......... Puilding Inspector oA NOTICE: A This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building lnspeotbr for separate permits for these items. -2C pry APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY;•- nVNESOTA Owners ' Name .' Eg /4 /V( Builder Address' _ _ Address fo 3.5�®p lyi�'l s� •�� ion, :57- n� .t'OCATION OF 'BUILDING • No. /0,3,R % Street Part" of Let Lot IZ - •93 oek, . Addition 6t;* -Sub. Div. Qhd?I S 7- Corner Lot =� ' '� side Lot — Set Back-� Applicant attach to this..,form Certificate of•Survey of Let and -proposed building location: DESCRIPTYON- OF WILDING To be used as Igo QJ e- Front .� _ Depth.__ ight ja �tXl aro S r Sq. Ft. ��'� :Cu Ft ., /. %3. F(4:.�- �3Reea�ev4y-. G: A R e- Front ....__._ Z Depth Height /LI Sq. Ft. Cu. Ft.. f7 3 3br Type of Construction• R'4 5..._ _,._.;. :Estimated Cost. To be completed The undersigned hereby makes application for a permit fQr the work herein specifiedo agreeing to do all° -work •in-- strict accordance with the',. City Ordinances and r0l' g 'o.f the Department 4f Buildingso. and- hereby declares that -.-ll the &ct's`and representations stated in this application are true and correct. Date �> Signatutt 2 -- (A Schedule of Fee Costs can be found-bn the Reverse Side), 0 11 ervl� APPIlication for Power Pests and Heating. 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ 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. IDR 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 TOT�I. 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 $ � v ALTERATIONS & REPAIRS TOTAL FEE REMARKS: DepL of Bldgs. Phone SII 4-7470j� Location zo;!-4p/ 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. = /� r / :2, 195. Owner C� &i#1_,&',41i y , d ®A-) %z 195_ Kind of Building -21�0-wm , 195— Used as ee S/AI:A)&-e— To be completed about Estimated Cost, $ lea Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER , Warm Air—No Trade Name sld1 �ce/L/i9 04B /— Size Capacity &G�G e4z� Sq. Ft. E.D.R BTUX1-� 9Z H.P. Total Connected Load . vs �% Kind of Fuet BURNER — Trade Names Size No Capacity Sq. Ft. E.D.R BTU H.P. Si . • L>i/ter J1i i�,ii�� f�.� sem/ ' By -Q10-11 • honei. • / v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS • MINN. Weatherstrips A.S'Hide .V.Er Construction No. Insulation Gu Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied F,—" a l9— °® / FI.- � • a - Room I Unath , eo 'Width /.� '-Hehiht o Fl.l � . oom l Lenstth /j' Width//'6, Height X® Windows an cors—Crackage and Area Fl. . oom ( Length ° Width ®. Height 77 Width Helsht No. of Lineal f .rrea of -pane of pane lights of crack g 4 D. �Nop. pane ® C"3 / CmE Btu �s � 4 Glasses4-0 Glass Coe£ Btu InfiltrationGlass Net exp. wall Exp. wall Net exp. wall .r Ceiling Int. wall Tbtal Btu. Exp. wall Ceiling Floor Ceiling Net exp. wall Int. wall p Floor je-o Int. wall Ceiling Ceiling Floor Floor 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room ( Lenlrth Width ®- ® HeiithtP" Windows and Doors—Crackage and Area Required sq. ft. E.D.R. or sq. _ins. W.A. Leader area Fl. . oom ( Length ° Width ®. Height 77 Width Height No. of L neat ft. Area No. of pane of pane lights of crack sq. ft. g 4 D. Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. ft. pane CmE Btu Infiltration Infiltration Glasses4-0 Glass Glass Exp. wall 14 Net exp. wall Exp. wall Net exp. wall .r Ceiling Int. wall Tbtal Btu. Required sq. ft. E.D.R. or sq. ins.A. Leader area Ceiling Floor Ceiling Total Btu. ;�17 fl Required sq. ft. E.D.R. or sq. _ins. W.A. Leader area Fl. . oom ( Length ° Width ®. Height 77 Windows and Doors—Crackage, and Area eo Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. ft. pane Coef. Btu Coef. Btu Infiltration J Infiltration Glasses4-0 Glass Exp. wall /,I; 0 Net exp. wall Exp. wall Int. wall MO Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins.A. Leader area Ceiling Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane of pane lights ofcrack ft. ps,q/. ®lam eo J� Coef. Btu Infiltration Infiltration Infiltration Glass Glass Exp. wall /,I; 0 4-o 'oe Exp. wall Net exp. wall MO -15 Net exp. wall Int. wall e'o- int. wall Ceiling Ceiling Floor Int. wall p Floor Ceiling Total Btu.° Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Dom 1 Length / ° Width /0 ° Height -P P Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft eo J� Coef. Btu Infiltration Infiltration Glass Exp. wall /,I; 0 Glass Net exp. wall 4 -15 Exp. wall Exp. Int. wall Ceiling ` Floor Int. wall Total Btu. 61 Required sq. ft. E.D.R. or sq. his. W.A. Leader area / Mix-- a Lenath ®a G Width /,1 ® Heistht -P, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of -Vane tights of crack sq. ft. ' J� Coef. Btu Infiltration gfl /,I; 0 Glass - 4 -15 Exp. wall Exp. Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. h. E.D.R. or sq. ins. WA. Leader area jv HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MWNEAPOLIS. MILAN. Weatherstrips I Ell V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es I —es 19_ `� •• Y Fl.l ,.a4<.' Room I Lenifth ev / G Width® / Heisrht 10 / II F1.1 Room I Length Width Height Windows and Dors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of ppane of pane) li�g]hts of crack sq. ft. Coef.1 Btu Infiltration Glass lCoef.1 Btu Infiltration Net exp. wall Int. wall 1JA_. Ceiling Glass Floor p 9 c �� Exp. wall 9� Net exp. wall Int. wall ( , Ceiling y Floor 9 , I Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.l Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Length Width Windows and Doors—Crackage and Area Width Helght No. of Lineal it. Area No. of Dane of nage 11. to of crack an. ft. I I I I I- ICoef.l Btu Infiltration Glass Exp. wap Net exp. wap Int, wall Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 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 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1 -I Rnnm I Length Width Height 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 Glass Exp. wall Net exp. wap Int. wap Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. WA. Leader area I F1.1 Rnefn I Unath Width Height 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 Glass Exp. wap Net exp. wall Int. wap Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 001!Mi PER IT NO. SUBJECT City of Fridley 29693 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v INSPECTION SEC. r PROTECTIVE ��� � I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 6/15/99 JOB ADDRESS 6321 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James McGregor 571-3987 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO USE 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ) REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house e - 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 $1923 $.96 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $69.25 Fir C $1.92 PLAN CHECK FEE TO AL FEE 2.13 SoGNATURE OF CONT CTOR OR A THORiZEO AGENT iDATEi EN R VALIDA _THIS IS Y UR PERMIT BLO iN50 TRATE 14 S NATURE OF OW NER..F OWNER 4 ERi iDATE 001!Mi PER IT NO. NEW [ ] ^ Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 Legal Description: 1 �, -EA � c - Owner Name & Address: '3 Tel. # Contractor: S e --L. -(�— MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type. 4A _ Estunated Co . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ i DATE: APPLICANT: K ft�l%Tel. # 6) �Ij Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �- F A5- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]