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BUILDING PERMIT
Village of Fridley, Minn. No 2 R 3 6
Date .. �//xh'►�! .� .......... .......... .
Owner l.� !!ia.. r �'.. Builder ..........................................
o•
Address .... :50.15..... �7 3. .. ....... Address
LOCATION OF BUILDING
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No. ... ...... Street .... `� .3 X7r.. ..................... Part of Lot .......................
Lot .....�.L........ Block ......./........ Addition or Sub -Division ......
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as: �/
.. / IP "vS e ..... Front .. Yok . Depth IIeight ......... Sq. Ft..I®%Qlr Cu. Ft........ .
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........
Type of Construction ... FA.4 "1 C Est. Cost . . 1. qi 5V .) ...... To be Completed .....6 .-.0;*ftM ....
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 village of Fridley.
.. .. ... ... ...t . ... .... ...................
cppnsideration of the payment of a fee of $. !q,Ppermit is hereby granted to .. ..... .I! ��..... .
. . .?/f.J.V.r.R,..... 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, m. ance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any a upon violationibfl ani of the provisions of said
ordinances. / 1
�f Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn.
BUR DING PERMIT
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• • • , - �.�, .:.cam, r J.. ..�. .r .�% � ._
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i.
',_.3.4'0_'AT'OK OF BUILDING
No. � Street --- Part of Lot
Lot f --Block /_ _ Addition or Sub -Division .
Corner Lot _ _ _ Inside Lot fi'''r _ Rotback Sid yard . —
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
ToU, �/
e Front Depth .1 Height Z 42 Sp. Ft. 4 Cu. Ft.
Irrolpt Depth Height . _ _ O Sq. Ft. Cu. Ft.
Type of Construction Est. C�.i-I 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 $"rte , 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 violatioz of any of the provisions of said
ordinances. _ n '-'_7
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for whine, plumbing, gas beating, sewer or water. Be sure to see
the Building inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
a
Owner `.s Name_ = Builder;
Address Address �.-:
LOCATION OF BUILDING
No.—� _street 3 Part of Lotl .
Lots,Z { Block Addition or Subdivision
Corner Lot Inside Lot Setback
%p
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
ESCRIPTZON OF BUILDING
To be used as:
r
Fronts Depth P, Height,
q Cu. Ft. 3 e
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost_�r
To be Completed y'
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 ruling of the Department of Build-
ings, and hereby.declares that all the facts and representations
stated in this application are, true and correct.
DATE. SIGNATURE
(Schedule4'" of Fee Costs can be found on th 'yReveylrrse Side) .
0 0 ♦
CITY CIF FROY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604
RATE SCHEDULE
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES AV5. /� JOB ADDRESS `� /%
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 20.00
$ 10.00
$ 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/I ndustrial
1 % of Value of Appliance or Work
State Surcharge
TOTAL FEE
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. Il — l to ,1993
OWNER
BUILDING USED AS
ESTIMATED COST®° PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One
Trade Name I
BTU_
$ Fuel_
$ .50_
$3p.5D
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
HP
Burner TradeAqme :::L
BTU HP
(Hot Water) (Warm Air)
ED R
Size No.
EDR
HEATING COMPANY /f�e6/ A r &';e'PJeJ1Z'd:706AJ'
SignedVZ Tel No.
64M - .
Approved By -9CF- Rough -In Date
i
leo 5e villi,
Final Date 03 q3
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
HEATING COMPANY `I �J1C +� 1, ®/COV ®O /J r1gIxV le /4tr--
S igned By U�r�l s�y//3
Date%'�-
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
No ( )
3. Has no foreign objects lodged within
Yes
(uf
No ( )
4. Is securely supported
Yes
No ( )
5. Meets all current Code requirements for
size and total BTU's connected
Yes
E—j—
No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks See., 8 , the J
_List Alterations Being Done:
Ins+< 9 [1 M I ®69
HEATING COMPANY `I �J1C +� 1, ®/COV ®O /J r1gIxV le /4tr--
S igned By U�r�l s�y//3
Date%'�-
V
aheati��Or -am NT DV10 SERIES DIRECT VENT GAS HEATER
STEP 5 - Gas line Installation
Install the gas line piping up to the back side of the
heater. A separate manual shut-off valve (supplied)
should always be used.
STEP 6 - Gas line connection
Connect the gas line to the heater manual valve inlet,
using 1/2" pipe. To ease installation, a listed flexible
connector and manual shut-off valve are supplied.
The manual shut-off valve should be connected
opposite the gas valve. Gas connections can be
made from outside the heater by opening the lower
panel. All connections must be checked for leaks
with a soap and water solution.
Bleed the gas line to extract any air that may have
been trapped inside the pipe.
STEP 7 - Access door opening
The access door, located at the base of the heater in
the front, opens simply pulling on the handle. See
Figure 17. This will expose the gas valve and pilot
controls as shown in Figure 18. To close, simply
press the door against the magnet into its original
position.
IL�
Figure 17
Opening the Access Panel
Figure 18
Opening the Access Panel
err
14 -- 199946
8-93
SUBJECT
PER_
City of Fridley
19392
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
ECEIPT N
COMMUNITY DEVELOPMENT DIV.
1�
r PROTECTIVE INSPECTION SEC.
�
i1 i
/"'1,� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•_-_�
L 612-571-3450
910-F15
4/15/88
JOB ADDRESS 565 - 53332 Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
19
1
'Temple 'Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim/Pat Hansen 565 - 53h Avenue N.E. 572-9092
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO,
Same
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 XO REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace existing picture window with a bow window (Same Size)
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.
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
I
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
$800
$� rJ0
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$15.50
SI TURE OF CONTRACTOI R AUTHORIZED AGENT IDATEI
WHEN PROPERLY V IDATED TH S IS YOUR PERMIT
m
a
ATURE OF OWNER f OWNER BUILDERI (DATE)
BLDG INSP DATE
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address
Legal Description:
City of Fridley Effective 4/1/66
FR -1 AND R-2 1
Building Permit Application
Owner Name & Address:\
Tel. # -9-
Contractor:' _ Tel. #
Address:
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:
Corner Lot [ ]
Inside Lot [ ]
" Ft. Yd. ;etback
Side Yard Setback
76
Type of Construction: (."(
%1(��1�
Estimated
Cost: $ �'/' �
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: U APPLICANT: 0PL Tel. # S2 2 �d9�
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer, Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ l J . ()U Fee Schedule on Reverse Side
$ 2% of Building Permit Fee
$ $.50/$1,000 Valuation
$ $ 550 per SAC Unit
$ Fee Determined by Engineering
$
gyp, Agreement Necessary [ ] Not Necessary [ ]