PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N° 2 513
Date ws....w.. ".".t .... . . .................
Owner udder .......... I............
Address........... ............................ Address .........................................
r� LOCATION OF BUILDING
No. .. q _ 3 ..... Street / . ' �. / ' ' ....... Part of Lot ...................... .
Lot .../. ........ Block ....'......... Addition or Sub -Division �r!�,,�.,,�_�'►�,,•�,y
Corner Lot ............ Inside Lot ... Setback .e Sideyar d ;,..........
DESCRIPTION OF BUILDING
To be Used as:
..... Front . /,? ... Dep%h r— Height Sq. Ft. .. Cu. Ft. ........
.................... Front ... Depth ........ Height ......... Sq. Ft......... Cu. Ft.........
Type of Construction .. ; Est. Col?"" ,p,,. ........... 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 village of Fridley,,
.....................................
In consideration of the payment of a fee of $. .permit is hereby granted to.
construct the buildinr.�dd:t:on as described above. Thi' ermit ir, ted upon
the ress c n tao the perso to whom it is granted and his agents, employees. and workmen, in all work
done in, around and upon said bung, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked+;$ 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. Be sure to "see the Building Inspector for separate permits for these Items.
••
City of Fridley, Mann.
BUILDING PERMIT No 6486
Date:
Owner: Builder ' —
Address Address
L CA ON F BUILDING
No. _ Street - �, - A�..,...'ny. _Part f Lot
LotBlock __ Addition or Sub -Division _
Corner Lot Inside Lot i Mack — Sideyard _
Sewer Elevation _ _ — Foilhdation Elevation
DESCRIPTION OF BUILDING
T �
Front Depth �� Height Sq. FAC Cu.
Fron Depth _ _ iHeight
� L Sq. Ft. Cu. Ft.
Type of Construction Est. ��- _�- 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 oY the city of Fridley.'Y'jw.A2
0�
In consideration of the payment of a fee of $__�s—, 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 and moving of buildings
within the city limits and this permit may be revoked at any^ upo' vio o of any of the provisions of said
ordinances. A
Building Inspector
[NoTn1cE-,.-'Ibis rmit does not cover the construction, hutdlMien fur wiring, phanbing, gas heating, sewer or wafer. Be ane to see
the Building lespsetor for sepsrtle permits for these Nene.
APPLICATION FOR BUILDING PERMIT
CITY'OF FRIDLEY, MINNESOTA
OWNi R' S NAME L /(} Q t i ts
l® ii BtTII,DER A
..
ADDRZSS 91 _5� -,�_ 7 01j, ADDRESS
LOCATION OF BUILDING
No. �P�
Streeter , . Igart of Lot
Lot " Block 2 Addition or Subdivision �}�j � ]��jl .LA4_ 011 UI
Corner Lot_. Inside Lot q0 . Setback Side -Yard ®� `®'®��fo �
SEWER ELEVATION - FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be
GrA R A & Front Depth -1----Height
Sq. Ft. -5 -)--Cu. Ft. \'-_4 __-:5 C�
Front Depth .1- might /
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 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 6&�
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley, Minn.
•
BUILDING PERMIT
C�
J
is
N° .'7072
Date: /� — 4, — (e /_
Owner: — & l Builder SZ—
Address Address
�� ��LO_�I-O-NVF BUILDING
No. Street _:�; L --Pat of Lot
Lot _ . __ Block Addition or Sub -Divi
Corner Lot — Inside Lot �- Setback _ _ Sideyard
Sewer Elevation ____ _ F dation IIevation
DESCRIPTION OF BUILDING
T as: / /- d
Front Depth Height z o _ sq. Ft. Cu. Ft
t Depth Height Sq. Ft. ______— Cu. Ft.
Type of Construction Est._' _ 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, 11Rinnesota 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. n _ of
Building Inspector
NOTICE:
1bb penult doe not corer the coeairncdon, inam"On for whfno, phnnbing, on heeling, sewer or water. Be sure to see
the Building hmpeter for soparaN pennth for thea Nems.
APPLICATION FOR BUILDING PARMIT _
CITY .OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS ADDRESS
LOCATION OF: -BUILDING
No..,Street �_.. a ��► F� .. , . FartT •.of Lot
Lot Block , , Addition ,or. :Subdivision .
Corner LotInside Lot ✓ Wtback Side :Yard
SEWER ELEVATION TION ELEVATION
Applicant,attech Co this form Two Certificates of Survey of. Lot and proposed..build-
ing lbbation drawn on'these Certificates.
DESCRIPTION OF BUILDING
To be used as:
FrontDepth Height,-�:.
Sq. Ft. Cu Ft.Y,
Front Depth Height
Sq.. Ft. Cu.=.Ft.
Type of Construction �_. Estimated Costs .
F u
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 °—
Schedule of Fee Costs can be found on the Reverse Side).
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work
... $10.00 $
Replacement of Furnace
6.00 $
Repairs & Alterations -up to $500.00
600 $
Repairs & Alterations each add. $800.00
300 $-
1dQL WARN AIR
Furnace Shell & Duct Work to 120,000 BTU
..$10.00
$_
each add. 60,000 BTU
3.0u
$
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 EPR Steam 3.0(1 S Each add. 320 sq. ft. EDR Hot Water 3.00
OIL BURNER -to 3 gal. per hour 6.00 $_
over 3 gal. per hour -wee Fee Schedule
GAS BURNER 4 up to 19'9,000 BTU) 6.00 $
wet 199,000 BTU Seo Fee Schedule
GAS FITTING FEES; NO RATE TOTAL
1st 3 Fixtures _ — x$ 200 -..-
Additional Fixtures _ _ x .75
Gas Range to 199,000 x$ 6A0
AIR CONDITIONING State Surcharge $ .50
FAN HEATING STSIM See Fee Scbedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FM 1-/-&,.C-0
ROUGH
FINAL
Dept. of Bldgs. Phone
City of Fridley:
The undersigned hereby makes application for a permit for the work hereat
`specified, agreeing to do all work in strict accordance with the City Ordinancei
and ruling of the Department of Buildings, and hereby declares that all the facts -
and representations stated in this application are true and correct.
,Q - Fridley. Alin
's 18
Clwner At" (Op,
Kind of Building
tJsed as
To be completed about �'- 73
Estimated Cost,
UI New. Buulding Permit No. Permit No.
C� � A.
O!! OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air -No
Trade Name_ Siff No- S/ 6
Capacity. 4-y-441- -- Sq. Ft. E.D.R BTU H.Pe-
Tota? Connected Load-. _ __Kindof Feet e.e ACL_
BURNER - Trade I1amE• size N®
Capacity— -- Sq. Ft. E.D.R- BTU Bp
(REMAINS -OVER)
By— -
Budnm Pbnae 16m :ZZ
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS S G 7 44\ AV A li-
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$ q • 0-0
representations stated in this application are true and correct.
,1993
Gas Piping (Needed with new furnace) $10.00
$
OWNER 0 y1 ® 5O,5 is t
Gas Range $ 10.00
$
BUILDING USED AS Cite, e- l t i rte
Gas Dryer $ 10.00
$
ESTIMATED COST J OrQ - LrD PERMIT NO. %1
*Air Conditioning - Ali Sizes $ 10.00
$
_
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units_ Circle One {Steam) {Hot Water) arm Air
Trade Name 01- Size No. 3cl S CA VO3(o055-
Commercial/Industrial
BTU (p I-, , VV-1�) HP EDR
1% of Value of Appliance or Work
$
Fuel e4g42
U
Total Connected Load 5-3,0-0-0—
3,oa-0
State Surcharge
$ .50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
BLAINE HTG, A/C $ ELECT. INS:
HEATING COMPANY 13562 CENTRAL AVE. N.E.
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION'
M 003U4
I�A
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
Signed By Tel No. '%5'l -(off
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
Approved By_�aJSL Rough -in Date ' Final Date O- Z6. 93
*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
:11
MIM
G+ Gn `,
HEATING
HOUSE HEATING TEST RECORD
Smoke Bomb
AIR CONDITIONING
S �� �f�C;
Draft
L. W. Cut Off
AND ELECTRIC. INC.
Door Pressure Vie—
Pressure °Z „
Percent CO,
Date Tested —
/
ADDRESS
Company Testing
,�pp� �
,V, 157 APT. FLOOR CITY � g ! UBURB
OCCUPANT Cond
in
OWNER
HEAT LOSS
DATE HTG. INST.
SOLD BYS
`
INSTALLED BY
Electrical Work By
V1,
Gas Line By
TYPE OF HEAT GA
FA jC::�-HW STEAM_
SPACE HTA._ UNIT HTR. OTHER
,/� GAS DESIGN CONVERSION
MAKE 14 411 MAKE'S BURNER
Model Model
Serial Max. BTU Rating
INPUT (,g(g, 01;15? MAKE OF FURN
THERMOSTAT
Valve w
Limit R,
Limit Setting _
Fan Setting _
CONTROLS
Heat Plug
it
Vent Size
KIND OF LINER SIZE NONL
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make 3644,%g
G+ Gn `,
Pilot Model
Smoke Bomb
Pilot Timing 6,{�'
S �� �f�C;
Draft
L. W. Cut Off
Door Pressure Vie—
Pressure °Z „
Percent CO,
Date Tested —
Input CFH
Percent O,
Company Testing
Stack Temp.
Percent CO
Name of Tester
Form 235
Wiring
Test Tag _ 1,
Lighting Inst. -)e0 --,n'