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City of Fridley, Minn.. BUILDING PERMIT N® 6885 Date: /--I— 6f 70 Owner: Builder Address Address _ -- TION O P DING No.� Street Part tw& Lo Lot — ® ___ Block - Addition or Sub-Divisi Corner Lot _ Inside Lot -- Setback Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To ® i ® If 9"A, t Depth den 7 Height _�� Sq. Ft. 10- Cu. Ftjazo 17 Depth H!eeigtthtt�� _ _ Sq. Ft. cu. Ft. Type of Construction __ Fit. �.�.1' ._._.'_'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 �j, coo liance with all provisions of ordinances of the city of Fridley. _ � // � _ e In- In . 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 upon violation of any of the provisions of said ordinances. Building Inspector NOT10E: We permh does not corer the construction, Installation for wirhM plumbing, gas hating, ower or water. Be oro to see the Building hapector for sspmWe permits for these hems. APPLICATION FOR BUILDING PE11JUT. CITY OF FRIDLEY, MINNESOTA OWNER'S /t _� �f o./ > at.. ' / ADDRESS ADDRESS , LOCATION OF BUILDING No.LYS �/ Street fart of Lot Lot_ j Block / Addition or Subdivision � Corner Lot Inside Lot - --Setback -7 -f— Side -Yard" SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front_ r -a .th Z k Height Sq. Ft. f '-F-1 CU. Ft. ,Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed ��a1� 7 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 /�- .� ' cr11-wA1gMV (Schedule of Fee Costs cam be found on the Reverse Side). City of Fridley _ Application for Plumbing and Comas F'iMng Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Location - 411 E Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL v� x $1.50 $ , Vl 3f- OLL New Fixture Old Opening .............. Q LLD U <3 CSG �Z Cid Z Cao • F • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ , Future Fixture Opening ................ 2- x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... — x 2.00 $ 0 62 New Ground Run Old Bldg. ............ x 3.25 $ 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, Minn- ' , 19 4 Owner Kind of d� Used as To be completed about e Estimated Cost, $ Ol New. uilding Permit No Permit No. Signed"' a'•`� Business Phone No d �" ROUGH GAS FITTING FEES: NO. RATE TOTAL FINAL 1st 3 Fixtures .......................... x $1.50 $ ®!°- Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .............................................. TOTAL FEE $��! 42 2M 52-84-5915.51 City of Fridley Application for Plumbing and Gas ihtting Permit Dept. of Bldgs. Phone SW -3450 DESCRIPTION OF WORK 1561 N E 60th Ave Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... i z z'b $ c i i 8� 5�` x $1.50 q W 7 Z u • F • N WATER HTR. GAS ELEC Base $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. lot $ Gas Lo 1 5.00 REPAIRS & ALTERATIONS—Refer to Code 111st a Lqg 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with I Sews: Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Lo 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ...............................................$ 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, Minn n-12-68 19— Owner R Sorsoleil Kind of Building frame Used as To be completed about 22-1 Estimated Cost, $ 1g�n Old—New. Building Permit No Permit No. Signed Business Phone No ROUGH p_ FINAL Ce l TOTAL FEE $ 5.00 ae City of Fridley, Mimii.e 1769 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Dates October 31, 1972 Owner:_ Roger Sars oloil Builder Dalberg Builders , Inc. Address — 1561 60th Avenue N.E. Address 1121 80th Avenue NcE, LOCATION OF BUILDING No. __L5 6 1Street — 6 0th Avenue N. E, part of Lot Lot —__ I __ Block _1 Corner Lot __._.__. _ Inside Lot _ Sewer Elevation Addition or Sub -Division Sakariason's Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addition ___ Front 51 Depth 24' Height 10, Sq. Ft. :Cu. Ft. Front Depth Height .— Sq. Ft. Cu. Ft. Type of Construction Frame F Cost _ $7,700 To be Completed 1211/72 In consideration of the issuance to me of a permit to construct the building described above I agree tq do the proposed work in accordance with the description above set orth and in compliance with a'll provisions of ordinances of the city of Fridley. g :8=State —sulshar-ao In consideration of the payment of a fee of $ 18.00 , permit is hereby granted tcti Dahlberg Builders to construct the building or addition as described above. This permit Is grantedupon 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 �rithinncesthee. city limits and this permit may be revoked at any time upon violation oa any of the provisions of said ordina `Clarence e s �� �.iril�l��spector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to�sao the Building Inspector for separate permits for these items. r -7 9V-7,la-0 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF PRIDLEY, MINNESOTA OWMIS xW: R©6 Z9 ",..`.: 5©k�� /BUILMRS Nryj'a gm ADDRESS : i.' 6 j - loo y E . ADDRESS: : Zza / _ ►�++16 �r61 7 1 // I I LOT; $LOCK i .�_... i AAAITIONj S R K ((moi fi i4 r s CORNER LOT: INSIAR LOT; SETBACK; SIDEYARD: AntivAnt attach to tbU fm=_Vo Certificates of Suivex of Lot and proposed Ud dam iacatim dry on terse Certificates, AYESCRIPTION OF BUILDING To Be u ead AS: 1�)�DZE! 4 S j2 Depthi 0 iElat: ID Square Feet;-Cubir. Feet; front t —Depth-, Height Square Peet; Cubic Feet; Ty{a of Constructions CAA -m stimated Cost: $ 74 io o. C To Be "toted; / - /- 7 2 N IM and Unad hereby makes application for. a pe=it for the work herein #P*aW*,d,, agreeing to do all work im atti.ct accordance with the City of ft"14W or4t"nc" 4n4 Tulip of tka Departmen4 of Bu44tnge, amA be'reby &cjareq all the Ijacts and representations stated ja this applt"tion axe true seed correct, n , L Id . Renate $W For Add#%ooaT Infoatian.j�� '; ; J `1U_ 1N CMT#PT "AT., • i MOVE 1/ A TRUK AND CCMRCT RAT OP A SURVEY CF n' Lot 1 Block 1, Sakariaso a Addition. Anoka County, Minnesota. 2 � Oct.Oct . ov. ;amu rer us —DAY or ---__ — . o. a dit', ��. , .�' SION11 f •' � F: JACXIBQN, UMMMGgTA r u SUBJECT P City of Fridley 18090 AT THE TOP OF THE TWINS BUILDING PERM ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � � --�1;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY --_.� L 612-571-3450 910-F15 6/26/85 JOB ADDRESS 1561 - 60th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Sakariason's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rodger Sorsoleil 1561 - 60th Avenue N.E. 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 1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 4' x 24' Deck in the front of the.dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Treated WOO 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $600 $.50 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. $15.00 PLAN CHECK FEE TOTALFEE .75 $19.25 EO C I' AC�OR�HORIZEDAGENT IDATEI � WH PRO LI D THIS IS YOUR PERMIT WajG 9EOF )NSP RJ�a7E ER IIF OWNER BUILDER) IDATEI u NEW [ ] City of Fridley Effective 4/1/84 ADDN. R-1 AND R-2 ALTER. l Building Permit Application Construction Address: 15(61 ,,6+ GAA Legal Description: L.w 1 tsmu1 i Sae ft- 1 pnoi j Owner Name & Address: 1z, (P (j, CTel. # Contractor: nu��e.Ar,— 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: /� C c r? is G c X) 2(0a I Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:ZGEA-1-rto t-jOelQ Estimated Cost: $ Approx. Completion Date: 3u ®'� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: C--�2,C—SK" APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge ift STIPULATIONS: CITY USE ONLY $ � 5I0 Ci Fee Schedule on Reverse Side $ `J 25$ of Building Permit Fee $ �� $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ $ ' J Agreement Necessary [ ] Not Necessary [ ] Roger Sareaieil `R or. 9986 z r -'�a ray '` 172-47. c w _'i w r% Ar s= A &J u.- Lit 1 Black 1, Sakariason's Addition. A �' 1►aaka Calauty, Minnesota. ftV RY CW, 4 •plass toaq vVq ,Wuedn3o0 30 s a *vq'*t=9 P'�1gs Pw :penso ..mon as �0tt i; rM.. An,'.:,e 10 99'aa� . . 39. SUBJECT PER O. City of Fridley Q19-37 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 6/7/89 JOB ADDRESS 1561 - 60th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Sakariason's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Sorsoleil 1561 - 60th Avenue N.E. 574-1834 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement 1012 - 421i Avenue N.E. 788-5602 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 XCI ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 4211 x 1611 Window 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 1 ISTALLS 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 $500 $.50 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 FANY OTHER ST ON- RCONSTRUCTION. LOCAL LAW EGULATING CON- $15.00 STTRUCT ON OR THE PER ORM CE OFATE STRUCTION PLAN CHECK FEE TOTALFEE ` $15.50 SIGNATURE FCONTRACTORORAUTHORI G IdATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT • BLDG )NSP ATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] Effective 5/1/88 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: /4-- 61 - legal /-Legal Description: Owner Name & Tel. # 7 /f3 Contractor: 4Tel. # %� PA-oa Address: /// v 2- L/ -1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D�:SCRIPTIO�T OF LIVIM AMM: Lehi Width Height Sq. Ft. GARAGE AM: length Width Height Sq. Ft. DECK AREA: Length Width /Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Sj s Z' Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + ' See Back Page DATE: APPLICANT: Tel. # 7 JL, S 6o 02 dV CITY USE OHI,Y Permit Fee $ State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee ' $ Sewer Main Charge $ $ L4 • _s- z 2 STIRMATIONS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engi reeri *xj Agreement Necessary [ ] Not Necessary [ ] 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) Gas Range Gas Dryer *Air Conditioning -AII Sizes �pp.�161��b Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total JOB AI Owner $35.00 $ 35 03 Building Used $10.00 $ ESTIMATED CO T6 PERMIT NO $10.00 $ $10.00 $ 11- $25.00 "W Al 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 State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR *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 DESCRIPTION OF FURNACE AND BURNER # of Heating U Circle One (Steam) (Hot Water)5arm Air Trade Name Size N BTU ROAV4 HP EDR Fuel Total Connected Load Burner de Na a Size No..7c7�'1/%I�QV BTU HP EDR 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 representat' ns stated in this application are true and correct. HEATING CO /d' d C_ Signed y FAX # 7- _)�Yl— �_ Date Approved by 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, deteriorati©n, 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. Y 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. Ye 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/CommonVent and Vent Connector Informa 'on I V Appliance #1 Type ,_ `BTIJ Input__ Fan Assisted or Nat Appliance #2 Types BTU Inputs _ _ Fan Assisted or Nat !. _ Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type 1{ Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter `f in Type C Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type . r _ ,. 4 , _%- /7 919 war HEATING Cif Date Signed : I�i ;ITY OF FRIDLEY INSPECTION DIV. 431 University Ave NE 'ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 �z APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MAKK NUMBER of FIXTURES TO BE INSTALLED ON EACH FLOOR dew Fixtures $10.00 .:Uri a I : :ISI::::::: RX. ' Wash T It:::::::: Floor Drain Auto. Washer ;::::>:;::, Gas Range Wa er He e t at r Stones :: `-:;:<: Gas Elec Basement ». $10.00 1561 60TH AVENUE NORTHEAST i3 ��.99� 'ump/Receiving Tank$10.00 FRIDLEY, MN 55432 "Vater Treating Appliance $35.00 OWNER _ (763) 571-1834 Nater Heater -Electric Floor 1 Nater Heater - Gas** $35.00 11 BUILDING USED AS �SI d e vtc� ,as Range** $10.00 3,as Dryer** $10.00 ESTIMATED COST q6 Lj oo PERMIT NO. Floor 2 $15.00 n 1 :P1W0N6%(A49j_ PLUMBING COMPANYNO (_�`11ova Floor 3 Floor 'LUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS.�nnn dew Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein )Id Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes leer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the fads Mow Off Basin $10.00 and representatinns StatPrt in thic nnnlirntinn ara true and correct. ;atch Basin $10.00 op SORSOLEIL, RODGER ®® Q ® j 9 Iain Water Leader $10.00 1561 60TH AVENUE NORTHEAST i3 ��.99� 'ump/Receiving Tank$10.00 FRIDLEY, MN 55432 "Vater Treating Appliance $35.00 OWNER _ (763) 571-1834 Nater Heater -Electric $35.00 Nater Heater - Gas** $35.00 11 BUILDING USED AS �SI d e vtc� ,as Range** $10.00 3,as Dryer** $10.00 ESTIMATED COST q6 Lj oo PERMIT NO. lack Flow Preventer Required ( )Yes () No Type $15.00 n 1 :P1W0N6%(A49j_ PLUMBING COMPANYNO (_�`11ova teinspection Fee $50.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE SIGNED BY Approved By N0. AaIZ) 827-e/033 Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ �S OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. 'AOMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE 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 vast, 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 : N/ 01 SUBJECT NO. City of Fridley 1CRNQE1iP 6.5.8 5 AT THE TOP OF THE TWINS BUILDING P E R M I T f NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/18/82 JOB ADDRESS 1561 - 60th Avenue N.E. 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR. 1 [BLOCK 1 1 Sakariason Addition SHEET 2 PROPERTY OWNER.S®d_1,,LIE L MAIL ADDRESS ZIP PHONE Rodger goralei+ 1561 - 60th Avenue N.E. 571-1834 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK WR" Roe-ifeel neck 9 CHANGE OF USE FROM TO STIPULATIONS $EPERAcTE PERMITS. REQ10INa FOR VWRI ; W 'A"o "EAVAK F.l;UOW im. Si# eIlk `� JiLEPWAE LAW REIR�D 8y TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,850 $.93 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- STRUCTION OR THE PERFORMANCE OF CO STRUCTION. w PLAN CHECK FEE TOTAL FEE $31.93 S N U CON A RORAUT o IZEDA (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP TE IG EOFOWNERIIF WNERBUIL ER IDATEI N/ 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEMITS (New, Alterations, Additions, or Repairs) OWNER: A 0,0 caeR QS'®QS'04 t/ BUILDER: Xoa-` S'O�X srfc% / o ADDRESS: _f� 6 / l ��h �3vai rye. ADDRESS: TEL NO: —moi l / Sf3 w TEL NO: Construction Location STRMT NO: �� (' STREET: 6 a /-& (f vi /\/ �", LOT: BLOCK: ADDITION: SA e A k f ztse' /11 0 Corner Lot: Inside Lot: .- 2�— 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 -0 -n / r 6 L9/'1 orit: e'®J'�� pDepth < Height: Square Feet: I Cubic Feet: Front: Depth: Height: ,quare- Feet: Cubic Feet: 11 G x SJ T -6- (Ag - o o +4 ®u t -G, e'u Type of Construction: (/li6 ®,0 �: Estimated Cost: $ I To Be Completed: Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 'Mie undersigned hereby makes application for a permit for the %•:ork' herein specified, agreeing to do ,all work in strict accordance with the City of Fridley Ordinances and ruling.-, of the Department of Buildings, and hereby declares that all the facts and representations stated in this application aAe tree and correc4t. ® �� DATE: SIGNATUIE: Stipulations: A m An, t, rti AT Application for Power Plants and Healing, 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. EDR 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 $ 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 $ 5 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE � Dept. of Bldgs. Phone SU 4470 Location / JSET 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. 6 Fridley, Minn_ Owner "rl'e z 5_� ® Kind of Building /R' Used as /, ey To be completed about Estimated Cost, $ Old uilding Permit No. 14 Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 6'0"� Trade Name % Size No Al�s3 "eo dDz Capacity Sq. Ft. E.D`..R BTU H.P. Total Connected Load ¢r ) I a Kind of Fuel A10'r 6" BURNER — Trade Nam Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signet' By l/�.� <2 2M Business Phone No � � -0 _ D•S6! r HEAT LOSS CALCULATIONS ,t�"AJ &XV7 DEPARTMENT OF BUILDINGS mHeEAPOLIS, MINN. Weatherstrips Exp. wall A S V' ' Guide Reference 19_ Infiltration Glass Exp. wall , Construction No. Insulation ows rs I Out. Wall, all Ceil' Roof Floor lied es No Ye No Fl.lY> f ! f , oom Leng Width , ,u,r.)lleight Fl.( A �! Room Length Width Height if Windows and &ors—Crackage and Area II Width Helght No. of Lineal P . Area No. of Dane of DanQ tights of craclt. sq, ft. Infiltration a Glass Exp. wall Net exp. i Int. wall Ceiling . TotFloor a to and Infiltration Glass Exp. wall } Net exp, wall Int. wall Ceiling Floor Tot tu. quired s Fl Windows and Infiltration Windows and Doors—Crackage d Area Glass Width Height No. of Lineal ft. Area No. of pane of pane lights of CrAclis sq. ft. Exp. wall Net exp. wall Int. w. 1 Infiltration Glass Exp. wall , Co to '' Net exp. wallJF Int. w 1 . g Ceilin4 oil or aq. ins. WA.: Leaden area _ Flool " r�,r.+�°I/ ETf 19, 1 TotajMtu. " or sq. ins. W,A. Llader area LO, Require . ft. E.D.R. or sq. ins. W.A. Leader area memoLe11 MOMM sip ngth ?W, ' Width Height;' Fl.)oom I LengthWidth -Crackage and Area Windows and Doors—Crackage� and Area No. of Lineal Pt: Arga' Width Helght No. of Lineal ft. Area lights of cra eq. ft: , No. o a of pa lights mf crack -sq. Us Co Btu _ r -OF 60 Glass v Exp. wall Net exp. wall Int. w. 1 OWE iP *�47 Ceiling �� loor .00,111 To tu. or aq. ins. WA.: Leaden area _ equired sq. . E Im I Length , Width "''FleigTit` H, Crackage and Area No. of Lineal ft. Area lights of ck sq. ft. Yy 27t Windows and 1 Width H No. of pane of e Btu Infiltration Glass Glass Exp. wall. Exp. wall Net exp. wall Net exp. , Int. wall Int. wall Ceiling _ _ � Ceiling , Floor v i -; AO Tot Btu. i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 �j I A . — — .R. or sq. iris. WA. Leader area &;;m— I Length Widt Height ;ors-Crackage and Area ght No. of Lineal ft. Area anye lights _ of qLack sq. ft. ..I Coef. Btu Floor zt-- 7 Im Tot4 Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Mt...... -,_ 40 n -ss ' s HEAT LOSS CALCULATIONS VDEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide NkSows Iv4kQrs Reference Out. Wall Int Ceilin Roof Floor Ok Yes. No No 19— Fl. Room Length Width Height II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area .. widthHeight No. of Lineal Y . Area No. of p of pane light of crack sq. ft. op f JI9 MI Infiltration Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Glass CeilinjNL 01 Floor Exp. wall Totdf Btu. 111 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 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. MI Infiltration r Coef. Btu Infiltration Exp. wall k I Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling Floor Total Btu. Required, sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors=Crackage and Area i Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq, ft. MI Infiltration r Coef. Btu Infiltration Exp. wall k I Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling Floor b Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area i Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. MI Infiltration r Coef. Btu Infiltration Exp. wall k I Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling --Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area i Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. MI Infiltration Glass Exp. wall k I Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area FI.1 Room I Length Width Windows and Doors—Crackage and Area 17idth Height No. of Lineal ft. Area No. pane of pane itghte o! crack eq. 1t Coef. Btu Infiltration Glass Exp. wall ,Net exp. wall Int, wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices GRAVITY WARM AIR: Furnace Shell & Duct Work............................................................ Replacement of Furnace .................................................. _................. Repairs & Alterations up to $500.00 ........... . ....................... Repairs & Alterations each add. $500.00 .............................. 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 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. EDA Hot Water ................................... OIL BURNER—to 3 gal. per hour ....................... ...... _......... _.... over 3 gal. per hour—See Fee Schedule GASBURNER .................................................. _................... _................ BTU GAS FITTING FEES: NO 1st 3 Fixtures ............ ......... Additional Fixtures ......... _......... Gas Range to 200,000 BTU .. ........ ......_..... VENTILATING SYSTEMS Duct work etc. not to exceed 2,000 cfm ........................ _._ Each additional 1,000 cfm................. _............................... AIR CONDITIONING ALTERATIONS & REPAIRS $ ....... _........................ $..._........_.................. $ ..... _....... _................. $............ _................... $ ..... _............... _........ $ ...... _........................ $._.._----------- --_........ $..................... __------ Locatian ....................C.:.I.....��.......4......®-...�%%'.`.......� City of 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. 1 or 'ZZ 'Osp -V Owner Kind of Used as Tobe compeletd about ............................................... .................... _........................................ _L .... ...... ........ EstimatedCost, $.......... ..SP .................... _....................................................... _.... 7._. DESCRIPTION OF WORK HEATING or POWER PLANTS. (underline) Steam, Hot Water, Warm Air Trade Name Size No. Capacity Sq. Ft. E D R BTU M.P. Total Connected Load AIR CONDITIONING Trade Name Electric TOTAL FEE s....6.•••.s.......... .... (remarks—over) Kind of Fuel Size No. Gas Signed........................s............_.URB...........Al . L��..G. ........ _..... r!I�AN A�CCNti'1i�li� By. ............... Wl 19... C..ENTER... CRIVE ti INNEAVU1 - Business Phone No...................................................................... Business Address ............... .._---------------- --- _...._---- ----------- _...__....__.........