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PRE 2010 DOCS0 City oFridley, f FridlMinn.• BUILDING PERMIT N® 4102 Date: ............ ...... ....7_ ._._0..._..../..................................... r Owner: ........................................................... ............ ..... .................... Builder .. _......._....... .._............._........------ ---•-..._.._.._. v .... Address Address LOC/�TIO OF BUI ING No.....1.1.--f.............. Street - �....�._.� . --..! rsLr°�'.. ..... Part f Lot ............. •-----. Lot ......f,............_........ Block ............./ .................................. Addition or Sub -Division... ---.. ......... e 7 Corner Lot X ......................... Inside Lot ....................................... Setback��. ' ...._.. ....... Sideyard �.Cr........ ............... _............._..._...... Sewer Elevation ...... ............. _............. _............. _..................................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: y _.............. Front ."X... - Depth 4'_ Height 1. .'. Sq. Ft.%....SC... ..... Cu. Ft. 2 �/� .......... .................... Front ,C...T...... ® Depth a l...:.. Height ®... Sq. Ft. _ ._fo Cu. Ft.,3,34, ... ../ Type of Constru on ........................................................... Est. Cost. 3,.763..0 �o beCompleted.................... _............. _....... _........ 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 compli with all provisions of ordinances of the city of Fridley. o .tJ&' ....... In consideration of the payment of a fee of $.07....., 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. - oV , / 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. Application for Power Plants and Heaping, 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 a. 061 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. IDR 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 BTI) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS - 4 $ See Fee Schedule $� TOTAL FEE Dept. of Bldgs. Phone SII 4-7470"-"//.— 6e 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 trued correct. n Fridley, i 195-T Owner T� 195— Kind of Building ' 195— Used as To be completed about yO^� Estimated Cost, $ 0i*--New.1Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS--7Steam, Hot Water, Warm Air—No % Trade Name Size No A' Capacity Sq. I E D.R BTU H.P. Total Connected Load 64 ®i / Kind of rue BURNER — Trade Name Size No Capacity Sq. It. E.D.R BTU H.P. Sign By 11 POST IM -12-58 Business Phone No�- � �'']ze� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A•GS•uidH'eV E Construction No. Insulation Windows I Doors Reference Out. Wall J1nt.WalI I Ceiling I Roof Kid How. Applied Yes—No Yes—No 19— I Fl.l 1 •. 1 i : i, – Room I Length n Width I Q Height 42 II A F11 P V. Ren.1 L.en.th A 11 Width 12 Height `'> Win ows`$'llfl� it iW `' iackage and Area m 1 a.cngtn w lute Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft* a a Windows and Doors—Crackage and Area Coef. Btu, Coef. Btu Infiltration Glass ®6 o P E Exp. wall Net exp. wall �> Glasst� Infiltration Int. wall O Exp. wall Glass Q Floor r �� 14 01 Net exp. wall v- Ceiling Exp. wall vvv Floor Net exp. wall Int. wall n P I otal Utu. ` r. Required sq. ft. E.D.R. or sq. ins: W.A. Leader area Fl.l P,��,- P, Room I Length -1 Width Height C Windows and Doors—Crackage and Area m 1 a.cngtn w lute Width Height No. of I Lineal ft. Area No, of pane of pane lights of crack sq. ft. 0 C0° `-' Windows and Doors—Crackage and Area Coef. Btu, 14 Infiltration I l �f - Glass ®6 o P E Exp. wall Net exp. wall �> G Infiltration Int. wall Ceiling Glass Q Floor r �� 14 01 Int. wall Total Btu: Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 41 n A V C'&P m 1 a.cngtn w lute ncignr 0 C0° `-' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane llghts of crack sq. ft. Btu Infiltration r Btu 1L ®6 o Coef.1 Btu_ _r!– ! Infiltration Exp. wall Glass Q .5 14 01 Int. wall Exp. wall Ceiling Net exp. wall Int. wall n P Ceiling sIc B p Floor ''� "A Total Btu. Required sq. ft. F.D.R. or sq. ins. W.A. Leader area Win ows and Doors—Crackage and Area � nd�D'oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 0 C0° `-' —of B� Coef. Btu Infiltration r Btu 1L ®6 o Glass _r!– ! I Exp. wall Net exp. wall 14 01 Int. wall Net exp. wall Ceiling 4ut–wall- p, Floorl Ceiling Total Btu. `nd Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t M-1 ... '' R.I L.enQth ® Width /q Heiaht 7 Windows and Doors—Crackage and Area � nd�D'oors—Crackage and Area Width Height No. of Lineal ft.Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane pane lights of crack a'. ft. —of B� Coef. Btp Infiltration r Btu 1L Glass _r!– ! Glass, Ex wall Exp. Net exp. wall Int. wall Net exp. wall Ceiling'" 4ut–wall- p, Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 Fl.l ie.+, i. !a ., Room I Length t Q Width 10 Height r Win o ' � nd�D'oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane pane lights of crack a'. ft. —of B� Coef. r Btu Infiltration ' Glass, Exp. wall`s Net exp. wall 4ut–wall- p, Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Lender area �c1 City of Fridley Apprication for Plumbing and Gas R M'nq Pernndtt Dept. of Bldgs. Phe SU 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Location D V� K G � Number Fixtures ...................... /}� $ J = Y � $ K Z � z O Catch Basin ............................ 3w Z OO • F ® N WATER HTR. GAS ELEC Base GAS FITTING FEES: NO. RATE TOTALS 1st 3 Fixtures .......................... x $1.50 $ Z' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd _ 4th tt • Future Connection Openings I New Fixture, Old Openings Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAI. Number Fixtures ...................... x $1.50 $ J Future Fixture Opening ................ 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 $ --Z New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTALS 1st 3 Fixtures .......................... x $1.50 $ Z' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ....................................... TOTAL 37 7 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. MeZy, e 19 Owner 19— Kind of Building Used as To be completed about Estimated Cost, $ Old Ne : uilding Permit 5 Business Phone SEP 2 2 159 Roue 11 POST 1M-12-58 19- " Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and 4b Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ 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 $ , 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: 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_ Owner = = cz-�; , , ,. G . _— 195— Kind of Building 195_ Used as To be completed about Estimated Cost, $ Ald—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. -QW11 POST 1M-12-58 Business Phone No • o, Wator U A b o� c.;; Id h ,n A u �i' W 11o4CoC .. � .? M ` g � M b � � 'H � H ,� e ru' a 03 A a w as lac t`'n ti ;4C0 ::c •. ppi Lnec r go ,. 7:, d , )rG' 6 th � • . (R) - N tura Connection Opening Connected with Sowar (') - How Futuro, Old Opening WAtot PARTIAL RATE SCHEDULE PLWLBIRG. FIXTURE RATES: NO, RAT f.W.bCX FLxtuses X $0,00 Future t' ttura Opaning $2.00 New Fixture, Old'Oponing x $2,00 Catch 9aeLn• x $5,00 ,.Water Hoayer - to 99,000 B1V'•'' x $5•,00 100;000 `BTU to 199,000 BTU x $10,00 Water Sal caner _- x $7.00 ' Nev Ground•Run Old Building x $5.00 Elacc-cic Hater Neater - X 55,00 -CAS FITTING FEES; X $0.00 X $1,00 X 510.00 Ist 0 fixtures XJditicnal rLxturse -it Range to 199,000 BTU REPAIRS d ALTERATIONS r' -s t :100.00 .ed. $100.00 or fraction SAAta Surcharge TOT1LL FEE TOTAL S $5.00 $ $2.00 S .50 $ 8.00 97- -lb1160r5,1 Job Address — 62Nd Way Ne, 3—$7-78 Department of Buildinga City of Fridley 1 Tal. X571-3450 . 1 Thal 6nderoigned hereby makes application fora parntt for the w apeclfled agruoing•to do all work in strict accordanco with tho C and rulings of the Oapartnont of Buildings, and hereby declaros t the facts and reprgountations stated in this application are true ' Fridley, M,,, 3-27-78 DINER VINCENT L. KELLY KIND OF BUILDING frame .r. USED AS res TO BE C014PLETED ABOUT -3-78 ESTIMATED COST 20.00 OLD - NEN BUILDXIIG PERMIT 140. PE( IT 110. 4C;2� Company 0� 7TW , signed By EGASCO ' Tal, No. ROUGII INSP. Dnte , FI11kL r Da to APPROVAL FOR PERMIT MIIIIMUM FEE FOR NIY PLUMBING PERMIT 15 11.50 APPLICATION FOR PUJMB114G AN'o GAy FITTING PI:K•;Ir F•i1K T I is • I ; j fit' ! • ! 1 11 U!t1. k;TESRATE N ater TOTAL. i �+ lul.:te F:w[utE G (•L r:: n) Ilea ter $ x $2.00 $ Le• 1,.t.,le, Old Op er.[:., x $2,00 $ L: � III w�11 W �.•i�— 55,00 $ Hatt& •lrAtur - Le 99,000 bni $5.00 g i,..�, JaJ BIU to 15 CLO 6IU '---- x $10.00 $ Wator s.,ttenar _ _ x $7.00 - -- • - _ _ _ _Cook Top x $5.00 --� ; Lle.Lt n.; Hat oe Iloatae —i_; x $5.00 g n) 1��.,►e C..MC,:C1Jn G(•anlr.3� . C.::.ettcd with Storer '1 14"t I�tutn, Cld O{:cn:r.� _ Wator F•i1K T I is • �•Iv fit' ! • ! 1 11 U!t1. k;TESRATE . U TOTAL. lul.:te F:w[utE G (•L r:: n) x 53.00 $ x $2.00 $ Le• 1,.t.,le, Old Op er.[:., x $2,00 $ G,t.r. ¢�asln x 55,00 $ Hatt& •lrAtur - Le 99,000 bni $5.00 g i,..�, JaJ BIU to 15 CLO 6IU '---- x $10.00 $ Wator s.,ttenar _ _ x $7.00 g Ilew C-tL.,rn,{ Pun Old Buildi • r.) x $5.00 --� ; Lle.Lt n.; Hat oe Iloatae x $5.00 g ,S IIIII:G FEES: l,,t 1 et•lura� ' $3.00 $ ---+---- x $1.00 $ 199,006 6IU x $10.00 $ _ :I'.11rt% L �I.TtkgTluNS 1.1•6t a►,�u.ou e,.:, all, 1lLiJ:wO ar ttaeuon $5.00 $ $2.00 $ SLa Ca Su r:r,atge 5 .50 TGrr.L l r.L' 5 8.00 97-84-0h16051 Job Address ��l 1111-E62nd Way Otf�arunr:nt ct �,:l:�ay�� City Gt Fridley Tel. 1571-3450 Th a". h.rcCy r.::kuu appll:at:c- :_r a ;"antic fzr th„ work Lercln specified 6]rcnf La d: ell work ie str::t c:zGrlar.:,e .ltt. tl., City CGdes end rulings of tlru Ger:rtmenL of B.:tldings, a-� 'erccr .:c;l,rer that all the faclil a.,d rc1 r,s„r t�, tone et]cod :r. [hie 1...;catic,i aro t,ua and 4-24-80 NNER Vincent L. Kelley KIND OF 11UILGI:;;, 'came USED AS Res TO BE COMPLETED h,a r r 5-2-80 ESTIMTLD COS•r — a 50.00 OLD - NEW IIUILGI:1„ pLl, -,ii' t[J. ...,c,p.ny S l J n e.1 B y 'rte 1, liJ , I • ROUG11 I II5P . Da to FINI%L ItISP. .3_ -3C, -S-/ Datu hl'I.110VAL ICA I'Llell r MINIMUM 1'L't: I,.q 1.:ry 1'LUr:u111Z FLI,:;IP IS 67.SJ FLU5 ;.:0 :;I.TY 6U110V,jrr SUBJECT PE City of Fridley 18862 AT THE TOP OF THE TWINS BUILDING PERMIT r R E C E I i _COMMUNITY DEVELOPMENT DIV. L _� � INSPECTION SEC. r � PROTECTIVE '5p�D I = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/7/87 JOB ADDRESS 111 - 62nd Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 l Juli-Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vincent Kelly 111 - 62nd Way N.E. 571-3426 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Enclose 19' x 10' Deck into Additional Living Area 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 Z 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 $3,950 $1.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE REGULATING CON- $44.50 SPROVISIONS TF STRUCTION PERFORMANCE OF CONSTRUCTION. RUCTON OR PLAN CHECK FEE TOTALFEE $ 13 $57.61 . GNATURE OF CONTHORIZEDAGENT ) IDAT� WHE14 PRO, PRL LI A THIS IS YOUR PERMI L'b I SP o / BATE A RE OF OWN E II OWNER B ILDERI IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address Legal Description: 4 Owner Name &Address: " Tel . # ,�--Z_(—� 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 GARAGE AREA: Length DECK AREA: Length_ OTHER: Width Height Sq. Ft. Width Height Sq. F Width 6 Hgt/Ground S . Ft. ------- A Corner Lot [r/] Inside Lot [ ] Ft. Yd. Setback w Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: ! / 39do FfQ if 6? 8 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation r /3�� DATE: APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: ^/�. �\\CITY USE ONLY $ �". Jam' Fee Schedule on Reverse Side $ ` • 1 3 25% of Building Permit Fee $ �.� g $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] L . , A 209 :sa 2-6 o 4'— sa. SO a,o 6 l ,f! r :11 1 LL r - OD c� u, cJ ;. CITY OF FRIOLEY INSPECTION DIV, n 6431 University Ave NE Effective On March i, 1996 Fridley,4 56432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3+5!}4 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES n� RATE SCHEDULE JOS AODFIESS , % — w `� ----_ / Residential The undersigned hereby makes application for a permit for the work herein S Rate Furnace FurnaShell and Duct Vdark, Burner — TOTAL specified agreeing to do all work in strict accordance with the City Codes at Also Replacement Furnace $ 30.00 $i rulings of the Building Division, and hereby declare:; that all the facts and {Side Vent -- Fill Out Back} .O® representations stated in this application are true and correct, Gas Piping (Needed with new furnace) $ 10.00 $ /6-9 9( , OWNER Gas Range $ 40.00 $ Gas Dryer BUILDING USED AS_�l� c\\ \ $10.00 $ g —All Sizes $ 25M0C\O; *Air Conditioning i � ESTIMATED COST_ %�®(�s0® PERMIT NO. � �p All titihersfRepairs & Alterations (LIST ON BACK) DESCRIPTION OF FURN60 AND OR BURNER iib of Value of Appliance or Work $ No, of Heating Units_ __L CirrIP One (Steam) (Hot !Nater) � arm N i tido Marne neo_MC°J Cq_ Comrnarcialjlndustriai Size No. 1.25% of Value of Appliance or Work Fuel( HP EDR Ftfel Total Connected Load StateZurcharge ---__._• Burner Trade Name Size No, TOTAL FEE 110 BTU _ HP EDR MIN1MUi4I FEE FOR_ANY HEATINO ICQQL14zNNTILA7lON REFRIGERATION All R CONOITI0N ING PERlwltl IS $26.00 PLUS SHE $.5U STATE SURCHARGE REINSPECTION FEE $420D/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPAN)l el No.��` Approved ByRough—In Date Final Date FILL OUT BACK SIDE F STACK VERIFICATION ON /�/�a/�� REPLACEMENT FURNACE V&/ i1L -27--1996 1 3CITY CIF FF' I i SLE' l 612 571 12 ? P.02/02 r �- 5 Has total heating BT'U's of `7� , (J ® C) All other BTU's _ '� , 6 Cf 0 TOTAL. BTU's 00 7. Has a Uner been provided for water heater Yes () No 8. Has combustion air been provided for water heater- Yes? No ( ) Remarks: ist .A TF - TIONS Being Dong. HEATING CO: Signed By: Date: p(ZV\e- ' TOTAL P.O2 CHD Y AND STAG VEROTCATION The undersigned hereby verifies that the existing cb, r=ey 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 No ( } 4. Is securely supported. Yes No ( ) 5. Meets all current Code requirements for size and total RT%J's connected Yes_lt-4No { } �- 5 Has total heating BT'U's of `7� , (J ® C) All other BTU's _ '� , 6 Cf 0 TOTAL. BTU's 00 7. Has a Uner been provided for water heater Yes () No 8. Has combustion air been provided for water heater- Yes? No ( ) Remarks: ist .A TF - TIONS Being Dong. HEATING CO: Signed By: Date: p(ZV\e- ' TOTAL P.O2 SUBJECT City of Fridley 29561 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T _ _ COMMUNITY DEVELOPMENT DIV. fr ------ INSPECTION SEC. 1 r PROTECTIVE i1 = CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED 8r _--.��'� L 612-571-3450 910-F15 5/26/99 JOB ADDRESS 111 62 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Juli-Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Solomon & Sons 12211 Olive St NW Coon Rapids MN 55448 754-5875 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sandra Appleby 111 62 Way NE 20055664 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 O NEW ❑ ADDITION O ALTERATION O REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage 25 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 OWLG. 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 $2,142 $1.07 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- S TI N OR T E PERFORMANCE OF CONSTRUCTION 83.25 F e. SC $2.14 PLAN CHECK FEE TOTFEE / Licen$5.0// 91.46 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi _AFM=Ar- R P o VALIDA ED IS IS YOUR PERMIT 9 04fE S�GN4TURE OF OW NERi6 OWNER BUILDERi �DATEi NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION J\ Construction Address:Ij/� �� cr Ct/I 7 Legal Description: Owner Name & Address:64, Tel. #S Ya26 �f � Contractor: Jam' - �� /v4 MN LICENSE # Address: 19c9 / / Ll)li Vc- [j, t4 (%. K. , Sr-- 15 Tel. # 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: Construction Type: A 1w Y Estimated Cost: $ Z%t/6 Driveway Curb Cut Width Needed: DATE: � 6 ';, Permit Fee $ 3, ;? Fire Surcharge $ , State Surcharge $ G SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ /' STIPULATIONS: Ft. + 6 Ft = Ft x $ CITY USE ONLY Fee Schedule on Reverse Side Ma Tel. # .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 [ ] 0_V_ -IC4-410� CITY OF iFRIDLEY BUILDING INSPECTION M ,9 3431 University Ave NE 9 Fridley, MN 55432 L 763-5723604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ JOB ADDRESS k 1 I 102 r� ` ) Owner Building Used As ESTIMATED COST a�60,CCPERMIT NO IT *Air Conditioners can not be placed in side yard without written approval rm from adjoining property owner - copy to City N FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE EL a: Approved by Rough -in Date Final Date Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ N of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air ConditioningAll Sizes $25.00 $ BTU HP EDR k�'`'' u k)c v YYI0_0014 a - � O n Fuel Total Connected Load All Other Repairs or Alterations (List on Back) r 1% of Value of Appliance or Work $ Burner Trade Name Size No. a Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EOR Y Improvement whichever is greater on work less than $300.00 The undersigned hereby makes application for a permit for the work herein :3 Commercial/industriallinstitutional specified agreeing to do all work in strict aocordance with the City Codes >- 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/industrial/ifistitLrdonal and representations stated In this application are true and correct. CENTERPOINT ENERGY Y State Surcharge $ .50 HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 1a TOTAL FEE $ ps "so Signed Tel # 763-757-6202 REINSPECTION FEE $50.00/HOUR FAX N 763-757-6701 Date IT *Air Conditioners can not be placed in side yard without written approval rm from adjoining property owner - copy to City N FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE EL a: Approved by Rough -in Date Final Date do "d Idlul 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, 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 No specifications including sizing, length, number of elbows and termination. Yes ( 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 (i1 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 No Venting Tables for fan assisted and natural draft appliances. Yes ( 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 CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By: ® d ' Date PA/M I A TWAl.SL Dl AgI 1 N.A A0 AI 1 O WON -1 S? : T T b00Z-LZ-�Idd