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PRE 2010 DOCSCity of ]Fridley, Minn. BUILDING PERMIT • Owner: Builder — D. T. h .r _r Address Address 652 _ 2-nd t. M.E. Fridley LOCATION OF BUILDING No. 150 Street 62nd Hay N.E. Part of Lot Lot 6 _ Block 1 Addition or Sub -Division .___Potaseks Corner Lot _ Inside Lot X _ Setback 351 — Sideyard 9 R, 10 Sewer Elevation _... Foundation Mevation 21 above street No 8569 3 // VA DESCRIPTION OF BUILDING To be Used as: Dwelling Front ) In Depth 8— Height Sq. Ft. 1,2$2_ Cu. Ft. 17$ Front Depth Height Sq. Ft. Cu. Ft. Type of Construction' Est. Cost r. 6 00.00 -To be Completed • 20 x 24 garage attached - house same as 6001 Gardena Circle • In consideration of the issuance to me of a permit to c tract the buil described above I agree to do the proposed work in accordance with the description above fo and incQmpliangp with ail provisions of ordinances of the city of Fridley. v �/ In consideration of the payment of a fee of $ 98.00 -,permit is hereby granted to D.L. gcbp-rer. to construct the building or addition as described above. This permit is granted upon the express condition that the peion to whom it is granted and his agents, employees an workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances sof Fridley, Minnesota regarding location, itmay yoked a any time upn�o maintenance, n of rand any of the provisi bona of said within the city limits and this ordinance. NOTICE: ibis permit does not effer the donstruddon, hutaWen for robing, plumbing, ga hesting, =wet or wsbr. Be pure to as the Butldhrg kMmmr for cpm to pemdb for thea Neva. I APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER * S NAME BUILDER . ° �l� AOS ADDRESS_ADDRESS 2 e LOCATION OF BUILDING –�� Street Part of Lot ..LOT R ADDITION OR SUBDIVISION Corner Lot Inside LOT--A—Setback _3 Side -Yard 9 / ..SEWER ELEVATION, k066A ioit i=VAtT6X_ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front L140 Depth,_ _Height Sq. Ft. % Z �2-, Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost % / �-6 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. '6 _� DATE SYGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 2.0 X2-�' 6001 Application fOr Power Plmh and HtWhM Cooling. Ynnfflaftn. Rn/Eign�otion and Air CondNonkq Systan and Dnricns F PARTIAL RATE SCHEDULE lhwL of Bldg.. Plwne 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. $500.00 3.00 $—__ _ MSQL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 h5 " 0°"0 each add. 60,000 BTU .................... .. 3.00 = 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. EDR Steam 3.0n Each add. 320 sq. ft. EDR Hot Water 3.00 $— OIL BURNER—to 3 gal. per hour over 3 gal. per hour --- See Fee Schedule GAS BURNER (up to 199,000 BTU) ... ...... over 198,000 BTU See Fee Schedule GAS FITTING FEES: 1st 3 Fixtures ..... Additional Fixtures Gas Range to 198,000 AIR coNDrrioNnMa FAN HEATING SYSTEM VENTA.ATING SYSTEM ALTERATIONS & REPAIRS rmu //- I9- 7 V 6.00 $ _ 5.00 Q NA RATE TOTAL _ x$ Zoo $ 6-0 - x .76 $ - s$ &W $ See Fee Sc6edols TOTAL FEE $ (SURGhARGE $_058) !M@91= 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 true and correct. Fridley, Minn �2 ® Owner Kind of Building Used as To be completed about Estimated Cost, Building Permit No. Permit No. Q9 q> DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name 1.[ - Size N ®� eZ> Capacity Sq. Ft. E.D R- BTU H.P.. Total Connected Load- Kind of filet BURNER — Trade Nance Size No Capacity Sq. Ft. F;.D R BTU IS. p j62 42 .HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. WallInt. Wall Ceiling Roof Floor Yes—No Yes—No 19_ Fl.j i Room I Length ! Width f Height II FLI rR _ 0S4 Win ows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. L 2- EWidth Coef. Btu Infiltration 1A W Glass ,05,70 Exp. wall aw Net exp. wall Int. wall - Ceiling ' Floor 1 otal btu. 1 2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 n .'a / Room I Length / ', Width 9 Heistht S'/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. L 2- EWidth JCoef.1 Btu Infiltration 1A W Glass f Exp. wall aw Net exp. wall Int. wall - Ceiling L,% Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length "y Width -7 Height Sr Windo s and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofvans of pane lights of crack sq. ft. rr EWidth Coef. , Btu Infiltration 0 Glass f Exp. wall aw Net exp, wall Int. wall - Ceiling /37 KQ Floor I btal Btu. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation Kind How Applied Room I Lensith .tom Width/ Z,- Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Z� EWidth Coef. Btu Infiltration 0 Glass 5 Exp. wall aw Net exp. wall Int. wall - Ceiling /37 KQ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 Room I Lenath 'Z/ Width Height Windows and Doors—Crackage "and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. � o EWidth Coef. Btu Infiltration Z0190 Glass Exp. wall Net exp. wall Int. wall - Ceiling /37 KQ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l AJI R Room I L.enath /'3 Width / Z--Heiaht Windows and Doom—Crackage and Area Height No. of Lineal ft. Area No. of pane lights of crack sq. ft. EWidth Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall - Ceiling /37 KQ Floor 1 otal Btu. ft. E.D.R. or so. ins. W.A. Leader area ase .:_ • .42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Guide Reference l9_ Coef.Btu Construction No. � 1340 Insulation Windows I Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No IJ Floor FI.[,L:' , JEV Room I Length i . t:, Width ® Height X II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panne lights of crack sq. ft. Coef.Btu Infiltration � 1340 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I 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 rota! Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 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 eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 btal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Inc. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. 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 eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Inc. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader arra CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 PLUMBING FIXTURE RATES Effective On January 1, 1997 NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 /0-00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 0•06 State Surcharge $ .50 JOBADDRESS AS0 ""�Oa�A° ltJ /�J 6jQ4a'/&/V o-V?Z The undersigned hereby makes application for a permit forthe 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 representations stated in this application are true and correct. , 1997 Owner f � 619 (0/MyE3))117 S' 7/ - Ln y q Building Used As resl�4 rce Estimated Cost n PERMIT NO. /YO PLUMBING COMPANY AW eJ) jj T SIGNED BYU ';4 TEL N0. Approved By ( Rough—In Date MINIMUM FEE OR ANY PLUMBING/ TOTAL FEE $� XOR PLUS THE $.50 STATE SURCHARGE Final Date? ! 7 NIT IS $20.00 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT 0ffMWTN_V---,_ City of Fridley 26099 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. tr r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY ' /"'1 CITY HALL FRIDLEY 55432 �"" 612-571-3450 910415 5/28/98 JOB ADDRESS 150 62 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Patasek's Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Ron Backstorm 150 62 Way NE 571-4849 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Restoration 1628 Hwy 10, Mpls., MN 55432 784-2772 5267 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 ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (34 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. 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 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 $2,835 $1.41 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- $74.75 Fire SC $2.83 STRUCTION OR T PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �^ �` License SC $5.00 $83.99 R AUTHORIZEDAGEN7 IDATEI WHEN PROPER ALIDATED THIS IS YOUR7PERMIT VV a BL G INSP DATE_ SIGNATURE OF OWNER 0F OWNER BUILDERI MATEi NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Effective 1/1/98 Legal Description: Owner Name & Address: Tel. # Contractor: ,� /�! a;:&9777 MN LICENSE # �5�� 6 7 Address: Tel. #�--�7�� 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 GARAGE AREA: Length Width Height. DECK AREA: Len W' th Hgt/Ground OTHER: D �3 Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. So. Ft. QQ Estimated Cost: $CU' (Fee Schedule on Back) Ft x $ = $ Tel. TOTAL $� ° STIPULATIONS: CITY USE ONLY Permit Fee r/ $ , / S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ - $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $� ° STIPULATIONS: