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PRE 2010 DOCSCity of Fridley, Minn. BUHMING PERMIT NN® 3269 Date: :' : .^�.{�............................ d Owner ....................................... Builder- ............. �........� i Address...................................... Address ............................................. LOCATION OF BUILDING No ( Street . .':. ..... ....F .................. Part of Lot ...... Lot ............ Block .................. Addition or Sub -Division ...... ............. .,......... Corner Lot ............ Inside Lot ... Setback ....... j DESCRIPTION OF BUILDING To be Used as: C, v � FYt ...�Depth Height � Ft`'-�� Cu. Fta� �- . .. Depth Height ... Sq. Ft. Cu Ft. Type of Cons—.,—. � . L'-.: lftt. Cost.. ,a... To be Completed ................... b r. 1310 7 In on of the issuan�e�to me of a permit to construct the building desribed above, I agree to do the pr ec�rdance with the description above set forth and in compliance with all provisions of 7C7 of ` of Fridley. .................................................... y--�-his f. In consideration of the payment of a fee of $..:.......... permit is hereby granted ......................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. E l ...... c' -b Building Inspector ��✓� / .. '.1 -7f -p 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 Application for Plug and Gari Fhtkg Fait Dept. of Bldg*. Phone 9®0-3490 DESCRIPTION OF WORK Number. Kind and Location of Fixtures • Future connecom Openil4p I `A ` sewer + New Fixture. Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $-- New -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 .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. x $200 $ 2.00 Additional Fixtures ................. x $ .75 $ Gas Range to 199.000 BTU .............. x $5.00 install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Coda Description ..............................................._ TOTAL FEE S 5.0o 53-84-9915.51 TAM 010 1100 NE. 63 Ave. 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 alt the fact and representations stated in this application are true and correct Fridley, Minn Alaril 26, 1972 19, Owner Arthur Docs Kind of Building frame Used as residence To be completed about MAY 1. 1972 Estimated Cost. $ ORK–New. Building Permit No. Permit No. _ Signed- By I Business Phune No ROUGH �! FINAL `J � aa% -W Surcharge .50¢ RMIRMEEMMMMMM01 MEMONEENNEENEENEW MEMENEENEENNEEMEMI • Future connecom Openil4p I `A ` sewer + New Fixture. Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $-- New -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 .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. x $200 $ 2.00 Additional Fixtures ................. x $ .75 $ Gas Range to 199.000 BTU .............. x $5.00 install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Coda Description ..............................................._ TOTAL FEE S 5.0o 53-84-9915.51 TAM 010 1100 NE. 63 Ave. 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 alt the fact and representations stated in this application are true and correct Fridley, Minn Alaril 26, 1972 19, Owner Arthur Docs Kind of Building frame Used as residence To be completed about MAY 1. 1972 Estimated Cost. $ ORK–New. Building Permit No. Permit No. _ Signed- By I Business Phune No ROUGH �! FINAL `J � aa% -W Surcharge .50¢ Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices 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 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace • ............................. 6.00 $—a:j—ey 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 ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00-$ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .... x$ 2.00 $ Additional Fixtures ................ 1 x .75 $ Gas 0199,000 .......... x$ 5.00 $ 4AIR CONDITIONING i$ v _ i FAN G SYSTEM See Fee Schedule S VENTILATING SYSTEM $ ALTERATIONS & REPAIRS / TOTAL FEE $T ROUGH FINAL Z / 9- - Z Dept. of Bldgs. Phone 560-3450 Locaflon 1100 63rd Avenue North City of Fridley: y 0 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 August 2 „ 19 73 Owner Mr. Arthur Deys Kind of Building Residential Used as Residential To be completed about August 20, 1973 Estimated Cost, $ $2,000 Old—New. Building Permit No. Permit No.' a� DESCRIPTION OF WORK HEATING or POWER PZ.ANTS--Ste--� am, Hot Water, arm Ai No Trade Nam S' a No Capacity 4kw q Ft. E.D. ��� H.P. Total Connected Load Xz6zw Kind of Fue BURNER — Trade Name - Size No Capacity Sq. Ft. E.D.R BTU H.P. Signed. By,� as Business Phone No-- (REMARKS—OVER) o- (REMARKS—OVER) 53-84-879.01 1111211111 a f 1 (91 111111,101 110 "M aty of F"dl• -. net. The unders4Mtd h2ritbj nukes apVb:e ion for a pemtt for the' wwh hem's —� speeified, asreeind to do all ww in drict omwdanm with the MT r and ruling of the DepsrUnent of Hu"n^ wW hereby declares that ati the fad-- and ad=and representations dated is thin aVpHcmtjM are true and eorrect Fddloy. 8-14-73 , n owner n. Saler XMd of Rufldiot Frame somw Camped ® Used as Res. PARTIAL RATE SCHEDULE PLUAMMG riZTVM RATM 110► "'M TOTAL prwAw ilea ................ U � 7tgowe . . . m ...... a 131.x0 &-. NM TbOMM GM Oprsaift .......... a UM S Cote% SAM&............. i ...... 1 IM Water Roster !Up to no* BreVs • - . • a am t New Ground Rua Old BW ........ • r Sam i. zkwb*watarliaatww ............. —a no = G" rftTwG nm&. IM MATZ TOTAL. To w cowleted ahont 8-21-73 Estimated Cod. 0 Did--XM=lMuMimg PktMt M ftmo MK Pbwae ass 1st a lutum , .. z aw fAddbond — � • Y i Vw .............. f• s*j t am � to mom .......... _zMw Stage Sureltal" $ .50 IMAM f ,l.'!Qa'tf0/A-4Year me Cs� Replace Range3.00 . ... w.... .. .. •. e..w.. •..............$ TOTAL=: 3.50 M105 -AF Surcharge .500 . 97-b-879001 . I 4 Ai•PLICATloi1 FOR PWI•IBII.IG AND GAS FITTING Pf:f<II f X41 Wa z a r w a �� a a it 0, w Ilea ter U. it .�.a � SI -- , Iy1.1d c ri to [ G I ti r, 1 I --b N s w b 1J q ,� vl x la�i �� � � x• rill — I re C6rJ1i:LL1u0 GJ,Lt,I y ;.c L w I L h 5eHCL t 1,<tute, G1d 4.6r,,I g Water 1tRFIt'.L 1',r. L LWIhIN6 FI XIUIt11 RAIE'S, t10• RATE Ilu:+,:,CL t 1J.turea x 53.00 {utur0 t'lantra Opur,ir,g x $2.00 t:e1 I'.l�t.rte, Old Openlrg x $2,00 G+tLh bAslll x $5.00 Natty, Ile-lLur - to 97,000 6111 a $5,00 1U0,030 BTU Lu 199, OCiC BTU x $10.00 WALur S-ftener k $7,00 H t:w Gtliltnd R.rn O1Q Buildlrq x §5.00 f.lctttl,: Hater 11eater ^S III HHG FEES: 1st ] flAtUreB x hAdIttunal ILALuran x S1,00 Gaa 1A.1+.Jp w 199,000 BTU x $1.0.00 ,EPAI16 4' ALTER.0.TIDNS t'I:st 5100.00 $5.Q0 cacti Adj. 5100,00 Or IrACLIDn $2.00 SLALe Surcharge TOrr.L tr.c • IIt.IIISPECTIGN FITC TGTAL $ Job Address 1100 NE 63 Ave. DeparuncnL ct' tsu1L11nga City of PridlGy Tel, 11571-1.150 The ut,JLrslgi,:d ItOreCy rc:;ke0 appli:stlor, fLr e er.LIL f,.r th. Hock teroln epeeifie,i agreLiug Lo do all work in Stri:t w!tl. L1. City ;iJ.!eN and rulings Cf ti,a r,e �arLmenL of llalldlrgs, =rcL1 .ie.:lare 0—L 611 tl,u facLa a,,d col r nta,.tor,s rtatOd 1 thiu ,1cat1� aro t,,10 6n.1 cu1 r,( rrldl�y, I;r,. 10-10-79 1� OW14ER DEPS KIND OF 11U11.L1i;6 frame USED AS res. TO BE COHI•LL"ILD ILCUr 10-17-79 ► ESTIMATED COS,11 40.00 OLD - I21:11 IfUI1.LI11.; h! 1:;1!' N,G. FE 1�',I1 :,0• MINNEGASCO S1gn�:1 ey ROUGH I1151,, Da LO ' FINAI, IIISP, $ Data S T $ APFRUVAL FOR FLiwiT S S 11I11IMUII VEE FGh Illy I'LUI:GING Peru<IT IS $7.50 PLUS §,50 S'1I.TE 6U1,01I11tGZ .50 S 8.00 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 512-3604 APPLICATION FOR PLU MARK NI 1 URCR r1C ciym voce rp% cL-- FITTING PERMIT / • Effective On January 1. 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL ;:: Y::S ::ice Wash :•::Sit .<y.:,<,•:::::. Auto. Gash"`:: Gas �!1, Water He ater Stories :C(os< Urinal Ti�s> Shower Sheik< Tra y ":; ;FoUrt';.;.: Washer .►pp�" Range ;... i=ct Gas Elec Basement $10.00 Gas Dryer" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 ........ ....... Floor 1 110MV!,gg. .<y......?: s.. Floor 2 Floor 3 :::::<y:><:. :E•:fir• 0 Flor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $7.00 Old Opening. New Fixture $ 4.00 Beer Dispenser $ 5,00 Blow Off Basin $ 7,00 Catch Basin $ 7,00 Rain Water Leader $ 7.00 Sump/Receiving Tank 37.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range* $10.00 Gas Dryer" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ JOB ADD -//610 6SO- --d% /U E The and ereby makes application for a permit for the work herein specifi odo all work in strict accordance with the city codes and rutin Building Division, and hereby declares that all the fads and rep stated in this application are true and correct. Owner ' �9r/U 4. S%%z PLU SIG 'C' G® PERMIT NO._ / TEL N0. �� Rough—In Date Final Date "*COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) 6-A MINIMUM SIZE 9 SD INCHES. V r 03'0�135 ✓A-° Building MECHANICAL Permit N Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 12008 y DATE 011 % E-MAIL ADDRESS A_, YYOUR SITE ADDRESS I �/�' /�,(.( THIS APPLICANT IS: O OWNER CONTRACTOR PROPERTY NAME, OWNER/ ADDRESS: I` Q CITY STATE iA�Z TENANT PHONE:�Q ?2 CONTRACTOR CoMpANY NAME: CONTACT ON: SUBMIT A COPY OF rr`` YOUR STATE ST fL�i E # L1.V EXP DATE J� LICENSE WITH /b C_� ADDRESS: Y / 1 CITY A­Ze STATE ZIP > APPLICATION PHONE-- FAX PERIM TYPE YSIN(H.E FAMILY 13 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW ACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Z PER MS 1613.665 the permit fee is a mmmium of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIX`rURFS: (INDICATE TOTAL NUMBER OF EACH BELOW) v o v Ega4mwnt Irmtalled MFG: arca MODEL:?55(, / V D 4 Z OLP® SIZEaTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15LACE (WOOD) $35.00 _NEW GAS GRILL $10.00 PACE _BOILER $35.00 F[JJR $35.00 UNIT HTR $10.00 _GAS _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x$10.00=$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 t x $35.00 = $ Z-50-0 State Surcharge = $ 50 Total= $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Mimesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of aV work which requires review and approval of plans`. �y A % /� %� /0 /� p/ SIGNATURE OF APPLICANT o V �i � PRMT NAME� ! !//l / l I LL A'✓Lt //�IOATE 4� L ! v O PLEASE NOTE: SEPARATE PERMITS ARE RE uum FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 V