PRE 2010 DOCSN° 4933
original Permit f®r PLUMBING AND GAS FI IG 7/v y�
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that r Permit
request for I Fee $
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.,
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
City of Fridley Is 19–/--1
Stories
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7
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WATER HTR.
GAS
ELEC.
Basement
ist
2nd
3rd
4th
Connected with Sewer -Cesspool Gas Piping for Openings
Permission is hereby granted to do the plumbing and
gas fitting in the building described in the statement herAto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
�42 �iA�-�lr1-V
Owner
Location –3-21- 66 -r-h . >7 E
Kind of Building
Used as
To be Completed '19—
Estimated
19_
Estimated Cost $
Old -New. Building Permit No.
Date
Inspector of Buildings.
City of Fridley
Application for N=Wng and C as Ming
Dept. of Bldgs. Phone 960-3450
DEOF WORK Le�a�on
Number, Kind Kind and and Location
ocation of Fixtures
T
0
1
WATER HTR.
vJ
f
N
GAS
ELEC.
Ease
lit
--
--
—
2nd
3rd
--
4th
6 p_oaaecyen openings
ftlurb
�"-
Connected
Now Fixture/ Old OpeningsI
sewer �
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FI%TU RATES: NO. RATE TOTAL
Number Fixtures ...... .. .........
Future Fixture Opening .... .... ....
New Fixture Old Opening ... . ..
Catch Basin
x $2.00 $
x $1.50 $
x $1.50 $
x $3.25 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg. x $3.25 $
Electric Water Heater z $200 $
GAS FITTING FEES: NO. RATE TOTAL
lot 3 Fixtures .......................... x $200 $
Additional Fixtures . ..................—x$.75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Cods
Description ................................................$
TOTAL FEE $
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 Wiling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley, 1lfilnn- pp 19�
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No. '`9'53
Signe �t
Business Phone
ROUGH
FINAL
PARTIAL RATE SCHEDULE
Lv'�ISI1tG FIXTJ�'E RATES:
KO. RATE TOTAL
% V -.a0.
' 04
I: sr.ber Fixture:........... • • • • • .---
53-�h-9915051
Futur a Fixture Opening .. • • • • • • • • • ----
x $1.50
$ , -•
-
-- x $1.50
3
Applivn- 0n1 for pl[I$ i:3 W, �ic5 U llliis"� ��%Mc.19
$ -
Catch Basin. Basin ....................
_�
water lieater 'Up to 97.000 BTU) ....
�• .
•
New Ground Run 0141 Bidg. ...:..:. ---
,.„__,.,_..,_•_,`.-
S -
E:•ctew Wat•r Y.•atas... ..: • .... • • ■
Dept. of Bldv. phone SM -34W
$
DESC?IPTI01f
0:
47O1%i
LoraL,oa 371 66tH Ave, NE
Numb,.:. M:h-d and Lc r_tor of Fixtures
$.. ---
.
x $ .75
S
Ad,.4itiznal Fixtures ..... •
City of Fridley:
x SS.CO
S_.----
I I
z I. z
<
o
7
7
$
e
N
r,As ace,
The undersigned hereby m.3kes spplIcat;on for a Permit for the work her
Strict acco:da::ce with tk:e Citi O:•dir.:a
?
= e ��
t u
u .
�u
specified, a� ecing to do a1 «crk .n ,.ric
hereby declares that a:L the is
N i
a^d ruling of the DcP3: trneat of Buil :Sage, a:td
!n '-h*s apP:icatson are true and co:tett'
B3.r
• , and representations stated
I:t
Fridley, Man
2nd
_
Donald Nor
Owner
3. d
frame
_
Kind of Building
iNy
• -
Ccr..ct::+d Fifa
❑
Used as
t Now Fixture,
Old G}s:is: %
Cc:apcol ❑
To be completed about
PARTIAL RATE SCHEDULE
Lv'�ISI1tG FIXTJ�'E RATES:
KO. RATE TOTAL
% V -.a0.
s
I: sr.ber Fixture:........... • • • • • .---
Futur a Fixture Opening .. • • • • • • • • • ----
x $1.50
$ , -•
few Fixture 91a Opening.....:....
-- x $1.50
x $3.25
$ -
Catch Basin. Basin ....................
_�
water lieater 'Up to 97.000 BTU) ....
--- x $300
S
New Ground Run 0141 Bidg. ...:..:. ---
x 13.25
S -
E:•ctew Wat•r Y.•atas... ..: • .... • • ■
s ';,2.0
$
HO. AhTr TOTAL
sAS ;ZTTIIG FEES:
$.. ---
Ist3Fixtures ••••••••••••••'•'• --�--x$2.00
x $ .75
S
Ad,.4itiznal Fixtures ..... •
Gas R: --;a to 197.000 B" U • • •.• . • • • •..-----
x SS.CO
S_.----
Estirr.3ted Cast, $ 10
n
Old --VW. Building Permit No. —
Sizncd
• By MINN NO,
Busin= Phone No
ROUGH
FINAL. 2 2
.50 State Surcha ge
k ALTERATIONS--P.4UT to Code
rj
5.5 Class "qT' SU'
rchargQ 5O¢,
TOTAL F'' S --
r tn.s.f�lp. in. �i�...i..9 #r?'9....�..a�. tv� ..+�i .r�,,.r.^ ^r. /+�.57,�- A,,,,, naps-•sm+
�m i -.d �dLa i fr.�.. �.wd 4.a.Kdi � �.::. ..� �r.d�Qio�� �tic+�.9 n�s..aN�lulaZ
6.14 1''� '•.? ' a .,.$'
PARTIAL RATE SCHIEDULEE
GRATITT VARW AIR: : TOTAL
il=aace Shell & Duct Work $20.00
Rey:a^rrn•^i of F .-rnare 6,00 $
Attcrat.a;;s-- up to 1500.04 6103 $
Repairs & Aaeratiors each add. 1500.00 300 "o
HECIL W ARX AIR
Flurnzce Shell & Duct Work to I20,000 BTU .$10 00 $
etch add. 60.000 BTU 3.WJ S
Replmcement of INat- ace 6.00 $
P.e=airs & A'trrations--up to 8500.00 6.00 $
Repairs & Altrratiow each add. $ 500.00 3.00 $
STEAM as HOT WATER SYSTEM
rsrrace She!l & Lines- to 4•':0 sq. ft F.DR Steam ?10.00 S
Furnace Shell & Line -to 640 sq ft. EDR Hot Water I000 S.
Each add :09 sq. *ft. EIm Steam Ion $
Each add. 320 sq. .11 EDR Hot Water 3.00 $
OIL BUFNEP.-to 3 gaL per hour 6.00 1
over 3 gal. per hour -See Fee Schedule
GAS BURNER (up to M.000 BTU)
5.00
$
over 139.000 BTU Sae Fee Schodule
GAS FITTING FEES.
NO RATE TOTAL
Ist 3 Fixtures
x$ 200
1
Additional Fl tures
x .76
Gas Range to MOM
z$ 5-W
$
State Surcharge
.50
co�r¢cor�rizar ,
eE>"7UAT=3 SYST-1-A .
$
ALTZRA7707M t *RZPALn
TOTZL a' =
r.-•�e:
D"'P2. of B Sys. mc-cio ssa- ` v.0mt1crt— '? 1-21 — -r4 4 /V, Zoe
City of Fridley:
The i:n-!ersigned hereby make application for a permit for L%e work here
spectlied agrcv-:rg to do all work in strict acro -dance with the City Qrd±na:.t
and r --:ling of the Depa::mont of Buildings, and hereby decl ra-s t.`:at all the fs<c
and reyr-.Pntati• ,s s'.ated in this application are tme and correct.
Owner
Kind of Building
Used as
To be completed about o b /c?
Estimated Cost; $
(05 -11 -New._ Building Permit No Parmit No.
D=1-ML,-1;IO:a OF Fi"Oltsy
or F°OWER PLANTSSteam, Hot Water, Warm Air --No
Trade Name Size %o- ,�&�
Capacity — Sq. it E.D.R BTU E
Total Connected Lord Z ABnd of Tuel yL��
BURNMR - T?ede Nam e Size No
Capacity Sq. Ft. E.DR BTU r,
(MMA092-0rBa)
-1, .
vv,6
FORM J-1
,�/' ' �p f WORKSHEET—HEAT LOSS i
1 Name of Room ENTIRE HOUSE 1 Z 3 4 S
2 Room Size X ` X X X X X
3 Running Ft Exposed Wall 3
4 Ceiling Height, Ft
6 R.nnm Compass Directions
TYPE OF EXPOSURE
Windows
Gross
Walls and
ExposedPartitions
DoorsWindows
and
Net a
Wallsand
Partitions —d
�_-�----_-_-�-I
Exposed
Partitions
�_-_------_---I
�_-__-----_---I
' •
Ceilings�__-_-----_---I
�_-__---------I
JIM
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Infiltration
Length of
Crack
�____,---_-_---
1121 Sub Total Btuh Loss — —
U... nra (`.omnifv ;f nocirad
Windows
Net a
Wallsand
Partitions —d
--AppRances
People
JIM
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