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PRE 2010 DOCS11 A This permit 4088 not cover the construction, instail�tlon or aiteration for wiring, piumbing,' gas •heating, sewer or water. e.sure to See jWulfdIng inspector lor separate Permits for' 0 Items. , U v , Application for Power Plants and H ' �►p'� eaMng, Cooling, Ventilation, Refrtgercction and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 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. IDR 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 Do GAS BURNER (up to 400,000 BTU) 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... x $1.50 $ T Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $$� D 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- __w -',"e . / % 19" Owner---i%/l� >�� ,/���� 195_ Kind of Building 195— Used as To be completed about O� Estimated Cost, Old -11m -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 Cpnnected Load ,/Kind of Fue BURNER — Trad Name ���� �Gsze No- 6z/P-0 Capacity Sq. Ft. E.D.R BTU H.P. Ap cal0.0n. for Power Pknft and Nang. Cooiing, Yel1fi9A�oB0 Re%igecolon and Air Conditioning System and Devices PARTIAL RATE SCHEDULE Dept. of Ridge. Phone sea -3490 GRAVITY WARM AIR: RATE TOTAL LocNlm a Furnace Shell &Duct Work ........................... $10.00 = Replacement of Furnace ............................. 6.00 : Repairs & Alterations—up to $800.00 .................. 6.00 $ Repairs & Alterations each add. $800.00 ............... 3.00 $ MECH. WARM AIS Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 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.W .............. 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. IDR Hot Water .. 1000 $ Each add. 200 sq. ft. EDR Steam ............... :...... 3.00 $ Each add. 320 sq. ft. IDR 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) ........................ &00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures a$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,006 ........... s$ 800 $ AIS COPDiI'IONIIlG� FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAID TOTAL FEE �S1� ROUGH FINAL 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 Ordinance: 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- 4 ` ;I,. 14�� Kind of Building Used as To be completed about 7/ Estimated 7% Estimated Cost, $ o Ol New. Building Permit No. Permit No. `� 7 DESCSIPTION OF WORK BEATING 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 Fuc BURNER — e Name �Gb�-�,® Size No Capacity �- �i s fl BTU 200 o mop . (29wRus-01va) City of Fridley Pl°caAbn for Phmbbiq and Sm Mug Pwmit Debt. of Bldgs. Phone 580-3345D DESCRIPTION OF WORK r �..,. /.3 16 Plumber, Kind and L®c@Aou @4 Fixtu?" 1 i i i M I I I a I� i, 111 Tis 1 11 ; Is I I Base PARTIAL RATE SCHEDULE wr, City of Fridley: o M cis me The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do an work in strict accordance with the City Ordinance and nsling of the Department of Buildings, and hereby declares that all the fact and vapresentations stated in this application are true and correct Fridley. Minn Owner Kind of Building sever0 Used as CMNPod PLUMBING FIXTURE BATES: NO. RATE TOTAL Number Fixtures ................ x 32.00 S U 0 Future Fixture Opening .... :...... 71$1.50 5 New Fixture Old Opening .......... x $1.50 S Catch Basin .................... x $3.25 $ Water Heater Wp to 99,000 BTU) • • • • x $3.00 S New Ground Run Old Bldg......... x $3.25 S El ctrtc Water heater . ............. s $2.00 $ GAS FITTING FEES. NO. RATE TOTAL lot 3 Fixtures z3100 $ Additional Fixtures ............... , -z$.75 $ Gas Range to 199,000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS & ALTERATIONS—Refer to C®d® _ Descriptian 0 O . O . . . O O . .. O B .. . ... . A.. . . . ..... . O. O . F . I.. . TOTAL FEE o 1% To be a Estimated Cost, $ Old --N Permit No. J Permit No. Signed ;`%/ Business Phune No 2'Y y R ti z ROUGH 97-84-416051 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 1131..._•5 .� 66 A6E. _ NE Department of Buildings City of Fridley I Tel. 1571-3450 The undersigned hereby makes application for .a permit for the work specified agraoing•to do all work in strict accordance with the City and rulings of the Departnont of Buildings, and hereby declares that the facts and representations stated in this application are true and Fridley, M.'t. . 8-10-77 , 19- PARTIAL RATE SCHEDULE M PLUMBING FIXTURE RATES: NO. RATE TOTAL h%= -her Fixtures i $3.00 U Future F-fx ture Opening � $2.00 S waterq x $2.00 S Catch Basin x $5.00 $ 4a u $5.00 $ m w a w $ Water Softener Heater $7.90 • u nn C M Electric Water Heater iC� ar U N ,C C E 0 U U 1st 3 fixtures X $3.00 an lac 4 :l JI • G' .Cas Range to 199,000 BTU .•q '� YI C A 8 l rl .0 O 65.00 $ o o r u a p a x ca W. vci w 3 M a 1st replac - r ge E2ud 3 rd < th ' (R) - Future Connection Opening Connected with Sewor (•) - liev Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL h%= -her Fixtures X $3.00 $ Future F-fx ture Opening x $2.00 S New Fixture, Old Opening x $2.00 S Catch Basin x $5.00 $ i Nater Heater - to 99,000 BTU, x $5.00 $ 100;000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.90 $ New Ground Run Old Building -X $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures X $3.00 $ additional Fix turas X $1.00 $ .Cas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 65.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 • RELNSP�CTT�N PFR OWNER MID MECH KIND OF BUILDING frage USED AS res. TO BE COMPLETED ABOUT 0-17-77 ESTIMATED COST 10.0Q OLD - NEW BUILDING PERMIT NO. f�PE %IST N0. i 4J die�L�/' Company Signed By' 1 Tel. No. ROUGH INSP. Date FINIAL INSP. Data ' APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 SUBJECT PER IT City of Fridley m '� 16 81 1 AT THE TOP OF THE TWINS BUILDING PERMIT ! RECEIP COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /® CITY HALL FRIDLEY 55432 '.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/7/82 JOB ADDRESS 1315 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 Dennis Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Mech 1315 - 66th Avenue N.E. 574-1197 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hank Dueval Construction 9307 - 5th Street N.E. 784-7859 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 X 8 DESCRIBE WORK Construct aporch/greenhouse addition to dwelling (40110" x 12'4") 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved by XX= the ¢3pp A eats Commission on August 24, 1982. SEPERATE PERMMS A00140' 'F WARMWG HFATING, PLUMPINn ANN g1rNis. Before digging cat! IOcal utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. wood 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 503 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 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 $8,300 $4.15 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.50 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $18.63 $97.28 S16f4ATUREOFC RACTOR OR AUTHORIZED AGENT IDATEIWHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � wv % f j6y BLDG r OVATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PCRi4ITS (Nett, Alterations, Additions, or Repairs) OWNER: ,Dav i d Ayth m e= BUILDER: 14a-tA do 0 0 ADDRESS: , f3 /S (� 6 i9�J2 ADDRESS:� P r � h �, c e /— Va 1, k - TEL 110: _ E 7 V TEL 110: 1 Construction Location - STR W NO.- I I STREET: A V 2, LOT: BLOM : ADDITION: D e h h TS AA -Z ,J Corner Lot: Inside Lot: Setback: - Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. E� DESCRIPTION OF CONSTRUCTION A D Front: Y� p't2i s ��Height: Square Poets Cubic Feet: y 1800 Front: Depth: Height: Square Feet: Cubic Feet: gcd ''` € 76i moo Type of Construction: 5 U h �OUc-� Estimated Costs Rb Be Wrapleted: t(60 I Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET , 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: � C5"& T - SIGNATUIM: Stipulations: �. Pic. 1 CITY OF FRIDLEY INSPECTION DIV. ),46 Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, �p 1�� 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES / / Ale JOB ADDRESS;-//'������ RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 x $ 3Q% representations stated in this application are true and correct. (Side Vent — Fill Out Back) 02 a2o2. ,190 6 Gas Piping (Needed with new furnace) $10.00 $ OWNER X' Sd" 1, Gas Range $10.00 $ BUILDING USED AS (/U✓tiJ �o S 7 2 - $ 176 Gas Dryer $ 10.00 $ d o ESTIMATED COST lei/ pPERMIT NO. E *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water arm Air Trade Name 4 e n h ®x Size No. Commercial/Industrial BTU Q 0 0 HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE .$ Su HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION /� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved Byid Rough—In Date Final D *Air Conditioners can not be placed in a side yard without/ FILL OUT BACK SIDE OR STACK VERIFICATION ON adjoining O��l�i�® written permission from oinin property G p 1 9p pe�Y owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney, or stack: 1. Has been carefully examined Yes (X) No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes yf) No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of 75 ® 0 0 All other BTU's 1( U d TOTAL BTU's �/,� Q Q (� 7. Has a liner been provided for water heater Yes () No (1C) 8. Has combustion air been provided for water heater YesA) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: From: City of Fridley To: 7844694 Page: 2/2 Date: 8/17/200611:16:13 AM City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit # Residential Application City of Fridley See Back Side For Required Information DateSite Address: 1315 6.co4" Ave The applicant is: cirlce one Owner Contractor Property Owner: Tpg`�q -4y., Address: �. City: State: Zip: Phone: Cell: Fax: Contractor Information Company Name: cWo'u� -P4' C , Contact Person: Kim t vee xJ, Address: I2�qc-r3 City: State: Inti Zip: 5543z Phone: 763 ee4 -(, t ­ Cell: Fax: 't &3 -7e4-4M Email: MN Bond# & Exp Date Type of Work circle one): New Re lacement Alteration/Remodel Detailed Description of work: I o r y -n c-�e 0—CE L2o -t .s • ruko hA4 , t-4BL,4a 4 6, e , Equipment Installed: MFG: cu Model: i24ANr\o24 Size/BTU: 2 • D `row MFG: Model: Size/BTU: MFG: Model: SizeBTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 ZC A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 Air to Air exchanger $15.00 _Furnace $35.00 Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ 25. CO Minimum fee $15 or 5% of cost of improvement Surcharge 0.50 whichever is greater + surcharge Total Due $ 25. 5v Make check payable to City of Fridley This Is an application for a permit- not valid until processed I hereby appy for a mechanical 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 Minnesota 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 case of all work which requires review and approval of plans. Signature of Applicant: �Date: Approval Inspector Signatur . -2r, — Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/1412005