PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMIT
N 928 Office of INSPECTOR OF BUILDINGS
Owner
' � f
Architect Fridley,
Builder ".
LOCATION OF BUILDING
No. �� �.5� street Part of Lot
Lot Block Addition or sub -Division s Caa
DESCRIPTION OF BUILDING
Front` ' Depth ,=-I - Height stories 0 r" - Manner of Construction --
i
To be used as h To be completed � �^�' � � a ` � � � Estimated Cost
Permit is hereby granted to' --r ' to''';
the building ellz`.- --, described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn, regarding the 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. --N
a �
qfv.='= erector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley,
day of ' A.D. 19
Y
0
Minnesota, this
Application for Power Plants and Hearing. Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
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 ..............
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00
$
2.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
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 $ �® p
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
ROUGH
FINAL
Dept. of Bldge. Phone 360-3450
Location /';� z " 6 d . *)�q - Ca .
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, 1Vlinn O 19
P
Owner
Kind of Building
Used as
To be completed about
G
Cost, $ 5 " e:1;5
Building Permit No. 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
-A'_ zp
Kind of Fuel
BURNER —Trade Nam
'ze No- Z_
Capacity �_0
Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
By
t
AFFECOTbM ft7 FQWW R=ft GZA N T IOL- , VO T'4 - V2, �
Air Caaaarl=lzg Simms a - .De
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
11ATZ TOTAL
Furnace Shell & Durt Worts
.810.00 $
Replacement of Furnace
6.00
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
300 ;
Furnace Shell & Duct Work to 120,000 BTU ..$10.00 ;
each add. 60,000 BTU .. ...... 3.00 3 -
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 Sc Lines—to 400 sq. ft. EDR Steam
$10.00
$
Furnace Shell & Lines --to 640 sq. ft. EDR Hot Water
10.00
$.
Each add 200 sq. ft. EDR Steam
R.00
$
Each add. 320 sq. ft. EDR Hot Water
3.00
$
OIL BURNER—to 3 gaL per hour
6.00
S.
over 3 gal. per hour.—See Fee Schedule
OAS BURNER (.up to 1199,000 BTU)
5.00
;_ —
6 -Over 199.000 VM So* Fee Schedule
GAS FITTING FEF$:
WO RATE TOTAL
1st 3 Fixtures
z$ 200
$ a
Additional Fixtures
x .78
$-,— _
Gas Range to 199,QCO
y$ 6,00,
$
r L% - 9 - 7�
Dept. of Bldgs. Phom ! -
City of I?ridley:
The undersigned hereby makes application for a permit for the work hereW,
specified. agreeing to do all work in strict accordance with the City Ordinaneef
and Wiling of the Department of Buildings, and hereby declares that *an the fact
and representations stated in this application are true and cornett.
Fridley, Minn-
�B /_/) ,
Kind of Building
Used as
To be completed about. `7 ✓�-� e 7 7
Estimated Cosi $
62�1_1
New. Building Permit No. _—_ permit No. �o
11!P, "1014144
HEATING or POWER PLANTS—Steam, Hot Water, * No Z
Trade Name-�-�-+�'-®�� �' Sias PIo1� 1,003-3
Capacity___. F't. E.D.R BTU HF
Total Connected Load Rind of glue
BURNER —Tri Name Siam No
State Surcharge .50 Capacity Sq. FL Z.D l BTII Zoo,_
9�
am rea
' 1
TOTaL F= s �� 3
X5/9/
(MANu-oveal
SCI SUPERIOR CONTRACTORS INC.
( FORMERLY SUPERIOR FURNACE COMPANY)
6121 42ND AVE. NO. (COUNTY RD. 9) CRYSTAL, MINNESOTA 55422
r
SUBJECT
PtRMIT NO.
City of Fridley
2285
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
r
�EIPT
NO.
it------ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
� �
153113r
1 . �
NUMBER
REV
DATE
—T
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450 -
910-F15
8/19/98
/
JOB ADDRESS
1375 66th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
1 Dennis
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Rob Bridgeman
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Midwest Roofing & Si436-4804
900102;
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
❑ NEW ❑ ADDITION ❑ ALTERATION jEk REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house (22 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CALL FOR ICE & WATER AND FINAL INSPECTIONS.
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
MOT.
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. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1834
.92
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$59.50
Fire SC $1.83
PLAN CHECK FEE
TOTAL FEE
Lice se SC
5.0
67.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN PROPERL ALID ED THIS IS YgyR PERMIT
BLOGfINSP
DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
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