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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° (:5:8:0 4 elf WIMP �Rffl Address _ — Address OION F BUILDING TG No. Street: MAW __ Part of Lot - � lockr T ddition or Sub-Divi'sio .. Corner Lot _ Inside Lots Setback A�_� S yard Sewer Elevation _ _ -- Foundation Elevation DESCRIPTION OF BUILDING To Used e -- --. ?il Front Depth Height Sq. Ft. Cu. Ft. nt Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. .. "'~To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. A In consideration of the payment of a fee of $- , permit is hereby granted to— 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 within the city linbits and this permit may be revoked at any time pon violatCo of any of the provisions of said ordinances. �-•,. .�"� 'Building Inspector NOTICE: This permit don not cover the construction, installation for wiring,plumbing, gas heating, sewer or water. Be tun to no the Building Inspector for separate permits for then hens. • 4 • APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner s Name Builder IZAZIZ–�� Address — Address LOCATION OF BUILDING No.�yaQ� Streef� Part of Lot Lot ; lockAddition or Zbdivision �;44� i Corner Lot Inside Lotl�Setback Side -Yard tle SEWER ELEVATION FOUNDATION ELEVATION 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 Depth Height Sq, Ft. Cu. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction�%Lrr, Estimated Cost 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. DATE v J -2- 7 V/ 2– SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). _I J AppReaflon 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 .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ O O each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .... •............. 5.00 $ Repairs & Alterations each add. $500.00 .............. 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 $ S,00 GAS FITTING FEES: NO RATE TOTAL ist 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 Bldgs. Phone SSU 4-7470 Location ' d �O 6 lv�= ;�c a - 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_ aJ 0-2- 19 — °� Owner Kind of Building A Used as w To be completed about ✓f ' G Estimated Cost, $ ® // Old-t'ew. uilding Permit No. 6 Permit No. W1 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name _ Size No'y9 W // }` Capacity Sq. Ft. E.D.R- a �" BTU H.P. Total Connected Load CJ �����-� Kind of Fue vgm BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) JARNIG PLUo BIRIG & HEATING Signed.NOKA, M#WN. TEL.. HA. 1 139-1 $y 42 2M 7-59 Business Phone No Fl. Room l Length da Width / m ` Height -' II I Fl.l Room I Length 7 Width Windows and Doors—Crackage and Area 3d49 YP26 Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 1 J9' V a0 e � .�� 42 ® PY 30 Coef. Btu est; 42 w 7/,0 Glass �,S Coef. HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips {/v A.S.H.V.E, Guide Glass Construction No. Insulation WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No Ceiling Floor 19_ - Fl. Room l Length da Width / m ` Height -' II I Fl.l Room I Length 7 Width Windows and Doors—Crackage and Area 3d49 YP26 Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. or pane of pane Ilghts of crack sq. ft. J9' V a0 e � .�� 42 ® PY 30 Coef. Btu Infiltration w 7/,0 Glass �,S Coef. Btu Infiltration Net exp. wall -AIR Int. wall {/v / y L a Glass Floor v s-0 1,6o PC/00 Exp. wall a �c !d 7 J"L Ceiling Floor Net exp. wall ,A u u /01 o t) 0 Int. wall Ceiling 44 a /L 0 Floor I otal Btu. / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length /,;L Width /' Height r/ indows and Doors--Crackage and Area 3d49 YP26 Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. sr a0 e � .�� Coef. Btu Infiltration w 7/,0 Glass �,S Coef.1 Btu Infiltration Net exp. wall A Int. wall YO Ceiling ZZ Glass Floor v s-0 1,6o .? U Exp. wall a �c !d Ceiling Floor Net exp. wall 6 /Q 161PIO Int. wall Ceiling Floor 44 a /L 0 1 otal Btu. p� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l �M Room I Length QJ- Width / Height Windows and Doors—Crackage and Area 3d49 YP26 Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration w 7/,0 Glass �,S Coef. ' Exp. wall Infiltration Net exp. wall 0 O Int. wall t/cJ Ceiling ZZ ILY 710E- r_— Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area E Windows and Doors—Crackage and Area 3d49 YP26 Width Height No. of Lineal ft. Area No. of pane of vans lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Glass /y /7 t/cJ S30 Glass 8' 6,b yo v Exp. wall &qj yCd'= !d Ceiling Floor Net exp. wall 6 /Q 161PIO Int. wall Ceiling / V Floor Total Btu. �►!�® Required sq. ft. E.D.R. or aq. ins. W.A. Leader area / F1.1 je..,-a Room I Length z>�L- Width // Height Windows and Doors—Crackage and Area 3d49 YP26 Width Height No. of Lineal ft. Area No. of pane of vans lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. tt Coef. Btu Infiltration Coef. Btu Infiltration Glass /7 J-0 �e Exp. wall Glass /^J 50 d.S� Exp. wall &qj yCd'= !d Ceiling Floor Net exp. wall 6 /Q 161PIO Int. wall Ceiling Floor V Total Btu. 1567 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l t4,L-0 Room I Length ii Width Y.3- Height oo' Windows and Doors--Crackage and Area 3d49 YP26 Width Height No. of Lineal ft. Area No. of pane of vans lights of crack sq. ft. c a a917 Coef. Btu Infiltration Yo rj Glass /7 J-0 �e Exp. wall - Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sa. ins. WA. Leader arra City of Fridley Application for Plumbing and Cas Fitting Pennit DESCRIPTION OF WORK Number, Kind and Location of Fixtures •� . TOTAL Number Fixtures ...................... x $1.50 '' F Y T Z x 1.20 w O, O Z N Z O $ w ? a • P . N WATER HTR. GAS ELEG x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 7z_ x $1.50 $T� Additional Fixtures .................... $3 $ c�°d (��a o Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ `' ®d Future Fixture Opening ................ x 1.20 $ 7- C) New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 7z_ x $1.50 $T� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $/1 2 Dept. of Bldgs. Phone SU 4-7470 42:� 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, Owner -4 � -Z —AA! l�e-� Kind of Building Used as To be completed about Estimated Cost, $ Old New: uilding Permit No ® ° Permit No. Signe By Business Phone No ROUGH" v FINAL -4004a VA 7-59 1/-0—! sue.,EtT P E3AAi-T' City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 30322 RECEIPT N i ♦V COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC .J� JO���® l J NUMBER REV DATEIL )// 77 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 n 2n /no 10B ADDRESS 41 66th ay NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19A & 19B I Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Diane Griven w 781-4221 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Beers Construction 4208 6th St NE Columbia 14gts SS421 7RA-7SQ1 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 XM REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (16 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with theState Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT 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 $1398 $.70 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTIO OR THE PERFO M NCE OF CONSTRUCTION $50.95 Fire SC $1.40 PLAN CHECK FEETOTA FEE License C $5.00 .05 SIG ATURE OF CO 'R CTOR OR AUTHORIZED AGENT iDATEi EN OP R LIDATE HIS I i ERMIT�1 BLOC j4N5P T�ArE 7 S,GNATURE OF OWNEROF OWNER BUILDERi IDATE NEW[ ] ` Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAAMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: LU A to Legal Description:P Owner Name & Address: _ n� ,�� (:�,,, ,A,1� ,." Tel. # (,vii: 9--/ Contractor: e eZ_ S COAL MN LICENSE # Address: Vf� ©g a 4 -9?. a, 9"', Tel. # 7W k -- ,2.�/ T Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Leis Width Hgt/Ground _ Sq. Ft. OTHER: Construction Type: �� ,�, Estimated Cost: $� 12 /10 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: C20 o APPLICANT: ®s, Egs, Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $() .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S < Q 0 $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 [ ] 58, Cos- s TOTAL $ STIPULATIONS: