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PRE 2010 DOCSAppleathm for Power And Heatg, Coofin% VentReMen, W% n% ®nd p� Air Conditioning Systems and ®errs PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone M -3M r7 9 GRAVITY WARM AIR: IRATE TOTAL Loca:fl�_� � � - n - 13 1 '0 Au �- 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 $ WECiL WARM AIR 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. $500.00 .............. 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. IDR 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 BTL) ..... .... • • .. .......' .. 8.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 200 $ Additional Fixtures ................. x .76 $ Gas Range to 199,000 ........... g$ 8.00 $ Ta FAN HEATING SY87 M See Fee Schedde VENTILATING SYSTEM ALTERATIONS do REPAIRS TOTAL FEE rINAL / �Z -1 l0 - � City of Fridley: The undersi eby makes application for a permit for the work herein specified, agreeitcb all work in strict accordance with the City Ordinance: and ruling of th De wrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mina Owner was se -i 1_ _3M206� Kind of Building( Used: as To be completed about $" %d Estimated Cost, $ n I) ,Q O—New. Building Permit No. Permit No. o �IBn�raNlR e -d 3.-&®Cn07 ON O F WgM IMA N= --Steam, 41etn Wa ORSn aawr-Ak-Xo Trade ' Nam 0 rh - SIL r Size No 100 o mpo sQ,T Ce,r Capacity Sq. FL E.D.R. BTU H.P. . Total Connected Load Sind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OYER) 1; Pi ". I k�, i w7m77 ry Original 9 4) 00 PERMIT for Power Plants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed-paltered—repaired Make .rO Q % , Size 00 D Oil fired ; Coal fired—, Gas fired ; Gas Authorization No. Remarks Approved Final Inspection 19_ Inspector S',3 3 / Permit N° 4'787 Fee $ 9, 60 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.- f. , 19-9L Owner �f ��G Location -26 d ' I % 'rL dA -1-94W A---, Kind of Building JA&ML�' How Occupied AA/ ' Work to be Commenced—, 19— To be Completed ,19220 Estimated Cost, $ AQ. Old- Vew, Building Permit No. Permission is hereby granted to �. A -L o -u QLn2 OA232.^(! • to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition t6at the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications s forth in the approved application for this permit on file in the office of the Inspector of Buildings. 1 ��/ � � � �p %►'�-� ,Inspector of Buildings 42 sM 11-67 v SUBJECT PERMIIbL City of Fridley 6 AT THE TOP OF THE TWINS BUILDING PERMIT r R EIPT NO. • __ COMMUNITY DEVELOPMENT DIV. -'-- r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 ,•J NUMBER REV. DATE PAGE OF APPROVED BY "-' 612-580-3450 910-F15 4/25/77 JOB ADDRESS 360 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Russell Smith 360 - 67th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof and aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED Flit WIRING, HEATING, PLUMBING AND SIGNS. 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 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATIQQN SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3 OOO $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $18.00 STRUCTION OR THE PE ORMANCE OF CONSTRUCTION. 71 PLAN CHECK FEE TOTAL FEE $19.50 SIGNATURE OF CONT ACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS. YOUR �PERMIT ��/' / BLDG INSP DATE a • IGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: e (& S S L L L S BUILDER: / T o 13 J 6 tl w -S Address: 3�� _ %�-A v AI �. Address: S/ 3 �� v�eTF� fa L AI -6 Tel. No.:- No.: o. No.: -� Street: LOT: CORNER LOT: BLOCK: ADDITION: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Cc Type of Construction: A lu o, { 2..-,A. Estimated Cost: $ 3 0 o CG. -— To Be Completed: 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. See reverse side for additional information. DATE: q- -7 7 SIGNATURE: a\ Stipulations: Y" suejEtr PE mrrkc City of Fridley 2 9127 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. _____ r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIOLEY 55132 NUMBER REV DATE PAGE OR APPROVED By 612-571-3450 910415 4/1/99 JOB ADDRESS 360 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jon Fellond 360 67 Avenue NE 502-9905 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 O ADDITION ❑ ALTERATION 11 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CON T. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1,855 @ $.94 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ Fir SC 1 $$ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $59.50 W • PLAN CHECK FEE E TO�V2 .32 IDArEI SIG uNEOF N'R �AORAUDAGENr /r ENO D MI IS Y U PER IT LL�l l ____llll r r SIGN URE OiNEN ii OWNER BUI DEpI IDAiE BLD INSD pAtE Y" NEW [ ] ADDN [ l ALTER [ ] �'t r Co nstructionAddress: Legal Description: _ Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION W Ave- It rJ/ Effective •1/1/99 lil A IOULP L4 Tel. # C/D- S®aZ-�q05 Contractor: MN LICENSE # F 433 Address: o AV f Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: -k, r OFF, S� ,y l e Cg r5 ZEstimated Cost: $ a 5 9�Uc-r 0-0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: 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 $ $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 [ ] TOTAL $ STIPULATIONS: Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 6 " O S YOUR E-MAIL ADDRESS SITE ADDRESS u o �tT/n Ave- N THIS APPLICANT IS: `t OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: AJ Fell"X TENANTADDREss: e 0 �T h A CITY �"! STATE M�� .. PHONE: �- C oZ-o!' CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE WSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH PROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:�'�' ❑ ADDITION MAINTENANCE/REPAIR 13REMODELING DESCRIBE WORK BEING DONE: RooF !�P QoC P M PA/ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT ___Sq. Ft. ROOFING NUMBER OF SQUARES D_ ❑ HOUSE ONLY 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES "— - O R— ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS. ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ f-��,�-'� See Back Page for Fee Schedule _$ 65% of Building Permit Fee $ (.0005) times the total job valuation — Minimum $.50 $ .001 x Permit Valuation (1/10%) $ $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks payable to: City of Fridley Attach 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 Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and wo is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requ. s review approval of plans. f SIGNATURE OF APPLICANT PRINT NAME �� N ! e 1 a,-. y " O