The URL can be used to link to this page

PRE 2010 DOCSApplication for Pourer Pkmfs and Heating. Cooling. Ventilation. Refdpration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL 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 $--- MECIL WARM AIA 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. EDR Hot Water 10.00 $� Each add. 200 sq. ft. EDR Steam 9.00 Each add. 320 sq. ft. MR 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 198,000 BTU) - - ...... 8.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 $g L9 V Additional Fixtures a .75 $ Gas Range to 199,000 z$ 500 $ AIR CONDITIOPING FAP HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH h�IDOAL �T LL _ .0,D� See Fee Schedule t TOTAL FEE D U au City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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,1 c-3 0 Owner zi Kind of Building ._nn /✓'' Used as - --- - - --To be completed about Estimated Cost, Ol New. Building Permit No. Permit No. DATION OF WORK HEATING or PO PLANTS --Stream, Hot Water, �No_ � I Trade Nam G Sin No_ lam,- L L ©3 – I I n Capacity 01 o e) Sq. Ft. E.D.R BTUA Hp Total Connected Load Kind of gym BURNER — Trade Name Size No Capaci Sq. Ft. E.D.R BTU )gyp (REMARKS—OVER) 1 M-0 SUBJECT F:RMIT NQ City of Fridley 149 AT THE TOP OF THE TWINS BUILDING PERMIf� a r EIPT NO COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION 77 SEC. �?SL CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY J 612-560-3450 910-F15 110/26/78 JOB ADDRESS 425 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 3 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mrs. Marcus 425 - 67th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E., Fridley 560-2610 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 structure 9 CHANGEOFUSEFROM TO STIPULATIONS goof Can be second but not third roof. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRED FOR 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 SQ. 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $990.00 ' $.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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ePLAN _e 7 �� CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR CONTRACTOR DAGENT (DATE) DA D THIS 1S YOUR PER///MMIT Vyaily �. T- DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI • CITY OF FRIDLEY , APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: • . BUILDER: Address: A , - Address: • Tel. No. t �2 No. 42 -6 - Street: ✓ ��'"°' e LST: BLOCK: ADDITION: CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates oL Survey of Lot and proposed building location drawn on these Certificates. j DESCRIPTION OF BUILDING , To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: �. -r.°�- Estimated Cost: $ 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: VA SIGNATURE: Stipulations: �60 Rough Insp. Date Final Insp. Date Approval for Permit di!�// MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification fora with replacement furnace permits BEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. 1 Trade Name Lennox size No. G16Q3-75 Capacity Rum Sq. Ft. EDR BTU 751000 HP Total Connected Load Kind of Fuel Mat Gas BURNER - Trade Name Lennox Size No. Capacity Sq. Ft. EDR _ BTU NNP company .Air -fond. Signed By Tel. No. Effective Aug. 1, 1981 CITY OF FRIDLEY _• APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE �o e RESIDENTIAL RATE TOTAL Job Address 425 67th 1A. N. E. Furnace Shell and Duct Work, Burner $ 20.00 S 20.00 Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley Gas Piping $ 10.00 $ Tei. 9571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. Nnvemhpr 1 19.M All Others/Repairs and Alterations OWNER Joe Siedlecka 18 of Value of Appliance or Work $ KIND OF BUILDING frame COMMERCIAL/INDUSTRIAL USED AS residence 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT November 1989 ESTIMATED COST $19440.00 State Surcharge $ .50 _ OLD -NEW BUILDING PERMIT N0. PERMIT NO. TOS, M $ 20.50 Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. Date Approval for Permit di!�// MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification fora with replacement furnace permits BEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. 1 Trade Name Lennox size No. G16Q3-75 Capacity Rum Sq. Ft. EDR BTU 751000 HP Total Connected Load Kind of Fuel Mat Gas BURNER - Trade Name Lennox Size No. Capacity Sq. Ft. EDR _ BTU NNP company .Air -fond. Signed By Tel. No. CRONSTROMS HTG. & AIR COND., INC. Job Name— D-56 4410 lizeelsler ioalavard, Minneapolis 16, Minn. �LD NBAT LOSS CALCYLATIONS Job Address T d� f� , Weatherstrips _ 11 Guide Construction No. Insulation Out. Wall Int. Wall Ceding Roof Floor I Kind How Applied Windows Doors Referenceg Yea—No Yea—No 19- 1711 9171I A i I Reom I LenathG/ Width 0�- 1-/ Height II FU Room I length Width Height Windows and Doors—Crackage and Area Width Heightof Lineal It. No. of pans of panene lights of crack Area e9• ft. C) I r yl— y '� 19 12-40 07.1 36 let (5 1 '>.O Infiltration :L3 I Tr Coef. Btu Infiltration Glass Ceiling S L/�- Floor Glass Net exp. wall Exp. wall 0136 L/U -! 0 Int. wall Net exp. wall Ceiling ho Int. wall 7 ? Z Floor Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I F1.1 Raom I LenathWidth Height Windows and Doors--Crackage: and Area Width Height No. of Lineal It. Area No. of pane of Dans lithts of crack ea. ft. Width Height No. of bineal MArea No. of pane of pane I!Ehte of crack ea. tt. C) I r yl— y '� 19 Coef. Btu Infiltration Coef.1 Btu Infiltration :L3 I Net exp. wall i q O ® aj Glass Ceiling S L/�- Floor Exp. wall Net exp. wall 0136 L/U -! 0 Int. wall Ceiling ho 7 ? Z Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. leader area 13l g I _I 1 A Rnnm I Length Q 1 Width '7 V Heistht b Windows and Doors--Crackage and Area Width Height No. of Lineal It. Area No. of pane of Dans lithts of crack ea. ft. Width Height No.of Lineal tt. Area No. of pane of pane litho of onck p. tit. Coef. Btu Infiltration Coef. Btu Infiltrationft/" Net exp. wall Int. wall Glass Ceiling Floor Exp. wanNerwexp. wan/® L/U -! 0 Int. wall Celli g Floor Windows and Doors—Crackage and Area Width Height No. of Lineal It. Area No. of pane of Dans lithts of crack ea. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area I 171_I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pans Ilshte of crack W. ft. to Infiltration Glass Exp. wall Net exp. wall Int. wan Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iiu. WA. Leader area PI -I Rona I Length Width Height Windows and Doow—Crackage and Area Width Height No. of Lineal ft. Ana No. of pane of pace tights of crack sq. tt. Coef. Btu Infiltration Glass W. wall Net exp. wan Int. wan Ceiling Floor Tbtal Btu. 1 11 Total Btu. Required sq. ft. E.D.R. or sq. ins WA. Leader area f /15-716 Required'sq. ft. E.D.R. or sq. ins. WA. Leader area J 01 SUBJECT - PE City of Fridley 2 8 2 91,' AT THE TOP OF THE TWINS BUILDING PERMIT ( _.� i COMMUNITY DEVELOPMENT DIV. -- _____ r � PROTECTIVE INSPECTION SEC. (Q 76 1Q 1 � i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ' 612-571-3450 910-F15 10/19/98 JOB ADDRESS 425 67th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g 3 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Siedlecki 572-0684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Lane NE F971-3973 20097688 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO- S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW D ADDITION O ALTERATION Rk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 23 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State 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 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 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 $1971 $.98 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- Fir- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T L FEE Lic S $5.4 0.20 SiGNA OF CON"RAC RORAUTNORIZEDAGENT iDATEi HEN R VALI T%� THIS PEER T BLOJf INSo ;S_.R (� ( F�AtE S-GNATURE OF OWNER,IF OWNER BUiLDERt iDATE, J 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Ck1 BUILDING PERMIT APPLICATION v CongtructionAddress: Legal Description: , Owner Name & Address: �1?67 Tel. # -� Z2 -Q,-5 ` Contractor: Z& -Z L,1 &roE�� MN LICENSE #,)W Address: 66"�cJca� C,,i/� Tel. # LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height DECK AREA: Length OTHER: Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: �E�{/l°��/L S-/��C�` Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, DATE: /0 /��8' APPLICANT: 4011 Zutij�) Tel. #-�71 3'773 CITY USE ONLY Permit Fee $ (p �- a�� Fee Schedule on Reverse Side Fire Surcharge $ 9 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ SOD $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ %D, wo Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]