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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 60:3 Date: Owner: 6&Builder - ---le Address Address doaTat. 10 F BUILDING No. ti Street _Pal Lot - . ; __ Block ddition or Sub-Divlaion • I Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depti, Height Sq. Ft.._ Cu. Ft. t . Depth eight _ rI�Sq. Ft. Cu. Ft. Type of ction Est. Cost �... F 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 afl provisions of ordinances of the city of Fridley. 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 limits and this permit may be revoked at any time vie ordinances. "n.of any of the proons said Building Inspector NOTICE: lhit permit does not cora the conHrucHon, hwhM Hon for whine, pdambing, gas heating, sewer or waNr. Be save to no the Building htgmtor for aparah pandit for these dtemt. City of Fridley Application for Plumbing and Crus Fitfiing Permit Dept. of Bldgs. Phone SII 4-7470 /L DESCRIPTION OF WORK � 9/ s 4 tv Number, Kind and Location of Fixtures Location / PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3 Number Fixtures ...................... j�F $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ -0 U' x 2.00 $ a WATER HTR. GAS ELEC. Base 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 $ 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ a New Ground Run Old Bldg. ............ x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $J� City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 feel and representations stated in this application are true and correct. Fridley, Minn 19 5 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No d ROUGH —� v FINAL -40042 2M Business Phone No. R Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 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 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 at 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 ®o GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .......... ........... $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule $ TOTAL FEE $� 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 ar7tru and correct. Fridley, Minn Owner /© Kind of Used as To be completed about -16 1 --- Estimated Cost, Old<:�uilding Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—Noyy_���_T Trade Name F .�• Size No.��,r ® Capacity Sq. Ft. E.D.R F-02140*9 BTU H.P. Total Connected Load ue 0 BURNER — Trade Nam Size No�,�_ Capacity Sq. Ft E.D.R ��6BTU H.P. (REMARKS -OVER) SUBURBAN HEATING & SHEET METAL 8419 CENTER DRIVE N. E. Signer, MiNNEAP01 12 21 MINN By 42 2M Business Phone No- HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS A.S.H.Y.E. Weatherstrips Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor —No I, No 1 Fl.jg Room I Length .21,1 Width - � r Height 9 FI.1 Windows add' Doors—Crackage and Area width Helght No. o[ Lineal ft. Area No. of pane of pane lights of crack aq. ft. Coef. Btu Infiltration No. of Lineal ft. Area lights of crack sq. ft. Glass Exp. wall Net exp. wall Coef. Btu Int. wall Infiltration Ceiling 3,0 Floor Coef. Btu Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 3 Y Windows and Doors—Crackage and Area Width Height No. of pane of pane No. of Lineal ft. Area lights of crack sq. ft. 2 Coef. Btu Coef. Btu Infiltration Oi L Glass Exp. wall Coef. Btu Infiltration Net exp. wall Int. wall Syr � Class Exp. Exp. wall 2 -- Net exp, *hall Int. wall Ceiling y j / /V 2- Floor Total Btu. 20 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / m / oom I Lenath / 3 / Width 7 / Height 9f indows and Doors—Crackage and Area Width Height No. of Lineal ft' Area N�jo._ of pane of pane lights of crack sq. tt. zd'20 Coef. Btu Coef. Btu Infiltration Oi L Glass Exp. wall ?� Net exp. wall Int. wall Net exp. wall Int. wall Ceiling Floor 3 Ceiling Floor. Total Btu. ft. E.D.R: or sq. ins. W.A. Deader area �it'jOL�l r MINN. Insulation A Kind How Applied 00 D__. l l __..►i. //_/ .alt. %// t-iP.er{.f �� Windows and Doors—Crackage and Area Width Height No. of Lineal It. Area No. of Dane of pane lights of crack sq. ft zd'20 Coef. Btu Infiltration p 7-0 Glass Exp. wall Net exp. wall Int. wall ® 1/ Ceiling Floor Total Btu. ?s Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length ,� Width ,g:9,' Height Windows and Doors--Crackage and Area Width Holght No. of I:lneal ft. Area No. of Dane of Dane lights ot,crack eq. ft, Infiltration AP a5 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 Ftj Room I Length y/ Width Windows and Doors--Crackage and Area Width. Helght No. of Lineal [t Area No. of pane of pane sights of crack sq, tt �> Coef. Btu - Infiltration Glass A, 1j Exp. wall Net exp. wall Int. wall Ceiling 0 Floor Total Btu. 2, Required sq. ft. E.D.R. or sq: ins. W.A. Leader area 53-84-S-915.51 City ®f Fridley peo n f b%=ted C-aing Dept. of Bldgs. Phone 560-3430 DESCRIPTION OF WORK . 191 N. E. 69th. Ave. Number, Kind and Locasion of Fixtures p� V � F �n 3� or � N Qp r 2 3 UZZ Uat N �9 U$ N WATER MTII. GAS ELM Base 1st 4. 2nd 3rd 4th • Future Coaaection Openings + New Fixture. Old Openings Connected with S®wor. C] Cesspool C] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............:.... x $2.00 $ Future Fixture Opening ........... x $1.50 $ _. New Fixture Old Opening .......... x $1.50 $ _ Catch Basin ...........:........ x $3.25 $ Water Heater ;Up to 99,0oo BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater ............ . : $2.00 5 :.AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU .............. x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the- work herei 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 fact and representations stated in this application are true and correct Fridley, Minn 8-2-7h 19, Owner Walter Traczyk Kind of Building Frame Used as Res. To be completed about 8-9-74 Estimated Cost, $ 10.00 - /1 Old—N'building Permit No. Permit No. , V Signed Oe . By MINNEGASCO - - Business Phone No ROUGH. REPAIRS k ALTERATIONS—Refor to Code .50 State Surcharge Install Gas Grill .� 5.00 Description ............................................. TOTAL FEE $ 5.50 Class loe Ficuichar_m Los /&r SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 27906 RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. 7 f � � PROTECTIVE INSPECTION SEC. I --1 CITY HALL FRIDLEY 55432 %.j NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/21/98 JOB ADDRESS 191 69th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 Rice Creek Plaza, North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walt Traczyk 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advanced Home Improvements 1701 78th Ave N Brooklyn Park 55444 566-0233 20017269 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 O ADDITION O ALTERATION C} REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house & garage (23SQ) Tear -off 9 CHANGEOFUSEFROM 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 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 $1,971.00 $.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEESAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $62.25 Fire SC $1.97 NSTRUCTION 539;;�� PLAN CHECK FEE TOTA E Licen C $5. $70.20 ATu E01:CON'RACTORORAurNORiZEDAGFNT iOATEj EN P PER LI SLOG So D IS IS RRMIT l MATE SIGNATURE OF OWNER ,IF OWNER BU4DERi a0ATEI /&r NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ' ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 40� ConstructionAddress: , �d / L 5 � ` c `�. "' Legal Description: Owner Name & Address: f Tel. # Contractor: -AJLZ PN r �Q A MN LICENSE # -7 a G 4' Address: ,M" -v ' yVc/ Tel. # s -� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length- Width Hgt/Ground Sq. Ft. OTHER: oC3 SA - /�./ v-, i) -a 14-,- Construction Type: Q / ear Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (d- (q APPLICANT: Tel. # �� S - TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ (p4-?• o?.- Fee Schedule on Reverse Side Fire Surcharge $ 199 .001 of Permit Valuation (1/10th%) State Surcharge $ rj $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ SDO $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: ato'5r C0,5r7 . ITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 r31 University Ave NE idley, MN 55432 APPLICATION FOR PLUMBING AND GAS FrMNO PERMIT 63) 572-3804, FAX (763) 571-1287 jT.'1 1:1 Z 010TYLj4:VO124 K111_11Z44;J111 VJ:1 q Floor 1 Floor 2 sly Aa IL91-L'I .UMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 3w Fixtures d Opening, New Fixture :er Dispenser ow Off Basin itch Basin cin Water Leader imp/Receiving Tank ater Treating Appliance titer Heater -Electric titer Heater - Gas'* as Range" as Dryer" ick Flow Preventer Required { )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 3inspection Fee $50.00ft 1 OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 3� .©c) 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 and ruiings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: _Q'n P I OWNER BUILDING USED AS ESTIMATED COST PERMIT NO. PLUMBING COMPANY L0,raM 1 6'4 t SIGNED BY TEL N0. 21QA00 _` 0 EC Approved By Rough -In Date Ficial Date State Surcharge $ . SO MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $16.00 or 5% OF COST TOTAL FEE $ 5.5115C) OF THE IMPROVEMENT WHICHEVER 19 GREATER ON WORK LESS THAN $300 OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 8 A. 'PROVIDE COMMON VENT INFO ON BACK SIDE