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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°5 0 9 6 Date: '" ,� ,'Builder— i Address Address, — — ,1 CA, TION 0Fr WILDING No. Street ' ,f 'e E Part t Lot __ Block � pAddition or Sub-DI,A1 f "f ` � ' -01N' Corner Lot _ Inside Lot ___ Setback Sideyard — Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To OE �/Used yr Front Depth : C� Height Sq. Ft. Cu. Ft. �r1 Fron Depth _.A -Height ..�- Sq. Ft. Cu. Ft. N-1 Type nstruction f , j�w Est. Cost _ 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. 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 upon viola f any of the provisions of said ordinances Building inspector NOTICE: This penult does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate peradts for them. items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FR.IDLEY, KDWSOTA Owner's Nameya� Af 4�-�-e Builder i. Address Address Q LOCATION OF BUILDING No. 6 Street_ _ �L1 :/G i�d-Part of Lot Lot Addition or Su ivis3onna a %r� �,0, Z Az?� Corner Lot Inside Lot 16 Setback �s� Side -Yard 2 '7 SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: � ® /i Front yy Depth y Height L� Sq. Ft. /e 40� Cu. Ft. / 1 � 3 ,JV Sq. Ft. X !P, 3 Cu. Ft. S � 0 Type of Construction_ Estimated Cost To be Completed kdajg-� - ,L — /o 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. .i--- � (A Schedule of Fee Costs can be found on the Reverse Side.) App!•icwion for Power Plants and Hewing, Cooling, Ventilation, ReMgeration 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 $ MECiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ..................... I . 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. IDR 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 $ 'y GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ i Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU .......... , x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule I VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ S REMARKS: Dept. of Bldgs. Phone SU 4-7470 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 area true and correct. 'dley, Minn.. FEB 2 8 1961 _, 195_ Owner -y' t. Z 195_ Kind of Building Used as To be completed about 195— e� Estimated Cost, $ 'New. uilding Permit No.�� �j 9 i DESCRIPTION OF WORK HEATING or -29W = TS— Ste , - Warm Air—No- e, ir—No- f4� Trade Name .,far f c�� ,L,,,,� Size Nom CJ I ' ����� i f Capacity Sq. Ft. E.D.R- :21__ BTU H.P. ,j Total Connected Load C : S `-.' Kind of Fuel BURNER — Trade Name Size No- � 7 �i o Capacity Sq. Ft. EM Ick ��' �� aU H.P. ' GEO. S,EDGC(, 19G. Q AIR-CGi-,4,. 75- 1001 Xenia Av. 55, Sign Minneapolis 16, Minn. Bye oglD.11 posr 1M-12-58 Business Phone No i HEAT LOSS CALaJLATIONS: DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—,No Yes—, No 19— F1.1 Rnnm Length Width Heiaht 11 R-1 Windows and Doors—Crackage and Area Width Height of No of Lineal fi. Area No. of pane 01 pane llg�ts of crack sq. ft. —No. 21 7. Coef. Btu Coef. Btu Coef. Btu Infiltration Infiltration Glass Glass Exp. wall I Lj Exp. wall 4 �2' ; Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling Int. wall V Floor Ceiling Total Btu: Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl -1 Room lLength Width Height Windows and Doors—Crackage and Area Width Height No of Lineal ft. Area No. of pane of pane llff�ts of crack sq. ft* —No. 21 7. Coef. Btu Coef. Btu Infiltration Btu Coef. Btu Infiltration Glass Net exp. wall Exp. wall Glass Net exp. wall Floor Int. wall Ceiling Net exp. wall Floor Total BtW' Required sq. ft. E.D.R. or sq. ins. WA. Leader area e R.k Room I Lenath o 0%, Width .o 14eiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. M —No. 21 7. Coef. Btu Infiltration Btu Coef. Btu Infiltration Exp. wall Net exp. wall Glass Ceiling Floor Exp. wall Net exp. wall 4" Int. wall Ceiling Floor Total Bt ud 44 1-144 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS, MINN. Insulation Kind How. Applied Rnnm I I .math Width Heistht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. —No. 21 Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total W. s. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I - r in I RrW%M I T.Pnath - , Width ' . 14eiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. —No. 21 Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 'o FI -1 , -1 vl Rnnrn I I.Priath -. Width Heistht - Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total BW'.' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 • • City of Fridley, Minn.. BUILDING PERMIT Date: _._,Tune 2. 1969 Owner: DennisPesxson .u - Address ' s e n_,- X.E. LOCATION OF BUILDING N° 10255 No. — 266 .— Street 69th A -venue e N.E. , --- — Part of Lot Lot -- _4--.-_.__ Block 3� Addition or Sub -Division .R i o, ('repk ?I Nnrth Ad d i +i on Corner Lot . Inside Lot _ _ Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: S=age Front 22 Depth 4 Height 10 Sq. Ft. 528 Cu. Ft. 5280 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Iteame Fust. Cost — $800 -no — To be Completed 5 Monibs 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 orth and in co ante with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to to construct the building or addition as described above. This permit is grantedupon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work dace in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Bliinaesota regarding location, construction, alteration, maintenance, repair aad. moving of buildings within the dty limits and this permit may be revoked at any time upon violation of aay of the provisions of said ordttumc�s. CLARENCE BELISLE /h• NOTICE This permit don not cover the construction, b ataMan for wiring, plumbing, gas heating, sower or water. Be sun to as the Building Inspector for separate permhs for thea home. d +A APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER IS NAME mo✓. S ADDRESS c?��� a �r , W X£ ADDRESS LOCATION OF BUILDING NQ. STREET LOT `' BLOCK -3 ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applioant 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; �-cr Front Depth Height /d Square feet S,A Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost���'0 To Be Completed d� a 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. � a � DATE 6 SIGNATURF�Z��=:i-� (Schedule of Fee Costs can be found on the Reverse Side.) C\@�4'-�-a't�k/ g:� r L el—L-V -* --e ".." 5"0 V.00 -S r AppReation for Power Pkuds and Heating, cooling, Ventilation, Ite/Eie O oion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIS: 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. $800.00 3.00 $--.- MECIL WARM AIS 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 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 196,000 BTU) 8,00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL Ist 3 Fixtures x$ Zoo $ Additional Fixtures x .75 $ Gas Range to 199,000 ag 8.00 $ AIR CONDITIONINa FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH �J� FINAL r/ �' I r See Fee Schadnis $ TOTAL FEE $�— Dept. of Bldgs. Phone sso..sM Leek 2 (P & ? �v 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 truet. �rand correc Fridley, Minn- 611 7 11! r Owner Kind of Building ._ Used as -- - -- - To be completed about Estimated Cost, $_.L?_/Jv Old—New. Building Permit No. Permit No. a.� j DPaCRI>P i IOR OF WORE HKATING or POWER PLANTS—Steam, Not Water. Warm Air—No Trade Name _ +(`"moi— ® 0 Size Ne - Capacity Sq. Ft. E.D.R BTU � T f gp Total Connected Load Kind of Fuel BURNER —Trade Na.eee Size No Capa i Sq. F't. E.D.R BT U BP. (REMARKS -OVER) Sie..ert Business Phare No- 19 —/ /(® Building $ 97. A5 BUILDING Permit No.:�-/4171 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY D 'A G 1 7 , $ SATE O � YOUR E-MAIL ADDRESS $ 3ITEADD S ` 6'97,9LVF,I�NIsV,7 Z_ Curb Cut Escrow THIS APPLICANT IS: DOWNER ❑CONTRACTOR Erosion Control PROPERTY OWl�TER! NAME: �JeAl iV i S da�aPSoN Park Fee ADDREssA-6i� ,4'?71V l ile. M A'�,' CITY d!!i g� sTATE zT&—f TENANT $ PHONE: r.irf °- d�71— 41,/2.e3— Total Due CONTRACT R NAME: STATE LICENSE 4 EXP DATE SUBMIT A C Y OF YOUR STATE ICENSE ADDRESS: CITY STATE ZIP WITH APP CATION PHONE FAX PROpEp&y TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ;2-6 ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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 WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 $ 97. A5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 511 .001 times the total job valuation Surcharge $ -1` �t O .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( } Total Due $ Make checks payable to: City of Fridley Attach Stipulations 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 work 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 requires re ew and approval of plans. SIGNATURE OF APPLICAN�j.1�� PRINT NAME DATE %