PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date:
r,.
Owner:- ,• ®+� Builder
Address Address
N°
G
M91-C
=Part
No. � .Street' of
Lot .__ Block Addition or Sub -Division. �; o
Comer Lot Inside Lot __&__�_ Setback -- -� _ Sideyard
Sewer ElevationFoundation Elevation
DESCRIPTION OF BUILDING
To Used
02
Front ' Depth Height Sq. Ft. , Cu. Ft �-
Front Depth Height Sal. Ft. -� Cu. Ft.
+�— Px -�!.. -`- Type Constructidn 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
=Prom=
work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
" T
In consideration of the payment of a fee of $ G�& --r ,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. violation of any of the provisions of said
ordinances. /' 7)* ' `
Building Inspector
NOTICE:
This perndt does not cover the construction, hnstallation for whdng, plumbing, gas heating, Sewer or water. Be sure to we
the Building Inspector for separate permits for these heats.
0 OW4 0
APPLICATION FOR BUILDING PE001IT
CITY OF FRIDIEY, MINNESOTA
r /
Owner's Name_J6 �~ I e Builder J d f� Aj
Address 2 ®' 1244 S -10-r, Address --,Z/ G �f
LOCATION OF BUILDING
No. T Street !�� . �• Part of Lot
Lot L.� Block Addition or Subdivision RIA Z A
I I 1 � 0�
Corner Lot Inside Lot !/ Setback�lSide-Yard t CN m•
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
S
�2 4�.a
/. ` .wk, M IV
To be used as:
I- -- -n' -- -.. _AI
am 9 I
Sq. Ft. 11-10 Cu. Ft.
Front Depth Z --f Height -Z)
Sq. Ft. Cu. Ft.
h
Type of Construction Estimated Cost .96-1
To be Completed
The undersigned hereby makePapplication 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 1 the facts and representations
stated in this application are true and correct. A
(A Schedule of Vee Costi can be found on the Reverse fide.)
Application for Rawer Plants and Heating. Cooling. Ventilation, and
and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SUA4-7470 �/%
GRAVITY WARM AIR: RATE TOTAL, Locatgon J C-e� // /
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 6.00 $ City of Fridley:
The undersigned hereby makes application for a permit for the work herein
Repairs & Alterations up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
MECH. WARM AIR /
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ V
-each add. 60,000 BTU _ .. _�.................. 2.00 $ _
Replacement of Furnace ............................. §.00 $
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
NO RATE TOTAL
1st 3 Fixtures ......................
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 $
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
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
ROUGH
FINAL
Owner
19 41
Kind of Bt4i9
& - n D I
Used ash
To be completed about
Estimated Cost, $Y
wilding Permit No. )lid Permit No.
DESCRIPTION OF WORK
HEATING or P,9WER PLANTS--StTj;e-"f
t Wa Warm Air—/oTrade Name =7y�t 2 L - Size No -G t Oy
Capacity Sq. Ft. E.D.M —6 c/� ` � BTU H.P.
Total Connected Load 6 d Kind of Fuel
BURNER — Trade N—P Size No
Capacity Sq. Ft E.D.R BTU H.P.
(REMARKS—OVER)
S BAY N. WELTER HEATING CO
4637 CHICAGO AVE.
ByMINNEAFEILIS
�f
q 42 TM 7-59 Business Phone No �JQ ✓r_.4 dr-/.
`7
tsuildmg
IMspmtians
763-572-360
Xrfr. ADDRM -,,,]
THIS APPLICANT LS-
OWKW
TENANT
REM M A COPY OF
YOUR STMv.
LICIOM Wn7t
APPLICATION
P[I PATTYPS
TYPE OF WORK:
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF F RIDLEY
MIR RAWL AWRBS.S
13 UWNHI i NTMCTgR �_
-61A
nd By
$_U9
CW"ANY NAMk:
('(INTACT hFtAM.- ` DAVE'S HEATING, AIR $t ELECTRIC
SrATU LICENst: s 1601377" AVE NE
ADDP=j.- _ COLUMBIA HEIGHTS, MiV 55421 a _ grATg_.. zw
4NOI.B FAMMY O TWO FAMu,Y D TOWNHOUM
o Nista VIWLACEMENT 0 A1,TbliAT10MR0A'Nlt»L
OXOFWORIcCQ
PER Ms 10.665 die Inernlit fee Is a minimum of m" 9"Yo of dw tatas cost up to W9.08, whichever t.
bWmvemw#,110MIMM or tepbxment of it roklO ttial lixtum a:telu ft the fixtures. ('li'his should "neat o
Labor cast wader $300 - $15.00. Labor Dual bummn $300 to 5500 = cim of labor _ _ x .05
FOR VROWG'iS W"MW LABOR SXiI.RDS $= I -Vi". ARE SASW ON 81moo PDL WHERE r X'iURQ EXCI�'WHERE NOMKIX
NUMBER IV RACH BGW WI
eqwF8t MFO!k � Moiw-L: SIZE►
MFG- moum • SIM� rMF(I MODBI.: _
✓Ak; �'� .-.._MtEnAGL (CIA.C) $13.60 _GAS RA GM
SM
-AIR TO AIR txcHAl�rI�K sts VI ACE (WOOD) $35,40
8{Nt�3R >j35.00 rI1z
FURNACE S359p NEW DAR i31i11
!CIBMwy Uw5R $10.06 OAS DRYER 510,00 —c" UNIT Iffa
DUV1r WORK $126® _ _OAS PIPING 510 m _POOL HEATER
elr, for die
ly the cmt of labor }
MS-' ONDICA7L''1MAL
U Uy t 0,50n
U —
� siot�
SIOID
"Ump OI IDQtlit'.S 6 910.00 x $10.00 a. —�
TOTAL Dc1E S _� Number of t11Rtua @ $15.00 x $19.00 — s
Number of flxhm @ $'9lS.Go x $25.110 a $— —
Number of fixtwu @ $35.00 x $35.110 a
Tim$
THIS IR AN APPUCATION FOR A PMM I -440T VAUD UNTII, PROOMID
1 hmby ably for Q building Permit and I acknuwledgo aw the infarmatioa *0ve - cote lefe and acottna. Met the work will be in
c"formm c with the otdmancao and codes of the City of Frsdley end w ft the Mve JA � ructl
nut a permit but Only 1ic460n 'Ibr a permit and Wutk Is not 10 stent without a ou Cortes ffim 1 uaderOad this is
jimmved plan in the a I work wht res trevtew attd approves of POnIt: that the work will In fl�doog with dte
&QNA7UR6OF =f��} i�,p !1r
City of Fridley
Building 111specdonR Departmment
6431 U tfvaMty Avmue M, Fridicy, AN SS432
763-572-3604
FAX: 763-502.4977
Td WdM:Vo L082 bT 'tn r 413ETT)SM *. 'ON ?Glia AZIPTA.1 40 641 : WIJU