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PRE 2010 DOICSBUILDING PERMIT p Wage of Fridley, Minn. N?2441 Date......... .. .... . Owner ..� ... Builder Ar.;;Wow 9. Ad&W d� Address .......................................... _ LOCATION OF BUILDING . . Street ... . No. `.... � ..... � ,��/ ................... Part of Lot ....................... ; Lot ... ...... Block Addition or Sub -Division ....... ...... . x ., tv Corner Lo ....... ...., Inside Lot .,........... .Setback ............ Sideyard ,�.�+ert............ DESCRIPTION OF BUILDING To be Used as: Front if .. ..Depth -A.A..-Height y j.!. Sq. Ft. .... Cu. Ft. ....... J ..... ..... Front'........ Depth ....... Height ......... Sq. Ft......... Cu. Ft, . Type of tonstructi ... Est. Cost"............ To be Completed iooftaxrA ... I, in consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work a accordance with the description above set forth and in pliance With all provisions of ordinances of the V �A lage of Fridley. 1A OA AAA .. .. ....... In apayment cons'I rati of the a en p ym t of a fee of $: ,..... , permit is hereby granted to .... , ...... . to construct the building or addition as described above. is .. This permit granted upon the express' con ditio that the person to whom it is granted and his agents, employees and workmen, in all work done in' around an upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota egarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. q Buildatng Inspector NOTICE',{ , This, permit loes not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Is sure to see the Building Inspector for separate. permits for these Items. i� City of Fridley, Minn. BUR DING PERMIT N? 3477 Date:............... ... ......... Owner ....................................... Builder e.`�%... .. �..... .... Address ...................................... Address ............................................. LOCATION OF BUILDING No. . ......... Street .......................... .!I..C..... Part of t ............... ..... .. .. Lot .... e..... Block ..... ......... Additio or Sub -Division- .. . . Corner Lot ............ Inside Lot ... X....... Setback Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: - LL//� y . .. .... Front Y. (f rDepth . �� ®Height : Sq. Ft. f�l d / Cu. Ft. C.rilA.. ...�:'f'�4.... Front �7:!� DepthJZ y�'` ®/ Height/.1.. Sq. Ft. ..1.!? Cu. Ft. Type of Construction ...r= . i�st. CodL. ,� 1p . !.l........ To be Completed .................... e1,,FVA-r1aA1s d F -rasa *13`:5, „ V 'v In consideration of the issuance to me of a permit to construct the building degribed 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. X................................................. In consideration of the payment of a fee of $ Rt....., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. ; /P'ry f 0-4 e.. Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 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. IDR Hot Water .................. 2.50 TOTAL $` $ 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 PIPING (Up to 3 Fixtures) . (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ......................... 1.50 $ /..10 $ See Fee Schedule TOTAL FEE $� Dept. of Bldgs. Phone SII 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 are true and correct. Fridley, 195 Owner Kind Of Building Used as To be completed about Estimated Cost, Old—New. Building Permit No. Y' 7 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air --No �✓� Trade Name1G•a��-c.�-»�zenSize No 37:0, Capadty Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name I& Size No Capadty Sq. Ft. E.D.R BTU H.P. sign By 11 POST IM -8-58 Business Phone NO. D-36 2 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS / FRIDLEY, MINN. Weatherstrips A.S.uidH.e V.E. Construction No. Insulation G WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— o F1.IL i ".&I Room I Length 2 / Width /a-- Height V II I Fl.l RA Room I Length /1- Width // Height k' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area N)o. of pane of pane lights of crack sq. ft. 7 /i. /40 V* Coef. Btu Infiltration Infiltration 133 ®. Glass X3,2 / p - Exp. wall I 4co. X X X' Net exp. wall/ X 24 Int. wall X 'X Y Ceiling Int. wall y Floor X •X v 91 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 &.i Room I Length /3- Width // Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /4( / . Z, /40 Coef. Coef. Btu Infiltration 133 3- e Glass A Glass x // All D Exp. wall Net exp. wall X Y X Net exp. wall X _ e I//1 460 Int. wall y X X •X Ceiling }/ X y /2 7.;LV Floor y I y X X Total Btu. a 70-20, Required sq. ft. E.D.R. or sq. ins. WA. Leader area FI.1 2-- 7ti Roam I Lenath Width 9- Heiaht V-. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. no Q, / /40 Coef. Coef. Btu Infiltration 133 3- e Glass A Glass Exp. wall /// p -p Exp. wall Net exp. wall // Y X Net exp. wall X Y X >< Ceiling Int. wall y 1C X X Ceiling }/ X / /2 7.;LV Floor y I X X X Tbtal Btu. 12 2-7 e - Required sq. ft. E.D.R. or sq. ins. WA. leader area I ' ' f /c 76, 4. -> and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane of Dane lights of crack sq. ft. Q, / /40 Coef. Btu Infiltration Infiltration 3tl 3- e Glass A /D Exp. wall /// O - N Y Net exp. wall // b Int. wall X Y X >< Ceiling Int. wall y Floor k Y X }/ X Total Btu. d d Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . FI -1 it It Rmm I Lenath / -',. Width // Heiaht F, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Q, / /40 Coef. Btu Infiltration 4 L Z sr vv -V Glass i /// O - Exp. wall X N )e Net exp. wall Int. wall y Y k Y Ceiling / /2 7.;LV Floor y I X X X Total Btu. 1SS-je Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 A R Room I Length / 3 Y, -Width /o Height a Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Q, / Coef. Btu Infiltration 4 L sr Glass Exp. wall X k u Net exp. wall Int. wall X A )e Ceiling 3 2 /G2e> Floor y I X X X Total Btu. ft. E.D.R. or sq. ins. WA. Leader arra Ddb a.� s t MEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A. Guide E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— F1.1 `�°� �_ Room I Length Width .t'% Heittht Y' II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu lCoef.1 Btu Coef. Btu Infiltration } o `— Net exp. wall Z,6 , Glass Ceiling Net exp. wall )e O . Exp. wall X v %P1 X K X, Net exp. wall Floor Y, I v k Int. wall v X y Ceiling 14AI 17-1!> Floor ql I y Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area / F1.1 Z. i ,!/„��_ Room I Lenath ry Width 3 Heistht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu lCoef.1 Btu Infiltration Y N X x Glass X Net exp. wall Exp. wall yX Ceiling Net exp. wall )e AC y Int. wall X v %P1 Ceiling / 2 g—p� , Floor Y, I v k Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area Al F1.1 Ronm I Length Width Height Windows and 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 Tbtal Btu. Windows and 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 Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI -1 Rnnm I Lentil Width Heiaht Windows and 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 Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height No.of Lineal ft. Area No. of pane of -pane lights of crack eq. tt, Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 11 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Plants and Heating. Cooling. Ventilation. ReMgeration and 4y Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIA: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ �__QTNaA/ 2.50 $ 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. IDR 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 $ v Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ �` b AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM AL*RATIONS & REPAIRS REMARKS: 6v � 6 IfI V 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 are true and correct. Owner `E` t Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No 195 195- 195— Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Sind of Fuet BURNER —Trade Name Size No Capacity Sq. It. E.D.R BTU H.P. Signpd--2�ti L�-E C_ By 11 POST 1M-12-58 Business Phone No M SUBJECT P MIT NO. City of Fridley ,� 15014 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIP • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I . , CITY HALL FRIDLEY 55432 IL , NUMBER REV. DATE PAGE OF APPROVED BY L•---A 612-560-3450 910-F15 11/9/78 JOB ADDRESS 41 - 70th. Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Ostman 's 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Grecula 41 - 70th Way N.E. 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 11 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 3216" x 20' Addition to house 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR MRWG,, HEATING, PLUMBING AND SIGNS. WARNING Before digging call 10,81 UtIlltles TELEPHONE - ELECTRIC. GAS Etc, REQUIRED By LAI TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 ISTALLS 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. $6,QOO (3,600) $1.80 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- $21.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 5.40 $28.80 SIG TUREOFCON FACTOR THORIZEDAGENT PROPERLY LIDATED THIS IS YOUR PERMIT &Eli �,d &BLDG IGNA URE OW RIIF ER BUILDER) SP ATE M CITY OF FRIDLEY ° APPLICATION FOR RESII)f NTIAL BUILDING PE1114ITS (NEW, ALTERATIONS, -ADDITIONS, OR REPAIRS) a OWNER: Address: BUILDER: lam Address: Tel. No.: No.: Street: LOT: BLOCK: Gr ADDITION 0S'F0?.OAS 3A-0 CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant 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: ACIA; ;4i Front: 32"" Depth: 'SID Height: )2— Square LSquare Feet: Cubic Feet: Front: Depth: Height: • Square Feet: Cubic Feet: Type of Construction: �j2,�m C_ Estimated Cost: $ (00M®� To Be Completed: &AIg Q1:2!' 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: SIGNnA�T,URE: Stipulations: 96A '32. G7SC) sC xi ?-g®® 66b IQ • `3c �� �,�®. Cid' 0. AGREEMENT I, A�. I ��jy �� , owner of the property located at .3( /vow Er -)Py, have no objection to the City allowing the construction of a to be located at 4(,- ®t W Ac1 �J. without the required certificate of survey that the City ordinarily requires for all new construction. Signature IZ Address 7 WIN 0 -MERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPEC'T'ION DEPARTMENT CITY OF FRIDLEY, MI14NESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE,. AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIG14 CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION :4�- ✓ -?O+k I� Ay N � OWNER/CONTRACTOR: -c G. G R. ESC ADDRESS: 41- O -t k IAJlam`? NJ -C, _ PHONE: i ` Z 3 A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area S2 y&6 4. Total fireplace wall area 5. Total wall framing area (average .10%) 6. Total net wall area above floor(average 900) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA -70.?6 B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area 0 GRAND TOTAL EXPOSED ROOF/CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item I Item II E. Determine the "U" value of each segment (1-9) and multiply by the area as follows: 1. x nun = 2. x "u" _. 3. x "u" 4. X "u" _ 5. X "u" _ 6. x "u" _ 7. x "u" 8. x "u" _ 9. x "u" ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. x 'iu" _ 11. x "u" _ 12. x "U" _ ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I ZT0., + Item II_ J. Add Item III + Item IV = K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. 011 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address # 41— 7 0th Way N . E . Furnace Shell & Duct Work ' $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs &Alterations each add. $500.00 4.00 $ City of FridleyTel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ jelft specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 S facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 S Fridley, Minn. Dec. 14 , 1978 STEAM OR HOT WATER SYSTBI: OWNER Joe Crecula Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING f rame each addn. 50,000 BTU 4.00 S Boiler only up to 100,000 BTU 7.00 $ USED AS residence each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT Jan. 15, 1979 _ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST $ 7 6 0 • 0 0 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $-10.60 OLD - NEW BUILDING PERMIT NO. PEP14IT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x $ 5.00 $ ��, DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 1 AIR CONDITIONING $ Trade Name Lennox size No. G12Q3-110 FAX HEATING SYSTEMS See Fee schedule $ VENTILATING SYSTEMS ALTERATIONS REPAIRS $ Capacity 110,000 Sq. Ft. EOR BTU HP $ $ State Surcharge $ .50 Total Connected Load Replmt. Kind of Fuel gas TOTAL FEE $ 2L-5® BURNER - Trade Name' Lennox Size No. G120-110 ROUGH IMP. REINSPECTION FEE Capacity 110 , 0 0 OSq. Ft. EDR BTU HP Date 010.00) c� FINAL INSP. Company Date Signed By APPROVAL FOR PERMIT 1/ Tel. No. C HEariHc 6 ius canuliwNIRc � 3240 GONM &V& M4767 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.so STATE SURCHARGE sw ae� � stt...� esu& #7646 Salesman: Gene ,Florek CITY OF FRIDLEY APPLIC-ATION FON PWMtNG AND GAS FITTING PEIVIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures it $3.QO d1_CTU Future Fixture Opening X $2.00 $ New Fixture, old Opening X $2..00 $ Water x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x w g New Ground Run Old Building Heater $5.00 yx Electric Water Heater x $5.00 $ GAS FITTING FEES: a 8 wi o ax v $3.00 u Additional Fixtures m $1.00 $ Gas Range to 199,000 BTU x mH i rd•11 `� m �4 4 H � rt�� W U ] m W 3❑ w M w U w s 3 c7 c� o as lee 1st 2nd 3rd 4th I I (R) = Future Connection OpeningT nnected with Sewer M = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures it $3.QO d1_CTU Future Fixture Opening X $2.00 $ New Fixture, old Opening X $2..00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction $5.00 $ �TCi $2.00 $ State Surcharge $ .50 TOTAL FEE $ RE"SL i:l;11UN I'm ($10.00) Cob Address Department of Buildings City of Fridley Tel. #511-3450 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applic tion are true and correct Fridley, Mn. ' 19 OWNER KIND OF BUILDING USED AS a'2eSc,oe- s' TO BE COMPLETED ABOUT .> �w ESTIMATED COST �(�0 OLD = NEW BUILDING PERMIT NO, PERMIT No. 7i:-dy By Tel. Nc ROUGH INSP. Date FINAL INSP. D�rte APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.5 STATE SURCHARGE u 7 SUBJECTERMIT N City of Fridley 18340 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO COMMUNITY DEVELOPMENT DIV. INSPECTION r 1 PROTECTIVE SEC. 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/21/86 JOB ADDRESS 41 - 70th Way N.E. 1 LEGAL LOT NO. 8 BLOCK 2 TRACT OR ADDITION Ostman s 3rd Addition SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Grecula 41 - 70th Way N.E. 571-2362 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greco Construction 7070 Brooklyn Boulevard 561-6178 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 j1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof dwelling 9 CHANGE OF USE FROM TO STIPULATIONS goof can be 2nd layer but not 3rd. Install ridged galvanized valleys. when necessary 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $700 $.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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50 SI NATURED ONTRA TO RAUTHORIZED AGENT (DATE) PROPERLY IDATED THIS IS YOUR PERMIT �.WHEN 1611 UA9 t mL( SiqrNAT0WFOF1QWNER0F OWNER BUILDER) 9 (CIATEI LDG INSP ryAT u 7 NEW [ ] City of Fridley Effective 4/1/84 ADDN . [ J L R-1 AND -R-2 j ALTER. [ ] this application, a Certificate of Survey Building Permit Application lot, with the proposed construction drawn on it to scale. �g Construction Address: L V -_ EA. Legal Description: o7i Width Height Sq. Ft Owner Name & Address: �`-'s`� �G� �� Tel. #7l- �3G� Contractor: �� //ri: Width Hgt/Ground Tpl. #04-��7�% Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �g DESCRIPTION OF IMPROVEMENT L V -_ EA. Length o7i Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground _ Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: .:�?e Approx. Completion Date: 4 26kL Pro osed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ 700 Alt. A Alt B See Back Page for Explanation DATE: APPLICANT: _ Tel. #�'� Y USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge f0TAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT frERMIT NO. City of Fridley 2 7 317 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ,C 1 . GJ V !U53 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 8/20/98 � JOB ADDRESS 41 70th Wav-NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 — Ard SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peggy Grecula571-2362 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 9514,49 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 ❑ ADDITION ❑ ALTERATION qx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANC 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 MFT. 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 $2502 $1.25 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- �ireSC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 $2.50 PLAN CHECK FEE TOT EE 7 .50 �8'{GNATUREOFCO TRACTDRORAUTHORIZED AGENT IDATEI N P O E ALID f'iHl$ I$ UR PERMI SIGN TU F OWNER OF OWNER BUILDERi IDATEI gLp I SP r�ATE NLW -- [I ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � ( - in -"' Legal Description: «e coo t= f l: Effective 1/1/98 Owner Name & Address: Tel. # Contractor: c-, 0 1 MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Leng!�= W/idth Hgt/Ground _ OTHER: 1 r v % Construction Type: Estimated Cost: $. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Sl � O APPLICANT: i cz— Tel. # S-7 2.3- la 00 CITY USE ONLY Sq. Ft. Sq. Ft. _ Sq. Ft. _ e- )rF � SOS Permit Fee $ �`�%� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /-,2,1 $.50/$1,000 Valuation SAC Charge $ $1000 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 [ ] / �' SZ) TOTAL $ STIPULATIONS: