PRE 2010 DOCSies
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SUBJECT
PERM O
City of Fridley
14 66'7
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
RECEIPT NO
`IU-------- COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION
r SEC.
1 I �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----� �'� 612-560-3450
910-F15
5/3/78
JOB ADDRESS 1313-1323 73rd Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
2
Evert's Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Sunrise Construction 3106 - 61st Avenue North 560-8970
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER SEMAlt PERMITS REQUIRED FOR WIRtN� E LICENSE NO.
6 USE OF BUILDING AND SIGNS.
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ mOVARNIIIff
X❑
6 DESCRIBE WORK
Before digging call kcal. util
Construct a 55' x 42' Double And a 21' a 21' Garage
" 9,
REQUIRED BY !A
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. Provide combustion air to
furnaces. Provide truss design by May 30, 1978. Provide revised plans by
5/17/78.
SEWER LOCATION: 160' E. of San. M.H. (E. Inv. 879.20)
WYE ELEV: 879.84 + 6' Riser. Expose service to establish top of footing.
WATER LOCATION: Asbuilts not available at this time, contact
Suburban Engineering.
DRIVEWAY DEPRESSION COST: A/A 16' + 6' x $14.50 = 319.00
THE CITY OF FRIDLEY DOES NOT GUARAWK THE
ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS.
THIS DATA IS FOR INFORMATION PURPOSES ONLY ANDFO
PERSONS USING R SHOULD VERIFY THE INRMATION
ON THE SITE
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
2
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.
$29.80
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$59,605
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-
$800.00
STR TI N O PERFORMANCE OF CONSTRUCTION.
$168.24
PLAN CHECK FEE
TOTALFEE
2.06
$1,040.10
SIGNATUREOF NT CTO OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
tn. 7��J �CXJ[�L/ 15-- � / fid
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
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CITE, OF dj�'dl)%—�
A111'LI�:ItT 10 F01? IZI--SID1:11TIAL B LL:iilC+ P LIZMIT
.2 l�
�'P, ;0, 1 PAI Ido+C� L
Applicant attach 'to this fora Cortificates of Survey of Lot and p,_oposed
building location drawn on these Certific..tes.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Freight:
�Square Feet: /� �c� Cubit: Feet.
—Gr- (6"eclIJ Front: o'j Depth:� � � Height: CJS
T Square Feet: 440 Cubic Feet:
lype of Construction: -raA-nit, Y Estimated Cost: $ 50,000
TO Be Coma lei ed: /a®�a� y � - -- Alt. A Att. B
Pr6po ed Driveway Width If New opening Is Desired �� $ $
(SEI: IZI;VERSE SIDE OF SIIEE'T)
The undersigned hereby makes application for a permit for the v.ork herein
specified, agreeing to do all work in strict accordance with tl)e City Of:
Fridley Ordinances and rulings of the DcYvartJilent of r:uilldings, and hereby
declares that all the facts and representations stated in this applicat:iota
are true and correct. See reverse side 9: r aclditianal infoza';at-ion.
DATE: 0 SIGNATURE:
Stipulations:
L9 e
r.U1LD)7R:
Aduress:/3/.3-r,13—'��—,�4ddress:
LD 21 �
Tel. ldo ..:
5(9C) -,?C2 -7o
ram, 13)
;5 —135,3 Street:- -7 3hd
Avc LJ
- —
LOT:
� Ji-` BLOCK: _�---
ADDITION:
CORME'R LOT: 10SIDE LOT:
SETBACK:
�P
_,O _ SIDEYAPOS : �L _
Applicant attach 'to this fora Cortificates of Survey of Lot and p,_oposed
building location drawn on these Certific..tes.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Freight:
�Square Feet: /� �c� Cubit: Feet.
—Gr- (6"eclIJ Front: o'j Depth:� � � Height: CJS
T Square Feet: 440 Cubic Feet:
lype of Construction: -raA-nit, Y Estimated Cost: $ 50,000
TO Be Coma lei ed: /a®�a� y � - -- Alt. A Att. B
Pr6po ed Driveway Width If New opening Is Desired �� $ $
(SEI: IZI;VERSE SIDE OF SIIEE'T)
The undersigned hereby makes application for a permit for the v.ork herein
specified, agreeing to do all work in strict accordance with tl)e City Of:
Fridley Ordinances and rulings of the DcYvartJilent of r:uilldings, and hereby
declares that all the facts and representations stated in this applicat:iota
are true and correct. See reverse side 9: r aclditianal infoza';at-ion.
DATE: 0 SIGNATURE:
Stipulations:
L9 e
CALVIN H. H E D LU N D 4818 Overlook Late Circle
Bloomington, Minnegote 55437
Land SurveyorI I� Civil Engineer SM -2080
r
S"Pewr Certifzaaie
Joe NO.
SURVEY FOR, Art Pre-
a • 1�
—
DESCRIM AS: Lot. 5,
Hpnnr,gi i
utility
1. Address
2 gal
Zoning e- 3
Lot Width 7g.'
5. Building Width g5
6.. Front Setback 3 t;-
7.
7. Th tal Use 6.4-1-
a. % Lot 'Coverage vs�
9. Easements
Nf4
10. Variance N%
Soil Q
,
12. Contractor s—t gee— ,
13
voe� ��p��C. ��Q
. Phone
14. Architect ,vii
15.
�(
Drainage BK
16. Energy Ashrae c�
17. Utility Locations
18.,Zpecials
4Driveway
opening.. lG f Am-
1�' =
ss Design
Combustion'Air
23. • ���.� t �_
24...d
25.
•
a • 1�
Ivy"aglp 64-L/v 00
7V6e 746,� -5-:17/09
ry
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34
ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION
PT,ANNING AND TNSPI:C'TTON DI P71VPMT:P1T
CITY OI'' FRIDLI•,Y, MINNESOTA
Thi:; supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE
AVERAGE "U" FACTOR INPOWIATION. This information is required so the BUILDING
OFF1C1AL 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 DESIGN 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: 1313 73 'f'i4 ✓c A16-
OWNER/CONTRACTOR: aunrise- (20inS4rLXC- 0-'1
ADDRESS: 3106 - (oi # At-- iJ MV"LS_ AAA . PHONE: S -60-W-70
A. Determine the Total Exposed Wall Area as follows:
1.
Total wall window area
X7,0
builc�Ih�
2.
Total door area
31o.89
3.
Total sliding glass door area
4.
Total fireplace wall area
5.
Total wall framing area(average 10%)
X11.20
6.
Total net wall area above floor(average 90%)
loco -So
7.
Total rim joist area
139.0
Subtotal: Total exposed wall area above floor
8.
Total foundation window area
11.x5
9.
Total net foundation area above grade
58.25
Subtotal: Total exposed foundation area
&q.50
GRAND TOTAL EXPOSED WALL AREA
l 4 LAy-Sa-
B. Multiply
the GRAND TOTAL EXPOSED WALL AREA X .17
=
Item I .149.36
C. Determine the Total Exposed Roof/Ceiling Area as follows:
10. Total skylight area -C>-
11.
o_11. Total roof/ceiling framing area (10%) g3.45
12. Total net insulated roof/ceiling area 841,05
GRAND TOTAL EXPOSED ROOF/CEILING AREA 9 34.5
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II
�C ��! o res,
C .'
i eco �v
�q kr
builc�Ih�
ALL ��c(ures
rr��y be ac)'J- (eck .0'
ao�e�l
s
E. Determine the "U"
value of
each segment
(1-9) and multiply by the area as
fol
2.
into
x
fluff
3.
3,2.50
x
"L'"
o J(p
= l O -'Po
4.
—0—
X
foul
=
e1Z
5.
t 1 1 .Aa
x
"u"
)
= 13.34
6.
1000.80
x
"u"
59-05
7.
139.0
x
°u"
5.6(0
a.
1t -A5
x
„u$,
, s�
= b•3
9.
x
llu„
03
-58-As—
ADD 1-9
FOR TOTAL WALL SEGMENTS
= ITEM III 1107.84
F. Determine the "U" value of each segment (10-12) and multiply by the area as
follows:
10. - d - x "U„ _
11. 9 3,4.5 x "U" 1.23 = 41.49
12. 841.os x flu„ '6A'6 = a 1.87
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV 4.5''6(0
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 24q,'3(P + Item II 4(o.73 = X96.09
J. Add Item III l (0'1.8 + Item IV 43.310 = .9t I (.( li
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.
By:
DATE:
lii'I OF FRIuLEY
• 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 13/3 Uz3 73 a_A e- /V�'
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
Repairs & Alterations -up to $500.00
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 STU $12:00
each add. 50,000 BTU 4.00
Replacement of Furnace 7.00
Repairs & Alterations -up to $500.00 7.00
Repairs & Alterations each add. $500.00 4.00
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU $12.00
each addn. 50,000 BTU 4.00
Boiler only up to 100,000 BTU 7.00
each addn. 50,000 BTU 6.00
OIL BURNER- to 3 gal. per hour $10.00
each add. 3 gal. per hour 10.00
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00
(over 199,999 BTU see Fee Schedule)
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 STU x $10.00
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS
ALTERATIONS & REPAIRS
State Surcharge
TOTAL FEE
ROUGH INSP.
Date
rwAL INSP. k - 3
Date
APPROVAL FOR PER 1T "
REINSPECTION FEE
($10.00)
$
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
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 application are true and 9correct.
Fridley, Minn. 19 9
I
OWNER
^ / 1�t 1 m .L
KIND OF BUILDING
USED AS O /
il �
/
TO BE COMPLETED ABOUT t� h
ESTIMATED COST Yi ZD
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, arm Air -]NO.
Trade Name „-WEyam (_,/'( Size No. 0®Ooo
Capacity X Sq. Ft. EDR BTU ,6D,ddp HP �►
Total Connected Load 1/0 Kind of Fuel
BURNER- Trade Name Size No.
LZ
Capacity Sq. Ft. EDR BTU HP
Company
Signed By e
Tel No. C-35- 17,7 -
CITY OF FRID EY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
m
o
ayn
0
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v
ed
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iri
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3
tov
4a
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a
o
8
an
,`
s�
jLe
w
a
w
d
b+
d
o
Water
Heater
as
lec
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
water Heater - to 99,000 BTU
x
1st
p�
100,000 STU to 199.000 BTU
x
$10.00
$
Water Softener
x
$7.00
$ .
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
2nd
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
$ J.OU
Additional Fixtures
x
$1.00
3rd
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
4th
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ '-Iq. ;b
(P.) a Future Connection Opening
(') i New Fixture, Old Opening
Connected with Sewer
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
t-2-
x
$3.00
$(a•yU
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
$ /6.00
100,000 STU 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
$ J.OU
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ '-Iq. ;b
REINSPECTION FEE
(:10.00)
Job Address/ 313
Department of Buildings
City of Fridley
Tel. #571-3450
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 application are true and correct
Fridley, Mn. e / 4 , 19 'p,_
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST / �7
OLD NEW ILDING PERMIT NO. PERMIT NO.
Company
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. �i - l �� - 2 Y
' Date �{
APPROVAL FOR PERMIT l7-�
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SU CMUM
97 9' 416051 CITY OF FRIDLEY ,
• APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
to
Future Fixture Opening
x
$2.00
v
New Fixture, Old Opening
x
b+
$
Water
Catch Basin
x
$5.00
$
.ci
n1
S
$
+"�
O.
w
$
Water Softener
Heater
,..d
$
b
x
$5.00
$
Electric Water Heater
toi
ani
w
b G
�g
1st 3 fixtures
x
'$3.00
$
J
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
'Ll
d x
u
aNi
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
g
$ 20.50
4j
g
m
u
woo
vi
u°.
U oa
R
i�
Vi3
O
a9
leC
1st
janE
e
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
M i New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
S
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTC
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
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 20.50
REINSPECTION FEE
(510.00)
Job Address 1313/13 3 73 Ave'. NE '
Department of Buildings
City of Fridley
Tel. #571-3450
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 application are true and correct
Fridley, Mn. )-6-78 , 1g
OWNER SUNRISE CONSY
KIND OF BUILDING frame
USED AS raS _
TO BE COMPLETED ABOUT 9-13-78
ESTIMATED COST 20.00 �7 �^•'
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 2
Signed By MINNFr.ASCO .
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
—!5
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE
t�
C176y" 0Li
3F FRIEDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432
"A TELEPHONE ( 812)571-3450
September 14, 1978
Star Electric
Lower 409 - 8th Avenue N.W.
New Brighton, MN 55112
Re: 1323-13 73rd Avenue N.E.
Dear Sirs:
An inspection on September'14, 1978 at the above address noted that
the grounding is not complete. We will expect this to be done and
a reinspection called for by September 27, 1978.
If you have any questions on this item, please contact me at 571-3450.
Thank you,
LEONARD EICRMILLER
Electrical Inspector
LE/mh
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432
TELEPHONE
�°�,& ff September 19, 1978
Mr. Art Fretag
Sunrise Construction
3106 - 61st Avenue North
Minneapolis, MN 55429
Re: Final Inspection at 1313-23. 73rd Avenue N.E.
Dear Mr. Fretag:
(612)571-3450
A final inspection was made on September 18, 1978 at the above address
and the following items were noted which must be completed before the
structure can be finaled out;
1. Provide sod in the front and side yards by October 15, 1978.
2. Provide handrails on both basement stairways by October 15, 1978.
3. Correct window well on east end (north one) -by October 15, 1978.
4. Provide proper support for floor joist at stairwell in basement
by October 15, 1978.
If you have,any questions on the above items, please contact me at
571-3450. A reinspection will be made on or about October 15, 1978
to determine compliance.
Sincerely,
al
DARREL G. - CLARK
Community Development Adm.
DGC/mh
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION.,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/I ndustrial
1.25% of Value of Appliance or Work
Effective On August 1, 1995
JOB ADDRESS I2L Q �Q � E__
State Surcharge f� 0
TOTAL FEF $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP
EDR
HEATING COMPANY S1 J�Z
Signed By ry IM, c� Tel No.
p, izi
WL
Approved By_/4 Rough—In Date Final Date
FILL OUT BACK SIDE F4 STACK VERIFICATION ON
REPLACEMENT FURNACE
The undersigned hereby makes application for a permit for the work herein
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
$ 30.00
s3o,o
representations stated in this application are trNe and correct.
l —�o ,1995
$ 10.00
$�
529
OWNER
$ 10.00
$
BUILDING USED AS
$ 10.00
$
ESTIMATED COST PERMIT NO.
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of'Heating Units—\—Circle One (Steam) (Hot Water) arm Air)
Trade Name r(' (ZO„ Size No. OC
BTU LyO), cx n HP EDR
$
Fuel O Total Connected Load
State Surcharge f� 0
TOTAL FEF $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP
EDR
HEATING COMPANY S1 J�Z
Signed By ry IM, c� Tel No.
p, izi
WL
Approved By_/4 Rough—In Date Final Date
FILL OUT BACK SIDE F4 STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes�j)
No ( )
2.
Is free from rust or deterioration
Yes-()
No ( )
3.
Has no foreign objects lodged within
Ye's-N)
No ( )
4.
Is securely supported
Y�N)
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes )
No ( )
6 Has total heating BTU's of
All other. BTU's —'
TOTAL BTU's 0
7. Has a liner been provided for water heater Yes�WNo ( )
8. Has combustion air been provided for water heater Yes () No
Remarks:
List ALTERATIONS Being Done
HEATING CO:
Signed By:
Date:
l
SUBJECT
R O.
City of Fridley
31621
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
`COMMUNITY DEVELOPMENT DIV.
v ______
�/
r PROTECTIVE INSPECTION SEC.
097
L A ;� "',,� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
-_-•
L J` 612-571-3450 1
910-F15
1/19/01
JOB ADDRESS 1313 - 1323 73 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
2
Evert's Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Edward Derdzinski 1313 73 Avenue NE 763-717-1948
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 Duplex
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 52 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Duplex & Garage; Replace All Windows Within Existing Openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform 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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
2
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
$ 15'000
$7.50
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 CHAGE
PROVISIONS OF ANY OTH OCAL LAW REGULATING CON-
$251.25
Fire C $15.00
STRU 1 RMA CE CO TRUCTION
PLAN CHECK F
TOTA EE
$213.75
• SiGNAiURE OF CON'R OR Au R4Ep AGENT iOAiE,
EN O R LIOAT T IS IS Y UR PE T
S.GNATURE OF OWNEROF OWNER BUIL iOATE.
SLOG -NSA rJAYE
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