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PRE 2010 DOCSCity of Fridley " Applicafto for ftmbbg mfd Gass R"I" ftm* K2_R}i_9l K_ �1 Dept. of Bldgs. Phone 980-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures 305 NE 76 Ave. � NO. RATE TOTAL Number Fixtures ................ FF Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .......... x $1.50 $ �« Catch Basin .................... ��cc 3i U y v New Ground Run Old Bldg......... x $3.25 $ • I • N WATEN NTS. GAS EIEC. Base Additional Fixtures .................. x $ .75 $ Gas Range to 195,000 BTU.. . x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........................................... _ TOTAL FEE $ 5.00 Class uAP Surcharge .50¢ 1st 2nd 3rd 4th -Future Connection Openings * New Fixture, Old Openings fCesspool connected with Sewn ❑ ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .......... x $1.50 $ �« Catch Basin .................... x $3.25 $ Water Heat4rltt'�hl 99,190ATUl .... . x woo $ 3.00 New Ground Run Old Bldg......... x $3.25 $ Electric Wates Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL tat 3 Fixtures .................. 1 x Uop $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 195,000 BTU.. . x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........................................... _ TOTAL FEE $ 5.00 Class uAP Surcharge .50¢ 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 alt the fact and representations stated in this application are true and correct Owner Fridley, Minn July 27, 1971 19_ Robert Blosky - Kind of Building fr. _ Used as res • To be completed about Aug. 2 Estimated Cost, $ 10.00 <� . Old—New. Building Permit No. Permit No. MINNEAPOLIS AS 0 -Qicmad Business Phune ROUGH FINAL CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND r AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARDi AIR: RATR TOTAL Furnace Shell & Duct Work $17,00 § ' Replacement of Furnace 7, 00 Repairs & Alterations -up to $5QO.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 yS MECHANICAL ItiARDl AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ *Replacement of Furnace 7.00 $ 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 $;2.p0 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.pq $ each adds. 50,000 BTU P.- op OIL BURNER- BURNER- to 3 gal. per hour $4 -pp $ each add. 3 gal. per hour }A.QA S GAS BURNER- from 100,000 BTU �o 1",8 W—Rq 10.00 (over 199,999 BTU see Fee Sc4eg4;f!J GAS FITTING FEES: 1st 3 Fixtures �_ x $ I -pp q1. Additional Fixtures x $ ;:AR _00 Gas Range to 199(000 BTu x lO,OQ AIR CONDITIONING FAN HEATING SYSTEMS $ See Fee Schedule VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS $ State Surcharge $ .50 TOTAL FEE Q0.50 ROUGH INSP. Date FINAL INSP. / Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) NSNI.+^'K FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form aob Address 305 - 76th Avenue NE Department of Bullangs UY 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, Minn. 12/31 1980 OWDJER Robert_ Blos PND OF BUILDIIJG frame PsEP AS - dwelling TR RP PIQMPIXTPR RoTp 1/2/81 FSTTW. P.R PPsT 900 (� PH - PyTR�l �1qG FPmTT NQ. PERMIT NO. n P,ESORTPTTO.q pF FPRNACE/BURNER PP,TTNr- Ar RQWM P?�iTSf Si:€8M( Nol: P14tert Wqzm At�- No.G[JBlo0 Trade Name Fri er7ri ch S.Ize No, c7R100 Cap=Lty $q.• Ft. EDR100,000BTU HP Total Connected Load rexJacement Kind of Fuel natural, CjaS BURNER - Trade Name Friedrich Size No. GUB100 Capacity Sq. Ft. EDR 100, 000 BTU HP Company Northeast Sheet Metal Signed By a'_J04�� Tel. No. 781-2776 CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION 305 - 76th Avenue NE DATE 12/31/80 OWNER Robert slosky ADDRESS same The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2.- Is free from rust or deterioration 3. No foreign objects are lodged within 4. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU 100,000 All Other BTU TOTAL x REMARKS We'replaced furnace, gas to gas, added A -coil in plenum, installed fresh air intake, used existing ducts. HEATING PERMIT # SIGNED C �� Licensee by Northeast Sheet Metal Address 4347 Central Ave NE Telephone 781-2776 Fridley City License # 16119 I40 SUBJECT 5R�u City of Fridley 2 4 8 0 8 AT THE TOP OF THE TWINS ? BUILDING PERMIT RECEIPT NO. Ir COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. . / j��� NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/3/96 JOB ADDRESS 305 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dave Berry Construction Inc 14470 96 Ave N Maple Grove MN 55369 9204 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 868-3116 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Reroof House 15 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,237 $.62 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFO A�NC%E DOFF $43.00 Fire SC $1.24 PLAN CHECK FEE OTAL FEE CONSTRUCTION License/A 00 $49.86 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H PR THIS IS YOUR PERMIT RaG INSP AVILIATED - X1.3 - ij� GATE SiGNATUREOF OWNEROF OWNERBUILDERI iDATEi I40 NEW [ ] Effective 3/1/96 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ;T3ConstructionAddress: � 0 � -7� �Z k+ U L /V Legal Description: --0 r` /), �� • � C r Owner Name & Address: Tel. # Contractor: V6 `'S �-� C;;t�� •T it,L MN LICENSE Address: ti/ Tel. # 31/L�, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF UAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �'�Rnc� �c.tS� j 5` Tn z Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: ® - (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = -- Ft x $ DATE: 1 —�? (� APPY 7r AM -$ , "U k I �I \ - a _ ME Tel. # 8'& �-- -:� I L/,=7 STIPULATIONS: CITY USE ONLY Permit Fee $.->_ L �' Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] TOTAL $ 419"6 STIPULATIONS: Building MECHANICAL Permit No.: 2,6 O 2, Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 DatRiOdFEB 2 j CITY OF FRIDLEY 763-502-4977 FAX IEFFECTIVE 2-19-09 DATE b as a ot YOUR E-MAIL��ADDRESS /I e 1y SITE ADDRESS3C)� -DL V G, THIS APPLICANT IS: ❑ OWNER XICONTRACTOR PROPERTY NAME: �fGv_ OL�L M OWNER/ TENANT 'n � ADDRESS:30S _IL0 1�1V+e ME CITY r 1d t -e. STATE1'y+'ZIP $i3oZ PHONE: �(03' a a a -+ RFl�� CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN ZINKEN SUBMIT A COPY OF STATE LICENSE # BOND 22013346 EXP DATE 08/1912009 YOUR STATE LICENSE WITH ADDRESS:9320 EVERGREEN BLVD NW SUITE B CITY COON RAPIDS STATE MN ZIP 55433 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 PERMIT TYPE t6'4INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON S10.00 PER FIXTURE ,'�j CEPT WHERE NOTED. FIXTURES: INDICATE TQQTAL NgM ER OF EACH BELOW) Equipment Installed MFG: Ft.� MODEL: 1 oul p'j SIZEBTU lk.AA =5 1000 MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 RANGE/OVEN $10.00 _GAS AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _:FURNACE _BOILER $35.00 $35.00 UNIT HTR $10.00 _GAS CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00 _POOL DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 ERE," k ,a� M���� 'a�G' UL ;.� i9:a Y^" '+x "S SGi.. >'.v �"Ky �_ i �� 'UfL' ,y#,� � �` �� � .:5'�f��sf {,�✓�� �'+7�-.'^'YN.�: .42"��.'K� i.*u �,ci�.�ta t' y�,�d. �zu'. z"'�iw, ��°.€a: �e iss�;.�, �"� >.;^'.' "".�?�`�T ''��� ;: ��,,. '• x�� � '�" x�C.T-�,,�t"�'�`��� '� �' an���'�c tF:�E> �,�?. +�Y ,., �'�Lx' ra�' ,�' ;P n"4 ty�T�,ytR ��L.Y' "�''��;k-'Xs ' �.�'°sa fs';�a^}� �'i'��Y,� z '�i ,may P,K z � �f,��,�' � a L. ,�,_"�'9 ?4'.�✓.��. 4+ik �eF i � T. �' 1 cf L•'Y��W /` � L4.Y Y, KsT.'. 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 fora permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case all work whi hr uire review and approval of plans. � o ROGER HOFFHEIN SIGNATURE OF APPLIC PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977