AF - 35737i
Date
Owner
Addres
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BUILDING PERMIT
�
Village of Fridley, Minn. N° 2 9 9 5
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Builde�t:y��5-f:!'�! : . . . . . . . . . . . . . . . . . . . . . . . . .
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Address .E. �1.. ... . �. . .. . . . . .. .. �/.�.... ...
O ATIO F BUILDING
No. (l..��,� Street . .. ........ . . .................. Part of Lot .......................
��� !
Lo�iQ/..�� �1 . . Block ...�. .. .. .. ... Addition or Sub-Division . . . . .. . . .4V�!" , �
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Corner Lot ............ Inside Lot ....... ... Setback ...... Sideyard J,�ti�e!� f� ....... ��� �
DES�RIPTION OF BUILDWG
To be Used as: '
. . , Front � V '. . Depth °� °s.'�. Height . Sq. F't. �� � Cu. F't. . . . . . . . .
. . . . . . . . . Front j � � . . Deptho�4 �/ . . . Height . . . . . . Sq. Ft. a: � � . Cu. Ft, . . . . . . .
�� �Type of Construction . . .. .. .. . st. Cost . .����� . . .. .. . To be Compieted .. . . . .. .. ......
�
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In consideration of the i�ssuance 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 fo t and in compliance with all provisions of
o�dinances of the village of Fridley.
, .IC.���....... ........ ... .. ....
Tn consideration of the payment of a fee of $ . . . . . . , permit is hereby granted to . . . , . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . to construct the building or ad dition as described above. This permit is granted u n
the express condition that the person td 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. � ,,—�
�
NOTICE:
Inspector
�--
.-
This permit does not cover the construction, installation or alteratian for wiring, ptumbing, gas heating,
sewer or water. Be sure to see the Building Inspeotor for separate permits for these items. ,
r
Date
Owner
Addres
�
U
BUILDING PERMIT
Village of Fridley, Minn.
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N° 2995
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Buildex�i��� .Yi'.�! . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 %p� _ � ��;�� �Ld �G�'°—��''�'y"L
Address ./. �{. .. .. .. . . .. .. . . .. .. .. �/ ... . ...
O ATIO F BUILDING
No. �. . �� � Street .��/��.'. .�. . .�. . . . . . . . . . . . . . . . . . . . . Part of Lo
: • t ..... j
/ .�
LotilQ./../�� �1 .. Block .�.......... Addition or Sub-Division .�z�'�°.��.'�.�'I�:�r�.���.
�- � � . . . Y/ f . , � .
Corner Lot ............ Inside Lot ....... ... Setback �.. Sideyard ..........� �� d�
To be Used as:
Type of Construction
DES�CRIPTION OF BUILDING
Front � V '. . Depth �°s �. Height . . Sq. Ft. �� � Cu. Ft. . . . . . . . .
Front j � � . . Deptha�-4 !` . . . Height . . . . . . Sq. Ft. a: � d . Cu. Ft. . . . . . . .
� �� �
. . .. . . .. . st Cost . .��%��� . . . . . . . To be Completed . . . . . . . .. .. .
/
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In consideration af 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 fo and in compliance with all provisions of
ordinances di the village of Fridley.
t .IC���............ ... . . . ..
Tn consideration of the payxnent of a fee of $ . . . . . . , permit is hereby granted to . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . to construct the building or ad dition as described above. This permit is grantecl u n
the express condition that the person td whom it is granted and his agents, employees and workmen, in all work
done in, axound and upon said building, or any part thereof, shall conform in all respects to the ordinances of
F'ridley, Minnesota regarding 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. ,. �
�
NOTICE:
Inspector
y'-
r
This permit does not cover the construction, installation or alteration for wiring, plumtring, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
..
„
SUBJECT PERMIT NO.
c�ty of Fridley O 130'79
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� 1 L_ COMMUNITY DEVELOPMENT DIV. �
r � � PROTECTIVE INSPECTION SEC. 7(ji ,
� . �
� � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE � PAGE OF APPROVED BY
�""� � ,�� 612-560-3450
910-F15 7-8-75 � �
JOB ADDRESS 6424 ABLE STREET N.E., FRIDLEY, MINNES�TA
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oESCR. 10 11 FLORENCE PARK ADDITION s►+eer
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
KENNETH EHLING, 6424 ABLE STREET N.E., FRIDLEY, MINNESOTA
3 CONTRACTOR MAILADDRESS ZIP PHONE UCENSENO.
JERRY GROHOVSKY, 3901 VINGENT AVENUE NORTI3, MINNEAPOLIS, MINN.
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILOING
RESIDENCE
7 CLASS OF WORK
❑ NEW Ck� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
CONSTRUCT PORCH ADDITION (INSIDE)
9 CHANGE pF USE FROM TO
STIPULATIONS
JOISTS ON STILTS, STANDAR� WESTERN FRAMING
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P�UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. FRAME
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHiN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT R-1
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $Z�COO S1.7O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERF RMANC Of CON RUCTION. � $ZS, F>O
PLAN CHECK FEE TOTAL FEE
7 $16.90
S�GNATUREOFCONiRACTORORAUTNORIZEO ENr (D 7Ei HEN PROPERL VALIDATED THIS IS YOUR PERMIT
� �,,��� JULY 8 , 197 5
SiGNATURE OF OWNER UF OWNER BUtIDEFI IDATEI 84DG. INSP DATE
�-�-�� � P��'�': I�1�'1'I�J� FQ(. RI:SiDI:N'�'IAL., ALTl:iz11`i'IQN$
Cl�t f�l)l�IT70N 33�1ILLIitirG i �Ri�il'�`
CITY OF iI�:IDL,�:Y, NSIN.N�SOTA
OW;VEI"�` � N?��E : � �� �1 !iL BUII,I�EF. • �E'iV' � ro d V S Y
� � �
�vD�ss:��Z����P S�. %d� ����ss: 3 0 � � �e� .
h0•. STREET•
iOT: BLQCK: ADDITIOI�:
CORNBR LOT : INS IDE LOT : SET$ACr:: STDL'Y�-11.:D :
aptlica.n� atta�h t� this fornA Tcao Certificates of Suxvey,of Lot an�..px�pose'.
buzlding location drawn on these Certiiicat�es. �
0
9
� BESCRIPTION OF BUILDING
..
• . To Be Used �s . ,. �`G� - �
� xont : � D�ptl� : 2 Height : c�_`.L� ��` ` �
.• C���---� Square Feet : �C� � Cubic . Feet : 2( a �
p Front: Depth: Height:
. Square Feet; Cubic Feet:
ijrpe of Construction: ` vK- Estima�:ed Cost: $ ��_d_0_
_ To Be Compieted: .
0
: x"he uzzdersigned hereby malces applicati�n for a•permit for the wark herein
specified, a�reeing to c?o all worlc in s�'rict accordance with the City of
Fridley Ordir.ances and xulin�s of the Departr,tent of I3uildings, and herei�y
declares that all the facts and representaL-ions stated in this application
' � ttxe true and correct. �
. /� /_ � � � �� '
DATE : / � / � SIGNA:T'iJR� •
(Se� $everse Side For Adda.i:ional Inform�tian.) •
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�' � Apptiecrtion for Power P�nts arid He�ating, Cooling. Ventilation, Refrige�ion m�d
�� � m
:, �� Air Cand�tior�ing Systerms curd Device�s
�'� � � PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 � ,
fteplacement of �Zrnace ............................. 5.00 �
Repairs & Alterations—up to $50Q.Q0 . . . . . . . . . . . . . . . . . . 5.OQ $
Repairs & Alteratians each add. $500.00 . . . . . . . . . . : . . . . 2.50 $
MECH. WARM AIR
E'urnace Shell & Durt Work to 1?A,000 BTLT . . . . . . . . : . . .
each� add. 60,000 BTiJ . . . . . . . . . . . . . . . . . . . . . . .
Replacement oY Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $50Q.00 ... .. . ... . . . . .
o�o
8.00 $ �` �"
2.00 $
5.00 $
5.00 $
2.50 $
3TEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDit Steam ...... 8.00 $
Furnace S�hell & Line—to 64Q sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 �
E'ach add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL SVRNER—to 3 gal. Per hour ..... .......... ......... 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTtJ) . . . . . . , . . . . . . . . . . . . . . . . 5.00 �_
GAS PIPING (Up to 3 FYxtures) . ... . ." .. . . .. .. .. .. .. . .. . .. 1.50 �
(Add 50c e�ch over 3)
AIR CONDITIOPTING
FAN HEATING SYBTEM See Fee Schedule
VENTILATING SYSTEM �
ALTERATIONS & RE8AIR8 TOTAL FEE � � �
�
HE�t1�1Rgs:
�
i
Dept. of Bldgs. Phti=ie' SU "4-7470
Location i4� Abl�. i:1d1�Y. �I1A1ne�t,a�
�
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 representatians stated in this application ar�true� j d correct.
e�
F'ridley, Minn �"'�T lg� , 195—
owner L�rss II�llaa�. , al7� C��a Rapids ]�.�d. 195—
Kind of Building !'r�a�- He�'b].sr �� �N 11��a� 195—
Used as ��
r
To be completed about ���� a P����f
Estimated Cast, $ �•a
(�-New. Buildin� Permit No.
DESCRIPTION OF WORB
HEATING or POWER PLANTS--5team, Hot Wate , Warm ,�o,r�T
w� ss� •!
Trade Name �°� ' =ls atris size No �N � � �� `
Capacity Sq. Ft. E.D.R ��~� BTU 'fi.P.
Total Connected Loa� ��Sa ��� Kind of Fue1 ��• �
BURNER — Trade Naxne Size No
Capacity Sq. Ft. E.D.R BTU H.P.
11 POST 1 M-8-58
s� B�atiai i Y I�ai..
Bq
Business Phone No �
� �
` D�
� �
�
Appfica�on far Rawe� Ptants and He�ating, Coding� Venti�atian. Refric,�eration c�nd
Air Conditianing Systen�s c�nd Devie�s
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work , . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 �
Replacement of �arnace . . . . . . . . . ... .. .. .. . . . .. . . . .. . 5.00 $
Repairs & Aiterati8ns—up to $500.OU . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 1?A,000 BTIT . . . . . . . . . . . .
each add. 60,000 BT[7 . . . . . . .. .. .. . . . . . . .. . . .
R.eplacement o! �ace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
R,epairs & Aiterations each add. $500.00 ... .. . .. . . . . . .
8.00 $
2.00 $
5.00 $
5.00 $
2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Littes—to 400 sq. f� EDR 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 40�,000 BT[T) . . . . . . .. . . . ... . .. . ... . . 5.00 � .'r•��
GAS PIPING (Ug to 3 k'ixture� . . . . . . . . . . . . . . . . . . . . . . . . . . 1.50 $ �'� O .
(Add 50c esch over 8) �' "� •
AIR CONDITIO1�iING
FAN HEATING SY$TEM
V�NTILATING SYSTEM
ALTERATION$ & REPAIRS
R�MARS$:
►
�
See Fee Schedule
1�-
TOTAL FEE $�
Dept, of Bldg�. Phoae SII 4-7470
,� , � �i
� ,r� �
��
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to da 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, 1Vlinn . � � � , 195 '� '
Owner ��-� /�C� 195—
Kind of Building � � ` 195.—
Used as �`�'s '
To be completed about
Estimated Cost,
Old—New. Building Permit No. � 5 9��-�
DESCRIPTION OF WORB
HEATING or POWER PLANTS--Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTIT H.P.
Total Connected Load Kind of Fue�
BZTRNER — Trade Name Size No
Capacity Sq. Ft. E.D.R_ - BTU H.P.
Sign `� �''� ��''t�-
$� ,
11 POST t M-8-58 Business Phone No��� ��c
�at1��►s�o� . . _ �ifi�► � �ric�ley �53-84-s-915.5i .
. Anpliu��ca �os� Plcr����sg ���a ��s ������� Pe��� ' _ . '
-__ _.._ :.,,.,,..,�..,�w_ - -- ------- L?ept. of 8idas. ph4a. 300•34SU � -
D�3CP.I?TSON Gc^ tt,OI�i: . �.2i} N. 'E.'Able St�'68t.
:Zumbar. K:ad aad Loc:_!ea o.' Fixh:res Lxatt^� ��r..
� � '^ w�rc� �•T�. City oi Fridley.
�j 1� r�.f i � � iY�T�s� �,?I�? o� u � • e
oj< -`' ' z�� a g f�` ;< 7 7��7 r a c�s c�sc. The undersi�ned hereby tnakes apDlication for a permit tor thr vork herei
�)� � S� � N�f? Q� � �o S� <a u� u. V$ .
in i specif:ed, a;reeing to do all wo: k ia s.rict accordance with tht City C}r�inana
�ey� • and ruliag of 2he Department of Buiid:ngs, and hereby declares that aII the taet
— _ . and represer�tatlons siated in this apD2ic�tiofl are true and eorrect�
!s; ns al S c H at r 11-7-75
--- � u� cr t -2 -N 7- 3 ^ F'rid;ey, bii�rsn 19--
s,d "' Kenneth D. Ehling • • .
3rd t?wner • .
� ! � Frame
��h Kind o1 Building
• Futuzs Cocao:tS„� O�p�nln.aa Coaacc2ad, ariY'ss ~
Sowaz Res,
Q Used as
+ i{ss� Flziur�, Old 4,tisnir.qs Ccss aol .
D
� To be completed about 11-1ii=75
P6�P;TlA� RAT� SC�-{EDUIE �t,m3�a cost, s lo,00
Old--�Buii�ing Permit No._ . mit _`av=„
P'LIIMBINC FIXTURE Rl1TES:. NO. RATE TOTAL ,r�Y,� �-^l���"
{�, , . Sign�d
�t1I1i{cT r'1XtllCfS ••���•••�••�.•+• M.�+� X v��.�. s �J`/� .
il�ture 'ilxture Opeping . . . .'. . . . . . . .�. x 51.50 S ..�.:_.. By . _.
:Iew Fixiure Old Opening. ....: .... x S1.5Q 3.�.__ $usiness Fhune No
C'.atch B.;s:n . , . . . . .:. . . . . . . . . ... x �.25 S
� _
Water il�ater :Up to 99.(��(1 BTU>. .,• _.,r,,._r,. x 33.G0 E ,
,: ROU(3H . .
; ':ea� Grour,d Run �Jld IIldg. . . . .•. . : , _ x :3.25 3 . . .
E!�ttr:e �fJa°ar I:sstar, . . . '.• . . . . . . . . _,�__ s S2.Ct� S �'INAL lC� � � �'l ' %� � �
_ � i �STI:iG FLES: ii0. RRT� 'TOTAY. . .
1•' i �;%f�:fES . . . . . . � . . . . . . . . _ X si.'w' s_ ' . . .
..
�: t s .
ti, •tl. .3! ;'•. . . . . , , , . - • x .75 —
•_,= R �c t� 'Sv:�,1f' �S ". .. .... . x 55.04 6 '
' ``
. _ _ �� �- a °.r��Arra:�s--�a.fwr :� ��a, .50 St�t� Surcharqe ,. • ' .
. � u ��s��r��� . S� 5�1.�C&#,Q� � . ; 7 .00 '
zczi tfo:� ... ..••••• •••
. Autocrat w-25—�T-7-53 To'r� � s 7.5c) �� � •
� ' . � •
'. � �tass "'°A�" �u[charge ;50� � , . • . ,
HOUSE HEATING TEST RECORD
ADDRESS 6��'+ N�. Abl-e S'tt APT. FLOOR CITY suBURBFridle�
i OCCUPANT Kenneth D. Ehlin� OWNER
_HEAT LOSS DATE HTG. INST.
� SOLD BY Minne�as�o INSTALLED BY � � 4
� Electrical Work By Gas Line By �� � '� '� c
TYPE OF HEAT GA FA HW STEAM SPACE HTR. —�UNIT HTR. O HER
GAS DESIGN CONVERSION
MAKE A��{ll�]tOCi'&.$ MAKE OF BURNER
MOde� M�GS ""'+` 1 �53 MOdQ�
Ssrial I n Max. BTU Rating
INPUT ����l oT ^ ' MAKE OF FURNACE
Model
CONTROLS �
THERMOSTAT � `? eat Plug Vent Size 1 i^�„ ci� V P�'1
Valve G G� �/� "��� � KIND OF LINER SIZE NONE
Limit Draft Hood Regulator
Limit Sefting Filters Size Number
Fan Setting Chimney Location Inside Outside
Rilot Type � °� �t Chimney Construction
P�ilot Make �T P� � � ��
�lot Model 9� � Smoke Bomb Wiring
Pilot Timing ,�� SG `� Draft 7est Tag
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 7 � � Pereent CO2
input CFH � 'S� Pereent OZ
Staek Tsmp. Peree�t CO
Fo►m 235
Date Tested /� V`P � � �
Company Testing �
Name of Tester �
CII1i OF FR[DLEY
Effettive Date Nay 1. 1988
eAPpL1�ATI0N FflR POKER PUIMTS AAID }�EAT1 bIG, COOLI NG, YENT1 LAT10�M, REFRIGFRATIOAI AND
AIR GOI�iYIONlNG SYSTFa4S AND D�VICES
RATE SG{EDULE
l�SIDP�:?U1L �
�!
�urnace St�ll and Duct l,tock,
Buttl�t tAlso r�ylaa�wenL furnac+e)
Gas Pipin4
{piping n�d�d riEh aw lurnaca)
Gae Ra►uge
Gas �ry�r
w►Te
$ 20. 8�
$ 10.OQ
$ 10.80
$ 14.0�
• J►ir Conditioni�g (al� sizesl ' S IO 8G
�lll others/Repairs and Alterations
1� ot Yalua of ilppliance or Mork
COMtiEACIALf IlIDUS4RI7►i.
2t o! Y�lae o�f Agpliaace or ibrk
State Surcltanqe
'lb3'1LL tEE
A�eiaapectioa pee t515.001
1Wugh Iasp.
oats
Ftnal Znsp. " —
Date �i%c'(/
J►pproval for Pes�ait
0
lSINI1WM P�E POtt ANY NEJ1TSt�1C PEIiMLM IS s15-OU'
PLUS ;.SO SlATE SURC�GE
•�►ic �OndLt�owesa can not b� plac+d in side pard vitlx�at
wKtc� pes�lsala�a lsa� aAjoinLaq nei+glsbor.
mru.
$��
S
S
S
S ,�.:.�G.
S
$
$ .50
Sc`�
$
Job Jlddress �//�� I ������� "-'�
Oepaxtdent of Buildirtgsr 6�31 unixezgity �INe. Ii.B.a Fridl�Y. IR1 55�72
City of Fridlay
Tel. �57I-]450 .
i
Zhe undecsigned hareby �ake9 ipplication Eor a pnc�lt for the walc Aarain
speciiied aqre�ing co do +11 �+ork in s�.riat accocdano+ vlth ttrs Ciry C.aadss
and rulinga oi ths Dsp+rta�ar�t oF �ulldings, an� htrtDY daciares that atl the
facta and rsprasanr,ations �tsud ie cAis appllca�� +� �rr ��
Frial.hr, r�tnn. , �9 1�
CIYMER�� �Q--�
llCtND UF SULLE?SNG
US£D 7S
i+O 8E OGt�PIETF� i►BO�f� �,,,��_ ,_ � .
� t'�t�, e�`-�
FSTIMATEO 006T � -
OI� - N6M SITILDIIIG f�111IT 1q. PRIINIT 1M0. (./ ��
n�scue�rzaw oa rum�uaEl��
MP�ITING or POMrER ltJ�NTS. 5t�aa. 11at Ufat�r• liian� A1 1b.
rrya. w.e�P /� � y st� �. ��,���� �
Gpaicity S4. Pt. E00t �'117 ��„y. --��� ,-
-t� r +
1bta1 C7annectad Ioad Klt� o! fq�l � I 1 1 �� :.{
SUANER - ?rade 11a�e Sis� No.
Gpacity �_ 54• Pt. EOR _,,.!
c�wapr
51gn�d e
Tel. No.
.
Fill out back si9e for stack �erlfitatioR on r�Alacseat furnaces
�
,
.
CHIM��EY AND STACIC V�RIFICATION
The undersigned hereby verifies that the existing thimney or stacic; .
1. Has been carefully examined Yes {�I�) Na t)
1�
2. Is free from rust or deter9oration Yes ��'j No {)
3. Has no foreign objects todged within '�Q� (�) Ho ( 3
4. � Is securely supported Yes (jt`� Na ��
�
5. Meets al1 current Code requirements for size and Yes O No O
total 8TU eonne�ted �
�
6. Ma s To ta l hea ti nq BTv' s of
All oCher BTU's
TOTAL
Remd rk S �' -
I �
� � � � Com p� ny ' � � 1 � ' �
Signed 8y � �'�'``�
. o� t� l c� � z!'� ���J �
SUBJECT . � �
City of Fridley 218 4 8
AT THE TOP OF THE TWINS g � I L D I N G P E R M i T
i � RECEIPT NO.
� �` _��� COMMUNITY DEVEIOPMENT DIV. j
� L � PROTECTIVE INSPECTION SEC. /��
r � ,
( � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�.---�'•' `.� 612-571-3450 910-F15 5/12/�3 / /
J08 ADDRESS ((}24 AS?]_e Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.Q � 11 3 Florence Park SHEET
2 PROPERTY OWNEH MAIL ADORESS 21P PHONE
Timothy Werner 6424 Ab.le Street NE 571-4033
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL A�DRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION � ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace wi,ndow e,ra.th 5b�" dQOr; close up exi,st�ng 3� door
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTFICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PEFiMiT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONED FOR A PER�OD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPUCATION 1 STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUEO �SOO $. SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OFi CANCEL THE pEqMIT FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- ��� $1S.QO F7.re SC $.SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
$16,OQ
SIGNATURE Of CON � RACTOR OR AUTHORIZED AGENT IDATEI HE P ERLY �ID ED THIS IS VOUR PERMIT
�..%..---- S'�(r � % 3 � =/� - S�
SiGNATUREOFONNER�,IFOWNEPBU�LDER1 IDATEI B 00'iNSP qATE
�W [ ] Effective 1/1/93
ADDN [ ] CITY OF FRIDLEY
ALTER�j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �5�3
Bedlding Permit Application
Construction Address: �o`��--`� {��jl-� ��� � �z , _
I,egal Description: Q.�� l° �( ( i�� � ��"`e4 P"".��
Owner Name & Address: � �. � �Ef "� j , (,J �R.K/��. c�- �rv,—� --- Tel. # S % / � �� 0 3 j
Conbcactor: . MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA_
DECIC AREA:
OTHER:
Tel. #
Attach t,o this appl�cation, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION QF IMPROVEMENT
Length � Width Height Sq. Ft.
Length � Width Height Sq. Ft. �
Length Width _. Hgt/Ground Sq. Ft. T
�� � �v�.r L/"� �' ` 1 lJ'�v.+ "� (j�0� 3 ( �' c�.�t7Zr� .
/ V/N•�.� � G
, � -- �
Corner Lot (� Inside Lot [ j
Type of Construction:
Approx. Compie6on Date:
Driveway Curb Cut Width Neecied:
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $.�5 � c� . c7 c7
(Cost on Baek)
Ft. + 6 Ft = Ft x$ _$
DATE: �� �1 � APPLICANT: �-�^^�-�^""``� Tei. # 5 i �'`� 6 3 3
Permit Fee $
Fire Surcharge � $.
State Surcharge $.
SAC Charge $
Licen.se Surcharge $_
Driveway Escrow $.
Park Fee $
Sewer Main Charge $
��
sT�ur.ATTOrrs:
�ITY USE ONLY
� S��� Fee Schedule on Reverse Side
.001 of Permit Valuation (1>10th%)
$.50!$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contiactors)
Alt_ "A" or Alt. "B" Above .
Fee Determined by Engineering
Agreement Necessary [� Not NecessarY [ l
� 3�
, S 7�
$ /�. �v
BUILDING P'ERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts for the erectioa of any building or structure,
or for a�► addition to any existing build.ing or structure, � or for any altreration or repair to any eaisting
building or structure, upon applicatioa the.refore, require the paymeut by the applicant for such permit
of fces to the amount herein below s� foith and in the manne� herein provided to-wit
TOTAL VALUE
Si to . $500 �
$SOl to �$2,000
$2,001 to $25,000
� . $25;002 tc> $50,000 '
$50,001 to $i00,0O0
,
$100,001� to. $SOO,U00
$500,001 to $1,000,000� -
FEES
$15 (M'uiimum Fes is $IS pius sarcharge)
$15 for fi�rst $S00 plus $2 for each additional $100 or
fraction thereof, �to and including $2,000 �
.$45 for first $2,000 plus $9 for �each addititonat $1;000
. or fraction thereof, to and including $25,000 .
$252 for �fust $25,000 pt�s $6.50 fvr each additional $1;000
or fraction th�eof, to. and inciuding $50,000
� $414.50 for fust $50,0(I� plus $4.50 'for each acMitionai
$1,000 or fraction thereof; to :aad including $100,000
$639.50 for first $100,000 plus $3.50 for each additional �.
$i,000 or fr�dction th�eof, to aad inctuding -$500,000
$2039.50 for die first $500,000 plus $3 for each addit[onal
$1,000 or fraction thereof, to and iaciud.iag $i,000,000
$I,OOU,4U1 and uP � $3539.54 for_ the first $1,000,000 plus $2 for each addifional
$1,OU0 or fraction thereof �
DRIVEWAY DEPRESSION ESCROW �
(Concrete G�rb Streets Only)
Aiternate "A": Removal and replacemeut of curb and gubter only - Driveway width plus �b fcet times
$i3.50. - �
Alternate "B": Removal and replacement of curb and gubter and install a 3 foot wide.
approach with 6 inch depth - Driveway width plus 6 fcet times $13.75. -
VERIFICATION OF FOUNDATION
Per�nits for coastcuction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the coastruction site.
A Ce�[tificate of Sucvey of the lot, showing the loca6on of the foundation once it has it has been
constructed will be required before proc�eding widt the framing. .
��
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�2006
City of Fridley:
I, Mae Boyce, give my permission for Tim and Cathy Werner to build their asphalt driveway within the
three-foot setback. The driveway setback will be one foot from the property line. T'hey have furnished a
copy of the plan and the proposal and it meets my satisfaction.
Mae Boyce
�, �i i � '�/
�� @1/06! 1995 08: 95 909b�bbnnb r�o+wwwwwwurw,�wx,�w�w •.,-- --
r •
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.. �,..._. .� _.. .___....... ... .._......
.....___.......�.....�_.... .__.. ._.._ � l � . ._
C�T
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, nl/n9/1�70 G/:10 GOOGVVVVVV �'�'+M�������'�"�`���M
�►
� C/1K i r'! �1I ��RVv, �. �—
DATE: � �� �
HOME�tNER�. �im WemN
LpCAT10N:
PROJ�CT:
lQ7t HighMaY 65, Sui*e 13Q
SD�'�J � P�t� Mn 55;32
p�prN �03.7a4.3a33 Fax T�3. 7d4.W'J�Z
d424 qbl� Str�t
F►idlay, MN 56432
91TUMINOliB DR{VE INSTAiV►TION
PROPOSAL: 1, Exo�v�a'VB��
A. �w�l olf �cistinp s�td,
B. E�aavat� sra�t ss rpuind ivr P�d d� s1aW �s�litation�.n c�a sb� M°�� houso
C. R�� Mwl tuMc� on upper poRien rd. Cus�e� pl�s ���OOr'P�'�'"q s
�o m. a�ckysro. ai w�sc.r �� �o be a�r.c�.d t� th• bw�clr+�
rN�ininp well systts��tt on �+ s�d� d drive �np nN�hbot's p�oP�t!► � support elevetion
dKhrs�UM.
D. tnst�l! crusMd py'e0et� b e d�ptb d 4-8".
E. ��w1 and oomp�ct
!I. A�phi�it insEsNati0�1
A Pawr lnshlt Z.5-3.0" d �ot aph�ltic conexrb f Mn00T �� �
a� m�•moan.�a � wmk � wmoundlr�p fd�.
c e.r.+.�o..a.ao.�
IM/E8TMENT: t2.a96.00 (Two Thowsnd EiAM NundroO NlrMty Sht Ooll�tj
INCLUSIONS: All Isbc►, matuiM �nd tauiw�
EXCLtJS�ON8: Cit�► p'er^^n� � p�� f�u (If snr). obE�ininp ret�snw a1a+0 DroPMY Iln�> bondinp,
ESTIMATOR• 8tacy ��^
ACCF.tI'ANi�' OFAG�'
t�o� Al� wak it to tx aoAtQkted in a wurW�nlike mara�er �o�xdin� a�4
All m�tcriul w be wed t�ta� Mimesot� State �pociikf�cs � extrs aata will beeaac an actr� clwase a�a and
prac:� icaa. MY ul4xatiat or devisti0n ��t uD�' ��j�, ��' b a delsy3 bcYond out' ooalyd. Cvn�P�Y wak� ea� f W1Y
ntwv� tAsR �re�aen�. /111.g�ne�oa�ls
oovcrad M Wake�� Com�lon 1Bcatia�s, �trd oonditiana �re satisf,icarY and MrebY ae�D�. Yau +�rr
Acoe�tr�a or A�n��e�s -'I'Ae s or ,�
•utlxyritd ta � Q�s wvtk �s spai aAd Uo ein Paylt1A111 Wfll bt Il1�d! !pi t�ltlitlCd Rl�ore.
Cpm�siy Autk�a�ed S• CuNoaw 3ip�Muts
D�u of Aoo� ti2..�lr� I�aee of A�� —�---�— c'w�°c'`""'"'
... � � SUBJECT . .. " �� � P
City of Fridley 3 6 9 6
�
AT THE TOP OF TME TWINS g� f L D I N G P E R M i T
; ` RECEIPT NO.
COMMUNITY OEVELOP�ENT DIV. _ _
� °.
; �,: ------, � ��
r � � PROTECTIVE INSPECTION SEC.
� . �
�
i_-_• A;�'�';'� CITY HAII FRIOLE� SS132 NUMBER pEV OATE PAGE O� ACVROVED BY
L �� 612-571-3450 910-F15 6/13/02 / /
108 ADDRESS 6424 Able Stree"t NE ,
t IEGAI �07 NO. BLOCK TfiAC7 OR ADOITION SEE ATTACHED
oesca. 10,11 3 Florence Park SHEET
2 PROPERTY OWNER MAIL ADOR�S$ tIP PMONE
Tim Werner-' 6424 Able Street NE 571-4033
3 CON7AAGTOR— `' MAII ADDRESS ZIP PHONE IICENSE NO
Orville Treichel Construction 13819 uinn St NW, Andover, MN 55304 757-3844
1 ARCNITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII AODRE$S 21P PMONE UCENSE NO
8 USE OF BUILOING
Residential -
7 CLASS Of WORK , - _ _ ,
O NEW �] ADDITION O ALTEF;ATIpN ❑ REPAIR O MOVE O FiEMOVE
8 DESCRIBE WORK
Construct a 19'6" x 6' Addition to Living Area and a 19'6" x 6' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See r�otations or. p�an.
1�1,���IN�
SEPARATE PERM1TS �efiOr° d�9��9 ��� for
REQUIRED �OR: a��'�'fi��� ����ons
VI�RIN6 HEATIN 454-0002
PUlMBIN� AND SI6� �������� �X �.1A►11V
" TVP OFCONST. OCCUPANCVGROUP OCCUPANCVlOAO
SEPARA7E PERMITS ARE REOUIRED POii EIECTRICAI, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULI AND VOID IF WQRK Oq CONSTRUCTIOM yONING SO. fT CU FT.
AUTHORIZEO IS NOT COMMENCED NJITHIN 60 OAYS. OR IF CONSTRUCTION �
OR WORK IS SUSPENOED OR ABANOONEO FOii A PEFlIOD OF 120 OAV$ A7
ANY TIME AFTER WpqK IS COMMENCED. ' NO DWIG. UNITS OffSTREET PARKING
I HEFEBV CERTIFY THAT 1 HAYE REAO ANO ExAly11N�D TMIS APPUCATION ], STALLS GAFAGES
ANO KNOW TNE SAME TO BE TRUE AND COfiRECT. p1.L PROVISiONS Of LAWS yALUATION SURTAX
ANO OFDINANCES GOVERNING THIS TVPE OF WpAK WI�I, flE CpMPllEO
WITM WMETHER SPECIFIED HEpEIN OF NOT. TME GRANTING OF A pERM1T �.30�000 �I.S.00
DOES NOT PFESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE
PROVISIONS Of ANY OT TATE OF LOCAL LAW REGULATING CON-
STRUCTI N OA T P OR, ANCE OF CONSTRUCTION ��F�FI.7S F1Y'2 SC �30.00
�,% PIAN CMECK FEE TOT � FEE
" �` ���a- Licen $ 0 491. 75
S�GH• U E F CON'AACTOQ OA �UTMOQ�2E0 AGENT IO�tEi E p � V VAL A D TNIS IS V R P RM �
�
� S�GN4TUFE OG OWHEQ��c OWNEa BWIDERi � � � � iD�TEi . . � . ... . .pG� Iq - � ctE
NEW
ADDN
AL,TER
[ l c�n� s�� �ROD��r
(� 64�7 Ut'ri�e�sQy Ave NE, Fridley, M�! 55432
i � SIN6L� FpMU.Y!►ND DUPLDCISffi R-1 I�ND R�
RUII.ptNCi PERNqT �PLIC��'IQN
Cat�struc�ion Address:
Lega! Deacription' _„
CMmer Name �Addre
Gontractnr: ���✓�`/
�
�t
(763) 67'��604 Bkig insp
� T�. # � 7 /- �103�
j^ �^,. MN L1C�NS� � � i �
�cao%�i+tLl.� Tet. � 7�57- 3�Y�f�/
Alt81Ci1 tl'> thlS �ppilCA�tiOR, e� C�lfiCat! Of $�qv�y Cf #1C
lat, wi#� the prepased cansdv�tian drawn on � to scaie.
D�RJPTION CF lNPROVeMEN'r
L!VlNCi AI�A: L�ngth %� q�(o " Width � yepht ,,,_� . Sq. Ft /f %
GARPt� AREA: Lar� VUidtt► i�#eight "a Sq. FL
DECK AREA: #.�n9q� � � � `� VUidth �P F�Egt/Ground ' Sq. Ft / � %
o�ai: G�� i��6 `� �,� ' C� �`7. 3�
�onstrucdora 'iy�: ���i�_��� Estimat�d Cost: � �3� �
[?riveway Curb �ut Width Needa�-._._�_�:-,�.6-Ft=.._..,_,,,_....-.�t.x�g_.� ..,�; � � _
DAi'E• �-3`'O ;�wPPI.BCANT: Tel. � tol,�- °�'�� ' 97 7�
Call (7i3) 67Z-36�i for Permit lFees if mAiling �t appN�atian or Fax to T63�5'71�-9xB7 if usir�� credit c�rd snd we will
caefl you fb� card nure�ber.
Crf"Y U9� ON�Y •
P�rmit Fee $ %%� Fee Sch�dul$ c�rt R�avetse Side
Fir�e S�r�harge � o. co .00� of Pe�mmit Val�a#i�n (4/10th4�)
8t�te Surcharge $ �S. Cx� $.501$1,4Q0 Valuatian
SAC G�her9e $_ _.-�''".- T$1240 per �A,C Unit
Licens� Surct�ar�e $_��. �3l� $5.40 (State U+�er�ed Reslderttia! Gontractors)
l�rnr+�way Escxuw $ A�. "A" or Alt. "'B" Above
Erosior� Controi $ $450,00 Con�ervation Plan Review
Park Fee $. __ Fee Det�rmined by'Engmeering
Sewer Main �harge $ Agr�em�nt N�cces�ary f� Nat Necessar'Y [ l
r „
ror,aL � . ��pu�.aT,���.
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�Iianrsota ituia, Cbapter 767d. Complex Pa�s :�. B, �nd C. Clearl} cn�rk plans tvith: insLtatian R-���Iues; wead�w• and sicyli,he C-
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P$� A. BUILDING E1�fVELQPE
ckecY pr�pc�se�t mvdaoe oi.1c seat — - - - • � . _ . � .... ., . _
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❑ P!1'CO!lfflilCt (iti9C�L L-V1ilt! W1t1�I�lIOlt3i' Q Synerns �nsly�a r�ethod (anach �nalYrs) i
M/NNESOTA �N,ERGY CC?D,E -- V1rHICN RULES MAY l�JSE ?
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�CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
i _� �� �
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� � i� Effedive On Janua 1 19 9
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APPLfCATION FOR PL.UMBING AND GAS FITT{NG PERMIT
MARK NUMBER OF FIXTURES TO
i:::::::� �:;:i>::::>::::;:: Wash '[
Stories ;Ctose.� :: Urinal 7uk� '. Shower S[nk ;
Basement '::.>;: :.;:.>:::>::>::::
0
FI or 1
Floor 2
Fioor 3
Flaor 4
l,(�-�--�� ��
PLUMBING FIXTURE RATES; NO. RATE TOTAL
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas** �
Gas Range**
Gas Dryer**
Back Flow Preventer Required ()Yes () No
Type
INSTALLED ON EACH FLOC)Fi
c ; Floor C�t�h Auto.
if....: Drain Basin:; ; Washer
Gas
Ran
Water Heater
Gas Elec
r
JO$ ADDRESS � �1 � ` `� �
$�.00 The undersigned hereby makes application for a perm it for the work herein
$�.00 specified agreeing to do all work i:i strict acccxdance with the city codes
$ 5.00 and rulings of the Building Division, and hereby declares that all the facts
$ 7.00 pOST�p and representations stated in this application are true and correct.
$ 7.00 � �
$ 7.00 °Z
$ 7.00
$1 p.00
$ 7.00
$1 Q.00
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Va1ue of Fixture or Appliance
State Surcharge
� � m,
��
Owne� � l
Building Used As �W�'��r
Estimated Cost PERMIT NO. �� J�� �'�
PLUMBING COMPANY Ulr(;ORR�j��{��Q
805 t 1tR Aven� So�th
SIGNED BY �'�OPi(111S, � jj �L N0. — �j - ��.
\
Approved By Rough-ln Date Final Dat
$ .50 ��
TOTAL FEE $ PLUS T.HE $.50 STqTE SURCHARGE
**COMBtlS110N AIft SHALL BEPROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINiMUM SIZE 9 SQ WCHES.
THE BEL(�W MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE
APPLtCATION WILL BE RETURNED
S'QMM(�N VENT� VFNT GQNNEC_:TnR AND CnMBl1STInN AIR VERIFICATInN
VVhen rP la -inD an existin0 f�rance, the undersigned hereby verifies that the
venting has been examined and is free from n�st, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( � No ()
The venting system is plastic/PVC and meets all cuRent codes and manufacturer
specifications including sizing, length, number of elbows anci termination.
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
indude AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
�a ��-.��r�� �nmbzit�on ��►� is sized and insiaiied 4o meet ti�e currer�t codes
and manufacturers specifications.
When �equired to ine+all a n_w cemb ,e+ion air; it will be sized and installed
to meet the current codes and manufacturers specifications.
Whe11 jp5�111IIg a new ventin� cvctPm, the und�rsigned hereby verifies that
it is a listed assembly and meets the current code� and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
_.-_ 4 _...
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( i No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes( )No( )
! • • .`�y' • ' . � i � • 11 11 • � " � . � ��`'� • � � ' M • � • ■11 . • �
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or N�'t'a-
Appliance #3 Type BTU Input Fan Assisted or�tat' `�
Total Appfiances Total Btu Ir�put :. ��,: ;-;
— ,+ rJ
ts:� .'X .
Common Vent Type Vent Height Diameter �''' ?f1�es
-'r: -.
cw °` .,�r
Appliance #1 Vent Connector Height ft Length ft Diameter in �'. �a��
Appliance #2 Vent Connector Height ft Length ft Diameter in �pc :;
Appliance #3 Vent Cor;nector Height ft Length ft Diameter in Typ� __
� � - • • ► �,- . ..-
HEATING CO:
Signed By: Date :
_
_
CfIYOF
FRtDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
December 30, 2003
Mr. Tim Werner
6424 Able Street NE
Fridley, MN 55432
Re: Inspections at 6424 Able StreetNE
Dear Mr. Werner:
Framing inspections were conducted on August 21st and 22nd, 2002. A reinspection was made on September
6, 2002. As of December 22"d, 2003, corrections have not been completed.
Per Section 108.4, 1997 Uniform Building Code requires that all required inspections be approved before any
work can be completed or covered.
The following is a list of framing corrections;
1) Provide minimum 1/8 inch gaps on all four edges of the roof sheathing.
2) Provide anchor bolts per Code Section 1806.6 1997 UBC.
3) Solid block or joist hangers for floor joist (outside wall).
4) Point load 6" x 6" posts to foundation.
5) Add stud under Micro Lam beam.
6) Provide 2" x 4" joist hangers for ceiling joist.
7) Provide positive connections for headers to existing walls and beam.
8) Provide full bearing for bottom plates in lower IeveL
9) Provide flashing detail and proper flashing under doors and under existing stucco.
10) No lath and weather resistive barrier inspection. Required inspection per Section 108.5.5, 1997 UBC.
11) Provide or verify exterior window header size and number.
These corrections must be completed and approved. Please have the contractor complete the framing
corrections and call for a reinspection.
If you have any questions, please call me at 763-572-3602.
Sincerely,
RON JULKO KI
Building Offi al
RJ/mh
FROM : AEH TREICHEL
_.._—�-.
FAX N0. : 763-767-2586 Jan. 22 2004 08:59AM P1
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ADDRESS
PIN
LEGAL DESC
' PERMIT TYPE
PROPERTY TYPE
I CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57Z-36U4 r'AX:
: 6424 ABLE ST NE
: 143024410059
: LTNAVAILABLE
: LOT BLOCK
: HEATING
: RESIDENTIAL
: ADDITION/ALTERATION
571-1Zif7
�•
PERMIT NO.: 2004-00248 '� �,�� �
�� .
DATE ISSUED: 02/20/2004 y
VALUATION .
I NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
i GAS PIPING FOR FIREPLACE
# A/C LJNITS
I # GAS DRYERS
APPLICANT
HALEY COMFORT SYSTEMS INC
1223STW
HASTINGS, MN 55033
OWNER
WERNER TIMOTHY & CATHERINE
6424 ABLE ST NE
FRIDLEY, MN 55432
0 #FURNACES
0 # GAS RANGES
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
viol or cancel the provisions of any other state or local law
re latin ons ction or the erformance of constructi�} .
Anolicant` � p Date � //
Bldg
SEPARATE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
STATE SURCHARGE, MECH FLAT
HEATING PERMIT MINIMUM FEE
TOTAL
PAID WITH CHECK # 25323
FOR WORK OTHER THAN DESCRIBED ABOVE.
0
0
0.00
0.00
0.00
0.00
0.50
25.00
25.50
r
7Y OF FRlDLEY INSPECiION DIViS10N �
•31 University Ave NE . �.
a idley, MN 55432 APPI.i�ATtON i'OR E�p1R1ER p1,l�p�Tg Ap�p HEATING. COOLING, VENTILATIOM,
m 63) 572-3b04 REF'RIGQtAT10M AND AIR CONpITiON�[��SYSTEMS At�1D �E1ftCES
m .X (763} 571-1287
n:
�
�tATE SCHEDULE
a •
� :sidentiai
�"urnace Sheft and Duct Work, Bu�ner •
�, .Isa Reptacement Furnace
tD (Side Vent • Fill O�t Sack)
�as Piping {Needed with new furnace.
bqt not replacemeni)
�as Range � /�` ,
� 1` � �---,'c�-- -� �
;as Qryer p��
0
tir Conditioning • Afl Sizes
li Others/Repairs & Atteratiorts {I.IST ON BACK)
1% of Value of Appliarice cr Work
} �mmerciatl[ndustrial
J•25qa of Value of Appliance or Work
ca
�
�
�
�
ti
�
Rate
$ 30.d0
$ 10.00
� io.00
$ 10.00
$ 25.04
State Surch�rge
TOTAL FEE
1 il � � ►. , : 1 � � • �!�11 _ •
a �1�. � �� 1, ir l � _ _.1 1� ��
J ` �
1.� \ l
M
.��. :I�ISPECTEOM1! FEE $47.00/tir
�
� ir Conditio�ers can na1 be placed in a side yard without
� itten perrnission hom adjoining property owner,
N
�.
i
w
w
�
iOTAI
i�
$
�
3
S
3
Effective January, 1..2004
.1QB AODRESS � ��fi �I.� �'`'j�
OWNER `C�1 M -1� �� ���1�,
BUILpING USED AS �
ESiiAAAiEO CAST _��`� P�RMIT TfO. �D�L '�.>(�� j�
� �
�-- '�� • ;�: ► •; : �•
No. oi Heating Units � Circle One (SteaM) (Fiot Water) (Warm pir}
Trade Name �Z� F-� �T Size Nu,
8� HP EDR
Fuel,��[(�, Total Connected Load
Burner Trade I�ame Site No.
BTU Hp EDR
3 The undersig�ed hereby makes application far a perrnit tcr the work �terein
specified agteeing ta do all worlc in strict accerdance with the City Cades an
� •5Q rulings of the Bui�ng Qivisia►, and hereby declares that atl the facts and
-�4�� representations stated in this application are true and correct.
S �
DATE
HEATI
S�g11eC
FAX #
Appraved By �.\� Rough•tn Date' Finai
_.�...�. �ate
FILt OUT BACK 51DE fOR STA{`.It VERIFIG�ATION ON REPL� FI4'�EiyT �l1RMACF