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AF - 46028Village of Fridley, Minn. BUILDING PERMIT N° 933 - Office of INSPECTOR OF BiJII.DINGS • : � �, �`w ��r Owner /i'�^"�-�.�:f`�1..�-n..,,., t,1/ , � j�Architect Fridley, Minn. '""``"�'�` � , 19 Builder ` LOCATION OF BUILDING No. t�''�� ,�, Street �� ✓��. Part of Lo+ - Lot Block Addition or Sub-Division DESC�2,IP�'ION OF BUILDING � � ' �; x Fron�� Depth q' Height Storiea �"' ''-�....Manner oP Construction °�'�`""'""`R� `- - � To be used a�� r"�� `wl �f�'"��"`{`�� 'To be completed Eetimated Coat /� „r ..�r�, �.,1 /"l � r":""� . _ _,'..�_ [/. ' .�. _ ,.�, r" `. �...;:_..- ... . � i; �� s.;, ' .� �-- Permit is hereby granted to t- ��` t`=�"�.:`"-$ � to ;`•<' " �' `"`°`=°.,'�` N'., the building `'°"' described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, an8 his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the conetruction, alteration, maintenance, repair and moving of buildings within the city limits, and thia permit may be revoked at any time upon violation of any of the provisions of said ordinances. ��.., ,,�'"�"�,; �-r;+"• �....�w� �.�.� jM"' ''r """'"�e"��."�snector of Buildings. AGREEMEIVT AND SWORN STATEMENT " In consideration of the 'issue and delivery to me by the Inspector of Buildings of Fridley of .' , the above permit, I hereby agree to do the proposed work in aceordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, � hexeby.state and say.that the facts stated by me and contained.in the above permit are true �,s therein stated. Subsc ' ed a,nd sworn to before me at Fri� y, Minn this �'�� ,�=...6�.` �j � �„ r day o .A 19�� . . � �.� ..�^'"_��,,,,, #� �� t�` � CITY OF FRIDLEY APPLICATION FCR POWER PLANTS AND HEATINGJ COO�ING, VENiILATION, REFRI AIR CONDITIOP�ING $YSTEMS AND DEVICES FAiE SCNEDULE RESIDEIGTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1$ of Value of Appliance or Wor3: COMMERCIAL/INDUSTRIAL 1$ of Value of Appliance cr Work RATE TOTAL Job Address 6452 $ 20. 00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ i0.00 $ 10.00 $ S . State Surcharge $ .50 TOTAL FEE $ 15.50 Reinspection Fee ($15.00) $ Rough Insp. **Installing one (1) Carrier Date 38EN024/24 2 ton air Final Insp. conditioner Date Approval for Permit �+ , MII3IMUM FEE FOR ANY HEATING PERMIT IS $15.00� PLUS $.50 STATE SURCHARGE Attach stack verificati.on £orm with.replac�ent furnace pexmits *Air Conditioners can not be placed in side yard without written permission fran adjoining neigfibor. Effective Date May 1, 1938 TION AND e St. Department of Buildings, 6431 iversity Ave. t7.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes pplication for a permit for the work herein specified agreeing to do all k in strict accordance with the City Codes ancl rulings of the Depart�aent Buildings, and hereby declares that all the facts and representations stat in this application are true and correct. Fr ley, r�inn. July 18 19 88 owrrax Mrs . Mae Bovice I KIND OF BUILDING Frame USED AS Residential TO BE COMPLETED ABOUT ESTIMATED COST ��-4'OO. OLD - NEW BUILDING PERMIT NO. PERMIT NO. D%�� DESCRIPTIOt7 OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Aot Water, Warm Air- t1o. Trade Name Size No. Capacity Sg.. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. CapaCity Sq. Ft. EDR BTU HP Company � Dependab_le Heating and A/C • Signed By y-�'i��^ � U � �� / ltY;i ; /G�� ; rl Tel. No. �S�r5�4Q sue�ecT P `•q City of Fridley �� :,; � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � , � RECEIPT NO. � • COMMUNITY DEVEIOPMENT OIV. i t """', f � V � PROTECTIVE INSPECTION SEC. �� i � i � � � ' /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE UF APPROVED B� �--"�' �'' 612-57t-3a50 s�o-Fis 9/6/94 / / JOB ADDRESS 2Able Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7_9 3 Florence Park SHEET 2 PROPERTV OWNEF MAII ADDi;ESS 21P PHONE � Mae Bo ce 6452 Able Street NE 571-1797 3 CONTRACTOR MAIL AODRESS Z�P PHONE UCENSE NO Twin Cit Exteriors C 6 cha Ln M r e 6 42 -4737 2535 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION C,i� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFiK Reside Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATiNG, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON ZONING SQ. FT. CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OFFSTf1EET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 6 OOO 3.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 8],.00 Fire SC G.00 PIAN CHECK FEE TOTAL FEE License SC $5.00 $95.00 S�GNATUAEOFCONTRACTOAOAAUTMOFlIZEDAGENT IDATEi WHEN P�sERLY LIDAC�D THiS IS YOUR PERMIT � �� _ l � SiGNATUREOFOWNERiiFOWNERBUILDER� IDATEI BLD �NSP �1aTE NEW [ ] Eff�tive 3/i/92 ADDN [ ] CITY OF FRIDLEY pLTER [] SINGLE FAMILY AND DUPL,EXES R-1 AND R 2 �3� � � Building Permit A�lication �% �S, `� ^ �., - � - __i.� Y�l ..y� ► 1 i ��1^'2�_ I,,egi�l DescrlptlUQ. - � _ o� x� ��aa,r�s: -��.�:�"_. ��..__:�.:� ..=.s.��z� �:, � f } �� ,��j,��'��`� � 7 � F . . , . .� Contr�ctor: '"7%J i � ` � � r� ��'r :��n�P �" { � � , " MN �.I�iS� #�� ±�,s�,� : �,,��± h1/�p/.� 6'e°✓E S'S36 q Tel. # �aS- 5<7:,3,� Attach to this application, a Certificate of Survey of t6e lot, with the proposed coastnuetion drawn � it to sc�le. DESCRIP'1'IQN OF IMPROVEMENT LIVING AREA: Length Width Height GARAGB AREA: I.ength �ckh Height � DSCK AREA: L,ength �dth � HgtJGrouad • Sq. F� Sq. F� Sq. Ft Corne,�' Lot [ J Inside %,c�t ( J F�. Yd Se�tck Side Yard S�ack� Type af ConstXV�tYCm: Estimat�ed Cost: S (� .�Q,�� r qpproa. Completion� Date: '�l - � 3-y �/ . (Cost on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ =� DATE: �/ ` 6 - 9 `l APPLiCANT: TeI. � ��,� �7 -- DO Permit F�e $ � � ,._ Fire Surcharge 5�,�, ° � State Surcharge $ � .3 0.0 SAC Charge $ License Surcharge $ . � Dtivearay Escrow $ Parlc Fee $ S�w� Main Chazge $ � ov TOTAL $ �� STIPULATIONS: �.1 Fee Schedule on Reverse Side .001 of Pe�mit Valuation (1/lUth�) $.50J$1,000 Valuation $?00 per SAC Unit $5.00 (State Licensed Resideatial Contractorsj tYlt. �A~ � 111t. �D~ Above Fee Detetmicted by Engineering Agreement Necessary [ ] Not Nece.ssar�► [ ) � � ��," � � �� sue�ecr P MIT NO. City of Fridley 2 6 6 2 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r R C IPT NO. � � COMMUNITV DEVELOPMENT OIV. �� . � � �: ----- � r � � PROTECTIVE INSPECTION SEC. � � i•---�; '��;'� CITY NALL FRIDLE� 55132 NUMBER REV OATE PAGE OF AVPROVED BY i 612-571-3450 910-Ft5 � � JOB ADDRESS 6452 Able St 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � t0 9 3 Florence Pa k SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ma Bo ce - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. � Rainbow Cleanin - 4 ARCHITEC7 OR DESIGNER MAII ADORESS IP PHONE LICENSE NO. 5 ENGINEER MAIL A�DF;ESS ZIP PMONE IICENSE NO. 6 USE OF BUILDING R 'd n 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION �] REPAIR p MOVE O FiEMOVE 8 DESCRIBE WORK Reroof 9 CHANGE Of USE FROM TO STIPUl.AT10NS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOU4RED FOR ELECTR�CAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN fi0 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� FOfi A PERIOD OF 120 DAYS AT ANY T1ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING I HEfiEBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APP�ICATION 1 STAIIS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1 � OOO �. SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI TME pERM�TFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $34.75 Fire SC �I.00 STRU TION OR THE P RFORMANCE OF CONSTRUCTION. `�� . � / P�AN CHECKFEE TOTA�PEE /y License $5. 4�Z-5 $41.25 ' S�GNATU�:E OF CON'RACTOA 0�7 AUTHOAIZED AGENT IDATEI N ROP VALIDAT THIS IS VOUR PERMIT � ' � / r SiGNATURE OF OWr�EA U: OWNER BU4DERi iDATE� Bl �NSP �i4TE NEW ADDN ALTER [l fl �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: j� �j � i-, �'�i [E � � E Legal Description: Effective 1/1/98 �!�� Owner Name & Address: �"1e�, �ja c, � F Tel. #�%/ �� i% Contractor: �a � � � � `,,, C ( r �. � �r �s � � E s �o Y �� f a v� MN LICENSE # � 74 3 Address: `� 7'�/ c�J 6�� UF /Ua /�`i a/' �E G�� Tel. #� H� ��I�(, _: w;_� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF INIPROVEMENT Width Height Width Height Width Hgt/Ground_�.� 1 %r � Sq. Ft. Sq. Ft. �-� � `��s� , ��,��C-t f �C- � �A� � ��3'fY` ��, � � Construction Type: �� oo �� w� r� w s Estunated Cost: (Fee Schedule on Back1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 7 � G APPLICANT: � -�-4-�-. Tel. # yS 3- vy/.�Q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r $ � 7S' $ j �6 $ , b $ $ dd $ $ $ $ $ �'�.�5` CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1llOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan R.eview Fee Deterr.iined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 sue�ecT PEfi O. —.. City of Fridley 3 3 217 AT THE TOP OF TME 7WINS g � I L D I N C P E R M I T r � � � � • � • COMMUNITY OEVEIOPMENT DIY. r � y + � PROTECTIVE INSPECTION SEC. ��„ ' � 1 � � /'�'1 � CITY HAIL FRIOLE� SS13T NUMBEF pEV OATE PAGE OF APPqOVEO B�� ""�" ��' 763-571-3450 910-F15 10/28/02 � � JOB ADDRESS 6452 Able Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 7-9 3 Florence Park SHEE7 2 PAOPEATY OWNER MAIL AODRESS ZIP PHONE Todd Nimmo 6452 Able Street NE 612-207-5794 3 CONTRACTOfi MAIL ADORESS ZIP PMONE IICENSE NO Same � ARCHITECT OR DESIGNER MAIL ADORESS Z�P PNONE LICENSE NO 5 ENGINEER MAI� AODfiESS ZIP PHONE IICENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE 8 DESCAIBE WORK Construct a 30'4" x 37'4" Living Area Addition and a 24'1" x 24'S" Garz e Add�tion 9 CHANGEOfUSEFROM TO STIPULATIONS See notations on p�an. Variar�ce 4�02-11 approved 6/12/OZ for a reductao�n it� the front yard setback from 29 feet to 18.8 feet. Provide a hard surfaced d�ivewa . Prov�de smoke detectors i:� ali sleeping rooms and on a11 �evels o� the dwe�;.irg per Sect�on 310.9.1.2 of the 1997 Uniform Bu��diag Code. Cau�k and f?ash ail exterior openir.gs. Roof uader�.ayment to meet the State Buiiding Code. ' ��'�� Befor� r�igging call for ��i�A��TEFPERiVi�TS au utility �ocations ��{��a��IR: a�0002 ��s ��U�RED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANC� LOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAI, PLUMBING, MEAT�NG, VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 6Q DAYS, OR IF CONS�RUC�IOt`1 OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCEO NO DWLG. UNITS OFFSTqEET PARKING I HEREBY CERTIFV TMAT I HAVE F1EA0 ANO E7(AMINEO THIS APP�ICATION 1 STA�LS GARAGES AND KNOW TNE SAME TO BE TRUE ANO CORRECi ALl PROVISIONS OF LAWS yq�UAT10N SURTA% AND ORDINANCES GOVERNING TMIS TYPE OF WORK WI�L BE COMP�IED WITM WHETHER S�ECIFIED HEFEIN Op NOT. TME GRANTING OF A PERMIT ��JO,255 ��FS.13 OOES NOT PRESUME TO GIVE AUTH�qI?Y TO VIOLATE OA CANCEI THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULA?ING CON- STRUCTION OF TME PERfORMANCE OF CONSTRUCTION $930.7.5 F'�re SC. �9�.26 PIAN CHECK FEE TOTAL FEE $1,066.14 S�G�uQEC� CTOa a aurHOaiZEO sGErvr IOATE� WMEN PROPERLV VALIOATED THIS IS OUR PE MIT � �. � S�GNA UAE O� OH'NE ��F OwtiEQ Bui�DER� iO�TE� Bl G �N$P � �� <<E -_ NEW (j ADDN (� ALTER ( j CITY OF FRIOLEY Effective 1N/2002 6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R•1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: lC �I � �- � �J (�G. S ! - � �_: �� `��t� , � � S S � ��- Legal Description: Owner Name 8 Address: oc�Gi �, �`� ��.� ^ sr.:�� AdC}�.� S Tel. #�' � Z� Z-v %- 5 7 q'S/ Contractor. _ Ta � � � �w rw,0 MN UCENSE # ��n�Lo `^� "��'� Address Tet. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 1MPROVEMENT � �� L /� � LNING AREA: Length �U y Wdth �% � Height g Sq. Ft j�� S GARAGE AREA: Length � N�� Width �`'� � S�� Height %� Sq. Ft �� DEC6C AREA: Length Width HgUGround . Sq. Ft THER: G%t �I��v '"� � A L 1, � , ,v-� �r 3�� 30 �3, 9 Da �� ot�-.�� >� � � � �P C`7 �j- � �^�y Construction Type: ,��1 �i � Cc� ✓� �S�'�k � i t �'� Estimated Cost: $ . 7> �U � ��U �� °��w CK � 9��SS, �U Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$�-�'� °1 � j�� `1 �. DATE: � Z- �Z- APPLICANT: � 1�l� �J �—°°' Tel. #� � Z�. O 7– S 7 p � Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using c�edit card and we wiil call you for card number. - _ �� CITY USE ONLY - � �� :��1�,� / /a t' � c � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ � �.75 $ 9��,�Co $ ��,i� $ $ $ � $ $ $ �� p. �r�� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) �,� �7� u . ��,��;� $.50/$1,0.00 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ', ADVANCE SURVEYING & ENGINEERING CO. I5300 S. Hwy. No. 101 Minnetonka, MN 55345 Phone (952) 474 7964 Fax (952) 474 8267 � SURVEY FOR: TODD NIMMD ; SURVEYED: May, 2002 DRAFTED: May 9, 2002 �LEGAL DESCRIPTION: Lot 7 except tt�e Northerly 30 feet thereof and all of Lou 8 and 9, Block 3, Florence Park Addition, Anoka County, Minnesota. SCOPE OF WORK: 1. Showing the length and d'uection of boundary lines of the above legal description. The , scope of our services does not include determuring what you own, which is a legal matter. Please check the legal description with your records or consult with competent legal counsel, if necessary, to make sure that it is correct, and that any matters of record, such as easements, that you wish shown on the survey, have been shown. 2. Showing the location of e�sting improvemenu we deemed important. 3. Setting new monuments or verifying old monuments to mark the comers of the properry. 4. Showing elevations on the site at selected locations to give some indication of the topography of the site. The elevations shown relate only to the benchmazk provided on this survey. Use that ; � benchmazk and check at least one other featute shown on the map when determnung other � � elevations for use on this site. N 5. While we show proposed improvements to your property, we are not as familiar with �� your plans as you are nor are we as familiar with the requirements of govemmental agencies as $ � the'u employees aze. We suggest that you review the survey to confum that the proposals are �n � what you intend and submit the survey to such govemmental agencies as may have jurisdiction over yow project to gain their approvals if you can. STANDARD SYMBOLS & CONVENTIONS: "�" Denotes 1/2" ID pipe with ptastic plug bearing State License Number 9235, set, unless otherwise noted. I hereby certify that this plan, specification, report or survey was prepared by me or under my direct supervision and that I am a licensed Professional Engineer and Professional Surveyor undet the laws of the State of Minnesota am H. Parker P.E. & P.S. No. 9235 GRAPHIC SCALE 'o a �o �o ( nt a'ser ) 1 faoh � 20 R Carnr o/ hnc� h Q3 north �d Q9 sast of ths /ot c+orner fii SouM /hs o/ 6ys NwKy ,Jp �t o/ Lot 7 N 8T37'13' W ' . M' --127.35��r o/ lf�rrcy /s m lhs /i�• — — 97.2�'^— N ro Benchmork.• Tqo a seo� �aao (os: L o t \ Pio�oa � �� L � t „� �� a�s ��t, I �_ --127.69-- Fw�,o. ,tr a, eb. �yi ,�:�57' E ,. � � �1 � �. - . \ `►7�'S�.��` \�,�i 9 � I � X �I i 1 �' � I 30 ---- � � W � �' � I N $j' $ � z 3.4 I z.e ,�41 � � �" � 0 Owg. lVo. 02040� � �� o�(�Z A��I� St. nJ� 1�� Sitc: . ��.iress: "CATEGORY 1" ALTERNATE FOR ONE & TWO FAI�'IILY DWELLINGS FRIDLEY MUNICIPAL CENTER 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 ;63-572-3604 I\�TRC`CT(O:�S: This alternati�e ma� be used for une- and t��o-familv dwcllines built to mcet the Category ( requirements o �[innesota Rulcs, Chapter 7670. Cumplete Part� A, 8, and C. CV�ar1v mark plan� with: insulation R-values; ��indow and skvlight C values; size and type of equipment; equipment con[rols: and location ot vapor retarc±er anJ �vind�vash barrizrs. �fore detailz information can be found in the .�linnesotu En�i`�� Cocle summary sh�ets available from the �linnesota Department of Commerce. Part A. BUILDING ENVELOPE -- . -- ._ __.. _ _ __ _ ----.__�__ Check proposed emelope joint sealing option -� Q Prescripd�e (caulkin„ ;as�es, ecc.) � Prrfurmance ltest per 7G', p.U-t �0 �ubp. 7.C. Check thermal energy calculation option used -� �' "Coukbuok" (COmplefe t�or��heel below) � �(nCheck method (attach report) ❑ Per;urmance (att�ch U-�alue c�lculations) O Svstems Analvsis method (artach analys:s) "Cookbook" `Vorksheet 1�:5'TRI.'CTfO�S Step l. Ch�ck iccm(s) chat desi;n meets on ,�finm�tur� Rey:uremrnts {i5t to the ri�ht. ,�lust meet all items to usc "Coukbook" optiun. Step '_. (ndicatc proposed �vall rype on table 6�1u«•. Stcp =. Indi�ate �Vindow U-value and source. Stcp -: `.��ntv tutal ��indu« (includin� area of all f�unclatwn «indu�vsl :�nd door area is eyual or less than allo«•able percenta,e. TABLE FOR DETER��IINIYG �(:�� Isrimiim Allowable Total W'indow and Door Area as a Perc:nri�e of Erposed �Vall 12% 1�", �� '.�'aIl Tvpc (Standard Fr�min�): '� 3x-t. R-13 insulation. = R-i sheathin � ?r», R-IS insulacion. = R-5 shcathin '� ?x�i. R-19 insulatiun. < R-� shcathin ❑ 2xG, R-l9 insulanon. _- R-5 sheathin ❑ ?xG, R-2l insulatiun. < Et-� sheathin ❑ _�3xG. R-21 insulation, -_: R-� sheathin Wall 't'vpe (Advanced Framin¢): O 2xG, R-19 insulation, < R-5 sheathin 0 2x6, R-19 insulation, � R-� sheathin 0 ZxG. R-21 insulation, < R-5 sheathin O 2xG, R-2l insulation, �� R-5 sheathin `[aximum Avera 0.55 O.�17 0.52 0.�15 O.�iS 0.41 O.�G 0.43 0.51 0.13 O.SS 0.50 i�larimum Avera 0.�3 0.�� O.�S 0.�0 o.s; o.a� O.GO 0.�2 ,�[1�(JIU�t REQUIRE�IEi�TS (f��r °Cookbook" option onh•) Ceilin� Insulacron: �linimum R-33 �vith 7;;° ertergy heel; or �linimum R--1-1 �vitn lu�v truss heel; or �linimum ft-3S with R-� sheathing when no attic. �Entrv Dours: tilz�. U-value of0.30 or 1'/:' solid «•ood �vith stom: Rim Joist tnsulation: �linimum R-{9 F,00rs over unconditioned spaces: �linimum R-_'�1 F�undation (nsulation: �linimum R-l0 Foundation windo��s: :;" insulated elass. �tiood or vinvl frame �IU,�1 �Yt� Ifi",�� W AtiD DOOR ARE�1 .g°�� _.._._'�,/,,_.. »��n �b'fndo�• �'-value ( �.-11 0._ G 0?9 0.3� 0.3G 0.32 0.<i_' � 0.37 0.3S 0.3�1 O.a, 0.39 Window U-value ( 0.39 0.35 O.d1 � 0.39 0.�1 0.3G 0.4G 0.41 �' Window U-vslue: �- Source: ; O NFRC �DOX � �- � � _ � �p�< _ � window & door area gross exposed wall area DES[GN : found�tion wir 0. �3 0.30 0.3 ( 0.23 Q.29 0.26 0.3 � 0.3 I �i.,n 0?S (3.3� 0.32 2-�%, j 36%, 0.27 0.2� 0?G 0.2� 0?a 0.22 0.23 0.36 0.25 U.33 019 0.?7 t t'oundation windows): 0.31 0?S 0.2G 0.2�1 U.3� 0.32 0.29 0?7 0.33 0.30 0.27 0.2� 0.36 0.33 030 0.28 " O ASHRAE 1993 Handbook I � 19'�C p� ALLOWABLE (from table above) 28% 0.33 0.22 0.21 0.2�4 0.22 0? � 032 0.25 0.23 0.26 MINNESOTA ENERGY CODE -- WHICH RULES MAY 1 CISE ? TYPE OF RESIDENT[AL BU]LDIiYC Detached R-3 occupancy 1- and 2-famii}� d�►ellings Examples: sinele family, rivin homes, duplexes :�ttached R-3 occupancy d�vellings Examples: triplex rownhouses and row houses R-1 occupancy buildinas of 3 stories or less Examples: condominiums or apartments R-1 occupancy buildings over3 stories high Examvles: hiQh rise condos or aoartments v�° APPLIC.aBLE RULES Chapter 7672; or Chapter 7G70 "Ca�r;or�� I" «�ith statutorv dec+ressuriz�tion snd ��entilation requiremen� Chapter 767a; or Chapter 7G70 �cith eitner Chapter 7G7=i; or Chapter 7G"i0 �� ith eitFzr Chapter 7G76 ��.� (" or "CatcQorv?" I" or "C�teeorv _'" � Part B,,,r--DEPRESSURIZATION PROTECTION Check option used: ❑ Fuel buming equipment (complete schedules be(ow) ❑ No fuel burning equipment INSTRUCT[O�S Step l. Complete the Combustion Equipment Schedule below. Only equipment with a Y(Yes) may be selected under the "Category (" alternate. Scep ?. Complete E.rhazrst/,Llake-up .-fir Schedc�le on the risht if direct or power vented or solid fuel atmospheric vent space heatin' equipment is selec�ed. CO�tBUSTION EQUIPr1EVT SCHEDULE (check all ty es pro osed) Space heatin� — nonsotid fuei Sealed combustion � Y Hearth — nonsolid fue( t7 Sealed combustion Y ❑ Dirzct or power vented ❑ Direct or power venced y Y* � Atmos hericall vented N Atmos hericallv vented N Watec heating — nonsolid fuel O Sealed combustion Y Space heating — solid fue! ❑ Atmospherically vented Y* ❑ Direct or ower vented Y Water heatinQ — solid fuel ❑ Atmos hericallv vented Y Atmos hericallv vented N Hearth — solid fue! O Atmos hericallv venred Y * [f atmospherically vented solid fuel or direct or power vented nonsolid fuel space heating is instal(ed, then make-up air to match flow is re uired for each individua! e.�chaust device which erceeds 300 cubic feet er minute. - Part C1. VENTILATION VE[�1TILATIO�Y QUAIYTITY (�rtechanicat ventilation must be provided per the larger quantiry catculated beio�v) �:52�iS�`�S cubic feet s 0.00383 /minute ='��cfm (�� x IS cfm/bedroom) + 15 efm =�� cfm volume of habitable rooms number of bedrooms VENTILATION FA�i SCHEDULE Check method(s) proposed -� ( O Exhaust on►v ❑ Balanced (heat recoverv ventilator, air exchanQer, etc.) i Fan descri tion or location -i r✓�c�. C� TOT�ILS VENTILATION Intake cfm cfm cfm cfin cfin AS DESIGNED E�chaust cfrn cfm cfm cfrn cfm - Statement of Compliance: The proposed buitding desi�n represented in these documents is consistent with the building plans, specifications, and other calculations submitted wit the permit application. The proposed buildina has been designed to meet the requi. '�ents of the Minnesota Energy Code. ro�� - rv��.�,m� I c� Q- ~`� �-�� vZ �lZ^2o��s71�/ Applicant (print name) Signature Date Telephone number Part C2. VENTILATION (Submit Part C? upon completion of system verificationj�) a� ��--------------------------------------- ------------------------------ Job Site Address: Permit Number Fan descri tion or location TOTALS NIEASURED Intake cfin cfin cfm cfrn cfrn PERFORivtANCE� E:chaust cfm cfm cfm cfm cfm t Ventilation rate must be measured and verified �vhen the performance option is used in lieu of the prescriptive option for the sealin� of joints in the buildin� conditioned envelo e(from PaR A). Compliance Statement: Installed ventilation system is in compliance with �1N Energy Code and is sized to provide the design air flo�v. Applicant (print name) Signature Date Telephone number I % ,/� Q�'� �.- � . o sue�ecT PERMIT NO. City of Fridley �" �� ►� AT THE 70P OF THE TWINS g U I L D I N G P E R M I T "'� r � � � � . � ' COMMUNITY OEVELOPMENT DIV. ' j V �� 1 .� r � � PqOTECTIVE INSPEC710N SEC. � � �"'1 � CITY HALL FRIOLE� SS�3Z NVMBEii pEV D�TE nAGE Of �VVqOVED 9r �""'�� 763-571-3450 9t0-Ft5 lOf 2i3102 � � lOB AODRESS 6�t51 il�� StX,�9� iV�. � r/� r t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED OESCR. ]—g � �j,O��,Cg �g�� SHEET 2 PIiOPERTY OWNEFi MAII ADDRESS ZIP PHONE Tvdd �iimsio 645'� Abi�e Stx'��t TiE 612-207-5794 3 GONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO 5:3111� � AfiCH17ECT OR DESIGNER MAIL AOORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDfiESS 2lP PHONE UCENSE NO 6 USE Of BUILDING ��Sj.ti�ilil.i�1 7 CIASS OF WOFK ❑ NEW �7 ADDITION O ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WORK C�u��ruct a 30Y4" x:37'4" Livin�, Area Additi�n and d i4'1" x 24'S" G�r�g� Addition 9 CHANGEOFUSEFqOM TO '.x"`*�,�� ,.- STiPULATIONS Se� ziotati.otis or� p1ax�. Vc�r�ance �02-11 appr�aveci 6/12/02 �c� ;�,;�ctioa in th�,:xron� yard �etback frc�m L� ieet to 16.t3 feet. PrUVid� � har� �ur��ced driveway, Yx•c�vid� s�olce detectura i�i al.l 3leepin� roum.> and an all 1�vels of the dwelling p�r Secti�n. 3lU.�.l.;t of tl�� 1�91 Uriifoxm Bu�ldin� Code. Caulk aud fZash a12 ��t�r�or ap�nin �. R.e�f u*.xder2��a►er.t ta m�:�t tiae St:�te ffuilding Cocie. /'/ /��- � �� ; �� /� a� . / J �'C` c %� � � � �=�� a �� b �-�' . v� d�� - . �, ��_, I I � ,{� �. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVIOAD SEPAiiA7E PERMITS ARE RE�UIRED FOfi EIECTRICAL, PLUMBING, HEATING, VENTILATING OA AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK Op CONSTRUCTIQN ZONiNG SO. FT CU FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANDONEQ fOR A PEfiIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO DWLG. UNITS OiFSTREET PAqKtNG I HEAEBV CERTIFV THAT 1 HAVE READ ANO EXAMINEO THIS APPIICATION � STAI,�S GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of �AWS YA�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPUED ��0,255 ��lS.�3 WITM WMETMEii SPECIFIEO MEREIN Ofi NOT THE GRANTING Of A VERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAFiGE PpOVIS�ONS OF ANY OTNER STATE OF LOCAL LAW FEGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �93U.�S F�IE SC �gO.ZE� PLAN CHECKfEE TOiALFEE i1►�66.14 S�Gagt,uAE�' f.rOa a►u�HOaiZEDaGENr �O,►TE� ....... 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' «�� i nV �� -^` • \ � � � � .�1 ` � . 1� W w O r 1t �j �� ,a' N � I � � �� C` � � � � �� 'V �� , � �1, � y , _ { 1 + N V �`/ ` �� ✓`l t�\\� �Z � V ` Q V � �,a li� ��n � � � ' - �. . v M � � . y � ,P,i ,P,6 .�., ��O �o�l �� 1�� , � fl( � � � VS s � � 3� � .�_ � ` Z+' = � � � L ' , � � s �1 � �� ' ,�1 � 3 � �� C1TY OF FRIDLEY INSPECTION DIV. �43? �University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2003 \ PLUMBING FIXTURE RATES: l�[��;L�� New Fixtures � Old Opening, tdew Fixture � Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treaiing Appliance Water Fieater -Electric Water Heater - Gas"` Gas Range*" Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5°/a of Va1ue of Fixture or Appliance State Surcharge TOTAL FEE TOTAL % pv 1 � �Uo .50 $ � s� S� JOB ADDRESS � y �Z �� b )-� �-�- . The undersigned hereby makes application for a permit for the wark herein 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 representations stated in this application are true and correct. �� _ , 20 �3 I ^�c� dU `� �-, �c� Owner Building Used As ^'�'� C�✓� �.-'L Estimated Cost PERMIT NO. f�C�%C.��f PLUMBING COMPANY v � �e-� SIGNED BY Approved Rough-In Date TEL NO.�I Z'Z-07 'S 7yt/ J _ Final Date � O COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLF 6-A. COMMON VENT INFO ON BACK SIDE K THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BllRNING APPLIANCES OR THE ; APPUCATION WILL BE RETURNED •��ii•► ► ► •►► •: �►� •ii: •► ! : � •► When � I�a -inq an Axic in� f�rance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes� No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes� No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GANLA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The Pxi� �np .emn ,� �en air is sized and installed to meet the current codes and manufacturer's specifications. When required to in� a�� a npw _eme ,c ien airTit will be sized and installed to meet the current codes and manufacturer's specifications. When inc allin� a npw v_n in� e�tpm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. 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 � No ( Yes�f No ( ) Yes��No ( ) Yes(� No( ) Yes( )No( ) �.. .� - .- .�. - .iiii.� -� .�. -� ..�- . . .u�. .� Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type � -, •► �- �.- HEATING CO: Signed By: Date : _ _ C[TYOF FRIDLEY . FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 23, 2004 Mr. Todd Nimmo 6452 Able Street NE Fridley, MN 55432 Re: Final Inspection at 6452 Able Street NE Contractor: Dave's Heating & Air Conditioning, Superior Contractors Inc, Indoor Comfort Systems and Homeowner Dear Mr. Nimmo: Three mechanical pernuts and one plumbing permit were issued in 2003 to install a furnace, air conditioner, additional ductwork and gas piping and 11 fixtures at your address. According to the 1991 Uniform Mechanical Code and the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. As of this date the final inspections have not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspection, the permits will be expired and any further work will need a new permit issued. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh . Effective January 1, 7_003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Repiacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer �Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) lyo of Value of Appliance or Work , Rate TOTA� $ 30.00 $—�su �' $ 10.00 $� � $10.00 $ �U" od � io.00 � �� -- $ 25.00 $ $ Commercial/Industrial �Gtc�ce� � DuL��Il� 1.25°�0 of Value of Appliance or ork �� /� � �� C� State Surcharge � TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr �► � $ .50 � Z gg�° JOB ADDRESS � ��Z. �C��'e— SJ - Uv � .—, OWNER I C� �� iv ( ''�'� �v BUILDING USED AS ��5�� ; ESTIMATED COST PERMIT N0. �� (� ( DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No._ BTU HP ED 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE s/�� ' � r 'Ce� v�•,'�' (� S ti 5.��---t HEATING CO � � Signed FAX # *Air Conditioners can not be placed in a side yard without Approved written permission from adjoining property owner. �.. - / TEL # �oS I � 2—� � " ��tvZ � Rough-In Date Final Date 's -�� Effective January i, 2003 � CITY OF FRIDLEY fNSPECTION DIViSION .. 6431 University Ave NE� Fridley, MN 55432 - APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VEN't'1LATION, - (763) 572•3604 REFRIGERATION AND AIR�CONDITIONING SYSTEMS AND DE`JICES FAX (763) 571-1287 = , : . ., . , . . . - .. , ;; p `` �JOB ADDRESS (.!J 'f�S`� � ! �7` ti�� RAT� SCHEDULE :: ' �' - ;.� -; :,.. : ..= ' . ;_, � OW N ER '�� N 7�`./I�G 2� : Residential - _ , -.- ;. - Rate : TOTAL . : : _} _, _ _ • � �,il ti/ e : . Furnace Shell and DuctWork, Burner - ` '.'_ �: ,BUILDING USED AS � Also Replacement,Furnace �`� . $ 30.00 $ : : ; ' - � � : � Side Vent FiIi,�Out Back ' . � ESTIMATED COST �� .. � • , I i . ) . . � PERMIT N0. %��/.� Gas Piping (Needed.,with new furnace; $ 1�0.00 '$ - but not replacement) Gas Range � - $ 10.00 Gas. Dryer : - - $:10.00 ; -- *Air Conditioning All �izes -.: � 25.00 " All Others/Repairs &=�Al�erations (UST ON BACK) ;,. laJo ofValue of Applia'nce or Work Commercial/Industrial � 1.25 Jo of Value of;Appliance or. Work - State Surcharge TOTAL FEE ;�� 8� � MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATlON/AIR CONDITIONING PERMIT IS �25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. . ; DESCRIPTION OF FURNACE AND OR BURNER $ - �lo. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name � Size No. BTU HP EDR ` $� Fuel Total Connected Load � � Burner Trade Name Size No. $ ::BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein -- `� specified agreeing to do ��II work in strict accordance with the City Codes an $ .50 _�ru{ings of the Suilding Division, and hereby declares that all the facts and `representations.stated in this application are true and correct. $��s� DATE � l �T--8� ;. HEATING CO ��'°��n'e ��T�A��e.3 �� . �/°oLl A-uzs .1��, �,�. � r ,�,.�,✓ � �.L � Signed TEL # i(a3' �.3'� ��i _ FAX # �� Approved By Rough•In D�te Final Date 7�(%-/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ;ITY OF FRfDLEY iNSPECTEC;N DIViSION � i431 University Ave NE �ridiey, Mf� 55432 APPLlCATION FOR POWER FiAN75 AND HEATlNG, �COOUNG, VENi'I�AT14N, 763) 572-3604 REFRIGERATiON AND AfR CONDITIONIPtG SYSTEMS AND D�YICES RA1'E SCNEDULE iesidentia! Furnace Shelf and Duci Vtiork, Burner - Atso Replacement Furnace {Side �len! - Fil) Out Back) Gas Piping (Needed µ�ith 7ew furnace, bui not replacement) �¢s �?�;i�,�� Gas pryer *Air Canctitionin� • All Sixes Aal Oit�ers/Repairs & Alierations (LIST ON BACi(; ?.% of Vaiue of Appl�ance or Work ;ornrnercial/tndustrial 1.25�J ofi Value ot Appfianc� or Work Rate $ 34.OD $ 1Q.ua °.5 ^0.(TC $ iD.00 $ 25.00 State Surcharge TOTAL FEE �i WiN t�� FEE �OR I��iY i�,TING/CO��i �iVEivTii�A�1c�N t�FRIGERATION/A�R CONDITI�NING PEF?jVJIT,i,S S25 00 '4US THE S 50 STA7E SUACHARGE ,EINSPECI'10N FEE $47.00/Hr Air Cor►ditioners can not be piaced in a side yard without �ritten permission from adjoining property owner. 707AL ��!�� $ --- �_. ____ _.__ .-, $ $______..._ $��____.., �. ______.. _:� �. ��'�� Eifective On January ?, ?00� JOB ADDRESS..�L��_ j�j�1�__ ��_ OWN ER_��l �` �1 �p_�'l � BUILC[fYG USED ES7�MATED COST ?ERMIT N0. i-��1��9 , DE CRIP'T O�N QF FURNACE AND OR BURNER z 0 c ► � W �' � m � � � 0 � c� No. of Heatin lfnits_._.�__._ Circle Qne (Steam) (Hof Water) arr� Air) � 7rade Name �.��__." Size Na._ BTU� _.�._ HP ._.__.�., _._ EDR .�_....�___ � Fuel ---._��._.___ Tota! Car;necfeh �Qad _.__ ____..__�.,,. � � Burner �r�de Name_^ _ _. Size fVo. �_.,.�__�_ � BTiJ __�__ ...._.__.... F�P .__�_ --_—_________. E�R _.__ _ 7he undersigned hereby ;nak�s appt�cation !ar a petmit far tf�e work he�ein specified agreeing to do alf wori; in strict accordance with the City Codes �n r��iings of the Building Jivision, an� hereby deciares that alt the facts ar�d representatiorrs stated rn this appi'rcation are irue and correcfi:. o D!?TE r! �a ri N � c, _ � ,� ► I�___._�___ _____ Signe _ TE(. #� j,�� —��/�� m Appraved By Rough-tn Oate Fina! Date _ -�.�� ) T A K DE 1'ACfC VERI_ FfCA fT ON qi1�EPLACEME�IT FUR(VACE m � � N ze�a �asol CO. 11qMON VENT,�,j�„�'N,T CONNECTOR AND COM�,�ISTION A+R VERiF1CATi�N When replacing,an e�furan e ti�e undetsigresd hereby verifies t��t the venting has been examined and is free f'rorn rust, deteriorat�on, obstnrdians, and is securefy supporteci attd frestopped where tequired. Yes (�Vo () l"he venting system is ptasti��JPVC and rneets ai1 cut�eni codes and man�,facturer specificatians including sizing, i:.ngth, number of eibows and termination. Yes ( y�(�!o () The undersigned afso verifies t��at the reptacement unit is a listeci assem�ty and meets ihe current aodes and manufacture�s specifications, This do�s inUude AGA-GAMA Category S Centra! Fumace Venfing 7ab1�s for fan assisted and naturat draft ap�iiances. 'f'ha exlstitta combustion arr is sized ar►ci installed to meet the current codes and man�fdCturers SpeGfacatio�s. W1ten tequired to insLatt a new combustion air. it wifE be sizert and installed To meet the current codes and �,nantrfacture�'s speci£Cations. Yes �..a'No ( ) Yes (�No ( ) Yes (�'No E ) When nstall' �a new veniinc�s sy tem, ti�e undersigned hereby verifies that it is a listed assembty and meets the current codes and manufacturer's specifications. This does inral,tde AGA-GAMA Category i Centrai Fuma� Venting Tab}es for fan assisted and natural draR apptiances. Yes �1�l0 ( Es the aommore vent and vent conneetors sized �nd ir35taii0d eorrectly 2r?er an appliance has been removed from the :..�mmon vent and vented separately as per cuRent codes. Yes (�o () Apptiance Type and S12eICortimon Vent and Ver�t Con�tor Information Applfance #� Typ��(��,,�—�_ BTU tnput�,,,�� Fan �ssisted or Nat _ -- Applianca #2 Type r, ,_______r E�TU input � Fan Asslsted or Nat _______,� Appiiance !�3 Type � BTU lnput _ Fan Assisted or Nat Total App3iances � � Totat Btu (npuE �ommon Vent Type Verct Neight ______ i?iameter � inches Appiiance #1 V�nt Connecto� Neignt ,�_ �c L�gih � piame�er �Jn T'YNe ,�. Applianc� #2 Vent Connector Height Et Length f# Diameter in Type Appl►ance #3 Vent Connectar Heiqht f� Length __ ft Diametee in Type � � • �a R� , _. �. ir • - • : `,,.-��/�, �� I � . _ - ,i �rI/ .� � � - - 20�20'd S99868L 01 �3lal?3� �D 3.i1� �3 SS:Z� 608Z-tz-nON � � ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 6452 ABLE ST NE : 143024410058 : FLORENCE PARK ADD : LOT 7 BLOCK 3 PERMIT TYPE : DRIVEWAY CURB CUT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DRIVEWAY CURB CUT VALUATION . NOTE: DRIVEWAY CURB CUT 8' + 3' = 11' X$20.00 =$220.00 LINEAR FOOT 12 APPLICANT BOY E A 6452 A E ST NE FRID . MN 55432 OWNER TODD NIMMO 6452 ABLE ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date DRIVEWAY CURB CUT PERMIT NO.: 2004-01043 DATE ISSUED: 07/06/2004 TOTAL SEPARATE PERMITS REQUIRED FOR WORK O`TI��R THAN DESCRIBED ABOVE. 220.00 220.00 NEW ADDN ALTER �� [ ] CITY OF FRIDLEY [] 6431 University Ave NE, Fridley, MN 55432 [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 4/1/2004 (763) 572-3604 Bldg insp (763) 571-1287 Fax `Cb�•��`�3 Construction Address: ��5� /� � le Sfi _ �v � � Legal Description: Owner Name & Address: �� (�i �� ~� "'�� Tel. # � �Z � Z �?'� �2 `� �/ Contractor: S�-� '`S ow �,�(' MN UCENSE# Address: Tel. # LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. Construction Type: Estimated Co$t: � , a�l� I � �o<<�S .t.t,t�� c�.t c� Driveway Curb Cut Width Needed: �Ft. +�! Ft = l�•S Ft x$ Z U =$ 2--2-� � / /j � �� ^ I � , �p 1 � i fiti'1 w ' \ Tel. fI v � `~ �V "� � �� ( / DATE: � � APPLICANT: •- � v Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $ $ $ $ $ $ $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: ��•5 � �v �— �Zz o 0 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE VALUATION LINEAR FOOT TODD NIMMO 6452 ABLE ST NE FRIDLEY, MN 55432 TODD NIMMO 6452 ABLE ST NE FRIDLEY, MN 55432 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�i-36u4 r�aa�: : 6452 ABLE ST NE : 143024410058 : FLORENCE PARK ADD : LOT 7 BLOCK 3 : DRIVEWAY CURB CUT : RESIDENTIAL : DRIVEWAY CURB CUT APPLICANT OWNER 10 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 violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date 571-1"lif7 DRIVEWAY CURB CUT PERMIT NO.: 2004-01159 DATE ISSUED: 07/21/2004 TOTAL PAID WITH CHECK # 4701 SEPARATE PERMITS REQUIRED FOR V��RK Q`THER THAN DESCRIBED ABOVE. 200.00 200.00 NEW ADDN ALTER - I] CITY OF FRIDLEY �� Effective 4/1/2004 �� 6431 University Ave NE, Fridley, MN 55432 (763) 5T2-3644 Bidg Insp �� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: � � Tel. # Contractor. MN LICENSE # Address: � Te1. # Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ z� $ 20C� ss�. Driveway Curb Cut Width Needed: �i Ft. + Ft =��t x$ _ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for carod number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ Fee Schedule on Reverse Side $ 65% of Permit Fee $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1350 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ �o '`` Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [] Not Necessary [ J $ Z�(� �� STIPULATIONS: