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CHIMNSY AND STACK aSRIFICATION
The undersiqned hereby verifies that the existing chi.mney or stack:
1. Has been carefully examined Yes (��No ()
Z. Is free from rust or deterioration _� Yes (� No (.)
3. Has no foreign objects lod ed within Yes (� No (�
3 .
4. Is securely supported Yes {'�� No O
5. Meets all current Code requirements for
size and total BTU's connected Yes (��No ()
` 6. Has total heating �TiJ's of �j �c�G�
�
Al1 other BTU's � �P �
� TOTAL BTII's �S �J �a � .
Remarks
�': - .
List Alterations Beinc� Done:
e
HEATING COMPANY a����� Q�� 4�- , ,
S igned By � �'J
Date � � � °- �� �
HOUSE TEST HEATING RECORD
ADDRESS %✓ �,�'L �` �d� � ��/ qpT, FLOOR CITY SUBURB�'r; �
OCCUPANT_�' Ar/,'�,c' S, ir�nn rar� OWNE�Qf-' �i-�Pr �
HEAT LOSS DATE HTG. INST.9-�-�3 OWNEf�
SOLD B� c,//. n ��„y� ��,� �� �'�S INSTALLED BY , c�rnc�
Electrical Work By � Gas Line By�_
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. •THER
GAS DESIGN
MAKE ��� A r��
Model _� 9� C'.4 �'D �� C� ��
Serial__vg��3 �i • ��Sil
INPUT � g', � �+ L�
CONTROLS
THERMOSTAT -? � r( Heat Plug
Valve
Limit
Limit Setting r '7�
Fan Setting
Pilot Type
Pifot Make
Pilot Model
Pilot Timing ,
L.W. Cut Off
Pressure_ 3, ,� Percent COZ _ .�
Input CFH Percent 02
Stack Temp.��_ Percent CO
CONVERSION
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER �, �, urt�SIZE NONE
Draft Hood Regulator �
Filter Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb
Wiring
Draft Test Tag
Door Pressure Light Inst.
Date Tested -/ - 3
Company Testing o! �w s r-- y G,
Name of Tester C
.:`
�.
-
_
CITYOF
FR[DLEY
FRIDLEY`MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55�32 •(61?) 571-3450 •-FAX �612) 571-1287
August 15, 1994
• ,
Rollins Heating & Air Cond.
2420 West County Rd C
Roseville, MN 55113
Re: Follow-up Inspectian on Permit #11375 Issued 9/7/93
(6631 Channel Rd NE, Fridley, MN 55432)
Dear Sirs:
I am unable to pass the final inspection on the above permit for
the following reasons;
1) Gas piping not properly connected (see attached).
2) Air conditioner placed in side yard without a letter on
file with the neighbor's permission.
Please make the necessary corrections and contact my office for a
reinspection. �
Your cooperation in resolving this matter wil�l be appreciated.
Sincerely,
� � ? �
J ��. l: � : �
�� �:
� �
� L C OVA
Mechanical Inspector
MC/mh
CC: Mr. Jerry Parker, 6631 Channel Rd NE
ENC: 1 �
�
t
�
HIG'H P��UkE ('�.S YIPIIJG GFAWING & R�)LJIFlEMEti�TS
FROM GAS METER
aPP�ovEO va�vE
- � TE��-.
Drawing 1
���,�: _
�i� ���I1�I��ii'i��ll
APPL4ANCE
iu�AX!'CF2dL �11NI0N
Dl RT���A€T R�GULATOR
-• minimum �
IQ pipe d;ometefs befare
changing direciion
*[30TE: R�VV� RE�iTLATOR AND REPI�AC`E WITEI A SPAC�R DURING AIR PRESSURE TEST.
WH�.fiT TE'ST HAS BEEN APPROVED, INSTALL PRpFER REGULATOR AND SdAP ALL JOIt�3TS.
� When one M�.xitro! 325 regulator is c�ntrolling p�e�sur�
fc�r muiliple a��p=i3nc�s, the re�ulatc�r mcrst be irist3Sled
in the harizc�ntal {stem up) pasitian. Th� ba�l ch�ck v�lve
in the vent (imiter device da3s npt aClow !h� di�c�f7r��m
to mdve fast ertough in �R cases and causes
(�OWf1S`1fCflfli r?Cacc��o �rnF,lcm�
Nofe: When a Mexiir�t 325 regulator is used tot � cingie
a,ppliance. whete �pE�li�n�� input Is much lower thun
pipe srze/regulator C����city, the reguJ�lpr may bc
insf�3tlecl in ihe vertic�l posrtic7n an� Si��uld r�ot ca1�s�
presst�re probtems.
NO'i'E: SEE REVERSE SIL7E
- t�
• All pipin� r�,��st b2 run pa�allel, or at right angles to tt7�
joist�. Tut�inc� run ��rallel to the j4ist sha 1�,e tasten�d tb
the center c�f tl�e vE:rtic�i iace. Tuhiny run at rigt�it anc�lss
to the �oists sh�ll �a� fastened to ih�s uridersid� of t}-�e
joist, pref2rably close to ttie water pipes, c�nduit,
ductwork, or cert;�r beams. Tub�r�� rUR �t nnhf anr•••�
to jorsts may be drilied through the cenlP� ^f t�� �o��i:�.
Do not notcii � joi�t.
• When tubint� ri�r�s �n a wall, use steel plates o� SiCCv�s
r�i ?0 c��uc�� thicFness wher� the tubing runs throuclh
tt�� �I�it� sE��ces �r studs to 2ci�;c�u�tely or�tect tfi�
lubing frum nail �uncture.
.
��
. . . . . -, : . . . . • . - • . . •. . • . : � .. .. . �_ . . .. . . . . _ . .�:
� GULATYONS FOR R SIDENTIAL GAS�PIPING .
The �ollQwing regulations are fox all gas pi�ing loca�ed from t�he
gas m�t�r to ALL appI.i�nCes withi.ri the dwelling.
1. The gas piping system SHAI,L use APPRaVED MATERIALS, be '
praperly SIZED, SUPPORTED, and MUST �tOT be BENT or SUPPQRT ANY
APPLIANCE.
� � 2 : An �AIR PRESSjJRE TFSfi. ,fo� • the . ENT� ��PTPTNG SXSTEM � SHALL � BE, . • ': . � .
- � � ° � .� TPS�E�'_..Am. .��5� P�� • €or -a `min: �. cE'• 1�, �hairrs•. •':; NOT��:•: .if' •Yiiqh.�..: :: � ,:.: � ::• : . . .:
. � � : pressure �as is us�ed; a spac�r 3,s. rie�ded :'�o predent� d�na�ge� t6=.. . . `� ' .. . ....
• the paunds ta•- inches� �egulator tsee handout)`. � ZT IS �THE . .- �
i7ESPaNSIBILITY OF THE�PERMITTEE Td CONDUGT TiiE TEST AND
SCHEDU�,E AN INSPECTION. . . � � � � � � � � �
3. Gas piping must be inst�lled as:p�r drawing, wh�n high �
__ pressure g�.� is being used. A uri�on is required, and properly
� locatecl as p�r drawing .
4. An APPRaVED MATN SHUT-o�F is required between. the meter and
first branch line, up stream of every pounds to inches
regulato�, and every appliance.
5�. HIGH PRESSUkE GAS "WAItNING TAGS" SHALL be 3��'i�:�d to pouT�ds
to inches regula�vr, and up stream gas line.
6. GoRROSZON and COVER pro�Gection SHALL be required when certain
matcrials are exposed ta outside elements.
SUBJECT
City of Fridley /��-�-��
' , AT THE TOP OF THE TWINS g U I L D I N G P E R M� T ����% �
,�
� • COMMUNITY DEVELOPMENT OIV. __ -�-�pT NO.
� ; V ������, .
r � � PROTECTIVE INSPECTION SEC. �� °�
1 � �
i
' � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPHOVED 8�
�"'"�' �'' 612-57t-3450 910-F15 6/13/95
/ /
JOB ADDRESS 6631 Channel Road NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. l}j� Second Rev. Aud. Sub. ��21 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Parker 6631 Channei Road NE 429-6425
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
New Covenant Construction 5655 Otterview Tr, 6Jhite Bear Lake MN 653-8291 20006112
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAILADDFiESS ZIP PHONE LICENSENO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION D REPAIR O MOVE ❑ REMOVE
X
8 DESCRIBE WpRK
Reroof House (18 Sq) Tear-off
8 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR Alq 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 ANO EXAMINED THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,350 �,(8
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
T UCTION OR THE P RF ANCE OF C NSTRUCTION. $33. �� Fire .SL' 1. 35
PLAN CHECK FEE TOTAL FEE
�� License SC 5.00 40.03
SIGNATUREOFCO �RACTOAORAUTHORIZEDAGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT
_ e ` b�J � � �i �
S�GNATURE OF OWNER iIF OWNER BU4DEF1 IDATEI �! BL INSP paTE
NEW [ l
'.' ADDN.:... .. :. t �.
ALTER ( ]
� � � � CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R 2
Buildin� Pemut Application
Effective 1 / 1 !95
Construction Address: /� � 3/ Gl� �a�� G�� �� � 0�/-` S�
Lega1 Description:. ,
Owner Name & Addtess: � % �= ,�-{2 i� / ���. �L% %L Tel. # �-� � - � �.� S � -
Contr.actor:. �+./�% �- Gd cOf_' r.� � d.i .7 � c� diS � T . 1�II�T LICENSB' #��C��' 6/f ,� ��
Address: � 6 �` �� o j � �= � ✓6�; ►� � ✓L v1/I'f T � �D�' PL L�G. Tel. # � ,5 � 3 �3` � �'/
� �� �� Attacfi to ttus application; a Certificate of Survey : of the ��� ��
lot, with �he pi�oposed const�vction 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.
OTI�R: I?��/]f � v(� /s�� /-�a�c� S� �� Si�: I C�O2 °�j�% _
Corner Lof (] Inside Lot []. Ft. Yd Setback
- Ty� of- Construcdon: � .
Approx. Completion Date: _
Side Yard Setbacks
�Estimated Cost: $
/����`��
. (�Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x$ _$
�ATE: � - l/ - i'S� APPLICANT: e�. � Tel. # �J 3 -g � °( � _
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
�'� D �
$ ,
$ l. 3��
� � ��� �
$
$ .�- c�c�
$
$
S
$
$ ' � . ��
CITY USE ONLY
Fee Schedule on Reverse �Side
.401 of Pernrit Valuation (1/lOth%)
$.so/$i,o� valuadon
$850 per SAC Unit
$s.00 tstate Licensect Residenaal contra�tors�
Alt. "A" or Alt "B" Abave
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreemeirt N��ssary j] Not Necessary []
STIPULATIONS: . , t .
i3u�i,UtNG E�a:KM["1' FEE SCHEDUI_r
1'h�: Ci�iet i3uildin�; Otficiai shall, l�efore i1sui�g permits for the ercclion ot any building cu ttructure,
ur li�r any a�iciiti<m tc� any cxisting t�uiiding c�r structurc, or for any altcration or rcpair to any cxisiin�;
l�uililing or structure, u�n a�plication therefore, require the payment by the applicant for such Permit
c>f� tees tc� ttu; a�nount hercin t�elow set torth and ia thc inannen c�rein providcxl tt�-wit:
"1'O"I'nL VALiJi:
� 1 to $500
�SOi to $Z,000
�Z,001 to $25,000
$25;001 to �50,000 -
$50,001 to �100,004
$100,Q01 to �500,000
$500,001 to $1,0OO,OQO� -
$I,000,001 and up
r-r_�s
$15 {Minimum Fce is $15 plus svrcharge)
$15 for first 5500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000 -
$45 for first $2,000 plus $9 for each additional $1; 000
or fraction thereof, to and includiug $25,000 �
$252 �for first $25,000 p1�s $6_SQ for each additional $1;000
or fraction thereof, to_ and including �50,000
$41450 for first $SO,OIX} plus $4S0 for each additional
$1,000 or fraction t%eof, to and including $lIX?,OQO
$63950 for f�rst -$100,000 plus -$3_SO for each additional �
$t,OQO or fraction ti�ereo� to and including -$SOt3,00Q
$2039_50 for the first $�0,000 plas $3 for each addifional
$1,000 or fraction thereof, to and including $1,000,000
$3539_50 for the fust $1,0t}0,000 plus $2 for each additionai
$1,OOQ or fractioa rhereof -
DRIVEWAY DEPRESSION ESCROW
{Concrete Ctir� Streets Only)
Aiternate �A": Removal and re{�lacement of curb aud gutter only - Driveway width plus b feet times
513_SO_
Alternate �'B": Removal and replacement of curb and guuer and install a 3 foot �vide
approach with b inch depth - Dr+iveway width plus 6 feet times $15_75.
VLR[FICA"CtON OF FOUNDAT[ON
Permits for const�uction will be issued a minimum of 24 hours from the time of a�plication to allow
for proper revie�v of tiie proposui struciure and of the coastruction site_
A Ccrtilic;:ite of Survcy of die loi, showing the iocation of the founciation once it has it has hccr�
construcie�i �vill be reyuirul betore proceeding with the Craming.
_
_
CfiYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
May 6, 2002
Cathy & Gregory Hoffman
6631 Channel Road NE
Fridley MN 55432
Re: Paved Driveways
Dear Mr. & Mrs. Hoffman:
In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance.
They were declared a public nuisance for a number of reasons, such as: they can cause
erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the
City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002.
If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at
the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable
by up to 90 days in jail and/or a$700 fine.
If you've already paved your'driveways, Thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call me at the above number.
Sincerely,
Stacy Stromberg
Planner
C-02-53
_
_
_
CI"IYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
July 2, 2002
Cathy S� Gregory Hoffman
6631 Channel Road NE
Fridley MN 55432
, Subject: Paved Driveway Reminder
Dear Mr. & Mrs. Hoffman:
This letter is a friendly reminder that ali driveways within the City of Fridley need to be paved by
December 31, 2002*.
As you are aware, the City Council adopted an ordinance declaring gravel driveways a public
nuisance. They were declared a public nuisance for a number of reasons, such as: they can
cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in
the City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*.
If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call me at the above number.
Sincerely,
Stacy St mberg
Planner
•If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A
misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine.
C-02-83