The URL can be used to link to this page

AF - 47159� \1 City of Fridley, Minn. BUII.DING PERMIT N° 3 8 8 2 nate: . �. �: . .`.''. . . . /.`. . . 4� .� .. Owner ��/�'�!E°�'� f..l�!�. . �!�: . . . .�. .�. . . . . . . Builder . . . . . . . . . . . . . . . . . . . . . . . Addr�s ................................ ..... Address ............................................. LC�CCATI OF BU[LDING No. .!. �/..... Street . ...... Part of Lot ............................... Lot ............ Biock .................. Addition or Sub-Dfvision ....................................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard . ...................... DESCRIPTION OF BUILDING o e us as: �/ � .�y ., �.,. ..��!�f Front .°�. . l. -!� Depth R�.°� .`'� Height l0: . C.% Sq. Ft. � Q� Cu. F't. �.aG.O • v . �� Front ........ Degth ........ Heignt ........ Sq. Ft. ........ C'u. Ft. 'I�►pe of Construction . . . . . . . . . . . . . . . . . . . Es� Co�t. . . ��d . �.�. . . .�.b.'." To be Completed . . . . . . . . . . . . . . . . . . . � /� (GZ�C.�^' v �/� � �/ /� � .�. �fr ��t�rC�t �► !/ In consideration of Yhe issuance to me of a permit to construct the building desribed above, I a�c�ee to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the eity of Fridley. ..✓.1 ................................................ O�Q In consideration of the payment of a fee o! $ �. . . . , permit is hereby granted to . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. . . .. . . . .. .. .. . to construct the building or addition as described above. This permit is Sranted upon the express condition that the person to whosn it is granted and his agents, employees and worinnen, in all work done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinancee of FY�idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � � � _ ... Builcling NOTICE: This permit does not cover the construotion, installation or alteration fo� wl�inp, plumbiny, gas heatinq� sewer or water. Be sure to see the Buildiny InspeCtor for separate permits for theae itema r � � 1�- �.PPLICATION FOR BUILDING PERMIT CITY OF FRIULEY, MINNE50TA , Owners N 'd' � der . ,. .. �lddress ��/�'�� Oo .,,, o �„ ess _ LOCl'�TION OF BUILDING • No��_ Street��r_� .�?G.�_ Part of Lot .____ _� Lot �` Block _ �iddition or Sub. Div. � Corner Lot Inside Lot � Set Back , Applicant attach to this form Certificate of $urvey of Lot and proposed building location. , _ ., D�SCRIPTION OF . °` ' ^ BUILDING To be used as • / � � .� �1�._.C2 � __ F`ront �, Depth 2 �-- Height � s 5Q• �'.� • �.1• �i• F`ront Depth Neight Sq . F`t. Cu. Ft . . � , �r� r'i,� . oU �rpe of Construction Estim�ted Cost --�'�'� � To be cor.iplet�d s..L�� The undersigned hereby *�a.kes application for a permit for t$e work herein specified, agreeing to do all work iri strict accordr�.n�e'with the �City Osdinances and ruling of the DepartMent of Buildings, and hereby declaxes that all the facts and representations stated in this app3.ication are �rue and correct. �� /'�� e Date • " �' � v�l� % Si natu�'"e � ,/ �" '!, � (A Schedule of Fee Costs can be found on the Reverse Side) � � s '� + � . � • CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572•3604 -- REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement 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) lqo of Value of Appliance or Work C �� mercial/Industrial 1.25% of Value of Appliance or Work . Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARG� REINSPECTION FEE $47.00/Hr Effective On January 1, 2000 � A �eo v' JOB ADDRESS �� ' �T-�-�"L'� �- / l��-°- OWNER /'�i� �n��`� TOTAL ,/� � BUILDING USED AS f'�/r.v-�-Gi%� $_.�fL , / L.i. ESTIMATED COST `'�o�lA'J� PERMI� N"O. �'� $ - DESCRIPTION OF FURNACE AND OR+B��INER $ �.- .. . ` -- No. of Heating U its�_ Circle One (Steam) �Hqt:Water) (Warm Air) $ Trade Name ��.a� Size No.,�S7�m� � e BTU__ �v+d'� ��d HP EDR $ Fuel �o�-�"��p _ Total Connected Load $ $ $ .50 � �.s*�� Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application fo� 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. H EATI Signed DATE �' � " �� SLAINE NTt3. A/C � EIECT. tP.L'. �,135ti2 CENTR11l AVE. N.E. E L # �%� i - (�•� m4 V *Air Conditioners can not be placed in a side yard without Approved B Rough•In Date Final Date �'�7-�b written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When _replacina an existin.q furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and fires�topped where required. Yes �Ly No O The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit 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. The existins� combustion air is sized and installed to meet the current codes and manufacturer's spec�cations. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes (� No ( ) Yes (� No ( ) Yes (� No ( ) Yes � No ( ) When installing a new ventina svstem, 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. Yes (� No () 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 O A liance T e and Size/Common Vent and Vent Connector Information � �"`� i— Appliance #1 Type �'�� l�Q� BTU Input � d aeo Fan Assisted or Nat �'�-l°� �-� Appliance #2 Type BTU Input Fan Assisted or-Naf" Appliance #3 Type BTU lnput Fan Assisted or N�t Total Appliances Total Btu Input � Common Vent Type Vent Height Diameter. �_ inches ;r�'_sg, Appliance #1 Vent Connector Height ft l:ength . ft Diameter ;�- .�� >��n Type z-�.-.�, Appliance #2 Vent Connector Height ft Length ft Diameter �n Type Appliance #3 Vent Connector Height ft Length ft Diameter �,in Type ALTERATIONS: IDescribel ,,; SLAINE HTQ A/C 8 ELECT. IIVC_ 1356�2 NTRAL AVE. N.G. N . MN 55304 ` HEATING CO: ° . Signed By: Date : � - �" �� . � _ C[lYOF fRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. IV.E. FR[DLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Dan Crawford 701 Helene Place NE Fridley, MN 55432. Re: Final Inspection at 701 Helene Place NE Contractor: Blaine Htg. A/C & Elect., Inc. Dear Mr. Crawford: A mechanical permit was issued on May 5, 2000 for the property located at 701 Hetene Place NE for a furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE SE Buildi Inspector �� ;y HEATING AIR CONDITIONING AND ELECTRIC, INC. ADDRESS �� fK �t- � �Pi T QGC. �- OCCUPANT HEAT LOSS DATE HTG. I T. � SOLD 8Y l �t Electrical Work By � TYPE OF HEAT GA FA HW STEAM_ SPACE HTR. �,r� GAS DESIGN MAKE I'\iGI.I �T Mode� 3 � D IpbbO 0 Serial 0 INPUT _ �G�U CONTROLS THERAAOSTAT L� � Heat Plug value_ L�.�1'l,l�t . L.W. Cut Off Pressure W�-' • PercentCO2 Input CFH Percent OZ StackTemp. � PercentCO �r]�J�Y� HOUSE HEATING TEST RECORD �� t ' � � �.�'� � APT. FLOOR CITY SUB RB OWNER INSTALLED BY cIJ/�L%1B ) � ",��--�,'y � Gas Line By U UNIT HTR. OTHER CONVERSIUN Vent Size �t�' / KIND OF LINER SIZE NONE DraftHood �1��t� Regulator�d'LV �C��ti� Filters Size � �SX� Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiri� � Draft Test Tag Door Pressure Lightlng Inst. t Date Tested '" Z!� CompanyTesting �lil.e � Name of Tester Pressure Peroent COZ Input CFH Percent OZ Stack Temp. Percent CO CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND..GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: 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"* NO. RATE 0 Gas Range"" Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �.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% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS � �� 2 I e n e, � 1 P C� - �a �O-C�O $ .50 $ ao. �� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 5 - l � , 2o Ga Owner i� �4- ti C•2 F�w -�,j(Zb Building Used As Estimated Cost �(O� ' U� PERMIT NO. ��C� �� PLUMBING COMPANY �E� J` U �.l_ �LU r`ti�o � v�c.� SIGNED B �C� � TEL N0. ��3 ��/ �/�� Approved By Rough-In Date Final Date ��`� �� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE ave�w � City of Fridley AT TME TOP OF THE TWINS g � I L D 1 N� P E R M i T ;, .� � ; y__�� COMMUNITY OEVEIOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. 1 � � , �"'1 � CI7Y HALL FfiIDLE� SSIJ2 NUMBEP i1EV O�TE �.---�•' '•� 4/4/00 612-571-3450 9�Q-F15 10B ADDAESS 701 Helene Place NE t LEGAI �OT NO. BLOCK TRACT OR ADDITION oescR. 24 6 Donnay's Lakeview Manor 2 PFOPERTY OWNER MAIL ADDRES$ Z�� Dan Crawford 701 Helene Place NE 3 CONTRACTOR MAIL ADDRESS ZII Petersdorf Company 1628 122 Ave NE, Blaine, MN 55449 l ARCHI7ECT OR OESIGNER MAIL ADORESS Z�� 5 ENGINEER 6 USE Of BUILDING Residential 7 CLASS OF WORK O NEW 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM STIPULATIONS MAIL PAGE O: � � 30785 �� EO 8r SEE ATtACHED SHEET PHONE ; 571-4076 PNONE ll ENSE NO 763-757-8959 PHONE IIGENSE NO. ZIP PHONE U�ENSE NO O ADDITION O ALTERATION �7 REPAIR O MOVE O' REMOVE TO Wood siding does not require a building wrap. � - - -- - A ATE PEFMITS ARE REOUIRED fOR EIECTii1CAL, PLUMBING. MEATING, VENTILATING OR AIR CONOITIONING 7MIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZONING AUTHORI2ED IS NOT COMMENCED V�!ITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PER100 OP 120 DAYS AT ANV TIME AF7ER WORK IS COMMENCED. NO DW4G. UNI7S 1 HEHEBY CERTIFV THAT I MAVE AEAD ANO EXAMINEO TMIS APPLICA710N 1 AND KNOW TME SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS Of LAWS VAlUAT10N ANO ORDINANCES GOVEFNING TNIS TYPE OF WOFiK WILI BE COMP�IED 3�000 WITH WHETMER SPEC�FIE� MEREIN OA NOT. TNE GRANTING OF A PERMIT � DOES N07 PRESUME TO GIVE AUTMOqITY TO VIOLATE OR CANCEL THE pEqM17fEE PROVISIONS OF ANV OTHEfi STATE OR IOCAL LAW REGULATING CON- @83.25 F TI R THE PERfO N OF CONSTRUCTION W PLAN CHECK f EE Licens C S�GNATUQEO�CON' A�T Op4UTMOQ�ZEO�GEN� ID�TE� N � � $�GNeTUAE O� OwtiEQ�� OwHEpBU�LOfA� � �O�TEi A f. in�C� � � , -.� s- S ` T OffSTiiEET PARNIN�(9 STALIS GARAGE$ SURTAX $1.50 SAC CMARGE Fir SC $3.'DO TOTA FEE i.90 $92.75/ IOAD NEW [ ] Effective 1/1/2000 ADDN [] CITY OF FRIDLEY 612-572-3604�Idg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION n� b� Construction Address: � �( N�. � Q�n �P p t a C 2 ��a Legal Description: Owner Name & Address: �r oY —� �� t u Tel. # 571 —�f p 26 Contractor: ? N� P C�E RSOoR� C�� PAI�I � MN LICENSE # I g 3 8; Address: lfo2$ lZ�nd /}ve, /�(,�, �(Q�„� mN. Tei.# blz 757-�Sq55 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. , Length wdth Height Sq. Ft Length Width Hgt/Ground Sq. ft ,�,-" ' � � — � Construction Type: � Estimated Cost: $ 3 �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: C� O APPLICANT: �Gtw� pg�2U S�OW Tel. # 6�2 � 7�$� S S CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing in application Permit Fee $__�.�5� Fee Schedule on Reverse Side Fire Surcharge $ �_..Ob .001 of Permit Valuation (1/10th%) State Surcharge $ /,� ; $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ , .�d $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $, $. $ �. ,� $450.00 Conservation Plan Review ,Fee Determined by Engineering Agreement Necessary [ j Not Necessary []