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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: —Sept. 15, 1967 Owner: Dalberg Blders Builder Sae Address 1121 80th Ave. N. E. Address Same LOCATION OF BUILDING No. 7437 Street Lakeside part of Lot NQ 9454 Lot 12 Block 1 Addition or Sub -Division Da erg Zerrace Corner Lot — Inside Lot __._ setback 35.' g --_ sideyard Sewer Elevation ____ 93.27 _ R96-27 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 24' Height 10' _ Sq. Ft. SSL_ CU. Ft. Garage Front 20' Depth 22' Height 10' Sq. FL 440 CU, Ft.Type of Construction Frame Est. Cost r. 14 000 To be Completed SEWER LOCATION - 60' North of Manhole WATER LOCATION - 73' North of Manhole In consideration of the issuance to me of a permit to construct the building escri above I agree to do the proposed work in accordance with the description ab ov :fi&; nd in plian th a'll provisions of ordinances of the city of Fridley. $100-00 Sewer Connnention Charge In consideration of the payment of a fee of t 35.00 permit is he granted to Dalberg Blders . to construct the building or addition as described above. This permit is granted upon the express condition that the person to 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 reg location, construction, alteration, maintenance, repair and moving of building within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building mmspsctor NOTICE: YMs parvo don not cover the constrndioe, installation for whing, plumbing, gas heating, sewer or waUr. Be can to see the Building hopnter for apaMe pwndb for thne Nems. AP£"L1C3_ rX.i FuZ BUILDING PS- 7 tT CITY OF F�c� DLE i; riIN IZIMSCTA OWNER'S NAME M'f:+.DER ADDRESS 1102 f �D U� 4, ADDRESS LOCATION OF BUILDING N0, STREET Z_ 4&E PART OF LOT LOT S BLOCK O ADDITION OR SUBDIVISION .2d&hA CORNER LOT INSIDE LOT: SETBACK SS � SIDE -YARD SEWER ELEVATIO �i 1 '7 FOUNDATION ELEVATION .4-1 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location #rawn on these Certificates. DESCRIPTION OF BUILDING To Be Used CE Front Depth ;2 Height Sq. Ft. 9�a / Cu. Ft. Front Depth HeightLA Sq. Ft. ,.. G% �%!� Cu. Ft. Type of Construction �/� /`'1, Estimated Cost To Be Completed �✓ E g 6 `� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 69 SIGNATURE S ,,. (Schedule of Fee Costs can be found on the Reverse Side). k -BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing building:or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. i For the purpose of computing fees ,for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any -permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. s+ AppRaction for Pavier Plamft catid Maegug, C®Qlsng. �����re ®�. RohigemHon and Air Candeti®nang Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldga. Phone $60-3450 41 '-p GRAVITY WARM AIR: BATE TOTAL Location Furnace Shell & Duct Work .......................... $ $10.00 Replacement of Furnace ............................. $ 6000 Repairs & Alterations—up to $500.00 .................. M& $ 6000 Repairs & Alterations each add. $500.00 ............... $ 3.00 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .. $ $10.00 each add. 60,000 BTU ....................... ' $ 3600 Replacement of Furnace ............................. $ 6.00 Repairs & Alterations—up to $500.00 ................. $ 6600 Repairs & Alterations each add. $500.00 .............. $ 3.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines_—to 400 sq. ft. EDR Steam ...... :Qk $ $10600 Furnace Shell & Lima—to 640 sq. ft. EDR Hot Water ... $ 10*00 Each add. 200 sq. ft. EDR Steam ...................... $ 3.00 Each add. 320 sq. ft. EDR Hot Water .................. $ 3000 OIL BURNER—to 3 gal. per hour ....... ]H& $ over 3 gal. per hour— fee Fee Schedule 199-000 GAS BURNER (up to BTU) 5.00 $ GAS FITTING 199, 000 BTU NO RATE TOTAL 1st 3 Fixtures x $30$ - Additional $Additional Fixtures.::..,. xXJ& $ Gas Range to x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL 6.00 $2.00 .75 $5.00 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 representations stated in this application are true and correct. Fridley, Minn. Ila ` � g6 I--- n 1 Kind of Building Used as To be completed about Estimated Cost, $ 6 AO / �s� , Permit No. e5 o9q Building Permit No. DESCRIPTION OF WORK HEATING or POW FPij PLANTS—Steam, Hot Water, Warm Air—No Trade Name e1�f Size No& E � fad Capacity Sq. Ft E D.RA0 -I BTU9V a6 G40d H.P. Total Connected LoadzT 6 Kind of rue BURNER — Trade Name Size No. _ Capacity Sq. rt. E.D.R BTU H.P. (REMARKS—OVER) Signe By 8419 CENTER DRIVE MINNESOTA- 5543Z - ids . z MINNEAPOLIS, Business Phone No C I T Y O F F R I D L E Y 0. B. Thompson 12201 Minnetonka Blvd. Minnetonka, Minnesota Gentlemen: 6431 University Ave. N. E. Fridley, Minnesota 55421 August 5, 1968 RE: PE�IT SHORTAGE 7437 L.ake®ida Rngd Your permit for the above captioned address was short the following: R W $3.00 Dryer 3.00 Disposal 1.00 $7.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Afffdavit so that we may properly process this permit. Thank you. LE :bks Yours very truly, LEONARD EICHMILLER Electrical Inspector City of Fridley City of Fridley SUBJECT P Q, ° 14165 AT THE TOP OF THE TWINS • r BUILDING PERMIT RE EIPT NO. y COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Y-/403 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 6/15/77 JOB ADDRESS 7437 Lakeside Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clayton Borchert 7437 Lakeside Road N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Minn. Package Products 6922 - 55th Avenue North, N. St. Paul 770-1313 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 17' x 35' In Ground Swimmti.n Pool 9 CHANGE OF USE FROM TO STIPULATIONS gee Environmental Officer's letter dated June 15, 1977. W"110 REQUIRED FOR WIRING, SEpERAW- PERMITS RE D Beton d1lWag call lel utillves gtGN5. PLUMBING AN TMA10I4E -ELECTRIC-GAS EtrA HE•AT1 , REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Vinyl/Steel THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,000 $3.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $36.00 • PLAN CHECK FEE TOTAL FEE $39.00 SIGNATURE OF CONTRACTOR OR AUTHORIZE GENT (DATE) HEN PROP , n LY�Vq/ALIDATED THIS IS YOUR PERMIT i'G�✓ //'�L/ A,91 BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS. (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: �� .� ei, r©AJC krgEAT BUILDER: 1 / I i r►Yl . Tic #mac �[`ocLt' .0 s Address: 7�i/37 ��,( ;�� �� Address :. CV as Ss Tel. No.:- 770 - 131 3 LOT: Street: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: T� Front: f7 Depth: 3S� Square Feet: Cubic Feet: Front: Depth: • Height: Square Feet: Cubic Feet: 46 . Type of Construction: `oc�vvt -� ,� ; �� Estimated Cost. $ To Be Completed: 31 IT? Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: b - / G/ - % 7 SIGNATURE: Stipulations: COPY A-OFFICE"1 - COPY COPY C -CUSTOMER B -INSTALLATION CREW PACIFIC PALM POOLS BY COPY D -EXCAVATOR MINNESOTA PACKAGE PRODUCTS, INC. 6922 55th Ave. No. Dr. No. St. Paul, Minn. 55109 770-1313 .� GENERAL INSTALLATION INSTRUCTIONS + `` PACIFIC PALM POOLS CUSTOMER NAMES, ' ",' _`a j°< "� DATE ADDRESS PHONE POOL SIZE TYPEDATE SOLD Diagram pool site in relation to house, garage, driveway, etc. (Allow 3 -inch variOnce) 14, ��►�. ���-�w , Iia ,��b� .�,�� ; 4-nba�m� ­... fi 1. Indicate deep end b (X). 2. Mark location of filter and/or head n..__ ter by X. 3. Indicate approximate elevation of pool in relation to permanent fixture on property. A. Elevation p 4. Will trees, clothes poles, power lines or 'any other obstruction be encountered during installation? Yes No If yes, explain:, 5. Does customer wish to retain any or all of dirt from pool excavation? Yes01'.' No If yes, explain 6. Indicate and explain any special instructions not covered above. (Example: Placement of backfill for walls, patios and fill dirt, etc. Customer agrees to added charge if dirt is handled more than once.) 7. Pacific Palm Pools recommend that the customer construct a retaining wall as soon as possible after pool is completed. Yes No If yes, explain: 8. Directions to job site Customer agrees and understands that any changes or additions in the above outlined installation which occurs after excavation has begun may require an added charge. This charge shall befy� computed on a cost plus 30% basis. Seller Signature Customer Signature �I June 15,1977 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Minn. Package Products 6922 - 55th Street North North St. Paul, Mn. Re: Swimming Pool Construction at 7437 Lakeside Road N.E. Dear Sirs: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 5. A deck of at least three (3) feet wide, measured from the pool water's edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. T June 15,1977 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Minn. Package Products 6922 - 55th Street North North St. Paul, Mn. Re: Swimming Pool Construction at 7437 Lakeside Road N.E. Dear Sirs: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 5. A deck of at least three (3) feet wide, measured from the pool water's edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. T Minn. Package Products 6922 -55th Street North ,Tune 15, 1977 Page 2 B. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacuum breaker. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthezmore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, Of fiver SJO/mh CC: Mr. & Mrs. Clayton Borchert 7437 Lakeside Road N.E. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 x $2.00 x $2.00 p, m x $5.00 _ x o x $7.00 m $5.00 Water ani 49 14 � m E .5 Heater � m I m � 1 44 W 4J W i9 .4 $+ (4 -H S Q 0 1 v rd M 3 c`� o as lec W U D CI 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 x $2.00 x $2.00 x $5.00 x $5.00 _ x $10.00 x $7.00 x $5.00 x $5.00 x '$3.00 x $1.00 x $10.00 $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) S $ .50 Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with. the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. , 19 OWNER KIND OF BUILDIN USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD NEW BUILDING PERM�T NO. PERMIT NO. Company Signed By i Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT / MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE NSW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction mss: 7437 �AKC--S(OE PD Legal Description: Owner Name & Address: Contractor: F - Tel. # 79: Ll /`/ 78' Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. IPTI�T OF IleROIVEMENT LIVIM AM: Length Width Height Sq. Ft. GNMM AMM: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Iot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. CmTpletion Date: Proposed Driveway width If New Opening s Desired: �Ft. $ � + 6' See Back Page DATE: J %S` gq6)APPT IaM: i Tel . # 7gr 7 19 7�( CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: SUBJECT P City of Fridley 212 41 AT THE TOP OF THE TWINS BUILDING PERMIT f R O. 1 41.COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BYj (, �( 612-571-3450 910-F15 3/26/92 JOB ADDRESS 7437 Lakeside Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clayton Borchert 7437 Lakeside Road NE 784^1978 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ClX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14r x 20t Addition 9 CHANGE OF USE FROM TO STIPULATIONS Se.e.notatons an plan, SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 11AIwARNING Before digging call far all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $18 ZOO p [ $.91 f G''J7 = 0S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE DOES PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $198, OO Fre SC $18,1Q STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $217tGl SI T EOFC RACT O A t+/ORiZ,E AGENT ID/ATEIC, HEN R RLY V LIDA D THIS IS YOU PERM �2 TUR OWN IIF OWNER SUILDERI IDATEI ) DG INSP VATE NEW (] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: / 37 a AA -1. 5f-Oz Legal Description: Alo T la cock Owner Name & Address: -41fL 11 0/C(fHk!F4e7 51)1tt �E Tel. # 7 7 e Contractor. ciwt)vs� MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length l Width Height ZfTUSq. Ft.. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot j _Ft. Yd Setback Side Yard cks Type of Construction: rJyb %//�� Estimated Cost: $���cj Approx. Completion Date: / i/i`f �l (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ = $ DATE: 3 ` a 0 a ! 02 APPLICANT: Permit Fee $ l �! Fire Surcharge $ % ,1 p State Surcharge $ 91 SAC Charge License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ l� STIPULATIONS: CITY USE ONLY Tel. # ���1F?F Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] 4� 17 Xl� l 5`3 151 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS A137 14KIFs-Ing i�) A! RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in thig application are true and correct..Gas Piping Piping (Needed with new furnace) $10.00 $ OWNER C.. LA j�Td� V. ot�//JffZ Gas Range $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ d� d� ESTIMATED COST !. PERMIT NO. *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ CommerciaVindustrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 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 EDR REINSPECTION FEE $30.00 Approved By �- Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks HEATING COMPANY Signed By Date r Effective January 1, 2003 ir 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 p FAX (763) 571-1287 JOB ADDRESS '7�� 7 RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ 3e!�> , (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Air Con itioning - All Sizes $ 25.00 % LA o%a_6-vs-0AJ Ate, 135cel- All Others/Repairs & Alterations (LIST ON BACK) 1°Jo of Value of Appliance or Work $ Commercial/Industrial .- 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REIN 3PECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. v $ .50 $ 5 5% BUILDING USED AS C-%l� �tflCl� ESTIMATED COST PERMIT NO. I DESCRIPTION OF FURNACE AND OR BURNER No. of Heatin Units _ Circle One (Steam) (Hot Water (Warm Air Trade Name tXL I,tG-PK-e? e.fZSize 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 herei specified agreeing to do all work in strict accordance with the City Codes rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. River City Sheet Metro, Inc. itvl z o 3 9928 Bluebird St. N.W. HEATING CO Approved By. Rough -In Date I Final Date �� 4 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED C -C; B1i� `�Ab UJTP VENT CONNECTOR Atin COMRI 1STIQN AIR VFR1F1r`AT1nN i fALW I/ Whed Jmplawa r nn gdafi^f lfluraam 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 P No { j The venting system is plastic/PVC 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 manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes } No ( ) The is sized and Installed to meet the current codes and manufacturer's specifications. Yes( ) No When required to innfn11 a new enmhlin inn ajCit will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When i a+alling n nP-W MentingsyvAwL 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes (4 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 O No ( ) Appliance #1 Type BTU InputO� Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances —Z_ Total Btu Input lhj,wo _ Common Vent Type 5 `�/'e� � Vent Height I ? r Diameter 6 ` r inches Appliance #1 Vent Connector Height ­�_ft Length�' ft Diameter 4" in Type 1 1C Appliance #2 Vent Connector Height _Lft Length __I_ft Diameter 4 ` in Type 2�� Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEAT114G CO: Signed By: Date: 117-193 iv Ra 09, TOTAL P.05 O CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 11, 2004 Mr. Chris Haueter 7437 Lakeside Road NE Fridley, MN 55432 Re: Final Inspection at 7437 Lakeside Road NE Contractor: River City Sheet Metal Dear Mr. Haueter: A mechanical permit was issued on November 21, 2003 to install a furnace at your address. An inspection on November 21, 2003 noted that the following correction needed to be completed before the permit can be finaled: Size the common vent per the manufacturer's installation instructions. A six inch vent does not comply per the GAMA tables. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DAVE? Building DJ/mh