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PRE 2010 DOCSC 4 Z4 4 SUBJECTP T NO. City of Fridley ®13562 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N L L __.__ COMMUNITY DEVELOPMENT DIV.ROTECTIVINSPECTION r IN D_ , PE SEC. �I�^ Q6 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/2/76 JOB ADDRESS 7585 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. West 162. 4 of Lot 4 Block 1, Spring Lake Park Lakeside, exceptlEET 2 PROPERTYOWNER MAILADDRESS West 251 for street ZIP PHONE Cedar Bay Builders 8804 Lexington Street 3 CONTRACTOR MAIL ADDRESS ZIP PHO E _LSENSE NO. D. W. Construction Inc. Same 1 ✓J� 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 ❑ ADDITION 11ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK —IMPORTANT— Construct a 38' x 26' Dwelling and a 20.5' x.21' Garage DIVISION REGARDING. CURB 9 CHANGE Q E M 0 WIRING, AT DRIVEWAY OPENINGS. HEATING PLUM BI STIPULATIONS provide a hard surface driveway. Provide sod i -h the front and side yards. Provide a verifying survey before capping. Provide truss design. SEWER LOCATION: No Wye - Extend service from Manhole located appyfeet south of Lot 2, on center line of McKinley Street. (M.H. Inv. 89 tel 10 feet deep. Before digging call local utilities WATER LOCATION: MUST BE TAPPED TELEPHONE - ELECTRIC- GAS Etc. 6" watermain 35 feet west of west property line of Lot 2 REQUIRED BY LAW THE. CITY OF FRIDLVIY"' WES NOT, -GUARANM THE ACCURACY OF iIMWf 1DC4TI0N6AND ELEVATIONS. THIS DATA IS FOR INF4RAAA:10N ' llkU.".POSES ONLY AND PEIt30NS USINO R SHOtILO VERIFY TAIL INFORMATION SEPARA E MITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF ONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 R-1 1030 + 430.5 20,264+4305 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $32,200 $16.10 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- STRUCTIO R THE PERFORMANCE OF CONSTRUCTION. $45.45 $350.00 PLAN CHECK FEE TOTAL FEE $411.55 SI ATURE FC NT r ZED E (DATE) HEN PROPERLY AL ED THIS IS YOUR PER IT �l 6 £ i BLDG INS P DATE TU ECF OWNER OW NER BUILDER) (DATE) C 4 Z4 4 , t • i < 1 � 44 t 'Y3JGjft3 3HT YllTOV q .!SOM ? 8SiU1.a'jI�tIC7�,4�351 6R��lci;'s'IQ �• ., . �-, _ a .T14RBIAJ93S C MA—JAVG%43R • � �i��i�i' v +:i %�� i� �a �� . ej.)ow��90 vAwwc%a �a` � N iBtUJq a. _ r�1 A. _ � . f�$iiitiiu isnot Nba ��i��ib s�o3�:$ 'ot3 ?.A$ ' 31R733l3 - 3NOB93BT WAJ Ye 43511UO331 3'i? 33?MAAAUs%�=11,110� q '.sarirAV3i3GA 11Ttt '�O ::Y�AA ra:•io'yi.^t�t'++�i'tiir�.'itAa r� r uai ri't V* •O�sO" , X db APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDI.EY, MINNESOTA OWNER'S NAME: �� Ba Zt /Q�e BUILDER: )t�' A Lu . 60 S / , move. ADDRESS:_ o F0 V—Z Z -XX/ y` �`' ' ' `ADDRESS: —Lrr1/ I � ri Jnr NO:. STREET: 4-111f D ,Gu ESi of Lal 4 5LOCIt 1 LOT: BLOCK: ADDITION:, CORNER LOT: INS IDI; LOT: SETBACK: 31S— Applicant 3J— Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To B sed As: Front: �� Depth: Height: Square Feet: cD Cubic Feet: Z-40 OIL �O T Front: tea• Depth:'- / Height: 3 Square Feet; Cubic Feet: `�✓��' � Type of Construction:Estimated Cost: To Be Completed: � -5 Mie/"undersigned hereby makes application for a permit for the work herein s 6cified, agreeing to do all work in stxict accordance with the City of iidley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations tate4 in this application .' are true and correct.. % f DATE: SIGNATURE (See Reverse Side For Additional Information.) 4f1167,y4 s ��uc�Tidi✓S pE�Ti�•� f 0 Witt66 0 W 2A T s L9 BUILDING PERMIT FEE SC11L'DULL'• SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or 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 - $2.15 for each one thousand cubic feet, -or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for buildirL; permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights 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. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. r i . GERALD T. COYNE 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN. MINN. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING I LOT SURVEYS COMPANY LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 5747 W. Broadway Minneapolis. Minnesota 55428 533-9922 Ouruppro Terfifiratt 5- i%q RAYMOND A. PRASCH 6917 IDAHO AVE. N. BROOKLYN PARK, MINN." MINN. REG. NO. 6743 INVOICE NO. F. 6. NO. (,4' — 2 SCALE 1 3',,1 0 — DENOTES IRON A I ub ':)t Ex cavai. ion Jnly AS amm 3NOW3131 020 mm %&AmiF 9NI 'IMPORTANT--* NOTIFY THE FRIDLEY ENGR. IFINUN REGARDING CURB RMOVAL AND REPLACEIWENI: AT DRIVEWAY OPENINGS. Fiftff DOES NOT GUAMMM W @F U%rff LOCA71ONS AND ELEVATIONS. 91% BATA 1§ f9ft, INFORMATION PURPOSES ONLY AND M,S?NS USING rf SHOUtD VERIFY THE V4FOjU#A=" 9X THE SITZ 2, [31 1, We hereby certify that this is a true and correct representation of a survey of the boundaries of the above des--rit,ed land and the location of all buildings and visible encroachmer's, if any, from or on said land. Sur,eyed by us ths 17 day of I'ay 19 Signed LOT SURVEYS COMPANY 0 1 AV ch T,:�r f �?/ X-OwO14-1 ( I—Y 'oE 6t? ;A 1!��77 X�lj ..L,� 4 -3� -7(71W '*/ '40 Jill -e.P40 ' � ®��-1br'07 � �. h O Al,IICC510��'.� 1)*pt. of Bldcz. Yho:io 5..x•3450 Br,SCRIPTiO:i OF VIOITi:- �2�e,s 119& XL --4 L--r_,Cn of Fixh res �z - - G Zi40I1�:'.'.: i, Old City of Pr.dlcy:. The undersi;ncd hereby r. -ekes application for a permit fcr t?:: %rcr; hemi specified, a�.cc:nL to do a1 «crk in strictacco::ence wish ... Cit1 G`•":::-n=s and r-0ing of the D-.nartrnent of B:ily'n�, and hereby decla:es that s:I the fae • and represen tlons stated in this apY"ca'_'oa sre true zrd co:Teci• -' x idley, 'Min 15►►� In 117 Owner Kind of 23uilcii^g _7�'G Used as - - To be completed about I I I' Old --New. Buildin6 Per -nit NO 7.znit tio. ;,x;31:i0 F•IXTU. E RATES: 210. RATE TOTAL ( j � Signed WAT(R MT7l. AIuminr Fixtures ................ x S3.G0. S x SL50 S..` il.�_ BY F�t:.se Fixture Opening ........... ogs WC. Tnil ..Cw Fix*ure Olci O,pening.......... S� �0 . X l.J a....._. Catch Basin .................... x $3.25S Z; atcr lieater 'Up to 93.000 BTU) ... • ¢,_.... &ad ---• x S3 00 g' -T—'" •• ROUGH mea Run Old Bldg. C:Guad •••:••'•. .. . T'act�.:4:atarH..:ior ....... ' ....... _ �22.ca s :i�G err R;. r` . AQ . lit 3 Fixtures .................. x S''.CA $ �' •' Additicasl Fixtures ............... x d .75 $ Gs ?,;✓.ie to M3.000 B k u ........ x S5.00 L . So State Su-ge ?:?.I:RS Ec AL:F.QA:IO2!S--?�fer :o Coda - .I>cacri;'daa ...............:........ ,................;ice -- s:r I i i tLl 1 G Zi40I1�:'.'.: i, Old City of Pr.dlcy:. The undersi;ncd hereby r. -ekes application for a permit fcr t?:: %rcr; hemi specified, a�.cc:nL to do a1 «crk in strictacco::ence wish ... Cit1 G`•":::-n=s and r-0ing of the D-.nartrnent of B:ily'n�, and hereby decla:es that s:I the fae • and represen tlons stated in this apY"ca'_'oa sre true zrd co:Teci• -' x idley, 'Min 15►►� In 117 Owner Kind of 23uilcii^g _7�'G Used as - - To be completed about PARTIAL RATE SI;HEDULE Estimated Cost, S Old --New. Buildin6 Per -nit NO 7.znit tio. ;,x;31:i0 F•IXTU. E RATES: 210. RATE TOTAL � Signed AIuminr Fixtures ................ x S3.G0. S x SL50 S..` il.�_ BY F�t:.se Fixture Opening ........... Busin-mss Ph�nc :io�3y�3y7.3 ..Cw Fix*ure Olci O,pening.......... S� �0 . X l.J a....._. Catch Basin .................... x $3.25S Z; atcr lieater 'Up to 93.000 BTU) ... • ¢,_.... &ad ---• x S3 00 g' -T—'" •• ROUGH mea Run Old Bldg. C:Guad •••:••'•. .. . T'act�.:4:atarH..:ior ....... ' ....... _ �22.ca s :i�G err R;. r` . AQ . lit 3 Fixtures .................. x S''.CA $ �' •' Additicasl Fixtures ............... x d .75 $ Gs ?,;✓.ie to M3.000 B k u ........ x S5.00 L . So State Su-ge ?:?.I:RS Ec AL:F.QA:IO2!S--?�fer :o Coda - .I>cacri;'daa ...............:........ ,................;ice 560-3450 C;ry Of `,{rdlg ANOKA COUNTY 6431 UNIVERSITY AVENUE NE August 9, 1976 FRIDLEY, MINNESOTA 55432 Registered Mail #495083 Mr. Rudy Bayer D. W. Construction Inc. 8804 Lexington Avenue New Brighton, Mn. 55112 Re.: Final Inspections on New Housing Construction Dear Mr. Bayer: Rudy it appears that you are having problems with complying with our written correction notices, specifically concerning anchor systems. You now have three houses that are all completedd people have been moved in. These houses are 7572 McKinley Street, 7585 McKinley Street, and 7581 Lakeside Road. All three of these do not.have nuts and washers on the anchor bolts. If these corrections are not made by August 23, 1976, the City will assess you a reinspection fee of $10.00 per location in addition to giving you a violation of failing to comply with a written notice in addition to a violation of the Building Code. You have also been rather lax in your remembering to call us for final inspections on your homes prior to your buyers moving in. I can see no reason for this practice. Please, from this day forth, call us for these necessary final inspections. We will wait for your call on these corrections and if we have not heard from you by the 23rd, we will have no choice but to start more drastic steps to gain compliance. Sincerely, J DARREL G. CLARK Community Development Adm. DGC/mh 0 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING �`i ��$� FAN HEATING SYSTEMS �� -�'� $ VENTILATING SYSTEMS Fee Sc edule $ ALTERATIONS & REPAIRS_ , $ State Surcharge $ .50 TOTAL FEE $� ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP Date APPROVAL FOR PERMIT &A MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 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, Minn. (�;'— , 19Z OWNER I.— �9 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. _ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR BTU HP Kind of Fuel Size No. Sq. Ft. EDR BTU ( HP Company !V CJJ, Signed By Tel. No. 0 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT N 18118 r • _____ COMMUNITY DEVELOPMENT DIV. i LV r PROTECTIVE INSPECTION SEC. 1 ! CITY HALL FRIDLEY 55432 IL """"j 612-571-3450 R /'7 �� 9 NUMBER 910-F15 REV, DATE PAGE OF 7/18/8 APPROVED BY JOB ADDRESS 7585 McKinley Street N. E. 1 LEGAL DESCR. LOT NO. 2 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Bayer's Lakeside 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale. Krueger 7585 McKinley Street N.E. 784-0249 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Schmidgall Construction Co., Inc. 13605 Vincent Avenue S., Burnsville 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55337 890-6270 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 131 x 131 Three Season Porch and an 81 x 61 Deck 9 CHANGE OF USE FROM TO STIPULATIONS 'SEP0rATE PERMITS 'R-EQ-t79R-Er POI WRING, HEATING, PLUMBING AND SIGNS,,, �W ✓�WNt1 E1'�C;�j�"jh' Before digong call locni u!iwih;j TELEPHONE. ELECTRIC. GAS SQUIRE®�„'�'” SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $3,500 SURTAX $1.75 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- K (CTION OR THE PERFORMANCE OF CONSTRUCTION. $35.50 c �5r PLAN CHECK FEE $ 9.63 TOTALFEE $49.88 SIGNATURE OF CON RACTOR OR AUTHORIZED E T MATE) WHEN PROPERA VALIDATED THIS IS YOU�JR /PERMIT C . BLDG )NSP nA E SiGNATUREOF OWNEROF OWNER BUILDER) IDATEI 7 NEW [ ] City of Fridley Effective 4/1/84 ADDN. C] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addri Legal Description Owner Name '& Address: L� of Tel. # 7ej!_0a y 9 Contractor: G idl /D /'/l CDiII� f �B• .�i�G - Tel. # .J1e lO -607 U Address: �,j "e er dl/C, fa 1-4-f/X1'/S-e1zze LIVING AREA: GARAGE AREA: DECK AREA: 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 Length Width Height Sq. Ft. Width �_ Hgt/Ground 6 -Sq. Ft. OTHER: -f yk-A- gpw Aaxc& / x /69X 16,8 z z -�J V. 54T- %4 Corner Lot [ I Inside Lot [k] Ft. Yd. Setback _ Type of Construction: C-E4f4L. � Approx. Completion Date: Jae /✓� / �� Estimated Cost: $ f - 3,st0 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 7 l t- t ' APPLICANT: Zilff Tel. #" ®'ln .0 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Ga&.t 5 CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE DA: c Tnvw: m rs r Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL Job Address 7585 McKinley $ 20.00 $-10.00 $ 10.00 $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit, $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. $ 10.00 Fridley, Minn. May 31 88 19 $ OWNER Dale Kruger KIND OF BUILDING Residential USED AS Residential $ TO BE COMPLETED ABOUT ESTIMATED COST $1400.00 $ .50 _ $ 15.50 OLD - NEW BUILDING PERMIT NO.: --'—PERMIT NO. . . DESCRIPTION OF FURNACE/BURNER **Installing one (1) Carrier 38EN0 24 / 24 2 ton air HEATING or POWER PLANTS, Steam Hot Water, Warm Air- No. conditioner Trade Name I' Size No. MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Attach stack verification foam with. replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Capacity Sq.,, Ft. EDR Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR BTU HP Kind of Fuel Size No. BTU HP Company . Dependable Heating and A/C %gned By Tel. No. 757-5040 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 connected Yes ( ) No 6. - Has Total heating BTU' s of All other BTU's TOTAL Remarks Company Signed By Date SUBJECT P City of Fridley 23019 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 1 • _______ COMMUNITY DEVELOPMENT DIV v 1 PROTECTIVE INSPECTION SEC // 41�� r 1 � i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 A. 1'' 612-571-3450 910-F15 10/20/94 JOB ADDRESS 7585 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Bayer's Lakeside 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Krueger 7585 McKinley Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dodge Roofing Co 10267 University Ave #216 Blaine 55434 780-8547 CITY 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 ❑ ADDITION O ALTERATION l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR 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 AND EXAMINED THIS APPLICATION 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 $1,875 $.94 DOES NOT PRESUME TO GIVE AUTHORITY_,O VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER EO LO A LAW REGULATING CON- TR CTI N HE RFO AN E F C N RUCTION $43.00 Fire SC 1.88 PLAN CHECK FEE TOTAL FEE License SC None $45.82 si NATURED ONT CTORORAU Ri ED AGENT (DATEi WHEN PROP LY VALIDATED THIS IS PERMIT )Y�O�UR Q� �le ly— / B OG iNSP MATE _ S,GNATURE OF OWNER 11F OWNER BURDERi iDATEi NEW (] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstivctionAddress: �� .� �� /�� s✓AUL , ' _ _ J, �� i/ Legal Description: Owner Name & Address: Tel. # Contractor: h- 0 �_ � l MN LICENSE # � A i C� Address: lC5 Z 6,LL Q /T 445- � �� C✓�/!�� Tel. # . 7, 92. -VZZ 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ Hgt/Ground _Sq. Ft. OTHER: -�(/U�r �i�/e �/��S ,L7 `S Corner Lot [ ]Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction. Estimated Cost. $ Approx. Completion Date: - (Cost -on Back) Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Ft. + Ft - Ft - $ -44Z e'-40' Tel. # 7FO 3�' USE ONLY $ Fee Schedule on Reverse Side $ / ..001 of Permit Valuation (1/10th%) $ `$.50/$1,000 Valuation $ $$OO per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: Fee Determined by Engineering $ Agreement Necessary ( ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTSAND•WEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES J08 ADDRESS N� RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ representations stated in this application are true and c rrect. V `l Gas Piping (Needed with new furnace) $ 10.00 $ - 1997 � OWNER•J� •� ,� O � `I y - Gas Range $10.00 $ ,— BUILDING USED AS Gas Dryer $10.00 $ *Air ESTIMATED COSTS IA C�� + PERMIT NO. ae Conditioning �- All Sizes $ 25,00 $ All Others/Repairs & Alterations (UST ON BACK DESCRIPTION OF FURNACE AND OR BURNER 1 % of Value of Appliance or Work $ l No. of Heating Units / Circle One (Steam) (Hot Water) (Warm Air) Trade Namsp. � Size No. Commercial/Industrial BTU_ HP EDR 1.25% of Value of Appliance or Work $ Fuel_�� Total Connected Load State Surcharge 50 Burner Trade Name Size No. TOTAL FEES -0 BTU HP EDR HEATING COMPANY r� L 6 ,Sjj 1^3 MINIMUM FEE FOR ANY HEAT] NG/COO LINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed B Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved ByRough-In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE OR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: . List ALTERATIONS BgLm Done: HEATING CO: Signed By: Date: CEIMMY 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 Yea) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Ye) No ( ) 6 Has total heating BTU's of tb All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: . List ALTERATIONS BgLm Done: HEATING CO: Signed By: Date: SUBJECT PERMIT -- -. city of Fridley City 3 184 1 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �jg 572o0 � � i CITY MALL FRIOLEY 55432 NUMBER REV DATE PAGE OF APPROVED By ' 612-571-3450 910-F15 5/22/01 JOB ADDRESS 7585 McKinley Street NE - 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Bayer's Lakeside 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS zip PHONE Kathy/Dale Kruger 7585 McKinley Street NE 763-784-0249 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Anderson 350 73 Ave NE, Fridley, MN 55432 763-502-4777 20130983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 4 window inserts; 5 full frame windows, & 1 bay window within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 @@ $15,000 $7.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 PLAN CHECK TOTALFEE Licen$5.00 78.75 SIGNATURE OF CON'aAC TOR OR AUTHORIZED AGENT (OAT6 N OPE ALIOA THIS $ y UR PER MIT® BOG NSP - gAtE S.GNATUAE OF OW NEA iiF OWNER Bu40ERI,DATE, NEW( ] Effective 5/10/99 ADDN [ J CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �• STi' �, rte_ 1�, „n� U y� Legal Description: Owner Name & Address: Contractor:; RENEWAL BY ANDERSON 350 -73RD AVE.,NE. Address: Fu--.DLEY, MN. )763/502-4777 ILLICENSE# 20130983 LIVING AREA: GARAGE AREA: DECK AREA: 16 119,815) Construction Type: -eX in Tel. # %3 • '$ � •oay q MN LICENSE # Tel. # of Survey of the ,vn on it to scale. DESCRUrMN OF..UWPIROVEAfENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ 15 Ft x $ = $ DATE: a 1 • t APPLICANT: Tel.C�(QDq--� TOTAL $ 15 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ -00 .001 of Permit Valuation (1/10th%) State Surcharge $ C) $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S, $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 15 STIPULATIONS: SUBJECT city of Fridley 73(29 9 2 AT THE TOP OF THE TWINS BUILDING PERMIT • COMMUNITY DEVELOPMENT DIV. RECEIPj N r PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ".j 763-571-3450 910-F15 8/19/02 JOB ADDRESS 7585 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Ba ers Lakeside 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Kruger 7585 McKinley Street NE 763-784-0249 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stevens Co 10650 Co Rd 81 STE 217 Ma le Grove MN 55369 763-315-6622 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20321894 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR 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 AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $8,000 $4.00 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- Fire SC $8.00 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION $153.25 ♦ PLAN CHECK FE TOTAL EE Licen S $5.0 $1 .25 �G UREO% NTRACTO ORA NORiZEDAGENTiOATE. HE PROPS ALIOATEO HIS I$ Y UR PERMIT S-GNATURE OF OWNER6 OWNER BU4OER1 (DATE, BL ip SP gAtE ►AZA ADDN [ ] CITY OF FRIDLEY ALTER ]c SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7:5 9 5 J�� c>< / �,�`��" 1/ SzlV., C- Legal Description: Effective 1/1/2000 (763) 572-3604 Bldg Insp Owner Name & Address: 9�44i V ntR'y G Pe Tei. # Contractor: � 6y� MN LICENSE i �"yo 3Z /9/ Address:-'/r'&/5o �/ ;r/ Tel. # 7/3 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:f - S; � �✓�' Estimated Cost: $ '?) oez9 . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a /� APPLICANT:Tel. # �f CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application STIPULATIONS: V Permit Fee $ l f 3, Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ `�. e $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J 9, TOTAL $ STIPULATIONS: V 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 Effective On January 1, 2002 ' JOB ADDRESS 7�15� RATE SCHEDULE Residential Rate TOTAL OWNER Q itC� QhJ ' Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $,— ESTIMATED COST �2cd[�•�� PERMIT NO. 1�1 Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating U its ! Circle One (Steam) (Hot Water) Warm Air Gas Dryer$ 10.00 $ Trade Name Size No f��YtD BTU �t�� fm HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel�Q&d Q a2 Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) � ® „ ,Qurner Trade Name Size No. 1% of Value of Appliance or Work dA $ 07 • BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all! the facts and representations stated in this application are true and correct. TOTAL FEE $ ✓�f DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO DLA , ®� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed P. kz%e, TEL #ci REINSPECTION FEE $47.00/Hr FAX # *Air Conditioners can not be placed in a side yard without Approved By 'V Rough -In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATIQN ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When nring] an exis ina f trance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, YesX No( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and terMination. Yes 06 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 Yes W No( ) assisted and natural draft appliances. The existing, comtn,stion air is sized and installed to meet the current codes Yes o No( ) and manufacturers specifications. When required to °nnt;ii a new combustion airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When in t^Ilin•g s neap venting system, 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 VentingYes Tables for fan assisted and natural draft appliances. No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented YesK No ( ) separately as per current codes. A Iran =j/� a and Size/rommnn Vent and Vent Connector Information BTU Input -7bi Fan Assisted or Nat_ Appliance #1 Type BTU Input � Fan Assisted or Nat Appliance #2 Type Fan Assisted or Nat Appliance #3 Type BTU Input Total Appliances �_ Total Btu Input /I Common Vent Type `►`� Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length X_ft Diameter in Type Appliance #2 Vent Connector Height :�—ft Length 'I— ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: (' -,flC�) Date — SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMI NO.: 2004-009� 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/15/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 7585 MCKINLEY ST NE PIN 123024110023 LEGAL DESC BAYERS LAKESIDE 2ND ADD LOT 2 BLOCK 1 PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 1,500.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 0.00 ANDERSON HEATING & AIR COND 4347 CENTRAL AVE NE GAS PIPING FEE 10.00 COLUMBIA HEIGHTS, MN 55421 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 23817 0.50 35.50 OWNER KRUEGER D E & GROETHE K S 7585 MCKINLEY 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 work 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 f any other state or local law regulating construction or the erfo ce of construction. Applicant Date— Bldg InsI71d''� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 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 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) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work i P 4 -32-9 Effective January 1, 1UU3 OWNER��-�1 Rate TOTAL BUILDING USED AS— $30.00 S$30.00 $ ESTIMATED COST PERMIT NO. ®� l 'o0q1-')V $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00. $ Trade Name Size No. BTU HP _ EDR $ 25.00 $ Fuel _ Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLIAS 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.. Burner Trade Name Size No. $ BTU HP EDR $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signed _ TEL # /13-1 &s)� FAX # Approved By Rough -in Date Final Date �� Div THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT. VENT CONKECTOR AND CQMRt IRTION AIR VERIFICATIM When repla i g an taxicging furance, 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 plastic/PVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly Fan Assisted or Nat and meets the current codes and manufacturers specifications. This does BTU Input include AGA-GAMA Category I Central Furnace Venting Tables for fan Total Appliances assisted and natural draft appliances. Yes( ) No( ) The inYi�nnn cnmhuetinn air is sized and installed to meet the current codes Vent Height and manufacturer's specifications. Yes () No ( ) When required to install a new cnmhictrnn air it will be sized and installed ft Diameter in Type to meet the current codes and manufacturer's specifications. Yes () No ( ) When jpc alling a new venting system, 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( ) 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( ) 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 Tyne 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 :