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PRE 2010 DOCSDate: * : 2 sem- e? Owner: Address City of Fridley, Minn. BUILDING PERMIT Builder Address eat h .2-®a ly N® 6506 LOCA N tIFUILDING No. 9" Street A F. e f _ P Lot Lot ___ Block Addition or Sub -Division . i Corner Lot W Inside Lot __ Setback _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING be used as: /f Front �� Depth Height �_� Sq. Ft. sem! � Cu. F lAt$0 Front DepthHeight Sq. Ft. Cu. Ft. Type of Construction Fast.. Cog-, Z- l /719A� To be Completed In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. In consideration of the payment of a fee of D building and in cc is hereby granted to to do ns of 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 regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violattoa,eRanny of the provisions of said ordinances. 1—k_ . J Building Inspector NOTICE: This permb don not ewer the construction, hutaWan for wiring, plumbing, on hating, sewer or water. Be euro to as the Building Inspector for separate permits for these item. City of Fridley Application for Ph mbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK �yo Number, Kind and Location of Fixtures L��" �e I C � Z Number Fixtures ...................... x Y F= � z Z §� t� Z �jO uhf 1.20 w ? • • WATER HTR. $ Base x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. 1st TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings _ Connected with Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE Number Fixtures ...................... x $1.50 $ �OTAL Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $�G —� City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Owner Kind of Building Used as �✓ To be completed about i Estimated Cost, $ Old—New. Building Permit ROUGH A SP FINAL 42 21A 19K -:t 52-84-0915-51 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 980 E X7.88 5 Number, Kind and Location of Fixtures Location !�+ 0 x 1.20 $ New Fixture Old Opening .............. x�^ ZZ 1.00 $ Catch Basin ..... ................. ... inG P N WATER HTR. GAS ELEC. $ 3 CK 3.25 � vi 3� o� Sn �0 V3 Base Insi G ncine4atcr 1st 2nd 3rd 4th Future Coaaec!$on Openings Connected with I Sewer � New Fixture, Old Openimp Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ..... ................. ... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. Gas Incinerator REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL — x $1.50 $ — x .50 $ x 2.00 $ 1 2.00 Description ................................................$ 2,00 TOTAL F= $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn. -2-8--67 19_ Owner 'ion Melton Kind of Building frame Used as res To be completed about 2-13-67 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit o. G e Si e By Business Phone No ROUGH FINAL 42 Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..:....................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ d each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $- STEAM or HOT WATER SYSTEM * Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . ................ , , , , . 2.50 $ Each add. 320 sq. ft. EDR Hot Water ................ 1. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule r GAS BURNER (up to 400,000 BTU) ....................... 5.00 $S GAS FITTING FEES: NO RATE / TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures .. ........ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE $ 1 Dept. of Bldgs. Phone SU 4-7470 Location Me? &44 • 1 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 cqrrect. Fridley, Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No.c Permit No. DESCRIPTION OF WORK 19 40 HEATING or POWER PLANTS—steam, Hot Water, Warm Air—No Trade Nam Size No 7 Capacity Sq. Ft. E.D.R e 62 % BTU H.P. Total Connected Load �,��` Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed SUBURBAN �HEl�TING & SHEET METAL 89,19 NT'DMVE By-LAINNEAR01.IS 2, MINNESOTA . 42 2M Business Phone No li'ss 4 2 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows( Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes,—No 19— ) F1.1 Vd,.17 Room l Length L Width / n Height fII Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. it. ft Coef.1 Btu Infiltration v Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal 13tu. Required sq. ft. E.D.R. or q, ins. W.A. Leader area RMTLength Width 4 Windows and Doors—Crackage and Area Width Height No. o[ Llneat ft. Area No. of pane of Dane lishts of crack so. ft. V Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 P.Z Room I Length L / Width // Height Windows and Doors—Crackage and Area Width Height No. ofLineal It Area No. of Dane of pane lights of crack eq. it. ft Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I L.ensrth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ft Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor _ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � F1.1 Room I Lenath Width Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ft Coef.1 Btu Infiltration Glass D Exp. wall Net exp. wall UAI Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader arra SUBJECT City of Fridley(7:9;35 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / ( Y01p i NUMBER REV, DATE PAGE OF APPROVED By i CITY HALL FRIDLEY 55432 •.•.�,��"',,� L 612-571-3450 910415 6/28/91 JOB ADDRESS 980 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 MooreLake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Melton 980 Mississippi Street NE 571-3137 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right-Way Roofing 11304 Red Fox Dr, Maple Grove, MN 55369 557-8678 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 ❑ ALTERATION P REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure (32 Squares) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing must meet State Code for watershield. On all new roofs or tear-offs and replacement roofs, State Code requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches up from exterior wall line, or the use of other approved undedayment membrane. 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 $1,650 $,83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $39, OQ Fire SC $1.65 RUCTION OTHE P F RMANCE OF CONSTRUCTION. P CK FEE TOTAL FEE $41.48 SIGNATURE OF CONT RA TOR OR AUTHORIZED AGENT (DAT WHEN PROPERLY A E H IS Y UR PERMIT NSP DATE SIGNATURE OF OWNER of OWNER BUILDERI (DATE( NEW [ ] Effective 1,/1/91 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: 'ts-V l V l l 5 e� S °� ip apiS /'V F— legal fi i r- IFC' owner Name Address: o r N`-� a 1/� Tel. Contractor: E : 'Ok kA Wo - Address: 0. Address: t l 3 04 K I -C-- G r oy '�'= Attach to this application, a Certificate of Survey of the lot, with the proposed cons xuction drawn on it to scale. EEBMIPl'IC K OF XKMN! LIVIM AREA: Length Width Height Sq. Ft. GRRAGE AREA: Length Width Height Sq. Ft. DECK AREA: length Hgt/ Sq. Ft. Width GrauY3 O�It: - 3 2 S C4"\ +-G Or b 1� cLy� A Y'� r O 6+ Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Constructicn: Estimated Cost: Approx. Ccepletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page APPLICm: t -Wow p® Tel. 4 CITY D6E ONLY t. Fee ale an Reverse Side .o01 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] t Permit Fee $ Fire Surdmrge State Surge $ SAC Charge $ Driveway FscYrm $ Park Fee $ Sewer Main Q=W $ Tam $ SPIPULMMS: t. Fee ale an Reverse Side .o01 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT'PERMIT NO. City of Fridley 2 9 975 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP • __ _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REv DATE T PAGE O: AVPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910415 8/3/99 JOB ADDRESS 980 Mississippi Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Melton 571-3137 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Construction 4208 83rd Ave. N Brooklyn Park 55443566-5225 20077950 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 0 NEW O ADDITION 0 ALTERATION x® REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage 36 S Tear-off 9 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 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 DWLG. UNITS OFFSTREET PARKING 1 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 $3146 $1.57 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST TE OR OCAL LAW REGULATING CON- $97.25 Fire SC STRUCTIO OR THE PERFORM CE OF O STRUCTION $3.15 PLAN CHECK FEE TAL FEE r 3 , /7 License 5.00 $106 7 S,GNATUREO ON'RACTOR OR AUTM RIZED AGENT IDATEI EN P OPER DATED TbOg IS YO.U.R PERMIT $-GNATURE OF OWNER,IF OWNER BUILDERI IDATEI BLO INSP nATE R.0 g 03 99 07:57a MY -16-1999 10:06 Kerri ppjo1 CITY OF FRIDLEY 566-7183 TO 6125667183 Effecem Snom NWI 1 GL COF FO's ADDN I l TX'1t I FaMy AND DUPLEXES R 1 AND R-2 AL BMDU40 PERMIT APPLICATION con ucxiom Address: Legal Description: OWW Name & AddKM: coldactor./ Adds: ZG� LIVING AREA: GARAGE ARBA p.2 P_01/02 "7 Tel. # MN LICENSE # ,,-�7 -A Auacb t,a 6, applicallm, a Ccrtifcaft of &Uvey of the lot, with the Ston drawn M it to scale. DF.SCRWnON OF OWROVEMM L=gch �— Width -- iii Sq. PL ---� I �---- width HgtJCrr Ft. DECK ANEW. OTHM S Construction TYPe:/G� F� Cod. 5..._---- Widib► Needed: �Ft. + 6 Ft = � t x 3 Driveway Curb Cut T& DATE �J 2 APPLICANT: TOTAL. $ C�%- grnULATLONS: 1 � L Fee Schedule on Reverse Side :001 of peu dt Valuation (InOth`,!�) $.5015t.0w Valuation $1050 per SAC Unit $5.00 (State L Residue Cosi Alt. W or Alt. "B° A1Ovc $+450.00 Cowtvadon Play Review Fee Detectioined by Eugin- ASM-cum Ncmmy i I Not Necemy E l Pem* Fie $ $ Fire Surd ' d st�mSmcbarP SAC (Marge 1 &mbuV$ $ "�® Faosion Cued $ Park Fee $ TOTAL. $ C�%- grnULATLONS: 1 � L Fee Schedule on Reverse Side :001 of peu dt Valuation (InOth`,!�) $.5015t.0w Valuation $1050 per SAC Unit $5.00 (State L Residue Cosi Alt. W or Alt. "B° A1Ovc $+450.00 Cowtvadon Play Review Fee Detectioined by Eugin- ASM-cum Ncmmy i I Not Necemy E l 3ITY OF FRIDLEY INSPECTION DIV. 5431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTAi I Fn nN FAr'.H FI nnR 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" Gas Range*' NO. RATE —I— Gas— Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00. $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL I JOB ADDRESSf?4)VIE7 dts 61ZL)E12— 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 aDDlication are true and correct. MELTON, DONALD JM& I .20 01 980 MISSISSIPPI STREET N.E. FRIDLEY, MN 55432 Owner_ (763) 571-3137 Building Used As_"E�1�RY Cst� 00 Estimated Cost PERMIT NO. .PLUMBING COMPANY Obi %uj PLO A1 Ci C -n SIGNED BY2&Lj]121��_TELNO.&Z Z7-110 33 Approved By Rough -In Date Final Date t Lbl��% $50 / ... •.o•.••.•vo• • tea.. r• v•� r� ■ • wuun�a�•aae•o rcr�•�u ■ J TOTAL FEE $ -50 PLUS THE S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) 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 ( ) When Installina 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 appliancehas beenremoved from the common vent and vented separately as`per current codes. Yes ( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY INSPECTION DIVISION � "l Effective On January 1, 2000 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 t 5r. AtF A?IULQy 5_s -q..2 RATE SCHEDULE OWNER P)AP—I�lU /° ZZ_7b1V 7(03-�71-3/37 Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS JAW 9 U I YOC - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) / ESTIMATED COST ®0 ev PERMIT N0. 61 Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ Gas Dryer Y $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) (Warm Air Trade Name C _ Size No. a *Air Conditioning All Sizes $ 25.00 $ �S-OG BTU &4;1 . eo D HP �d o EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR C'V'P4e1L Ty A 030 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 TOTAL FEE `®�"- S O representations stated in this application are true and correct. $ DATE �� D / MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION q a �' ?ZV e.19l4fl aft HEATING CO l tllA 0!� J, S'�P,e,�'` a1i'�oJ.D.S 17WREFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 s =y X33 PLUS THE $.50 STATE SURCHARGE Signed66!ZTEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final 1)4e a ' written permission from adjoining property owner. S7tj+OL COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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 VNo ( ) ' 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes j No( ) When installing 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 (r 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 (XNo ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type FL& BTU Input 70 k Fan Assisted or 1 Nat L� W Appliance #2 Type 4W4 r BTU Input 3SI� Fan Assisted or Nat ?-t Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height 4�-L2- -ft Length ft Diameter i` �in Type Appliance #2 Vent Connector Height L:±L_ft Length -_ft Diameter n Type C. fa Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Rimet-&L sh eel C. Signed By: Date i Dxir) a) r L/- is 4w.Joa /s 1 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 November 26, 2001 Mr. & Mrs. Donald Melton 980 Mississippi St NE Fridley, MN 55432 Re: Final Inspection at 980 Mississippi St NE Contractor: River City Sheet Metal & Norblom Plumbing Co Dear Mr. & Mrs Melton: Mechanical permits were issued on June 11 and June 18, 2001 to install a furnace, an air conditioner, and a water heater at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by these permits. As of this date, no inspections have been called for. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY INSPECTION DIViSION LYfective January 1, 2003 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 Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ .36,E (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 Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ `,ommercial/Industrial 1.251yo of Value of Appliance or Work $ State Surcharge TOTAL FEE iIINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION tEFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 'LUS THE $.50 STATE SURCHARGE ;EINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. $ .50 JOB ADDRESS 990 oflt'_e�S `S' LM, S % /tr c- BUILDING USED AS R eS AC -4-r S ESTIMATED COST ,dC'b. PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heatin Units_ Circle One (Steam) (Hot Water (War Trade Nam ��rt^, e� Size No. T a BTU_ %G;Oo® HP EDR Fuel Total Connected Load Burner Trade Name Size No._ BTU HP ED The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. RNW City Fumace & FirD11'E epla HEATING CO 9928 Bluebird St. N.W. L;oon Rapids, MN 55433 Signed $ 76 -PAVii /O a O-3 --G'' Approved By. Rough In Date Final Date _ ® 03 FILL CUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DAM AN 2020 X 763-502-4977 FAX EFFECTIVE 2-19-09 (� y� Q CI DATE ;t �YOUR E-MAIL ADDRESS L $ 1 C e. l n'S) i C beCLn-, PALL (f IQl i n(4 , C 0961 SITE ADDRESS \ S 1SS1 1 F L THIS APPLICANT IS: ❑ OWNER dCONTRACTOR PROPERTY NAME:%rr,1 OWNER/ 9 � L ADDRESS�-.CAAg ) NW-, SI PJ �- CITY 1C e STATO�AI Lj TENANT PHONE: !.i \a, G 0 !.r CONTRACTOR NAME: C N-\ J1Lt. Vylloi 1c, zimc • SUBMIT A COPY OF STATE LICENSE # OLP 19 i a? -Pr" XP DATE l _L YOUR STATE LICENSE, BOND AND _ 5_ + STATE BOND # 12-L 5 7 EXP DATE 7 CERTIFICATE OF ADDRESS:' 1 ` , eci CITY C.{� {"S STATE WJZIP ,5 7 INSURANCE PHONE AL ). LA 2E;• l ba k FAX % (_0L� 8A 35 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK C e "Y- cxle v' o i A FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 _L x $35.00 = $_46.() State Surcharge $ .50 (MINIMUM $35.50 Total = $ , THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' n for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in e f all work which requires review and approval of plans. SIGNATURE OF APPLICANT NAME DATE PLEASE NOTE: S EPAUAAPE_RN_ff_TT7M REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NIN 55432 763-572-3604 FAX: 763-502-4977 )9