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PRE 2010 DOCSDate Owner Address /Z e ( . BUILDING PERMIT Village of Fridley, Minn. NO 2960 7 Builder . ... Address // LO ATIO OF BUILDING No. .4..... Street .. .. .. ..................... Part of Lot .... . .�� . .�� Lot ................ Block ................ Addition or Sub -Division ...//... ' .... 01 Corner Lot ............ Inside Lot .....�... Setback ..... Sideyard % � n. ® ' To be Used as: Type of Construction DESCRIPTION OF BUILDING Fronto ,/ ® r ..®... Depth ..... . Height. C� Sq. Ft. /..��. Cu. Ft........ . Front Depth Height ......... Sq. Ft. . ® Cu. Ft. ... . Est Cost.. �. y .®. . ®...... To be Completed .............. . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. In consideration of the payment of a fee of$.. / . .. , permit is hereby granted to ....................... to construct the building o; addition as described above. This pis 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas sewer or water. Be sure to see the Building Inspector for separate permits for these Items. ?, City of Fridley SUBJECT 2 2 718 AT THE TOP OF THE TWINS BUILDING PERMIT i? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. �) r PROTECTIVE INSPECTION SEC. �� CEJ( 1 NUMBER REV DATE PAGE OF APPROVED BY i "1 CITY HALL FRIDLEY 55432 �""'�'� ".J 612-571-3450 910-F15 7/14/94 JOB ADDRESS 1163 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. SHEET Auditor's Subdivision #89 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert/Jean Rosecrans 1163 Norton Avenue NE 571-5536 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 ❑ ADDITION ❑ ALTERATION a REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Reroof Dwelling (15 Sq) Tear-off; gutters 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must meet the state building code. Install smoke detectors adjacent to sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 $1,125 $.56 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- $29.00 Fire SC $1.25. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $30.81 SIGN RE 9F CONTRACTOR OR AUT R1�' D AGENT IDATEI R RLY V LIDATED THIS IS YOUR PERMIT 0 GATE SIGNATURE OF OWNER OF OWNER BUILDERI ID TEI - " BLDG WSp NEW j J ADDN {� ALTER ConstructionAddr , Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: �B�—,ter �c,�, � s ��t �,✓s S. .,ng . Tel. # Contractor: Q w we . MN LICENSE # Effective 1/ 1/94 Address: . 59—+E e-9-sTel. # ,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: Z12� 1<�A-* _ - �/ Corner Lot ( ] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ f Estimated Cost: $ 075 ?S– Approx. SApprox. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x = $ DATE: APPLICANT. e . Tel. # �'/- ��6�36 CITY USE ONLY Permit Fee $ �! �' �' Fee Schedule on Reverse Side Fire Surcharge $ / . ? .001 of Permit Valuation ( 1 / 10th %) State Surcharge $- $.50/$1,000 Valuation SAC Charge $ $800 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 ( ] TOTAL $ STIPULATIONS: SUBJECT . City of Fridley WRECKING 33787 AT THE TOP OF THE TWINS I all nit In P E R M I T f RE EIPT NCh COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPR VED BY ---1 CITY HALL FRIDLEY 55432 763-571-3450 910-F15 8/11/03 JOB ADDRESS 1163 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt lot 4 Aud. Sub. #89 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael 9814 P{n Oak Ave, Brooklyn Park, MN 612-636-8156 .luaire 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PY0 Group Inc PO Box 43243, Brooklyn Park, MN 55443 612-636-8156 20139308 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 ❑ REPAIR ❑ MOVE REMOVE X 8 DESCRIBE WORK Wreck House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS All demolition debris, including foundation & slab, shall be removed from site. Firal water meter reading needed and entrance to remove water meter. SEPARATE PERMITS ARE REOUIRED 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 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $26.25 Credit STRUCTION OR THE PERFORMANCE OF CONSTRUCTION t PLAN CHECK FEE TOTALFEE v Q .3 $26.25 iGNATURE OF CONT+ C R OR AUTHORIZED AGENT tDATE, er, EN PROPERLY VALIDATED THIS IS Y RPER IT 1�1 TFIR _ t` Y� G INSP DATE S-GNATURE OF OWNER OF OWNER BUILDER) IDATEI Effective 1/1/03 CITY OF FRIDLEY MOVING [ ] WRECKING W PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 Job Address: x y w n 1. 1 ael Legal Description: —amt IZA � A' a WE -r• nuu �,-�ufw• -- Owner & Address: 11ile,G+ae1 �luQ��`P 9�1� ��%� •l un1Dk� 1h� Tel. #k2 -Z,4 -81J& Contractor: �/Y17 (7K.oUP _Tel. #6/Z-�3G-,'��Slo Address • >< 32 3 S!j l n f'&4 State License # 201393Ob DESCRIP711W& BUILDING /7280 HOUSE: Length _ Width Height Sq. Ft. Cu. Ft. ? - GARAGE:Length --F=� Width Height _ Sq. Ft. 3&0 Cu. Ft. TT OTHER: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost $ Approx. Completion Date Water Bill Paid: Yes [VJ or Collect [$ Moving Route: SignatureA11, t I�t The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS INCLUDING FOUNDATION & SLAB SHALL BE REMOVED FROM SITE. v Jo O Date S• nature Moving Wrecldng Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PE 1%W FEE: o?(� - a'� MINIMUM $20.00 STIPULATIONS: sueJEcr P_ER11A1 i City of Fridley � AT THE TOP OF THE TWINS BUILDING PERMIT (33821' i � IPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV OTE PAGE OF APPROVEDBr 1 1 CITY HALL FRIDLEY 55432 910-F15 8/22/03 JOB ADDRESS 1163, 1165, 1167, 1169, 1171, 1173 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. E 120' Lf L t 4 & W 70 of Lot 5, Auditor's Sub. #89 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Juaire 9814 Pin Oak Ave, Brooklyn Park, MN 55443 612-636-8156 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PMJ Group Inc PO Box 43243, Brookljm Park MN 55443 612-636-8156 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING 6 Unit Townhouse Building 7 CLASS OF WORK {� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 6 Unit Townhouse Building with Garaizes 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Paid Park Fee of $9,000.00. Two SAC Credits from homes removed from site. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 6 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 $791,576 $395.79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $4,620.75 Fire SC $791.58 PLAN CHECK F TOTAL EE ,908.12 + PF GAEOF COI LIOATTURO VEN O IS IS Yo JR 69 IT SIGNATURE O� OwNER � F OWNER BUILDER, IDATE. gip I g6rE 7 CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE R-3, COMMERCIAL & INDUSTRIAL Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 FAX (763) 571-1287 116-365; /14-7/ 11447, /Mi 11,93 CONSTRUCTION ADDRESS /A(3 It Zoning Legal ast 1 ZD -%F. of Lot 4- ,t- Asf 7D -H. Of Id 91AJ Nw A. 8 Owner & Address ffiljWel ,(erre . ftd &&k1,4 &J4 -, ly6) Tel# (612 )0-9IS- CONTRACTOR & ADDRESS PmQ6WP ,;!!?C. Tel# ( 2. ) 0-1964 PD 13a X 432,3 i � kly� �°a�c, MA) s� 3 Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK J,New [] Addition [] Alteration -Describe to urvi r Tom tkm E U.uc..D )•u C, a- f� 32 / /'.;t M. AREA: Length 2Wi dth � ' ► n;� Height Sq. Ft. &) 4 Ux;-- 2 AREA: Length 3 Grhrt Width Uhf Height Sq. Ft. WUP+"F 6A4A&9+++E* AREA: Length .IT,7 Width 9.5 � un.i'Hei ght Sq. Ft. ZGl/1i4- APPLICANT2Aj4;4!j U''`' Tel Date 3 VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) — ' Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ l 7 9/,5 7 Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Air Conditioning []Yes []No Fire Performance Bond Amount $ Permit Fee Plan Check Fire Surcharge �J State Surcharge �CPE!lis SAC Charge Erosion Control Park Fee Spec. Assessments Curb Cut Escrow TOTAL $ 1,&00.75 Type Occupancy Group Protection Provided []Yes []No See Reverse for Schedule Received PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. $1275 per SAC Unit (Plans to MWCC $450.00 Conservation Plan Review Fee Determined By Engineering []Yes []No Reverse Side for > $1 Million) for determination) Agreement Necessary [] Not Necessary [] feet x $17.00/foot ATTACH STIPULATIONS MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Multifamily DATE: 8-8-2003 COMPLIANCE: PASSES Permit # Checked by/Date Required UA = 1385 Your Home = 783 43.4% Better Than Cale Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 5400 44.0 44.0 65 WALLS: Wood Frame, 16" O.C. 5664 19.0 19.0 193 GLAZING: Windows or Doors, Above Grade 846 0.320 271 DOORS 120 0.130 16 SLAB FLOORS: Unheated, 48.0" insul. 348 10.0 238 HVAC EQUIPMENT: Furnace, 85.0 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer. Date 7 03 G! 6 Y ur- !-MIULt=Y INW'LU i 1UN Uiv. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 PLUMBING FIXTURE RATES APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR C�tihl4 Floor Cat Wash s Auto.s�S; Gas MlSC Water Heater ...:. <.:Q1;ItI :.: Sli>E> Tray Washer A Range Shower Gas Elec NO. RATE TOTAL JOB ADDRESS IW-) IV b UiU j R New Fixtures The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture specified agreeing to do all work in strict accordance with the city codes Beer Dispenser and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin and representations stated in this application are true and correct. Catch Basin Rain Water Leader 9 �'� 20_ Sump/Receiving Tank �'1 YUU Water Treating Appliance Owner Water Heater -Electric Water Heater - Gas" Building Used As Gas Range** Estimated Cost PERMIT NO. 1��93 Gas Dryer** Back Flow Preventer Required ( )Yes () No Type 1 $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 9 �'� 20_ $ 7.00 �'1 YUU $10.00 Owner $ 7.00 $10.00 Building Used As $10.00 $10.00 Estimated Cost PERMIT NO. 1��93 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE PLUMBING COMPANY IGNED BY -1 GNUS Approved By Rough -In Date_ $ .50 North AvwO Pl,RK&Uv\,g, Iwc. 22590 Ruvu R%vergLvd. ,st. Fra VLZc g, MN 55070 103-�53-33J�3� Final Date o� MINIMUM FEE F611 ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A, COMMON VENT INFO ON BACK SIDE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed L�, CTEL # -Ito-3'qqW 'F()r71 FAX # rl(D 3 -LM - HoLo REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved Byl��L Rough -In Date, Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Effective January 2003 :ITY OF FRIDLE. ,NSPECTION DIViSION 431 University Ave NE ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 'AX (763) 571-1287 JJ � f I tO3 ND(t0r )Ave, JOB ADDRESS RATE SCHEDULE OWNERTmT (71 Il I�iC..12 tesidential Rate TOTAL S��"1 I Furnace Shell and Duct Work, Burner - �1 o. BUILDING USED AS—PLP C7--, Also Replacement Furnace $ 30.00 Vent Fill Out Back) $ VO /� ESTIMATED COST �tl1LJ' PERMIT N0. %o 7!z/ (Side - I O O� Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units,_Circle One (Steam) (Hot Water) Warm Ai Gas Dryer $ 10.00 $ Trade Name VQVK Size No. * Air Conditioning - All Sizes $ 25.00 $ 2 U® BTU HP EDR Fuel Total Connected Load (4,060 All Others/Repairs & Alterations (LIST ON BACK) -00 Burner Trade Name Size No. 1% of Value of Appliance or Work $ tQS ---- BTU HP tDR ,ommercial/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 $ ws-_ 10'1-03 DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed L�, CTEL # -Ito-3'qqW 'F()r71 FAX # rl(D 3 -LM - HoLo REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved Byl��L Rough -In Date, Final Date written permission from adjoining property owner. 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 When re I�_inn an evistinnfi ranr_E±, 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 K) 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 i-nmhi istinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes) No( ) When required to install a new cnmhiistinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When jpsalling a new venting--ygam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA 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 FA r-LLY1 IQ.CE, BTU Input W006 an Assiste r Nat Appliance #2 Type BTU Input Fan ssisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances �_ Total Btu Input_ 0 0((0 Common Vent Type C (;SSS Vent Height rr Diameter inches Appliance #1 Vent Connector Height 2 ft Length 4 ft Diameter L4 in Type 1 le Kfa i i A" hm I tir o Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height l ft Length ft Diameter in Type M ,EATING CO: t'Aj r Signed By: Date: Ii�' j'y 3 CITY OF FRI Y INSPECTION DIViSION Effective Oi ivary 1, 2002 6431 Univers[Ly Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICESr JOB ADDRESSp3 N VfW 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)+0f ArgJge, Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/ Industrial 1.25/0 of Value of Appliance or Work OWNER `��� 6–YO UL0 Rate TOTAL BUILDING USED AS $ 30.00 $ r� 00 ESTIMATED COST O U PERMIT NO.— $10.00 O.$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 Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS 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. 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 11 '12-03 HEATING CO � `I - *-(-Signed Ui77� TEL #-7b `tq t-71 FAX # Approved By Rough -In Date Final 2?U01 CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 13, 2004 PMJ Group Inc PO Box 43243 Brooklyn Park, MN 55443 Re: Final Inspections at 1163, 1165, 1167, 1169, 1171, 1173 Norton Avenue NE, Fridley, MN Dear Sirs: A final inspection was conducted on December 11, 2003 of the new townhouse construction at the above noted addresses. The inspection noted that the construction has been completed in accordance with the approved plans and is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 763-572-3603. Sincerely,