PRE 2010 DOCSCOMMUNITY DEVELOPMENT DIVISION
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NORTHEAST
Name Current Occugant
Address 1242 Norton Avenue N.E.
FRIDLEY, MINNESOTA.55432 .
NOTICE OF NON-COMPLIANCE
Date July 30, 1979
Date & Time of Inspection
July 301 1979 11:00 AM
i
An inspection by this Department has indicated that you are in non-compliance with
the following checked (x) sections of Chapter 113, Refuse Disposal, of the City Code.
You are hereby notified to take whatever action is necessary to correct any violations
on or before August 13, 1979 Failure to comply with this notice may result in
legal action by the City Prosecutor.
( X ) 113.02 Provide sufficient containers for the storage of all refuse
(including garbage) accumulated on the premises between collections.
( X ) 113.02 All refuse containers shall be water tight, have a tight fitting
lid, be impervious to insects, rodents, vermin, and absorption of
moisture, be fireproof, and not exceed 30 gallons in size (unless
otherwise specifically authorized).
( X ) 113.02 All refuse shall be stored in approved containers, with the cover
in place.
( ) 113.08 Containers shall not be placed or maintained as to interfere with
the use of adjoining property. For the purposes of collection
only, the containers may be placed a maximum of 3 feet in front -
of the dwelling unit.
( X ) 113.07 The contents of storage containers shall be collected at least
once every week, or more frequently if necessary.
( ) 113.09 Containers without covers, in poor repair, corroded, or otherwise
defective shall be repaired or replaced.
( X ) Other Immediately discontinue the practice of storing garbage in plastic
bags. Provide 30 gallon metal containers with covers to store garbage
inside between weekly collection.
If you have any questions concerning this matter, please feel free to call on -us at
571-3450, extension 164.
CC: Donovan Elias
7390 Concerto Curve N.E.
By: _ 10.
Inspec ion Department
STEVEN J. OLSON
Environmental Officer
N
•- CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS; OR REPAIRS)
►r1 M
OWtJBR: BUILDER:
Address: Address: zw
Tel. No. Z �zel
i
No.: Street:
LOT: BLOCK: ADDITION:�CG�G/%�✓� ��c.e- i � 'r
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
�-t�
Front: Depth: Height:
G
Square Feet: 1,3'1 (P Cubic Feet: J6,U
�A Front: Depth: � Height: /Q
Square Feet: Cubic Feet: L9' �
a •S/� /SO
Type of Construction: L0036 Estimated Cost: $
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired � $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that -all the facts and representations stated in this application
are true and correct. See reverse side for additi nal information.
DATE: 4/�,Zz z SIGNATURE:
Stipulations:
9CV*%;V c
.. P.C. %
5jft!W z
4S z
m�
III,,)n
M. 4q
Z31SOR
JEC* ®n
�8.vb
/, 6 83 - ?8
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
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:
lst 3 Fixtures x $ 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 BTU X $10.00
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS
ALTERATIONS & REPAIRS
State Surcharge
TOTAL FEE
�k
Job Address /;P ®
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. � , Jam�"
, 19
OWNER 4W 4
KIND OF BUILDING
USED ASv�
TO BE COMPLETED ABOUT
ESTIMATED COST
U OLD NEW BUILDING E IT NO.
$, A1� ad
$
$
$ .50
.':RQ. f®
PERMIT NO. r�C92
DESCRI?TION OF FURNACE/BURNER
HEATING or POWER , Steam, Hot Water, Warm Air- No.
Trade :dame Size No. ���.. � �✓
—r
Capacity / Sq. Ft. EDA BTU RI HP
Total Connected Load / (j Kind of Fuel _
BURNER - Trade Name Size No.
ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP
Date ($10.00)
FINAL INSP. �� — ® Company
1
Date
�� � _ Signed By �
APPROVAL FOR PERMIT�'_-�-�— Tel. No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
*Attached stack verification for
0-
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Job Address _A �® — � z4 yt
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
OWNER
KIND OF BUILDING
USED AS
Fridley, Mn. / r / , 19
1-1%
%
TO BE COMPLETED ABOUT
PARTIAL RATE
to
o
as
Water
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
OLD BUILDING PERMIT NO. PERMIT NO. ` J�
Number Fixtures
1p
S
$3.00
4j
04
Future Fixture Opening
x
Heater
$
ani
ro
r�
$2.00
$
3
4
o c
Signed By
Catch Basin
x
$5.00
$
Sa
a) O
x
N
5°�'
C.
a
N
•ri 0
O
S
.ci
$
Water Softener
x
$7.00
m -4
N
ro
ry
-I
ro
W o
c
r+
rd ro
g ro
ro
$
Date
"as
to
U
p
M
Rl
m
3
0 W
to
W
U W
3
C7
$/ '
Date
O
lec
$1.00
$
Gas Range to 199,000 BTU
x
$x:0.00
$
APPROVAL FOR PERMITko�"
1st
02
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
Job Address _A �® — � z4 yt
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
OWNER
KIND OF BUILDING
USED AS
Fridley, Mn. / r / , 19
1-1%
%
REPAIRS & ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
State Surcharge $ .50
TOTAL FEE $
NFTN Vtr—rTnN rm" _
($10.00)
TO BE COMPLETED ABOUT
PARTIAL RATE
SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
OLD BUILDING PERMIT NO. PERMIT NO. ` J�
Number Fixtures
1p
x
$3.00
$ Sq. b
Future Fixture Opening
x
$2.00
$
Company
New Fixture, Old Opening
x
$2.00
$
Signed By
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU�-
x
$5.00
$ /0-00
Tel. No.7
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Date
GAS FITTING FEES:
FINAL INSP. /—/Io-
1st 3 fixtures
/
x
$3,00
$/ '
Date
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$x:0.00
$
APPROVAL FOR PERMITko�"
REPAIRS & ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
State Surcharge $ .50
TOTAL FEE $
NFTN Vtr—rTnN rm" _
($10.00)
City of Fridley
SUBJECTMIT
®1506
AT THE TOP OF THE TWINS
BUILDING
PERMIT `
RECEIPT NO.
`L------ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
ry Soo
1
%
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
�•�" ,•3 612-560-3450
910-F15
'JOB ADDRESS
1240-42 Norton Avenue N.E.
1 LEGAL
LOT NO,
BLOCK
TR ACT OR ADDITION
SEE ATTACHED
DESCR.
5
1
SHEET
2 PROPERTY OWNER MAIL ADDRESS
Martinson Builders 9131 - 6th St- N-F- Mp1q-, MN
ZIP PHONE
7Afi-1599
3 CONTRACTOR MAILADDRESS
Samp
ZIP PHONE LICENSE NO.
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
�(7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 46' x 26' duplex ' garagem
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Provide sod in
the front and side
yards.
UTILITIES WERE PUT IN BY PRIVATE CONTRACT. NO AS-BUILTS AVAILABLE
AT THIS TIME. CONTACT DEVELOPER FOR LOCATIONS.
(Sanitary Sewer Main Charge: $48.00)
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
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
1346 + 672
32.440 total
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
$47,145
123-98
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 OPTHE P RMANCE OF CONSTRUCTIO
$129.76
ig5f)-nn
s`"�¢ _
PLAN CHECK FEE
TOTAL FEE
SIGNATURE OF CONTRACT&S ORA, THORIZED AGENT (DATEI
WHE PROPER LI ED IS IS YOUR PERMIT
AJ
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 6
LOG INSP
PATE
�. CITY OF FRIDLEY
APPLICATION FOR RLSI ENTIAL BUILDING PEW41Ta
• (NEW, ALTLRATIns, ADDITIONS, OR REPAIRS)
13UILDEIt:
OWNER: >�►
Address: Address:
Tel. No.:
No. Street:
LOT: BLOdK: ADDITION:
4
COMER LOT: INSIDE TAT: SETBACK: SIDL'YARDS: .
Applicart attach '-to this form Too Certificates of Survey of Lot and proposed
'4• building location drwan on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
•• Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening is Desired $
(SEE 11EVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein'
specified, agreeing to do all work. in strict accordance with the City of
Fridley Ordinances and rulings of the Dcpartment of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for-joat' informatio
DATE: SIGNATURE: 0-1
Stipulations: '
rug ► �� 1 t�. '� 6
pw*,Aj CL -J%.. wy
s•u... -,c -L'S.a •
SAS.+
1240 N 04aw
ZGx 4c® = 11 tti w x S = 9140
umv. Lso%t'
26x 4 r- 1144
/ 3q L
d.v i i z 14, ISZo
C" -Ar,
2 fX 28 • 4 to 4012o C.
3Z, yqd
I I% I(A-s
Gam.- x �• w
PCS41 r 37.1 4qo
PLAO,
5 AO. -
41 1n
k �l,�d /ouv = �I let 7L
Kse
® UwUwwAM 1- Mill ww wee N. M %L
SbOJ?
.i6 SIU
® ?1 O r • r r.r i Nn.nr,!►:� !ni,nrr•,n(e i�ri lnhy IawA ti,,••w •n0 lend I9inrYry I!VI( J. i.•�
M.o•... , ow u 55!.11
Q.
A 11
Certificate of Survey for /79rl� ILDWS
440
NORTON AVENUE
7o nn
NORTH
gCcl/e40'
C
tt
rA An
�yrVV
00enotes Iron monument
LOT 5 BLOCK /9
Denotes Drainage t
Uti It ty Easement
NO J? TO N A V�. HOM FSI TES
ANOKA COUNTY
• r 7.
1 hereby certify that this is a true and correct representation of a survey of the boundaries of the above (
described food, and of the location .fit a+l) buildiw st thereon, and all visjlbio eacreochnfootst if any, free" ar as
said hod. As surveyed by ewe lhis.4 day N A '-F _A. 0. 112.
SUBURBAN iNGINKIRING, INC. d
h6a4l011-bllfhed. An qtgl.ts_fiswwed
M2l
suB.lEcr
P NO.
City of Fridley
2772
2 7 7 2 4
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
RECEIPT NO.
______ COMMUNITY DEVELOPMENT DIV.
1 v - PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
9/11/98
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS 1240-42 Norton Ave NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
1 Norton AVenue Homesites
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Elias
3 CONTRACTOR MAIL ADDRESS ZIP PHONE
LICENSE NO.
uarve Contracting Inc 8427 Center Dr7R5-1472
6016
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE
LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE
LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ .REMOVE
8 DESCRIBE WORK
gxx�x x C g )Cx I_YM Reroof duplex (28SQ) 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
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
$2, 399.60
$1.20
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-
$ 74.75
Fire
SC $2.40
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL F E
Licens C $5.0
$83.35
SIGNATURE OFC NTRACTOR R AUTHORIZED AGENT IDATEI
N OPE LIDAT IS I
3
Y R PERMIT
BL09FINSP
�S
GATE
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 161 'k) •- 4/1 AJ0421 All'( -
Legal Description:
Owner Name & Address: 61 / /�5 Tel. #
Contractor: n 1l eU &� N UAW D lU6 I AUC MN LICENSE # 6- 0l �9
Address: c �a�`l C.�f1 WL, —(-)� AJ& Tel. # �lS`�`/g7Q-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EWPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ZI/ ef, 7Z)
Construction Type: IPS Ire - roo( Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: Ql'lI-G% APPLICANT: , Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
$ iA63
� ' 3 r
M& FANS
91at6 VA
'�-ITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Effective On January 1, 1999
JOB ADDRESS___ 12 r' 0.1Y y
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 $�,1� representations stated in this application are true and correct.
(Side Vent — Fill Out Back) ,1998
Gas Piping (Needed with new fumace, $10.00 $ J
but not replacement) OWNER I
Gas Range $10.00 $
BUILDING USED AS
Gas Dryer $10.00 $
ESTIMATED COST ��p(®> PERMIT NO. /380
*Air Conditioning — All Sizes $ 25.00 $
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK)
1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air)
Trade Name F,ASize No.-
Commercial/Industrial BTU IS
, HP EDR
1.25% of Value of Appliance or Work $ Fuel QA4-6k4 Total Connected Load
State Surcharge $ .50 Burner Trade Name Size No.
BTU HP TD
TOTAL FEE $
HEATING COMPANY �`Yk ` ,
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr Approved By 16 Rough—In Date __ Final Dat e � ,
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STA VERIFICATION ON REPLACEMENT FURNACE
written permission from adjoining property owner.
CHEYMY 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 (t�'No ( )
3. Has no foreign objects lodged within Yes (No ( )
4. Is securely supported Yes No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes j No ( )
6 Has total heating BTU's of 0
All other BTU's u G ® o
TOTAL BTU's
7. Has a liner been provided for water heater Yes (6f -'No ( )
8. Has combustion air been provided for water heater YesNo ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
r- IAOO-
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
March 23, 2001
Don Elias
1242 Norton Avenue NE
Fridley, MN 55432
Re: Final Inspection at 1242 Norton Avenue NE
Contractor: Dependable Indoor Air
Dear Mr. Elias:
A mechanical permit was issued on September 3, 1999 for the installation of a furnace
at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a
final inspection shall be performed on the mechanical permit. As of this date no
inspection has been called for.
The permit fee that was paid covers the inspector's time to check to make sure the
appliance was installed correctly. We also check to make sure combustion air has been
installed and that the vent and vent connectors have been sized properly.
If you would like the installation inspected, please contact us within 30 days to arrange
the inspection. If we do not hear from you we will expire the permit and note that no
inspection were called for.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAVE,lNSEN
Build
Od Inspector
DJ/mh
TY OF FRIDLEY BUILDING INSPECTION
31 University Ave NE
dley, MN 55432
3-572-3604 FAX 763-571-1287
RATE SCHEDULE
,sidential
rnace Shell and Duct Work, Burner &
;o Replacement Furnace
is Piping (New Furnace, Fireplace, Insert)
I_dAv-
is Range
;s Dryer
tir Conditioning - All Sizes
Other Repairs or Alterations (List on Back)
0 of Value of Appliance or Work
inimum Fee $15.00 for Residential or 5% of cost of
iprovement whichever is greater
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS 1,2"t® / V9.46filA92ge Z7.
Fe
Total
Owner
$35.00 $�`nb Building Used As &ryja�_
$10.00 $_1!21_�C>0 ESTIMATED COST 1 � `� PERMIT NO
$10.00 $ DESCRIPTION OF FURNACE AND BURNER
$10.00 $ # of Heating nits —f Circle One (Steam) (Hot Water Warm
Trade Name 4L—% - -rO Size No
$25.00 $ BTU t3 HP EDR
Fuel Total Connected Load
Zmmercial/Industrial/institutional
25% of Value of Appliance or Work (List on Back)
inimum Fee $35.00 for Commercial/Industrial/institutional
$ 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
$ and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
State Surcharge $
�D
TOTAL FEE $
_INSPECTION FEE $50.00/HOUR 60
air Conditioners can not be placed in side yard without written approval
am adjoining property owner - copy to City
ILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
HEATING CO
1
Signed Tel 7�
Date '% 18t 1
Approved by Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, 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 jq No ( )
The existing combustion air is sized and installed to meet the current codes
BTU Input Fan Assisted or Nat
and manufacturer's specifications.
Yes No( }
When required to install a new combustion air, it will be sized and installed
BTU Input Fan Assisted or Nat
to meet the current codes and manufacturer's specifications.
Yes No ( )
When installing a new venting system, the undersigned hereby verifies that
Vent Height Diameter inches
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
YesjQ) 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 Type and SizelCommon 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 Y�w A I
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HEATING CO:
Signed
Date