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PRE 2010 DOCS (2)
City of Fridley SUBJECT PE P 5-397' 397 AT THE TOP OF THE TWINS BUILDING PERM I _ r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. 1 r 1 i PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/16/79 JOB ADDRESS 1285-87 Norton Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. W12 of 10 Auditor's Sub. #89 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Erickson 2178 - 17th Street N.W., New Brighton 636-2636 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS THE QTY OP MDLElf LICENSE NO. ACCuRACY OF UMITY IOCAMONS AND ELENAT104 5 ENGINEER MAIL ADDRESS THIS DATA. IS FOR INFORMATION LICENSE NO. pE'RSo"S USING R SHOUW YEAIFY THE INFORMATION 6 USE OF BUILDING ON THE SITIL Res idential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 48' x 40' Double and a 20.841.x 48' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. SEWER LOCATION: CApprox. 11' Deep In Street) 15' W. of M.H. (Inv. 877.94) INV. ELEV: 877.71 TOP OF FOOTING: 880.71 Minimum Elevation WATER LOCATION: MUST BE TAPPED - 6" CIP 40' S. of S. Lot Line DRIVEWAY DEPRESSION ESCROW: Recommended but not required. AMS 'SEPERATE PERMITS i�EQUtR�D FOR "RInw, Before di�Ir�g can local utilities TEEEFWO'k•FtECTRJC- HEATING, PLUMBING AND SIGNS. GAS F_fr.. REQUIRED Sy 1..�'�' 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 38,400 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $63,050 $31.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI R THE PERFORMANCE OF CONSTRUCTION $153.60 $850.00 PLAN CHECK FEE TOTAL FEE �01AUTHORIZEDAGENT 38.40 1 073.53 SIGNATURE OFCONTRACTO (DA)t WHEN PROPERLY V IDATED THIS IS YOUR PERMIT BLDG INSP SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:11 BUILDER:';° ADDRESS: �3 17�'� l I'`� lU, J ADDRESS: TEL NO: TEL NO: Construction Location I lin CJI �� STREET NO: STREET: LOT: 7 BLOCK: ADDITION: Corner Lot: �� Inside Lot: Setback: Sideyards:-4— Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF -CONSTRUCTION C �( G i Front: Depth: Height: Squane.Feet_ Cubic Feet: Front: Depth: Height: Square- Feet: Cubic Feet: Type of Construction:Estimated Cost: To Be Completed: l Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: /—$ _ _._ $ - 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,h eby declares that all the facts and representations stated in this application a e true and correct. DATE: ® SIGNATURE Stipulations: tx 'em .o - qsoc� tol 41. so a v 1285- Izer) NOrcm).3 AvE . P�. LCUCL, d Iq. ►(Gx 4a O C, 0 SIL . 46 x 4o = ►�2A xIZ= 13og0 c�.. CpAq,"c vco K%b 8000 --Qr�k- L44 )(9w = 50 q i -lo 2S. 39 x iqzo = 48 10.9a j��•37 x 3':;b. oo to -j, 043 (aa o -L G3 OS d 10 ,w►�r -8.4 x = /:57-166 Pc,A�AJ C -r- -te.4o Ix 63.09 K . Sv 3� • S SAG a-mo.ou _ Flo 0)3 S-.3 0 �- 1285- Izer) NOrcm).3 AvE . P�. LCUCL, d Iq. ►(Gx 4a O C, 0 SIL . 46 x 4o = ►�2A xIZ= 13og0 c�.. CpAq,"c vco K%b 8000 --Qr�k- L44 )(9w = 50 q i -lo 2S. 39 x iqzo = 48 10.9a j��•37 x 3':;b. oo to -j, 043 (aa o -L G3 OS d 10 ,w►�r -8.4 x = /:57-166 Pc,A�AJ C -r- -te.4o Ix 63.09 K . Sv 3� • S SAG a-mo.ou _ Flo 0)3 S-.3 0 ENL•'RUY CGU;;L'1tVATIUI1 SUPPLL'MUiT TO BUILL_IJC; PLUMIT APPLICATION °�W PLANNING: AND INSPF.CTTON Ula'Al,"PMFNT `p d T Tl�i� �;Il,l�cncnt i:, pl-vi&:d to assist the applicant in cumputing'F:XTL•'RIO" ENVELOPI•: "H" FACTOR Iry owIATION. This information is required so the BUILDING Ul:'J 1A1, Utut ;ubmi tted plans ccwpl y with the ENERGY CONSL•'ItVATION DES1 ",'I, CRI'E' F' -1A of the STATE BUILDING CGDE (Section 6000) . It is the APPLICANT'S resFt;nsibi lity to acci.rately compute th! data; reflect the proper DESIGN CRITERIA in tt +_ plazii3; submit E-rcduct specifications, if needed to support the "R" and "U" factcrs used; and to ssure constriction is per approved plans. JOB TDCATION: 67 - OWNS. !CONTRACTOR :,�� ADDRLSS: �� _� � �` e�. �(6 PHONE: P P A. Letermine the Total Exposed Wall Area as follows: I . Total wall window area ,) 2. Total door area 3. Total sliding glass door area Rc 4. Total fireplace wall area o 5- Total wall framing area (average 10%) /fig 6. Total net wall area above floor(average 90%) 7. Total rim joist area /yrs Subtotal: Total exposed wall area above floor -Z 8. Total foundation window area 9 Total net foundation area above grade/r1 Subtotal: Total exposed foundation area 112 GRAND TOTAL EXPOSED WALL AREA B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = Item I C. D,termine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area C-3 11. Total roof/ceiling framing area (10%) / 9;9L 12. Total net insulated roof/ceiling area / �R GRAND TOTAL EXPOSED ROOT•'/CEILING AREA /9�0 D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II E. i'rE .,rnmine the "U" value of ,.ch segment (1-9) F " wuW,nly by t.1,0 area I- _ l -2—i iQ x "'J„ J . 4. Q x :full 6. ��83. x „U" 8. O x "u„ 9. 112 x „u„ sy 9 ADD 1-9 rOR TOTAL WALL SEGMENTS = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. n x "U" e 11. l qa x four _.�D B?, 12. x "U" 3 91 ADD 10-12 FOR TOTAL ROOF/,CEILING SEGMENTS ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item Ii, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I dyall A ' + Item II J. Add Item III 3 ?,/. ! + Item IV K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information -has been ;prepared and submitted by himself or under his direction, hareby acknowledges the information to be correct and accurate; and hereby [:resents the information with required plans in support of the building permit application. By: DATE: el Puz - 2 It lift O. 0 04 tn C3, 1-30 C3. w 4:31 ,b I I CNI dcl COC O 2 it 4j Aj 20 T� SO, zI d(n 4 O C-4 goo% �* .4 iJ 2 anz :1- :1 jr C3 Puz 1 • It lift C3, 1-30 C3. w 4:31 ,b I I CNI dcl COC O O D 90 OO ISO if n -0% 4% -M In 'X O C-4 ar "61 iJ 2 anz :1- jr 1 • It lift C3, 1-30 C3. w 4:31 ,b I I CNI dcl COC O O D 90 OO ISO if n -0% 4% -M In 'X V C3 I 1 ui Li Ot, I12 30 Z' dD Cr, d% f 3* 10 C Ir 0 • !b. ;e; u a _j 9'. C14 & 1-'4c. fto 4D cc. m 40 1 4:). & IV in "i ^j ru ru !A ft N N m m rw m (m ft ft I'm I ft ji 'go Ct :.UI;AJ 2 1 W• imp W 2' m a In CL C, 3t A It C3, 1-30 C3. w 4:31 ,b I I CNI dcl COC O O D 90 OO a 0 if n -0% 4% -M 'X I 1 ui Li Ot, I12 30 Z' dD Cr, d% f 3* 10 C Ir 0 • !b. ;e; u a _j 9'. W'OL. 8. Ir. 0 ;-'.*• & 1-'4c. fto 4D cc. m 40 1 4:). & IV in "i ^j ru ru !A ft N N m m rw m (m ft ft I'm I ft ji 'go Ct :.UI;AJ 2 1 W• In I I— u a I I ati X,4j vC3 tn cr 4.,30 w m is, I et W"' 1-4 9, Ad OW lu 0.: 1 uf a. W 42 ItI in U4 t1i tV° (.,..570 0 CITY OF FRIOLEY 14P PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERBUT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any existing water or sewer line. Lot UA 1"lock dition Address la �'�u�'-tJ %iii . '�7- Owner Plumber CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: Materials Used: $ a U /Street Patch:: $ l d --o TOTAL: $ SEWER TAP: Street Patch: . x : $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water ASSESSMENTS TO BE LEVIED: Lateral: $ Sewer Lateral: $ TOTAL ASSESSMENT: $ f% Clerks Supt. o M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 f°. October 12, 1979 F' Mr. Robert Erickson 2178 - 17th Street N.W. New Brighton, MN 55112 Re: 1285 - 87 Norton Avenue N.E. Dear Mr. Erickson: The City recently received a telephone call from the person living at 1301 Norton Avenue N.E. (lot west of 1285-87 Norton Avenue) expressing concern over the encroachment onto their land at various times during the construction of your double bungalow at 1285-87 Norton Avenue. The encroachment has caused them some damage of which you should take into consideration at the time you complete the final grading and sodding of your property. Ile urge that you meet with Ms. Debra Masingill, owner of said property, to discuss what is going to be done and when, so that the work is done to joint satisfaction the first time. Your attention to this matter will be appreciated and if you have any questions, please feel free to call me at 571-3450. Sincerely, "- DARREL G. CLARK Chief Building Official DGC/mh CC: Ms. Debra Masingill 1301 Norton Avenue N.E. CITY OF FRIDLEY _t ,• ' APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATA 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 $,,g �D P each add. 50,000 BTU 4.00 $ *Replace sent of Furnace 7.00 q Repairs & Alterations -up to $500.00 7,00 $ Repairs & Alterations each add. $500,00 4.00 STEAM OR HOT KATER SYSTEM: Boiler & Lizies up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.Oq $ each addn. 50,000 BTU b.qq OIL BUIL`ER- to 3 gal. per hour each add. 3 gal. per hour . }q.qq $ GAS BURNER- from 100,000 BTU xo 11q,Rgq fiW s}q.gq $ Q (over 199,999 BTU see Fee S0e4!4;pj S GAS FITTING FEES:• 1st 3 Fixtures xx I - pp Additional Fixtures X $ �:qq Gas Range to 199,000 BTU x q;G,09 AIR CONDITIONINGD d FAN HEATING SYSTEMS See Fee schedule � $ VENTILATING SYSTEMS ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $� ROUGH INSP. Date FINAL INSP. LL •v Date APPROVAL FOR PERMIT -9•,7 7 f0 REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form ,lob Address (-3 ``'' Department of Bi#Jangg City of Fridley Tel. #x571-3450 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. OKNER r -IND G Fridley, Minn. 9 , 197 / psFD As TP EE FQMPLVTEQ MPRT EsT�N�!TEA cpsT . ��L�� PER - NNN PU RTNG PFEMTT Nq- ?EFMZT NO. UESOR4PTTO.N QF FURNACE/UURNER #NAT�NG R� $OAR1TSf PCRq?!}r NAC Y(&het W4fi4 Aid- No. Trade Name Size No. 76—, 00e capacity Sq. Ft. FDR BTU HP Total Connected Load ?7- 1)Z11- hind of Fuel BURNER - Trade Name Size No. .Capacity Sq. Ft. EDR BTU HP Company1bP"_CTC)i�- Signed By %moq,� 0_,g6tti k) A eh Tel. No. HEAT LOSS CALCULATION ° TEMP. DIFF. Customer Names Type Construction City Windows Storm Sash Dealer Name HEATINGWalls _ Ins. Street Ceiling Ins. City Ads Cooll Rapids, Floor FLI Room I Length Width Height 93 a FLIlj r oom I Length Width f4 Windows and_Doors-Crackage and Area T Width Height ANO. of Lineal ft. Area No. of pane of pane Lights of crack sq. ft. Windows and Doors-Craakage and Area Window and Doors-Crackage and Area Width Height No. of Llnaal ft. Ana NO• of pane of ane Li hri of crack W. ft. i 2-4 1 -0 Z ZZ -- -: - -- _ $_ ---- Infiltration 7 �, Glass -------- Exp. wall Net exp. wall, _Int. wall -_ - ---- _-- - Ceiling --- _ Floor Total Btu. - 4.0 z z2. _iAdd Z 4- Z- Z Z Coef. Btu G �o Infiltration a Glass Exp, wall Z Net exp, wall Glass Int. wall 60 Ceiling JAL Floor Z8 Total Btu. Z FI. Room I Length Width Height Windows and Doors-Crackage and Area No. Width Heignt No. of Lineal ft, Area of pane ofpaneLi hts of crack so. ft. i Btu Infiltration _ Glass Exp. wall Net exp. wall Int. wall__ Ceiling F loor Total Btu r..— I I ..�–... __..�_.. ...__.. Windows and Doors-Crackage and Area 1 11 .._.a.-' Nn Width of nano HeightNo. of Lineal ft. Area of nanc Lights of crack sq. ft. Windows and Doors-Craakage and Area No. Width Height No. of Lineal h. Area of pane of pane L h of crack sq. ft. Z 4.0 z z2. - Coef.1 Btu Infiltration Coef. Btu Infiltration ' Glass --- - - Exp. wall Net exp. wall Glass Int. wall----- --- JAL Ceiling 00 F ioor - Total Btu. 1 :5 -f73% Btu 'FLLj5_- :b RoomlLength / Width 12., Height Windows and Doors-Craakage and Area No. Width Height No. of Lineal h. Area of pane of pane L h of crack sq. ft. Z 4.0 z z2. - Coef.1 Btu Infiltration Q Glass JAL Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. FI.I Room I Ler e240- Width D Windows and Doors-Crackage and Area NO IWidth Height No. of Lineal ft. Area of Dane of Dane L. hri of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Z 3 ASO 4-592 Btu r F FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 November 6, 1979 Mr. Robert Erickson 2178 - 17th Street N.W. New Brighton, MN 55112 Re: Final Inspection at 1285-87 Norton Avenue N.E. Dear Mr. Erickson: A final inspection was made on November 2, 1979 of the above address and the following items were noted which. must be completed before the structure can be finaled out; 1. Post address on structure by November 19, 1979. 2. Clean lot of all construction debris by November 19, 1979. 3. Install a ball check in the floor drain by November 19, 1979. We will expect the above items to be completed by the scheduled date when a reinspecti.on will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE ° PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTO 100,000 BTU to 199,000 BTU water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL f6 f x $3.00 D� $ G� x $2.00 $ x $2.00 $ x k m x Water at m m o x $7.00 N a -i m in x $5.00 Q, w Heater $3.00 $ E/ x $1.00 n e W.00 $ :a i x o.a ay c .+ sc o o 0 mo m 849rdx 0-1 i, � o x ca 31U D 03 ca y 3 O W to W U M O as lec 1st \ 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (;) - New Fixture, Old Opening Water --------------- PARTIAL RATE SCHEDULE ° PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTO 100,000 BTU to 199,000 BTU water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL f6 f x $3.00 D� $ G� x $2.00 $ x $2.00 $ x $5.00 $ x $5.00 $ x $10.00 $ x $7.00 $ x $5.00 $ x $5.00 $ x $3.00 $ E/ x $1.00 $ . x W.00 $ :a $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ j%✓� REINSPECTION FEE ($10.00) Job Address �� ✓ ® /UL�/�/ py 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 arep true and correct Fridley, Mn. 51e: OWNER LJ 6) /J KIND OF BUILLDDING USED AS �� r�✓� %r TO BE COMPLETED ABOUT ESTIMATED COST 811-� OLD - NEW BUILDING PERMIT NO. PERMIT NO.. Company Signed By l �`nGr2l-�i Tel. NO. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT jH-� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $,50 STATE SURCHARGE oTY OF F 1 LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 28, 1979 rt Erickson 7th Street N.W. hton,_ MN 5112 Re: 1285-87 Norton Avenue N.E. Dear. Mr. Erickson: Please be advised that the City of Fridley's inspection staff has completed the final inspections of the above referenced property and has found that it does meet the City's requirements for a two-family dwelling. Please contact us if you have any questions on this matter. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh /_? AS-- '7 A Irn trl yi ,3 . „ o GERALD T. COVNE LOT SURVEYS COMPANY 6'91M7IDAHO AVEC. Np 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN. LAND SURVEYORS BROOKLYN PARK, MINN. REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS Minneapolis, Minnesota 55428 INDUSTRIAL - JUDICIAL INVOICE NO. P'65 CObtCITY L t - TOPOGRAPHICAL CITY Ourbeporg Certif icate FIELD BOOK 181-6'4 LOTS - PLATTING SCALE: 1" r !'f1F i�1=e1 e T� ��lk Po wer 11'n I , 1 I 1 /4. 3r I ZI 48 N I11$ On N 0CIS OC 14-01 48 i tet. � � a 4h NO�PTOIV ! V67 m a /D, "9ud su6d. No. 89 _ The Vest 174feet of Lot 1:Jw Au -Jit r' -j,' Subdivisloij [,ie. 89, jubd eCL t.0 lvortoie Avenue over the Gini,+! iF?eY t.`18:"EoS We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described property, and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being cad on the properly and no liability is as- sumed except to the holder of such mortgage or any other interest acq it d by reasonof such mortga,gtiA It is under- stood and agreed no monuments have been placed for the purpose of as Ishing lot lines oboryto ers. �e Surveyed by us This 18 day of Sept. 199 Slued .— LOT SURVEYS COMPANY CITY OF FRIDLEY PERMIT O.:2004-00625 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/03/2004 572-3604 FAX: (763)571-1287 ADDRESS 1285 NORTON AVE NE PIN 123024310021 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE HEATING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 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 TWO REPLACEMENT FURNACES (WARM AIR, TRANS, 60,000 BTUS) AND TWO AIR CONDITIONERS APPLICANT AIR COMFORT HEATING & AC 19170 JASPER ST ANOKA, MN 55303 OWNER ISLER JAMES H & VIOLET 1287 NORTON AVE 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 of any other state or local law regulating construction ori tfie performance of construptiop. Bldg Insp HEATING PERMIT FEE, COMM HEATING PERMIT MINIMUM FEE STATE SURCHARGE, MECH FLAT TOTAL CRPAR ATT:. PPRMTTC RPOTTTRRTI FOR WnRTC r)TT-TFR T14AN T1F.C( RTRRT) AROW.. 70.00 50.00 0.50 120.50 CITY OF FRIDLEY BUILDING INSPEC?ION 6431 UnWersity Ave NE Fridley, MN 55432 i 763372.3604 FAX 763-6711287 RATESCH DULE r Ress(_d_ental Furnace Shell and Duct -Work. Burner & abo Replacement Furnace Gas Piping New Furnace, Fireplace, Insert) Gas Range Gas Dryer Nftjr Conditioning -All Sizes All Other Repairs or Alterations (List an E aCk) 1% of Value of Appliance or Mork Minimum Fee $15.00 for Residential or 5% of cost of A Improveroentwhichever is greater q -was- P-7, Q AL �. k� £ffective 4/112004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VEAISILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES J08 ADDRESS L � SS g Fee TAW Owner ,,�� $35.00 $ '9o. 00 $10.60- $ $10.00 $ $10.00 $ Od $25.00 $ o Comm erGlikIndustrial/Ins tutlonal } 1.25% of Value of Appliance or Work (List on Back) ~» Minimum Fee $35.00 forvommercia)/Indrastrialjinstituticnai U 3 Building Used As 1 5% 40'r�T a-`( ES,114fATE0 COST PERMIT NO pFSGRIP71<OIS QF FU A B ER # of Beating Units Ctrcie One (Steam) (Kot Water) Warm Air Trade Name 1.R-+ Sze No. BTU (B©}0 {`7) — HP EDR Fuel #_A_Total Connected Load BurnerTrade dame STU Siwe No. HP EDR - The tMdemigned hereby makes application for a permit for the work nereln specified agreeing to do all work In strict accordance wits► the city Codes $ and rulings of the Building IlrMsion, and hereby declares that all the facts and represertations stated th this application are true ind correct. o State Surchargeof $ TOTAL FEE co 4 REINSPECTION FEE-$50.00/HOUR v4 1 a. A*Air conditioners can not be placed in side yard without written approval cv from adjoining property owner- copy to City M m } FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE E r HEATING T� _ Tel#�lo'J' FAX # dM1 �3 — �3Ef Date y D Approved by��A Rough -In Date _ Final (n N m m v m v cn W cn A CD H n 0 3 Ti 0 M H Z D G1 M 9 MAY -03-2004 14-18 FROM CITY OF FRIDLEY TO 7537540 P.03/03 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an g sting fumaco, 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 plasticlPVC and meets all current codes and manufacturer No( ) specifications Including sizing, length, number of elbows and termination. Yes (J1r The undersigned also verifies that the replacement unit is a listed assembly and meets thio current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fen Yes No ( ) asslated and natural draft appliances. ( The existing combustiQu air is sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When required to install a now cornbustio air ft wilt be sized and installed Yes (c� No ( ) to meet the current codes and manufacturer's specifications. When ins lin a n v ntin s , the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's speclfications. This does include AGA-GAMA Category i Central Furnace Yes (� No ( ) Venting Tables for fan assisted and natural draft appliances. 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 (Cl/ No( ) Aogliance Type and S e/Common Vent and Vent Connector Inforr igd-lon Appli�irtce #1 Type ��.�w a` �' _ BTU Input �A5"at Appliance #2 Type BTU Input �at ..,.�„ BTUInput Fan Assisted or Nat _ Appliance #3 Type �! Total Appliances Total Btu Input 1 pr/ G Common Vent Type /? 1/' - _ Vent Height ! S .� Diameter . inches E - g Appliance 01 Vent Connector Height..__ ft Length„^ tt Diameter -in Type In Type ft Diameter .Appliance #2 Vent Connector Height � Length .�..- Length ft Diameter In Type Appllance #3 Vent Connector Height __ft IQ E ALTS TiO 3: DescElbe) ` HEATING CO: ..- �- S -3�p3 o-�t�: Signed By: .� TOTAL P.03 Z0 39dd 99NI V3H i60JW00 KV OOGLESL69L Zr:81 b00Z/E0/90