The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: Sept. 25, 1968 Owner: !P Charles R. Dorcas Builder Arden J. Hovland Z/z/3M N9 9951 Address 4415 Main St. N. E. Address 4242 g!uincy St. N. E. LOCATION OF BUILDING No. 5960 Street .__.. Oakwood Manor part of Lot LotN.60'of 11 Block Addition or Sub -Division . Auditors' Sub. #92 Corner Lot —_ Inside Lot — x Setback 35' —_ Sideyard _ 5' & 10' Sewer Elevation To be Used as: Dwelling Garage Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front — 26' Depth 47 ' Height 20' Sq. Ft. 1222 Front 19' Depth _.._.. 22' Height 10' Sq. Ft 418 Frame Est Coat _ 20 5002XX __ TobeCompleted Water and Sewer is not Stubbed in. Ca. Ft 24,400 Cu. Ft 4180 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 1n compli ce;hprovisions of ordinances of the city of Fridley./ $100.00 Sewer Connection Charge In consideration of the payment of a fee of $ 43.00 permit is hereby granted to Arden Hovland 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 violation of any of the provisions of said ordinances. Clarence Belisle NOTICE: This peneh does not cover the cendmcdon, hutalldion for whine, plumbtne, on headne, sawar or water. Be wee to mo the Building hmpector for separate permits for them hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA / Q OWNEB oS NAMEBUILDER J-� l�" ADDRESS yy/S = 2z�, 2% , ADDRESS 4�z/2- ( �. LOCATION OF BUILDING NO o J -9Z 6 n LOT BLOCK ADDITION OR SUBDIVISION COR�'ER LOT INSIDE LOT SETBACKSIDEYARD S- `9"� �� r SEWER ELEVATION TOP OF TOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates To Be Used As: DESCRIPTION OF BUILDING Front �2 6 Depth ' 7 Height 1120 Square feet 4 2 22-- Cubic Feet ;Z !Z y q -v �2 �, `� 0--(1 Front 12 Depth A z Height / &I Square feet V/ 8 Cubic Feet IV/ �d Type of Construction 9 Estimated Cost To Be Completed IIJ 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. DATE _ L 5— — e (Schedule of Fee Costs can be found on the Reverse City of Fridley Application for Plumbing and G= Ruing Permit Dept. of Bldgs. Phone 560-3950 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: WCW Number Fixtures ...................... x $200 N Future Fixture Opening ................ x $1.50 Y F ��I�06, New Fixture Old Opening .............. 6' Z N �y x $3.25 W Z Z • R . N WATER HTR. GAS ELEG Electric Water Heater 3 $ GAS FITTING FEES: NO. RATE TOTAL in ; O LL 1st 3 Fixtures ...... ................... LL C $ 21 3 Ci ` ci Ly O x $5.00 $ rn Base 1 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $200 z 0 0 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... x $2.00 $ 21 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ......... .....................................' Or w TOTAL FEE Location ez , City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do $11 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 0 e'-- /'51 19 1. Owner, Kind of Building Used as To be completed about Estimated Cost, $ Old New.)Building Permit No_ %� � � � Permit No. n Signe By Business one No ROUGH FINAL 42 Application for Power Plants and Heating, Cooling, Ventilation, ReMpration and (Y Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ....................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL r) 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule T TOTAL FEE T Dept. of Bldgs. Phone 560-3450 Location m a ::�)�, , —7 - 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 correct. Fridley, Minn - 19 cn-o Owner k--` o Kind of Building Used as To be completed about Estimated Cost, $ Old- Te . Building Permit No. _ Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name E Size No- leo, el -o Capacity - Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuer BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R I BTU H.P. (REMARKS -OVER) i Signe By 4E Business Phone No i1 Application for Power Plants and Healing. Cooling.Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldga. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Location 6 Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ 24ECIL WARM AIR NO RATE TOTAL 1st 3 Fixtures ...................... Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,00 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ZQ ROUGH FINAL 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 correct. G Fridley, Minn 0 19 6 Owner Kind of Building Used as To be completed about Estimated Cost, $� Old--"w. uilding Permit No. "1 1 Permit No. 11ge y DESCRIPTION OF WORK HEATING or PO PLANTS --Steam, Hot Water, N — Trade Na c�� Size No /® Capacity Sq. Ft. E.D.R H.P. Total Connected LoaddLI Kind of Fuel - BURNER —Trade Name Size N� Capacity Sq. Ft. E.D.R BTU A.P. (REMARKS—OVER) S By TION HEATING COMPANY, INC. 2936 FOURTH AVE. SO. • TA. 3-5287, ae BusingARAgLff0 11 &AINNES01A Dd6 HEAT LOSS CALCULATIONS DEPARTMENT OF IN w ?� l MINNEAPOLIS. MM. Windows I Doors 11 Reference 11 Out. Wall Int. Wall Ceiling Roof I Floor Kind How Applied Ye s—No 11 19_ Room I Length _ Width Q Height Fl.�L Room I Length Width Hei WinclWws and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height f No. of Lineal ft. Area Width Height No. oL Lineal !t Area No. of pane of pane lights of/crack � eq. ft. No. of pane of pane lights of crack eq. tt. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required .` Btu AY -6 11 Infiltration .n. or sq. ms. vl,( cier area I V, i T .., /p(,r v— ....vu., a .?S,aa , Glass Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Exp. wall % A� QQ Net exp. wall Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Int. wall f O Ceiling Infiltration f Floor .n. or sq. ms. vl,( cier area I V, i T .., /p(,r v— ....vu., a .?S,aa , v.a.a.. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu f O Infiltration Infiltration f // -A-p Coef. Btu Infiltration Exp. wall le Q 1,5- . O Glass Int. wall -9 Floor / Exp. wall Ceiling Floor Net exp. wall /If' el Int. wall Ceiling Floor Totall3tu. 5 Ixj� Requir sq. . or sq. ins. W.N&ader area I t ---L i & NRLL 1.07Lr_]_L. &V I Windows and Doors—Crackage and Area V v.p.. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / Coef. Btu Coef. Btu Infiltration Infiltration f // -A-p Glass Glass Exp. wail/, --z- Net exp. wall Exp. wall le Net exp. wall / Net exp. wall Int. wall -9 Floor Int. wall Ceiling Ceiling Floor Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area mm EVA MIM Mm Total Btu. VId on j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I os,.Room I Length %i Width AM, Height indows and Doors—Crackage and Area WidTh Height No. of Lineal ft. Area No. ---Ofpaanne of pane lights of c ack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Coef. Btu Infiltration f .7 SZ -5-0 C' Glass Exp. wail/, --z- Net exp. wall 63 0 Net exp. wall / Q Int. wall -9 Floor Ceiling Floor Total Btu. ec O!f Require q. t. E.D.R. or sq. itis. W ader area, VL i —.e_ _ .v D__� i r —.L 81:.7.1. are=a/ Window d Doors—Crackage and Area WidTh Height No. of Lineal ft. Area No. ---Ofpaanne of pane lights of c ack sq. ft. 1-fe -77 Coef. Btu Infiltration 4410~ -- Glass / .7 SZ -5-0 Exp. wallso /Z Q Net exp. wall 63 0 Int. wall Ceiling -9 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D-s6%d O HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION MINNEAPOLIS. MINK. Weatherstrips A.S.H. Guide . ' Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Y �'es—No 19— ,raj Room I Length Width Height F1.1 Room I Length Width Height Windows a Doors—Crackage and Area Windows and Doors—Crackage and Area Width t Height I No. of Lineal tt. Area width He16ht No. of Ltneal I Area No. of pang of pane Ilghts of crack sq. ft. Na. of cane of pane Ilshts of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Btu Coef.l Btu d7 n Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. / < Requir . E.D.R. or sq. ins. W. Leader area oom I Length Width Height Wind and Doors—Crackage and Area th Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Infiltration k2 7 Glass Exp. wall 2.ff Net exp. wall Int. wall Ceiling Floor Total Btu. Total Btu. Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack I sq. ft. Coef. Btu I I I I Coef. Btu W.d Infiltration �n Glass Infiltration Exp. wall C� Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Floor Floor Total Btu. 3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length Width Height I F1.1 Room I Length Width Heieht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. lCoef.1 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 Windows and Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of patio of pane lights of crack sq. 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 Original • PERMIT for Power tants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants _IU�eed to b I ins ltered—repaired Make S,=� �/� 'S Oil fired—, Coal fired—, Gas fired �; Gas Authorization No. Remarks ,C G�% r e's � �L� 9'-- yZ-e� Approved Final Inspection Date , 19_ Inspector _�_ _5 -/ Pest N° 4367 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 191-7 Owner at4Kr.� Location Kind o f Building How Occup16-41 ied Work to be Commenced - ,19—L5 To be Completed ,19_ Estimated Cost, $ �, Old -New, Building Permit No. 99 g-/ Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon thi express condition t t the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specific ns set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings oe�42 2M 11-67 N City of Fridley ApprocMfm for and FMA9 Pmt 53-84-S915-51 Dept. of Bldgs. Phone 580-3450 DESCRIPTION OWORK 5960 Oakwood Manor Number. Kind and Location of FixturesI.e� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water Heater s $2.00 $ 1/ y 1st 3 Fixtures ..... 1 x $2.00 $_ 2 • � Additional Fixtures ..... ............. x $ .?b N WATER KM. GAS ELEG Base 3.00 1st -- — 2nd 3rd —Itt 1--f- 4th _ ° Future connection Openings Connected with — -- — Mew Fixture, Old OpeningsI �sewe� ❑ poo ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... 1 x $2.00 $_ 2 • � Additional Fixtures ..... ............. x $ .?b $ Gas Range to 195,000 BTU .............. x $5.00 $ install (1) gas grill 3.00 REPAIRS & ALTERATIONS—Refer to Code Description .... ............ TOTAL FEE ¢� 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 June 17, 1970 19_ Owner Charl ae Ilorcas Kind of Building frame Used as residence To be completed about June 22, 1970 Estimated Cost, $ 1()-W Old- New. Building Pe No.— _ _. Permit o. By- - - ROUGH FINAL - Business Ph(W %gid P , 19 $ WAS GO. ROUGH S—GOs City of FridlQy Appllfion for Plumber and Gas F --act Permit Dept. of Bldg*. Phone 380-3430 ' DESCRIPTION OF WOR= hJ 0 '] Number, Kind and Loce24en of Fixtures CI �•. t fit$$y (ioff. Z N gyp= 5 Z UZ ~< o J 7g V 7 N 2 z 7 • ► • N WATER NTS. GAS ELEC. � Base 131 2nd _ 3rd 4th • Future Connoetion Openings Connected WM >3os e Now Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ................ NO. RATE TOTAL x $2.00 $ Future Fixture Opening ............ x $1.50 S _. New Fixture Old Opening.....:.... x $1.50 $___ Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) . • .. x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater.............. z $2.00 S :.AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures ............... x $ .75 $ Gas Range to 199,000 BTU ........... x $5.00 S REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing o do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the la, -.4 and representations stated in this application are true and correct Fridley, Minn Owner �� S Kind of Building Used asi^� To be completed about &oo' - S 7ated Cost, $ Old ew. Building Permit No. Permit o. Signed By Business Phune No 7- 3 Z' c-) ROUGH .50 State Surcharge Description ........................................ $ r TOTAL F'SE $ , 0 FAr SUBJECT P , City of Fridley (27654AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9998 JOB ADDRESS 5960 Oakwood Manor I LEGAL LOT NO. 1 BLOCK TRACT OR ADDITIO Auditors Sub ��92 SEE ATTACHED DESCR. N 60' Of SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE 571-0880 Charles Dorcas Same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remod 7930 Univ 795-9410 20138780 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 8 DESCRIBE WORK Reroof house & lxgg garage (23SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,971.00 $.98 DO OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VI ION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UC 10 OR THE RMANCE OF CONSTRUCTION. $62.25 Fire SC $1.97 PLAN CHECK FEE TOT EE Lice SC $5. 0 $70.20 O ACTOR RAUTHORIZED AGENT ID TEI SIGNATURE Cor EN OPE ALIDA HIS I UR PERM 0 SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI BLDG INSP PATE FAr aictionAddress:- Name & Address: 1. ..._..,tor: ...CITY OF FRIDLEY SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Tel 15 1 MN LICENSE Tel. # 795- 9<//d AttACh,10plication, a Certificate of Survey of the lot, wi6tk-propidsed construction drawn on it to scale. ....'DESCRIPTION OF IMPROVEMENT Length 'WidthHeight Sq. Ft. E iUtE A: Length'Width Height Sq. Ft. AREA: Length-"' Width Hgt/Ground _ Sq. Ft. e, &&^e -e, 4) SP 5 sme I e V `TypeEstimated Cost: (Fee Schedule. on Back) $ "1p—V1Fv�-1- 6 Ft Curb Cut Width M6ed6'd--.T, . Ft x " n, A lviaift Charge TOTAL "iNTLATIONS: Tel. �:CITY USE ONLY $ Surcharge Charge Surcharge -1:.vnvay Escrow, Control lviaift Charge TOTAL "iNTLATIONS: Tel. �:CITY USE ONLY Fee'Schedule on Reverse Side ;001 of Permit Valuation (1/10th%) M4'501$11;000 Valuation ,$1000-* SAC Unit ($5.00. (State Licensed Residential Contractors) ebt-Alt: '13 Above Alt. AN Rt C o ervation Plan Review 45000as ':Fee Determined by Engineering "g'reement Necessary Not Necessary 'A CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5960 OAKWOOD MANOR NE PIN : 243024110035 LEGAL DESC : AUD SUB NO 092 : LOT 11 BLOCK 0 PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMITO.: 2004-00989 DATE ISSUED: 06/24/2004Y VALUATION : $ 1,400.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 0 # GAS DRYERS APPLICANT DAVES APPLIANCE HEATING & AIR INC 160137 AVE NE COLUMBIA HEIGHTS, MN 55421 (763)781-6901 OWNER CHIA YANG 5960 OAKWOOD MANOR NE FRIDLEY, MN 55432 0 # GAS RANGES 0 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 wort 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 or the performance of construction. Ani n Date Bldg Insp. HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 34646 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 L�piversify Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total $35.00 $ Building Used As $10.00 $ ESTIMATED COST l PERMIT NO C:>?\Z` &0 �69 $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *AirConditioning -All Sizes $25.00 BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. _ Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $� HEATIN TOTAL FEE Signed"A Tel #1(t;—; REINSPECTION FEE $50.00/HOUR FAX # G l �r� " 1 �� - &r y_:;; Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 () 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 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 () 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 Size/Common Vent and Vent Connector Information Appliance #1 Type _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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: `1" Date: '