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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 6101 Address Address Sewer Elevation Inside Lot Addition or Sub-�Diivisiop -�� 04=f7ffW _ Setback j-%7 -- Sideyard l� Foundation Elevation DESCRIPTION OF BUILDING To Used �r Front Depth Height Sq. Ft. oew Cu. Ft. Front Depth Height Sq. Ft. ;� Cu. Ft. Type of coonap— Fust. �"'"'To be Completed In consideration of thelilia'ance 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 is compliance with all provisions of ordinances of the city of Fridley. le In consideration of the payment of a fee of $-6 ;1;L= , permit is hereby granted to 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 slid 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 regan� location, construction, alteration, maintenaace _ sad moving oP buildings within the city limits and this permit may be revoked at anyaae.�upon vi ties aay of the provisions of .said ordinances. NOTICE: %b pendtt does not cover the construction, hnhliatien for vk, pkv&kg, ges heathtg, aunr or Wabr. Be euro to no the SWAM &qm ter for aparafs permHa for dme ftem& r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name y,_�Builder Address �d ® ��c Address LIOXCAPM OF BUILDING No. Street Part of Lot Lot ��`� B1ock—,��Addition or Subdivision -,Lz4-,P Corner Lot Inside Lot_�< Setback Side -Yard /,d SEWER ELEVATION FOUNDATION ELEVATION 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 Depth Height Sq, Ft. I Cu, Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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 , SIGNATURE O`�� _ (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK t ® L� I Number, Kind and Location of Fixtures pp NO. RATE TOTAL Number Fixtures ...................... (40 x $1.50 12 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 01 Catch Basin ...... ..................... x 3.25 NU' �n0 F N WATER HTR. GAS ELEC. Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 I Additional Fixtures .................... x .50 I Gas Range to 200,000 BTU .............. x 2.00 $ ist ! ' 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... (40 x $1.50 $ ® U Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ ® d New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 $ ,4• vim` d Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...........$ TOTAL FEE $ ►I' r 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. Owner Kind of Building Used as .-��- To be completed about Estimated Cost, $ f % Oldew uilding Permit No "' r G pe it No Signe By Business Phone No ROUGH — FINAL 421M Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 Z*"? . �� . GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ -19940 each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. - - . 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $�� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ P� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE 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 areae and correct. '4& Fridley, Owner Kind of Building Used as , To be completed about Estimated Cost, $ Old_d!�Building Permit No. 19d_� Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS --Steam, Hot Water, Warm AirrNo� Trade NameSize No,� Capacity �Sq. Ft. E.D.R BTU H.P. Total Connected Load ®% Kind of Fuel BURNER — Trade Name Size No.��a df Capacity Sq. Ft. E.D.R BTU H.P. SUBURBAN HEATIPtiG & SHEET META, 8419 CENTER DRIVE N. E. Signed MINNEAp By–.,Am6 / X 4 2 21M1 Business Phone No - (REMARKS -OV ER) 3607 HEAT LOSSCALCiJLATICINS DEPARTMENT OF BUILDINGS J MINN. ''Weatherstrips A•S.H.V.E; Construction No. Insulation - A Guide Windows Doors Reference Out. WAIT Int. Wall Ceiling Roof FIOOP wKu3 Ow App.Hed e No No 19 o _ r Room length 9 9e Width f if Height Q- / Il FI.i ® Room ILength /3 ( dth /,3 Height Windows and rs—Crackage and Area Btu Required sq, ft. E.D.R. or sq. ins. W.A. leader area Width Height No. of Lineal ft. Area No. of pane- of pane lighte of cra k eq. ft. gth 2.41 Width rackage and Area Width Height No. of paane ofpahe Lineal tt. Area s of crack sq. ft. O Coef. Btu Infiltration ® Z300 ®® Glass Exp. wall P Net exp. wall av Net exp. wall Int. wall Int. wall l® Ceiling A0 Floor Total Btu. Btu Required sq, ft. E.D.R. or sq. ins. W.A. leader area Fl. Windows and oo gth 2.41 Width rackage and Area Width Height No. of paane ofpahe Lineal tt. Area s of crack sq. ft. O jo.,]of a/_ely /YV /*. ? Height Coef. Btu Infiltration O Glass o Exp. wall Net exp. walluto 01 2-),/ Int. wall Ceiling ® a ® 0 Floor Total Btu. Required sq. ft. E.D.R. Of sq. ins. W.A. Leader area A i:t_ nein Il.anoth /- / Welth -'7/ hf / Windows and oors—Crackage and Area Btu Width Height No. of Lineal it. Area No. of pane of pane lights atcrack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pan lighte of crack sq. ft. Glass Exp. wall Coef. Coef.1 Btu Infiltration ,� O Z300 Glass Exp. wall Net exp. wall Int. wall s� Net exp. wall av Int. wall Ceiling Floor l® Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. leader area Windows and Doors---Crackage and Area Btu Width Height No. of Lineal it. Area No. of pane of pane lights atcrack eq. ft. Z Glass Exp. wall Coef. Infiltration //--Btu !O Glass ,� O Exp. wall Net exp. wall Int. wall f� Ceiling Floor Total Btu. .Required sq. ft. E.D.R. or so. ins. W.A. Leader area Fl.l Room I Length P Width yi Height Windows and Doors--Crackage and Area Wldth Helght 14 of Lln@.1 ft. Area No. of Dane of Dane ! !!'ghtB of .crack I eq. ft. , Coe] Infiltration G Glass :5 Exp. wall Net exp. wall Int. wall. Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.10& 0 gt!11�2 / .j&C, Room I LenWidth Windows and Doors--Cracktige and Area Width, Helght No. of Lineal LL Area No. of pane of pan lights I of crack eq. ft -2 .A.,- / 7 Coef.1 Btu Infiltration 2.3 V6 0 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 41C., d e-.2 / APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME _ Q®/U,4L D BUILDER UN / LCD C0 S i CO /,,; - ot- 3 - /c ADDRESS 6 SO l ,�IF1PC� A ADDRESS �/S/7 T�l'A-• �L1o,P�. LOCATION OF BUILDING NO. 66T / STREET )9I ER C i' /1i F LOT /,3 BLOCK % ADDITION OR SUBDIVISION 14 J0-'0'r/z"4/ CORNER LOT INSIDE LOT.( SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING 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:Ar 1 O D /D 41 Front -Derth Height /,,2 - Square feet A 7 ;>— Cubic Feet 3,d-6 Front Depth Height Square feet Cubic Feet Type of Construction o?" 4;a Estimated Cost To Be Completed 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. a'� 4 DATE /,,; - ot- 3 - /c SIGNATURE -9%o� ZZA (Schedule of Fee Costs can be found on the Reverse Side.) N0TE: A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. Land Planning 6875-N�hn"oy KS A(E. Land Surveyi7y Minneo)nhs 2/, Soils Testing ENGINEERING, INC. min,v ola Civil b Municipal SUnsef 440" Engineering Engineers f Surveyors Mortgage Loan Survey for F- UILC I 4 -- P j, . ! ' J LU It � 5 ` �•` This is o trot and corm., / rrpmsenfaiian ofo survmy el'the houndaries f fhe load aborre descjvhed and of#r location ofallbuildings, if any, thenar, and ol/ risible enamchm n15, many, fun or on said krd. Tbissorrey is made &7� ar CAWWCiV7 SVA 4 marty4¢v fannna brivrj( pb,cd or, the properly and no /obi%ilq (assreoned wept !e lk /,folder a f su h mortgage or oArr infer, sl oc na d by Ar imw suJi morly qe . if is undrrsfcad avrsa�rced nn montvnen/s fare l ii P✓aed �a Nre Purpose � o/i/shu9 /of /uA�s or bnundartf urners. AAd s day AD./9r .: SUBURBAN ENGINEERING, INC. - z brginetr and Surveyors sit � r / by 7717_'t'70 ? t'7 LandAmniny Lard S&veyh7Y *15 ksmy Cavi/ & mieAdpa/ 0 7S A0 ty 0 Cf N.E. MWjmrfi'21. ENGINEERING, INC. Cfl flh-Y — En rs Sur veprs Mortgage Loan Survey for D,L, ANOEI:(--,Dq BUILDER �j am .--1 I.- ?I 0 7/ri5 15c hw and mred npwwlehan Of -a 6 /and oboe Awihedand 4-* 1"hw efd1hddlays, srnrh e. Obfed orris day 4- SUBURBAN ENGINEERING, INC. &ymeeg acrd S7w ?eW5 by--, M City of Fridley, Minn.. N° 105 33 BUILDING PERMIT Date: January 7, 1970 Owner: Donald L. Pauley Builder United Construction Comua=_ Address 6581 Pierce Street N E Address 4517 Miggetona Bogle -yard. LOCATION OF BUILDING No. 6581 Street Pierce Street N E. — Part of Lot _ Lot 13 __ Block 1 Addition or Sub -Division . Don's Corner Lot — Inside Lot % Sewer Elevation Setback —_ Sideyard -- Foundation Elevation DESCRIPTION OF BUILDING Second Addition To be Used as: Addition Front 18.5' Depth 16' Height 12' Sq. pt. 272' Type of Construction Front Depth Height Sq. Ft. Frame Est Cost $8, 200 _00 __ To be Completed Cu. Ft 3,2641 Cu. Ft. 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 afl provisions of ordinanc:ea of the city of Fridley. In consideration of the payment of a fee of $-- 27. 00 _ permit is hereby granted to United Construction to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform is all respects to the ordinances of 7Fridley, Mhmesota reg int lots.tion, construction, alteration, maintenance, repair and. moving of buildings whin the dty ]units anad thea permit may be revoked at any time upon violation of any of the provisions of said inanoea ��.e.e-�✓ Building Inspector HANK MUHICH-Buildine Official. NOTICE: Ub penult does not cover the construction, Wallen for wMne, plebe, hie henHns, sewer or water. Be sen to see the Building hopemr for separate permits for than hems. r N° 5085 Original Permit f®r vo.UMBING AND GAS F ING s0 60,6 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Fcer$ t 4 S -O inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCBMTION OF WORK II Number, Kind and Location of Fixtures Stories I- W W a o J 3 u J z rt � m < m f m m < m z m a r 4 3 f F z K0 c a 0 w 0 x m E m 0o a J rc a o S m m < m z MX Q G K J S a m a < p, o a W m ze < n WATER HTR. GAS ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described n the statement hereto atteihed, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. az IM -6-69-V City of Fridley Gf:d9UAeV 7 ,19%® Owner� % � l' t._. US % ,e ct& / / D RJ Location fid'/ C/7 . N,.E, Kind of Building 69/9177 6 Used as L.IJE LLi AJ To be Completed_ _/9P 1 L / S , 19-70 Estimated Cost $ L., 006, d d Old -New. Building Permit Date Inspector of Buildings. City of Fridley Application for Plumbing and Cas Mring Permit Dept. of Bldgs. Phone SU 4-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures sn Y C Z PiE w ? �p • F • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Fugue Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL, - Number Fixtures ...................... 3 x $1.50 $ t JJ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ........................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: x 2.00 $ x 3.25 $ NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description $ TOTAL FEE 9 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 apption are true and correct. OVAdley, 19� 31 C Owner 1 Kind of Used as To be completed about /`� e ®� % cj Estimated Cost, $/D`� �- rt—✓ Old—New. Building Permit No Permit No. 6 -OAS -- Sign OAS ROUGH FINAL—Z2 - /G " /� Signe B ° '/� Business one No I SUBJECT PE 0. - City of Fridley O 15525 AT THE TOP OF THE TWINS BUILDING PERMIT r IIIECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 7P4 �� ;`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 10/22/79 JOB ADDRESS 6581 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 1 Don's 2nd SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE James Wedan 6581 Pierce Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. n 3933 Douglas Drive 537-0375 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside structure 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRWG, HEATING, PLUMBING AND SIGNS. 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 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 $2, 500 $1.25 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- $15.00 STR TION OR THE PERFOR A E OF .CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ff 0 '2I_�-?4 $16.25 IrNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL V LIDATED THIS IS YOUR PERMIT i BLDG )NSP DAT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: -j A wi e s k4�Q 14,4 ADDRESS: TEL NO: BUILDER:� --►� � �� (�(�®S &,esT ADDRESS: 3 f cl TEL NO: 3 Construction Location -o STR ERT NO: C / STREET: LOT: /2 BLOCK: �� ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION - cLu-'Vyl. EvAk-,-,CjFront: Depth: Height: (quane. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Rb Be Completed: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ Z Eoo • Alt. A Alt. B 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. DATE: SIGNATURE C Stipulations: v C) q �� CITY OF FRIDLEY INSPECTION DIV. f� Effective On January 1, 1997 6431 University Ave NE 0' Fridley, MN 55432 APPLICATION FOR PLUMBI GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE IN OfV EACH FLOOR Water Bath WashDnnk 11' Catcf < Auto. Gas Mise Water Heater }. Stories Closet:: Urinat :Tub .; Shower 'SmK;< Tray FotJnLAr Haslrl Washer Appl Range Gas Elec :;.. Basement Floor1 Floor 2 Floor 3 ._ Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADD i &/)g New Fixtures $ 7.00 The un* e ereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specifi r to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulin Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and- rept ns stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 1998 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner. Water Heater —Electric $ 7.00 Water Heater — Gas** / $10.00 •®(j Building Gas Range" $10.00 Gas Dryer** $10.00 Estimat PERMIT NO. Back Flow Preventer Required ( )Yes () No MR. ROOTER OF ANOKA COUNTY Type $15.00 PLU M BI 6260 Industry A". N. #114 Ramsey, MI� 5303 Reinspection Fee $42.00/Hr SIGNED - TE 0.� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS b !/CJ f 1.5°k of Value of Fixture or Appliance 421 -6198 -FAX � � ��' � Approv Rough—Date Final Date State Surcharge $ .50 �l MINI MU FO ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ ®�°� PLUSTATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) _ 6-A. MINIMUM SIZE 9 SQ INCHES. CITY OF70DLEY INSPECTION DIVISION Effective January 1, 2003 * 64,31 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 I/ .5'(X41 RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - " Also Replacement Furnace $ 30.00 $30- � (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs &Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ 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. .50 $l _3yD JOB ADDRESS (o S$/ 0, Prte S�✓1%L� OWNER l'./. v!V M r1r0,- d0L BUILDING USED AS RCrSiO�� ESTIMATED COST �UUO "00 PERMIT N0. �Sr� t DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) ( arm Air Trade Name 6&t6el- Size No.: K,"4o60 BTU (.o, dJD HP EDR Fuel 4 ja& ,rg 1 Total Connected Load 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 ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE l/— --® 3 CenterFoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed��, ks - t't L ,.763 FAX # 763-757-6701 Approved By _ Rough -In Date Final Date l FILL OUT BACK SIDE FOR STACK VERIFICATION. ON REPLACEMENT FURNACE I CI71'OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 2, 2004 Mr. Larry Miranda 6581 Pierce Street NE Fridley, MN 55432 Re: Final Inspection at 6581 Pierce Street NE Contractor: CenterPoint Energy/Minnegasco Dear Mr. Miranda: A mechanical permit was issued on November 10, 2003 to install a furnace at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh