PRE 2010 DOCSCity of Fridley, 31inn. N9 9155
�31-73e)
BUILDING PERMIT
Date: MARCH 9, 1967
Owner: ROBERT AHO Builder FERNDALE BUILDERS
Address 5 7 01 CENT, AVENUE, N - E _ Address 1323 SKYWOOD LANE X. E
FRIDLEY, MINNESOTA 55421 FRIDLEY, MINNESOTA 55421
LOCATION OF BUILDING
No. 5577 Street REGIS TRAIL -- Part of Lot
Lot — 6 ___ _ __ Block 2 Addition or Sub -Division —I' 0 ON
Corner Lot — Inside Lot _____X Setback 35' _ Sideyard —_ 10'
Sewer Elevation , _961.63 _1 PGK 1WElevation — 964.63
TOP OF FOOTING
To be Used as:
DWELLING
DESCRIPTION OF BUILDING
Front 42 Depth 28 Height 20 Sq. Ft. 1,176 Cu, -pL 23.520
Front Depth Height . — Sq. Ft. Cu. Ft.
Type of Construction FRAME Est Cost _ X20, 000,00 To be Completed
SEWER LOCATION - 92' South of Manhole
WATER LOCATION - 80.5' South of Manhole
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. A�
$100.00
In consideration of the payment of a fee of $ 24.00 , permit is hereby grant Ito—FERNDALE
BlULDFRS 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
Building Inspector
NOTICE:
This permit does not cover the construction, I shilation for whing, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate pormih for these items.
e
yZ
�f
APPLICATION FOR BUILDING PEM41T
CITY OF MDLEY, MnmSOTA
OWNER'S NAME ®pmt Ali o _...._ .. BUILDER /4VAbIC
ADDRESS ADDRESS 2,3 ` S IC A',041t? e.A41�'
LOCATION OF BUILDING
NO . :r f_- 7 7 STREET 4'C-�, /5 M4 e Z, FART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION �f4g�y
CORNER 1,0T . TNSIVE LOT •,: l� SETBACK SIDE -YARD �®
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two, -Certificates of Survey of Lot and proposed
building location drawn on these '&** ificates.
DESCRIPTION OF BUILDING
To Be Used Ad: 4
Front EZ- Depth_ Height Z O
Sq. Ft. Q4 .. _...,.. Cu. Ft, VS,f'-o
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction _/7�_-e LAg Estimated Cost ® e)® ad
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 E° .Si
(Schedule of Fee Costs can be found
on the Reverse Side). I
,� /.?4e l ov
ACITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
'Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.251yo of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
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.
JOB ADDRESS 3_77 /
Effective On January 1, 2002
�,Ajbfiwns".-'I'
OWNER- ZIn Lra4OW /gqzA / 42iV ,04_0) &ZO2A
TOTAL
BUILDING USED AS��
ESTIMATED COST ! gno6 PERMIT NO. `2
DESCRIPTION OF FURNACE AND OR BURNER
$ f
No. of Heating Unity / Circle One (Steam) (Hot Water) Warm Air
$ Trade Name °' ��"/� ��®� Size N� ;
BTU HP EDR
$ Fuel 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 an
$ .50 rulings of the Building Division, and hereby declares that alli the facts and
$ �® representations stated in this application are true and correct.
DATE ®-5
HEATING CO �� VA
Signed &XC. A -Li C�CTEL #'2
FAX
Approved By Rough -In Date Final
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When re In�ng an existing f ,ran _ _, 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 M No
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (WNo ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes (v' No ( )
The is inU nom6 nation air is sized and installed to meet the current codes
and manufacturers specifications. Yes (jy'No ( )
When required to install a new .om6 cation air. it will be sized and installed
to meet the current codes and manufacturers specifications. Yes (WNo ( )
When installing a n w v _ntingcyctem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers .
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. Yeso ( )
Appliance Tine and Size/r'ommon 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
HEATING CO:
61A �'i Date
•
6-613
R'
A
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
June 2, 2004
Ms. Linda Haskin
5577 Regis Trail NE
Fridley, MN 55432
Re: Final Inspection at 5577 Regis Trail NE
Contractor: Anderson Heating & Air Conditioning
Dear Ms. Haskin:
A mechanical permit was issued on January 9, 2003 to install a furnace and AC coil 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.
RinrPrPly
DJ/mh