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PRE 2010 DOCSApplication for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $ each add. 60,000 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 oT HOT WATER SYSTEM ;1 Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ 4 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 $ 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 $-Z,_2 ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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- Owner inn Owner C-- --7 0 /,o/<- le Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. t OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name � / / / IA . Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Capacity. (REMARKS -OVER) 4E 2M Size No Sq. Ft. E.D.R BTU H.P. Signe By Business Phone No o NAME +� 4 tHTG . CONTR - I y ROOM LENGTH 16 WIDTH t HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT No. OF LINEAL FT AREA LIMITS OF CRACK SQ. FT DATE NAME JOB " p ADDRESS �a G � cr FL. I LIV J IS&- ROOM LENGTH 6 W I DTH HE I GHT�' WINDOWS AND DOORS-CRACKAGE AND AREA COEF. BTU NO. WIDTH HEIGHT NO. OF LINEAL FT. LIGHTS OF CRACK AREA SQ. FT INFILTRATION ((B l (of 0 0 � -,-z l4 -c -r TOTAL BTU. HEAT LOSS TOTAL E.D.R. STEAM HEATING UNIT TOTAL SQ. FT. H.W. COEF. BTU COEF. BTU INFILTRATION 30 � 0 (D INFILTRATION ((B l (of 0 GLASS � So t ® ® 0 GLASS 31� 0 EXP. WALL �� EXP. WALL NET EXP. WALL ` 0 l NET EXP. WALL Z -t tt) 1. 671® CEILING t C) �'0 CEILING FLOOR FLOOR TOTAL BTU. L ®I TOTAL BTU. �7f� FL. BQrROOMILENGTH WIDTH HEIGHT FL. �Am1l ROOM LENGTH I WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF, LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. ' WINDOW N0WIDTH . Z . CRACKAGE AND AREA HE NO. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. l (. IAD COEF. BTU. COEF.BTU. INFILTRATION INFILTRATION opp V lD GLASS' GLASS EXP. 'L EXP. WALL NET EXP. WALL ` R� ��yy Ip9� fJ I � C) NET EXP. WALL CEILING CEILING ® 9 a FLOOR FLOOR Fit., L& -F.,- TOTAL BTU. TOTAL BTU. FL. -C 134T-4 ROOM LENGTH WIDTH HEIGHT FL, ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA N0. OF LINEAL FT. AREA N0. WIDTH HEIGHT LIGHTS OF CRACK SQ. FT. N 96 L WINDOWS AND DOORS-CRACKAGE AND AREA N0. OF LINEAL FT. AREA NO. �WIDTH HEIGHT LIGHTS OF CRACK SQ.FT. -Z '-'[ 30 40 1 COEF' BTU. COEF. BTU. INFILTRATION INFILTRATION Ree GLASS GLASS '® C) EXP. WALL EXP. WALL Z NET EXP. WALL NET EXP. WALL cl ® CEILING CEILING °q o Ls� FLOOR FLOOR r TOTAL BTIJ . TOTAL BTU. TOTAL BTU. HEAT LOSS TOTAL E.D.R. STEAM HEATING UNIT TOTAL SQ. FT. H.W. 1 ` AlLn 4[ADDRESS AME I HTG . CONTR . - FL. ROOM LENGTH A WIDTH Cq HEIGHT WINDOWS WYD DOORS-CRACKAGE AND AREA N0. WIDTH HEIGHT No. OF LINEAL FT AREA n LIGHTS OF CRACK SQ. FT COE INFILTRATION '�,� 4c GLASS FL. BTU 'EXP. WALL / .1� COEF. NET EXP. WALL 11 INFILTRATION CEILING NO. WIDTH HEIGHT NO. OF. LINEAL FT. AREA LIGHTS OF CRACK SO.. FT. FLOOR GLASS V ft) �q r7 / •� (0 DATE NAME'"" C'` /< le - JOB [ADDRESS -Z-90 FL . ,Q5/,VfAjPOOM LENGTH 101 WIDTH `_41 -IE I GHf�, WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT Z 29 1 7 4 OT TOTAL BTU. I 4 -0 1 r� / 20 TOTAL BTU. s FL. BTU -` / .1� COEF. BTU b INFILTRATION WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF. LINEAL FT. AREA LIGHTS OF CRACK SO.. FT. 1 r, 6 GLASS V ft) �q r7 / •� (0 EXP. WALL 3&0 CEILING NET EXP. WALL z `® Z l CEILING FLOOR 1�R t.iiCe� ``�� J 0c, TOTAL BTU. COEF.1 vLC�® ® TOTAL BTU. s FL. f5ED' ROOM LENGTH 1,3 WIDTH ® HEIGHT 15 FL. ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA GLASS WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF. LINEAL FT. AREA LIGHTS OF CRACK SO.. FT. - NO. OF LINEAL FT. AREA N0. WIDTH HE LIGHTS OF CRACK SQ. FT. �y �r N0. OF LINEAL FT. AREA HEIGHT LIGHTS OF CRACK SA AREA �q r7 / •� (0 INFILTRATION GLASS AI EXP. NET EXP. WALL CEILING FLOOR TOTAL BTU. COEF.1 BTU. I I I I I COEF.1 BTU. FL. 40 1c) INFILTRATION FL. ru 17 S Q GLASS 0 WINDOWS AND DOORS-CRACKAGE AND AREA EXP. WALL AREA SQ. FT. to N0. OF LINEAL FT. AREA HEIGHT LIGHTS OF CRACK SA AREA NET EXP. WALL (0 11 t500 CEILING FLOOR TOTAL BTU. TOTAL BTU. FL. 4 ROOM LENGTH 10 WIDTH 10 HEIGHT FL. ROOM LENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA WINDOWS AND DOORS-CRACKAGE AND AREA N0. OF LINEAL FT. N0. WIDTH HEIGHT LIGHTS OF CRACK AREA SQ. FT. NO. WIDTH N0. OF LINEAL FT. AREA HEIGHT LIGHTS OF CRACK SA AREA Z1,6 Z- 16 Its COEF� BTU. INFILTRATION -I Q,0 1 ® INFILTRATION GLASS 614- 0 ( GLASS EXP. WALL ot (00 EXP. WALL NET EXP. WALL ` ® NET EXP. WALL CEILING ® 4) `C) 1 0 0 C:) CEILING FLOOR FLOOR TOTAL P --_U, °® TOTAL BTU. COEF.I BTU. TOTAL BTU. HEAT LOSS 00? J��4L E.D.R. STEAM TOTAL SQ. FT. H.W. / .Z v HEATING UNIT 1. Oxy ®f Fridley, NUmm. BUIIDING PERMIT N® 6633 Date: -- Owner: - Builder — Address Address OF ILDING No. Street f P Lo Lot P _Block Addition or Sub-Divb ._ Corner Lot _ Inside Lot Setback___ Sideyard Sewer Elevation — _ Foundation Elevation DESCRIPTION OF BUILDING )AU Front Depth Height Sq. Ft. Cu. FtX_ t Depth Height Ie Sq. Ft. " Cu. Ft. Type of nstruction _ r Est. 'o be Completed 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 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $,J/ e— , 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 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, tenance, repair and moving of buildings within the city limits ndel this permit may be revoked at any/� f any of the provisions of said ordinances. NOTICE 'fids pemb does not corer the eonstruetion, hm*&MNon for wking, phmbing, gas hed im sewer or water. Be sore to as the Boihliae hopeetor for separate pormhs for these items. r City ®f Fridley, Mi BUILDING PERMIT N® 6879 Date: Owner: Af�� Builder c Address Address .� LO ,= OF11BUILDING No. of s Lot _ Block Addition or Sub -Division Corner Lot _ Inside Lot _ _ Setback _ _ _ Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING v Front Depth Height ti Sq. Ft. Cu. Ft t Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost To be Completed In consideration of the 3sauance to me of a permit to cons ct building des , I „` ado the proposed work in accordance with the description above set Yo and in comp e < o� s of ordinances of the city of Fridley. P �r In consideration of the payment of a fee of $ , 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 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 violati n of any of the provisions of said ordinances. A)f" !l .1 .fr.I T'>M`7.� t NOTICE We permb den cot corer the construction, Inshllatlon for vriring, ph mbtng, gn heads®, sower or water. Be sure to we the Bonding Inspector for aperate permift for these Items. City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures .e47ZZ pZ Q�ygZ O 9 � �jwU' ZZ! F ! N WATER HTR. GAS ELEC. +� ;(�cc a�� w� c� LL•�c Ula �°d �d �p Base 1st 2nd 3rd 4th ° Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N . RATE TOTAL Number Fixtures ...................... x $1.50 . / Future Fixture Opening ................ x 1.20 $ d" � o New Fixture Old Opening ............. x 1.00 $ Catch Basin ..... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 $ .4 -� Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $ S 3' Dept. of Bldgs. Phone SV 4-7470 �� Location ®C -e Ole, c�L �� 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. Owner Kind of Building Used as To be completed about Estimated Cost, Old—New. Build ROUGH FINAL SUBJECT PERM O. City of FridleyN 17180 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO 1w ___„__ COMMUNITY DEVELOPMENT DIV. INSPECTION f PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/3/83 JOB ADDRESS F 290 Rice Creek Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Reed 290 Rice Creek Boulevard 571-0626 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Construct a 121 x 16' Storage Shed 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIN% HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. 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 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 $475 $.50 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50 TORE OF CONTRACTOR OR HORIZE ENT (DATE) WHEN PROPERLY V IDATED TIJIS IS YOUR PERMIT •° BLDG WSP DAL StG ATURE 09 OWNER IIF OWNER BUILDER) Z AATE) Effective Aug. 1, 1981 CITY OF FRIDLEY APPLICAT194 FOR RESIDENTIAL BUILDIiIG PER141TS (New, Alterations, Additions, or Repairs) OWNER: j n carr= EZ EM 'BUILDE:R:g FIR ADDRESS: QAQ 1 C CY, ADDRESS: efn Q� TEL NO: ��?!-o�� TEL NO: Construction Location STRI,T NO: —�Q --_ STREET: r I C,F— CS�-`� !% LOT: _ BLOCK: 9- ADDITION: _ R I CV -1 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 Qq&F VZ Front: % Depth: L {o Height: `V Square Feet: �'a.� Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ a� �r Type of Construction: Estimated Cost: $ Zb Be Ooripleted: 1_—`^' l< s Alt. A Alt. B Proposed Driveway Width if New Opening Is Desired: $ $ SEE pEVERS' SIDE OF SHEET . ZSie undersigned hereby makes application for a permit for the %:.,ork herein specified, agreeing to co•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: D SIGNATME : Stimulations: SUBJECT PERMIT NO. City of Fridley �47 AT THE TOP OF THE TWINS BUILDING PERMIT r -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. gg 6 4p !1 1 , NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 7/11/90 JOB ADDRESS 290 Rice Creek Blvd 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek. Plaza North. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Reed 290 Rice Creek Blvd N.E. 571-0626 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Same 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 Dwelling (24 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanised valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $"6.0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,200 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $29.60 SIG TURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE) WHEN PROPERLY V ATED THIS IS YOUR PERMIT �AA C L�-//- r; o Jai BLDG INSP OAT SiGN OF OWNER OF OW BUILDER) (DATE) NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: R ! L h, Cl2 E F- VC. B S L J O Legal Description: �- 0 1 1 L4 E- C Q F �� r- Q L o, 7-A 1yO Owner Name & Address: F_' C �) Tel. # 527 L 014z, 2 G� Contractor: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width_ Hgt/Ground Sq. Ft. 07HER: L) Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks O c4 Type of Construction: � , V, F r2 G %SS Estimated Cost: $ Approx. Completion Date: 1 %-Q D tjT1 \ Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: Tel. # 57 -Z- = Z Permit Fee $ o -,q ®O State Surcharge $® SAC Charge $ Driveway Escrow $ Perk Fee $ Sewer Main Okirge $ STIPUTATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY 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 Rate TOTAL Furnace Shell and Duct Work, Burner - -;?Up o Also Replacement Furnace $ 30.00 $ (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 .50 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 Effective On January 1, 2001 OWNER L 14 x-ee_ Ay BUILDING USED AS ESTIMATED COST ®� PERMIT N0. r DESCRIPTION OF FURNACE AND OR BURNER No. of Heating UnitsCircle One (Steam) (Hot Wate (Warm Air) Trade Name S j&c- _ S— 4� Size No. BTU 16®®® HP EDR Fuel AIAI (04 S! 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE P -2 - HEATING —ZHEATING CO Signed Li TEL # Approved By Rough -in Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 manufacturers 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 ( ) ADeliance Tvpe and Size/Common 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) ' HEATING CO: Signed By: Date CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS� U _ �(� R( CC uk) �kUQ, Residential Rate TOTAL OWNER CLI Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ / (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO.—141,90)6 Gas Piping (Needed with new furnace, $ 10.00 $ Gas Range $10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. C30 BTU HP EDR *Air Conditioning - All Sizes $ 25.00 Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE PP ` DATE MINIMUM FEE FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO ALP REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE S.50 STATE SURCHARGE Signe TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date 46 written permission from adjoining property owner. 31 T Y OF FRIDLEY INSPECTION DIViSION r 6431 IjIniversity Ave NE Effective On January 1, 2002 Fridley, MN 55432 APPLICATION FOR POWER PLANTS-AND HEATING, COOLING, VENTILATION, (763) 5724604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE OWNER Residential Rate TOTAL, UU Furnace Shell and butt work, Burner � BUILDING USED AS V Also Replacement Furnace $ 30.00 (Side Vent FiFa Ouf Back) ESTIMATED COSTPERMIT N0. Gas Piping (Needed:, wi1K newfurnace, $ 10.00 $ but not _replacement) Gas Range _ $ 10.00 DESCRIPTION OF FURNACE AND QR BURNER $ hlo._of Heating nits Circle One (Steam) (Hot Water arm ) Gas Dryer $ 10.00 $ Trade Name cin Size No.000) a *Air Conditioning All Sizes $ 25.00 po BTU -HP EDR $ �� , Fuel _Total Connected Load All Others/Repairs:&,'Iterations (LIST ON BACK) a; - Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP °EDR Commercial/lridustr al 1.25% of Value of appliance or Work $ T,he undersigned hereby makes application for aOermit for the work herein specified agreeing to do all work in strict accordance with the City Codes an State Surcharge $ :50..: rulings of the Building Division, and hereby declares that all. the facts and SZt representations stated in this application are true and correct. TOTAL FEE $ SS, DATE ��LI MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50'STATE SURCHARGE Signed TEL # a REINSPECTION FEE $47.00/Hr FAX # *Air Conditioners can not be placed in a side yard without Approved By Rou h•In Date g Final DatIN 6 written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CQMMQN VFNT VFNT CONNFCTnR AND r'O "RIISTION AIR VFRIFICATION When replap-OCI an existing furannp, 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. Yesr 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 is sized and installed to meet the current codes and manufacturer's specifications. Yes"' No( ) When required to install a new comhi isfinn air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes, No.( ) When installing a new renting 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)14_No ( ) Appliance #1 Type Appliance #2 Type Appliance #3 Type � T Total Appliances _ BTU Input eX- BTU Input 71 BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Common Vent Type Vent Height Diameter _ inches Appliance #1 Vent Connector Height ft Length ;- ft Diameter �y in Type vc�`. Appliance #2 Vent Connector Height ft Length �_ft Diameter in Type Appliance #3 Vent Connector Height ft Lengthft Diameter in Type —�LA_!:� a CITY OF FRIDLEY PERMIT NO.: 2004-00113 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-3604 FAX: (763)571-1287 ADDRESS : 290 RICE CREEK BLVD NE PIN : 143024220043 LEGAL DESC : RICE CREEK PLAZA NORTH ADD : LOT 1 BLOCK 4 PERMITTYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 OWNER HUFF, LAREE E 290 RICE CREEK BLVD NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 113375 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. Applicant Date Bldg Insp Date. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT NO.: 2004-00112 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-3604 JFAX: (763)571-1237 ADDRESS 290 RICE CREEK BLVD NE PIN 143024220043 LEGAL DESC RICE CREEK PLAZA NORTH ADD LOT 1 BLOCK 4 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 OWNER HUFF, LAREE E 290 RICE CREEK BLVD 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 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. Applicant Date Bldg Insp ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 113375 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 6WPCG11120 V.1%.*1<rLQG7iy/_Qr-t:1i ADDRESS : 290 RICE CREEK BLVD NE PIN : 143024220043 LEGAL DESC : RICE CREEK PLAZA NORTH ADD : LOT 1 BLOCK 4 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT O.: 2004-01552 DATE ISSUED: 09/07/2004 ° VALUATION : $ 699.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT GAVIC & SONS PLUMBING 12725 NIGHTINGALE ST COON RAPIDS, MN 55448- (763)755-6468 OWNER JIM LANCE 290 RICE CREEK BLVD NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 VALUE (FOR MINIMUM CALC) 6.99 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. Ann 'ca R Date PLBG PERMIT MINIMUM FEE 0.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 10849 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. w t r Ur FRIULLY INSPECTION DIV. RATE TOTAL 6431 Urersity Ave NE New Fixtures Old Opening, New Fixture Effective April 1, 2004 FrI&Ly, MN 55432 The undersigned hereby makes application for a permit for the work herein Beer Dispenser $10.00 specified agreeing to do all work In strict accordance with the city codes APPLICATION FOR PLUMBING AND GAS FITTING PERMIT .01 (763) 572-3604, FAX (763) 571-1287 and rulings of the Building Division, and hereby declares that all the facts Catch Basin $10.00 ....:..... ;.;:;:::: MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR $10.00 $10.00 Stories Sump/Receiving Tank $10.00 20_ Nater Treating Appliance $35.00 ;�: Floor ::.::':.,� Auto. '.:. :::>.>.::::::: Gas a;•.>::t:, Water Heater Nater Heater - Gas** 1 _ .. :.,....,, Uri nal _,. _..... $10.00 Tra �_ •;�"•:,,ti?:s: .•^...,•.; ��;:;.,::; ::.::>: \;<� ,;. Drains �tft :::,•., Washer f3 I:•:...:.::,: • Donnn > ! ;. ��-- Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ OR 90 & New Fixtures Old Opening, New Fixture $10.00 The undersigned hereby makes application for a permit for the work herein Beer Dispenser $10.00 specified agreeing to do all work In strict accordance with the city codes Blow Off Basin $10.00 and rulings of the Building Division, and hereby declares that all the facts Catch Basin $10.00 and representations stated in this application are true and correct. Rain Water Leader $10.00 $10.00 L� DATE: Sump/Receiving Tank $10.00 20_ Nater Treating Appliance $35.00 OWNER 1 y►1 �n P Nater Heater -Electric $35.00 _� Nater Heater - Gas** 1 $35.00 3S• M BUILDING USED AS._� jas Range** $10.00 Sas Dryer** $10.00 ESTIMATED COST_ � p �7 PERMIT NO._ 3ack Flow Preventer Required( )Yes () No • Type $15.00 PLUMBING COMPANY Gt( teinspection Fee $50.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS SIGNED BY TEL N0. -?(p3— %SS-(�� 1.25% of Value of Fixture or Appliance State Surcharge $ --s-6 y Approved BRough-In Date - -- _ TOTAL FEE $ SO MINIMUM FEE FO ANY PLUMBING/GASP PERMIT IS 15.00 or 5% OF COST OF THE IMPROVE ENT WHICHEVER IS GREATER PLUS THE SURCHARGE. :OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPL LY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VET VENT CONNECTOR AND COMBUSTION AIR VERIFICA ON When replacing an existing 3 furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported ai id firestopped where required. Yes (Vf No( ) The venting system is plasti PVC and meets all current codes and manufacturer specifications including sizin , length, number of elbows and termination. Yes (vf No ( ) The undersigned also verI that the replacement unit is a listed assembly and meets the current cod and manufacturer's specifications. This does include AGA -LAMA Catego y 1 Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (Vj No( ) The existing combustion Oir is sized and installed to meet the current codes and manufacturer's specific4tions. Yes (} No( ) When required to install a new combustion air, it will be sized and installed to meet the current odes a d manufacturer's specifications. Yes( No( ) When installing a new von inn system ', the undersigned hereby verifies that it is a listed assembly and m Bets the current codes and manufacturers specifications. This does in Jude AGA -LAMA Category I Central Furnace Venting Tables for fan assisl ed and natural draft appliances. Yes( No ( ) Is the common vent and ve t connectors sized and installed correctly after an appliance has been rem ,le from the common vent and vented separately as per current es. Yes No( ) Appliance #1 Type _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type Appliance #1 Vent Appliance #2 Vent Appliance #3 Vent HEATING CO: Signed By: _ 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 Height ft Length ft Diameter in Type Height ft Length ft Diameter in Type Height ft Length ft Diameter in Type Date: