PRE 2010 DOCSAppkaflen
for Parer Pheft and Heaft CooUng. Ventilation. R®fsigeration and
Air Conditioning Sptem and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work ... ............
.. $10.00
3.00
Replacement of Furnace .... ..... ..
6.00
$
Repairs & Alterations—up to $300.00
6.00
Repairs & Alterations each add. $500.00
3.00
MECIL WARM AIR °y e
Furnace Shell & Duct Work to 120,000iTU ........
$10.00
each add. 60,000 BTU ....................
3.W
S
Replacement of Furnace
6.00
$
Repairs & Alterations—up to $500.00
6.00
$
Repairs & Alterations each add. $300.00 .... ..
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
GASB (up to BTU) g.00 1
t'')
over 199,000 BTU See Fee Schedule
GAS FITTING FEES. NO RATE TOT
1st 3 Fixtures x$ 200 $
Additional Fixtures x .75 $
Gas Range to 199, x$ 8.00 $
RIR COHDMONMG
FAN HEATING SYSTIM See Fa
v rm ATine. STSTEM $
ALTERATIONS & REPAIRS TOTAL. FEE $
ROUGH
(SURCHARGE $ _.50)
Dept. of Bldgs. Phone 580-34
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 Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct. y
Fridley, Minn �� m 15�
�
Owner - v
Kind of Building
Used asrut To be completed _ _
Estimated Cost, $_-
Permit No.
l
Permit No.
Capacity S1/Ft, E.D.R. BTU ft)HP
Total connected Loa&IT' Z1 4 ti % Kind of F"ue:
BURNER — Trade Nam Size No
Capacity Sq. Ft. E.D.R
NP.
(REMARKS-OVRR)
AOR C0p1[)jjj0NlNG Q.
Sim*m1 x� -
I�a�f'v�JEAY(�LtSe MINNESOTA 5,j43,_
By-
Buslnm Phone T � J
Fire Phone 560-1500
Mem To:
From
Bus. Phone 560-3450
CITY OF FIJI Y
Bur ire irreventior
6431 University Avenue N. E., Fridlev
MINNEAPOLIS 21, MINN.
Clarence Belisle, Building Inspector 72 -6 -
Robert D. Aldrich, Chief, Bureau of Fire Prevention
Date June 26, 1972
Subject: Gordon Aspensen Apartmnts, 6195 Riverview Terrace
I have reviewed the plans for the above proposed construction
as follows:
Occupancy Classification - Type H
Construction Classification - Type 5 - 1 hour
Area - 2592 square feet
Plans are approved as sutmitted.
RDA: et
YOU Can Help STOP Fires SAVE ]Lives
City of Fridley, Blinn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUHDING PERMIT
Date: September 8, 1972
Same
Owner: Gordon A. Aspens on Builder
Address w 17 Rice Creek Way Address Same
M
LOCATION ®F BUILDING
No.6489.7!6495Str�t `Riverview Terrace ,N,E, part of Lot
Lot ._._.._4 Block _ 1 __ Addition or Sub -Division __ Johnson's River Lane Addition
Corner Lot _.X _ Inside Lot _ _ Setback _.__ Sideyard
Sewer Elevation Y
Foundation Elevation
DESCRIPTION ®F BUILDING
To be Used as:
telex _ Front _ _7 � Depth ._ _?O'_ Height or�tg. Ft. 0 Cu, Ft. 43, 200
garages.— Front ._ Depth Height Sq. Ft. Cu. Ft.
Type of Construction — F.r..ame Est. Cost . X40, 000 To be Completed ' Feb . 73
(66,763.20)
Construct as•per notations in red on the plan.
Provide a verification survey.
Owner agrees per letter of September 8, 1972, to complete landscaping,
blacktop and curb by Jul, 1973.
In consideration of the issuance to me of a permit to construct the building described above, I agree tq
the proposed work in accordance with the description above set forth and in compliance with all provisions
ordinances of the city of Fridley. e ? f1
In consideration of the payment of a fee of $ 151.5 0 , permit is hereby granted to Qnrd nn ,J a nen a on
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 bwlldingB
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Said
ordinances.
Inspector
NCE BELTS
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
.e
a
..:
I DINLffmil
CITY OF FRIDLEY
E: Applicant should
asin building permit
F
from Building Inspection
Secretary.
BUILDER:
Department
ADDRESS;
f1L�
PTFE: A Certified Survey of the lot,
street
City 4ip Code
showing the location of the foundati n,
T ONE: 4 s3-��3
'-
��� Sr�SS
once it has been constructed, will be
required before proceeding with the
Nome
Business
framing.
/
PRO TY 0(S)
0
HI
ADDRESS(ES)
Street " City Zip Code
Street City Zip Code
TELEPHONE NO -(S)
Rom® Business
Property Location on Street
or Exact Street Address (if any):
Zegal Description of Property:
Z-0
Za I7
Total Area of Property / -z8= sq. ft. Present Zoning Classification ffV/- 7/ty/-e
DESCRIPTION OF BUILDING
Propoeed Building Use: � ��� <6-
ons: Front Z- Depth 0 Height
Building Dimensions: P
Type of Coe�,®truofion:
Estimated Cost
Square Ft. �/,� � Cubio Ft.
To Be Completed —z-:1
DAM P — 7Z— APPLICANT'S S$GNA'1ME1
.�
Q
NON-RF,IDFNTIAL B.U11.pIN6 PMIT
ZONING: ADDRESS:
VARIANCE REQUIRED:
SPECIAL USE REQUIRED:
PLOT PLAN: TOTAL AREA GRADE ELEVATION
CITY OF FR1DLEY
LDGAL DESCRIPTION:
SE<T BACKS: FRONT YARD SIUE YARD RM7YAFd
SUBMIT T0: BUILDTNG BOARD BOAR OF APPEALS PLAN. COMM. COUNCIL
APPROVAL DATE:
REKARKS;
FIRE RBQ'UIREKENTSg FIRE MARSHALL
BUREAU EXITS (dates App)
INSIDE UTILITIES: PLUMBING VENT & HEATING ELECTRICAL
Dade Approved : ® 2w' �l� '0 6 K 3
OUTSIDE UTILITIES
& SITE DEVELOPMENT: WATER SEWER ELEV CURBING DRAINAGE SCREENING & PLANTING
� C
H Date Approved
City Engineer oK .
Sewer Connection Charge Receipt No.
Permit Fee & Plan Check % V1 5_6 Receipt No.
STAi6ScrRCmerlf_ 3 3. 3 Receipt No.
Net Permit Fee Due f L -Receipt No .
SPECIAL ASSESSMENTS:
IF LATERAL ASSESS S HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMEYI KUST BE
SIG REEING ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED®
AGREEMENT NECESSARY
Finance Direc o AGRE34ENT UNNECESSARY
Aegistated Engineer's Stamp Legal Denoript n Check
(A) FOUNDATION PERMIT FINAL APPROVAL
Bu 1 ing Official Bu ding Official
(B) FINAL APPROVAL7 .OM Easements, R/W, Special Agreements
City inset VIN
DATE:
'-CERTIFICATE OP OCCUPANCY:
PARTIALa DATE: FINAL: DATE:
e�
RVIARItr, a REKARKSs ,
H V
rJ
ME
mi , d
' M-MIMM
d a �.
�'
PLYIRtSYNG FIETURE RATES:
NO. PRATE TOTAL
Number Fixtures ................d
x $2.00 $
Futures fixture Opening ............
it $1.50 $
New Fixture Olaf Opening s .........
x $1.50 $
Catch Basial ....................
x $3.25 $
Water Heater 'Up to -99.000 BTU) ..
x $3.W 8
New Ground Bun Old Bldg.........
x $3.25 S
Electric Water Heater ..............
a $zoo $
GAS FITTING PEES.
NO. RATE
TOTAL
60
1st 3 Fixtures • • .. o. ........
x $2000 OD
.. ..ta.�• ....:.. . e .-.
!$
x S .75 +
/A�eaYOt�i� Afy�ej
Vas Raw to 199,000 BTU Y • . 1.e .. ® e ...
5
x $6.00 4
State Surcharge $ .50
g� 1
& ALTS • veeIO er is
_
Description
TOTAL FSEs .
City of Fridley:
The undersigned hereby snakes application for a permit for the v"wk herein:
specified, agreeing to do all work in strict accordance with the City Ordinance
and rulins of the Departmmt of Buildings. and hereby declares that all the fact
and representations stated in this application true and correct
Fifey. Mna —
�Jcsr:a
Kind of Building
Used �
To to completed about
Fstimated Cost. $
01 —A'ew Building Permit No. �� Permit No.�
Signed
yl�Z
By
Business Phune No
ROUGH
--, CERTIFICATE 4F.00�11P/�NCY
r
_ .t .. ��
6.,
fll
• r
Location v a, �a°' s+ , sS r���°", �' �'���b��� Building Perrnit.No.
s' Fridley, Minn.,a Y
C. 1922—
9
�j
t �. q
This certifies- that we have inspected the building at the above location, situated on Lot
h
II
Block 1 ' i 1 kions& b`IVV 'x �x�a� Addition to Fridley, and find .that the same complies,
to the
i! -ii
best of our knowledge and"belief, with all the requirements of the Building Ordinances of the city relating
thereto,
.f t
and permissionis :hereby given for the occupancy of said building, in whole or in part, inthemannei%
and far the
II !I'
' purposes herein below+ specified.
A 1 Floor to be occupied for 4 '
a
J
' Floor to be ' occupied for
Date Approved9.F PBS , s 7 �u:�iF r4:;
a.d1 ^',.,aprat'nb
jPlup� &�lieating y. )
�� City, 4ler�f�
i�.
P
P�. 1 /�
I ,
... d • ���WPi48�ai-�, �+��m� !
''� ^r f�i >�•�°
1i
'4
SUBJECT
PERMIT
City of Fridley
r11146
AT THE TOP OF THE TWINS
BUILDING PERMIT
CEIPT
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
_N0--11
/o
r � �
i CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/29/93
JOB ADDRESS 6489-95 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
1
Johnson's River Lane Addn, SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Riverview Terrace Townhouse Association
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
RSI Restoration Services Inc. 15800 32 Ave N Plymouth 55447553-1417 2410
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
4 -flex
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Q. REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Building
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors as per State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. 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
4
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 _
$l� aQ�
$5. QQ
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$117 O0
Fire SC $10,00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
°
PLAN CHECK FEE
TOTAL FEE
XX= $137.00
License SC 5,
WFi PE VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
r
BLDG P qAT
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 5/26/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�
Building Permit Application
AL)?9-9�- .
Construction Address: 4� R� v i.-(- �
Legal Description:
Owner Name & Address: (MOWk gad- +-a Tel. #
Contractor: k56. c �,� u � MN LICENSE # C�2-141 y
Address: lt�e60c::)� ^ 1� taub� JAKJ r 44w -j Tel. # ��� l 1'1
L- j
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LINING AREA: Length -I-Z— Width Z-1 Height -Z-- Sq. Ft.
GARAGE AREA: Length 7-o Width 41k Height Sq. Ft.
DECK AREA: Length Width Hgt/Grouad Sq. Ft.
OTHER:
Corner Lot W Inside Lot [ ] Ft. Yd Setback
Type of Construction:
Approx. Completion Date: lC I l�
Side Yard Setbacks
Estimated Cost: $ to , c9cDo s
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: Zit APPLICANT:Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
s
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Ali. "A" or Alt. "B" Above
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
SUBJECT
PE
City of Fridley
26967
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
tet: ------COMMUNITY DEVELOPMENT DIV.
1 I PROTECTIVE INSPECTION SEC.
w9l
r 1 �
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910415
8/3/98
JOB ADDRESS 6489 Riverview Terrace .
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
I Johnson's River Lane Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Doreen Garness
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Top Gun 10736 Normandale Blvd Bloomington 55437
346-8000 3388
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 IX REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (51 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
4253
$2.12
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$99.75
Fire SC $4.2S
PLAN CHECK FEE
TO L FEE
T-4 no-non AQ $5.,D/11.12
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
-JAOEN RO
9LQ� ipsp
VALID TE HIS IR PERMIT
DATE
SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI
Jul 30 98 01:56p Top Gun, Inc.
612-428-8826 p.l
NEW [ I Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 1
BUILDING PERMIT APPLICATION (6 q �,
ConstructionAddress: (a f-e'"C"U
Legal Description:
Owner Name & Address: (� �� � ss � Tell. # r
Contractor: Ulv /0'7 /'? !' MN LICENSE #
Address: L1oa,, A -j - Yq, Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF DWROVEMENT
LIVING AREA:
Length
Width
Height
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Qround Sq. Ft.
OTHER:
SAC Charge
$
S 4\
License Surcharge
K—)t 1206-r
S` -
$5.00 (State Licensed Residential Contractors)
3
Construction Type
Alt. "A" or Alt. "B" Above
Estimated Cost: $
o
•$450.00 Conservation Plan Review
Park Fee
(Fee Schedule
on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $
_ $
DATE:
APPLICANT:
Tel. #
TOTAL $L//.
STIPULATIONS:
t
CITY USE ONLY
Permit Fee
$`
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1110th%)
State Surcharge
$
$.501$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$
S` -
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
•$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $L//.
STIPULATIONS:
t
CITY OF FRIDLEY INSPECTION
6431 University Ave NE
Fridley, MN 55432
(763) 572.3604
RATE SCHEDULE.
DIViSION
Effective On January 1, 2002
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
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
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ .30 eo
$ 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.
$ .50
$ ro
JOB AD
OWNER 9Zc:,ye
BUILDING USED AS
ESTIMATED COST PERMIT NO.IS cIS�
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units--/— Circle One (Steam) (Hot WateAka;
m Air
Trade Name/ �ia4 Size No��i5' e
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE X 6 ®® 2 --
HEATING
-
HEATING CC�J ,.,- 61Z /'2?®4 !95dc Bite jed wJ
Signed TEL #7d'i�-�f�
FAX #
Approved By Rough -In Date Final Date AJd-z
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VFNT- VENT CONNECTOR AND COMR11STION AIR VFRIFI CATION
When rQ In acing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from Oast, 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 K"
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 jd No( )
The exacting cnmhustinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes() No
When required to install a new t-nmhi mtinn airy it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes )a No ( )
When ins ailing a new van ingnyetem, 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 Yd 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. YesNo ( )
Appliance #1 Type � BTU Input 2a00j3 Ja�Assiste or Nat
Appliance #2 Type . BTU Input �c� ,�� aor
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input 04000
Common Vent Type Vent Height '�- S' i Diameter inches
Appliance #1 Vent Connector Height y ft Length ft Diameter & Lk in Type
Appliance #2 Vent Connector Height f ft Length '�- ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO: J
Signed By: i Date: 6 1 6 /
CITY OF FRIDLEY PERMIT NO.: 2004-01487
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004
(763) 5"/Z -36U4 YAN: (763) 571-1287
ADDRESS : 6489 RIVERVIEW TERRACE NE
PIN : 153024420088
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : MULTI DWELL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
GARNESS DOREEN L
6489 RIVERVIEW TER 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 worl
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
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 117431
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Building PLUMBING Permit No.1
Inspections RESIDENTIAL APPLICATION Received By.
763-572-3604 CITY OF FRIDLEY Date R
763-502-4977 FAX EFFECTIVE 1-1-2010
DATE }�/ p/.? YOUR E- AIL ADDRESS
SITE ADDRESS l V'e( U i t J °-e.ti-
THIS APPLICANT IS: ❑ OWNER WCONTRACTOR
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
CERTIFICATE OF
INSURANCE
ADDRESS: CITY STATE ZIP
PHONE:
NAME:
[.W:lglw11ZOTIM41
EXP DATE /
STATE BOND # EXP f ATE
ADDRESS: '5 2' CITY STATE ZIP 5c�$7/
PHONE 74 5 7 / FAX 6 ✓" e -
PERMIT TYPE 1�6 INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: 1 ❑ NEW [kREPLACEMENT
DETAILED DESCRIPTION OF WORK
I'
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
_ BATH SINK/LAV
_FLOOR DRAINS
SHOWER
_ WATER PIPING
-BATHTUB
GAS PIPING (NEED CITY LIC)
_
POOL
WATER SOFTNER ($35)
_ CLOTHES WASHER
_
-KITCHEN SINK
-SWIMMING
WATER CLOSET
_
_ BACKFLOW PREV. ($15)
_ DISHWASHER
_ LAUNDRY TRAY
_
WATER HEATER ($35)
FOR IRRIGATION
WATER METER
OTHER
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the case f al ork whi requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME - n/ h 4 � _DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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