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PRE 2010 DOCSI W E E I- o � I E I W E E I- o � m M ° s Q� . • d o a o s • • o • • a o • e s • • {'� R IQ 0 0 � o o �fl • °� ° • 0 d.B to 2 ate+ o s _ ° City of Fridley, Minn, 6431 University Ave. N. E., Minneapolis, Minn. 55432. BUILDING PERMIT Date: November 14, 1972 Owner: ,__Yg�o,�Tncopoxated Builder „ , S m _ Address __32_U_zantzal Avenue Address rSame LOCATION OF BUILDING No 7L6?:.__ Street ^Riverview Terrace N.E. part of Lot Lot _ _ 1 Block 1 _._ ._ _ Addition or Sub -Division Riverwood Manor Addition Corner Lot X Inside Lot __ Setback 35 ` _.._,_ Sideyard 5' & 20' Elevation. 841-38 —/A'4 Ut(9V AAA Nye Top of Footing To be Used as: Dwelling Front 30' Depth 40' Height 20' Sq, F, 1080' cu, r, 20.160 sv T Front 20' Depth ._ _ 221 Height —101._ Sq. Ft. Cu. Ft. 0' Type of Construction Wood Frame. Est. Cost — $20:074,00 To be Completed Harcb, 1973 Stipulations: Provide a verifying survey before capping. Provide a hard surface driveway. Eliminate walkout or provide surface drainage to street. WATER LOCATION: 11' N. of Sewer Service SEWER LOCATION: 84.5' S. of Manhole (Inv. 842.20) In consideration of the issuance to me of a permit to construct th ding described above I agree to do the proposed work in accordance with the description above M=_ pliance with ah provisions of Ordinances of the city of Fridley. 10.04 State Surcharge In consideration of the payment of a fee of $ 46 00 , permit is hereby granted tv Erco, Incorporated 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 building within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Said ordinances. NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we the Sulding Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION# OR ADDITION BUILDING PERMIT CITY SOF FRIDLEYs MINNESOTA IS NW: --FILM s '6 f� ADMESS : ADwsS2-'3— ,o NO; STREET; .4- LOT � $LOCK $ / MITI®N I CORNER LOT: � SFW LOT; a VMCK; iVi�L'Il �.Di�e+�� Avliv=t armach vo thU f+a= „c� Certificates of Survex of I,ttt and proposed Wtldtmo lacati,+ n dram om these Certifi sates, Be U DESCRIPTION OF BUILDING -Depth,. Z� geig t: b Square Ireet;� 0 t A Cubic fete Depth;- Height; e. square y t 3.,..e�-.C.:. ::. bis Feet; v ° f Type of constructions 5 Estimated Cost: q e •ean r Thu %mdervigned hereby sakes application for, a permat.t for the work herein #PeCj9le4c1, agreed t do all work fm stftct accordance with the City of .48. 0r4UW=es and Zutftp #f tke Department of Buildings, arA hereby +decl.areq all the facts and representations stated to this application axe true =4 correct, I, ,, v .�.� $iCNATiT Ramco Ssde For A44it40na3. Inforteati } ` A il,R T 'A. OLSON J. F. HILL, CIVIL ENGINIIPFF 9fI^bL.*NVI5 14" 1 LAND SURVEYORS C. F. -,ANDHQ)FF- A.'VIERiD UNDER 1 -AWS OF STATE OF MINNFSOT'k CIVIL ENGINEER -.V ir-ISt'.0 SY ORMINANCK OF CITY OF tAINNEAt-CiLIS JAMES NEL.S(:)N 902 1 IF MIDWEST BUILDING 7 ? I SURVEYOR HEN' PIN AT FIFI� 9SIAW.191115D 1921 ,t MINNEAfQLIS. MINN ---%,-.Ol 4 -.- r;0 I �l - ' METROPOLITAN I ANI� it'luttl or44eriRicatt -�URVFYORS, f!FAjI-j-FL? 11 1 7 of !-,ot I El:,ak of Aivpr-.j,,.wi Kiner 'in NNie i:�y tie. tr Jay a"' t.1 ril VY/2 CARTWRIGHT ANDOLOON �d/7 7',;- e C/1�1//U/Mv/�17 D e - n s ,- A,Rra- PART,IAL -" 2 I -So CHIN&' D U L E ,M.%TM %TWU AM. &R-TH-H TOTAL T'Lvnm Shen a Dud T%Z-L 410.00 $— R008cement of Mowee ... .... em -$-- Repairs & Alterations—up tP S.m . — Repairs & Alt�w,@Uozw 6ich &0& ZON.00 &CO &----- - 0��10-117 runnace Shell & Lines --to 400 zq. fL EDR Steam $10.00 Fumace Shell & Une--to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. ZDR Steam 3.00 Mach add. 320 sq. it. EDR Hot Water 3.00 OIL BUDIM—to 3 gal. per hour SM $ over 3 sal. pw hour—See Fee Schedule 5B (up to M'wa BM Lee O"r 199.0m MU a" Fee md"We GAS ral'TING FEES: 190 RATE TOTAL Ist 3 Fixtures — X$ 100 Additional Inxtures; x .79 Gas Range to 19kM AM CONDMORMO PAN HZATU96 sysTEN Fee gdnftb VENTILATMO STSIM ALTERATIONS & P"Am TOTAL Y= ROUGH, rum., Dept. Of Md9B. now 5011"M city of Haley: The undersigmmd hereby makes appHeaftn 2o -T a parmit far thL- woyla Izareiv- specified, agreeing to do all work in with the CIty 0ydkj&MQj, and ruling of the Department of Buildinffs, aiEd her&by deckayei Lhat � tlac, and representations stated in this application are true and wn-ect. Frol -'� idley, Man- 0/-_j Kind of Building .— Used as To be ewnpleted about 01d,6W)Building Peradt No. Permit N®. 5Y911 &&If^ HF 410 "011#14 Busineft Asan: NO -.'RnESOTA a432 97-84-) 16051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Rimier Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Fater Heater- to 99,000 BTU 100,000 B-10 to 199,000 BTU Water Softener New Ground Pin Old Building. E1ect;:ic Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction X $3.00 $ x $2.00 $ x $2.00 $ x $5.00 u x $5.00 $ x Water $ x $7.00 $ x $5.00 E b L y, $ a -,4 w tn Heater yC�,(' 9! 4 C a d LG i1 O O +� �J V1 Q A N 7 6 pH ! N N O a mt y 3 4 w O w N� u 1 3 N 0 N N o 'as 'lee m t� 1st 2nd 3rd rill 4 th Future Connection Opening Connected with Sewer *) New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Rimier Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Fater Heater- to 99,000 BTU 100,000 B-10 to 199,000 BTU Water Softener New Ground Pin Old Building. E1ect;:ic Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction X $3.00 $ x $2.00 $ x $2.00 $ x $5.00 $ x $5.00 $ x $10.00 $ x $7.00 $ x $5.00 $ X $5.00 $ x '$3.00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 Job Address 7161 Riverview Terr. • NE Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for 6 permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 5-12-78 19 OWNER DAHLQ'JIST KIND OF BUILDING _ frnmP USED AS TO BE COMPLETED ABOUT 5-19-78 ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. / K✓ Company -- Signed By MINNEGASCO Tel. No. ROUGH INSP. Date r FINAL INSP. t' 16' -Vo Date APPROVAL FOR PERMIT J*j MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SUF43M= CI • 1 Vl FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 November 5, 1985 Mr. Burton Dahlquist 7161 Riverview Terrace N. E. Fridley, .MN 55432 RE: Intersection Vision Safety Zone Obstruction Dear Mr. Dahlquist: A complaint was received concerning visual obstruction of traffic at the intersection of Riverview Terrace and 71-1I2 Way. An inspection was made to determine the proper sightline for the intersection. It appeared that the corner Spruce trees on your property are rapidly approaching the size when the trees will completely block the vision of the intersection and bring about noncompliance to the City of Fr�dley's Zoning Code. Secton 205.03.78 of the Fridley City Code requires that, . "the triangular area of a corner lot beginning at the intersection of the street surface edge or curb lines, . thence forty (40) feet along each carb line, . thence a straight line between the two (2) points, but never more than the triangular area measured from twenty five (25) feet from the intersection of the right-of-way lines." Therefore the City is requesting that you should correct this situation before the trees grow much larger. Possibly the trees could be transplanted back from the corner before thL-1 become much larger. We are confident in your cooperation to correct this problem, but if there is any problem with the interpretation of this letter, . please feel free to call me at 571-3450. Sincerely, -W"Cck�"' Bob Nordahl Code Enforcement BN1sk -&3-310 Zoc.�-- 4 COMMUNITY DEVELOPMENT DEPARTMENT MEMORANDUM MEMO TO: Nasim Qureshi, City Manager MEMO FROM: Jock Robertson, Community Development Director Vz MEMO DATE: April 9, 1986 REGARDING: Attached Letter Proposing Building Fence in a Right -of -Way In the enclosed letter, Mr. Dahlquist is requesting that he be allowed to place a portion of a fence he is building 3-1/2 feet inside City right-of-way in order to save four mature trees. He states in this letter that if the City has to have access to this easement he would be responsible for any costs associated with removing and reinstalling the fence. John Flora and I suggest that he simply be allowed to do this unless there is some objection from you or the City Council. JR/sk Attach. Burton F. Dahlquist 7161 Riverview Terrace Fridley, Minnesota 55432 Mr. John Flora Fridley City Engineer 6431 University Avenue Fridley, Minnesota 55432 April 2, 1986 Dear John: I am planning to install a six foot redwood fence around my backyard in preparation for a swimming pool. I have enclosed drawings which display the backyard in detail and the entire lot with only the fence. There is a 7-1/2 foot easement between the street (71 1/2 Way) and my property line on the north. Prior to the street being put in, I had planted three spruce trees and an apple tree which have now matured and are infringing over the property line. It is not economically feasible to move them and it would pain me deeply to cut down these mature and beautiful trees. Therefore I am requesting a variance to allow me to place a portion of the fence along the north side around these trees. The portion of the fence outside the property line would extend for approximately 40 feet and would be 3-1/2 feet outside the property line. There would still be a 4 foot easement outside the fence for these 40 feet. I realize that if for some reason the city would have to access this easement, I would be responsible for any costs associated with removing and reinstalling the fence. I would appreciate your prompt review and decision regarding my request. I can be reached at 853-6048 during the day or 571-4323 at home if you have any questions. F'A SUBJECT PERMIT NO. City of Fridley "9140 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT • 1 ` COMMUNITY DEVELOPMENT DIV. >,. -___-- r i PROTECTIVE INSPECTION SEC. 1 . 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j L J` 612-571-3450 910-F15 8/28/87 JOB ADDRESS 7161 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Riverwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Burt Dahlquist 7161 Riverview Terrace N.E. 571-4323 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pacific Pool & Patio 6922 - 55th Street No., Oakdale, MN 55109 770-1313 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20" x 371 Inground Swimming Pool 9 CHANGEOFUSEFROM TO STIPULATIONS See.letter dated August 281 1987 with stipulations, 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 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $10,000 $5.00 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 ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $80.50 S R CTION R THE PIRIFORMANCE OF CONSTRUCTION. a LAN CHECK FEE Tor$85 E50 NAT URE OF CONTRACT RORAUTHORI DAGENT (DATE) WHEN PROPERLY VA TED THIS IS YOUR PERMIT � SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI BLDG )NSP A E F'A NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description:_ Owner Name & A esar Contractor: Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley R-1 AND R-22 I Building Permit Application Effective 4/1/86 Tel. # S7/- tv?eZ,? Tel. # /ry/® '�'/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Length ,/C7 y 3 Width Width Height Hgt/Ground Sq. Ft. Sq. Ft. - >er6 11 Corner Lot [ Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction:, oz /,Pr��- G Estimated Cost: $ 9 — /01 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation r % � DATE: ` APPLICANT: Tel. 7'd CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: G i fps - ,o1 fi AJ AM111J �/UIrtJG Zoe Fee Schedule on Reverse Side 25% of Building Permit Fee S a. $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 28, 1987 Pacific Pool & Patio 6922 - 55th Street North Oakdale, MV 55109 Re: Swimming Pool Construction at 7161 Riverview Terrace N.E. , Fridley Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurif ied water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The f it ter and pump shall be approved by the N. S.F. and be of suf f ici ent capacity to provide a minimum turnover of at least two (2) times in 24 hours. phis department recommends a turnover rate of 6 - 8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not 1 imited to wall s or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the date_ or otherwise inac oeessible to small children. (d) The opening between the bottam of "the fence and the ground or other surface shall be not mcr a than four inches. August 28, 1987 Pacif is Pool & Patio 7161 Riverview Terrace N. L 8. An automatic chlorinator should be provided with a suitable test kit. Page 2 9. All electrical and plumbing installations shall be inspected and approved by the City Inspecticn Department. 10. All overhead electrical lines must be a minimum of 10. feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to buiy said lines. 11. 7he pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, DARRE[, G. CLARK Chief Building Official DGC/mh CC: Mr. Burt Dahlquist CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE M PLUMBING FIXTURE RATES: NO. >, m New Fixtures ro S 5.00 U Future Fixtures k m $ Water $ 1.50 $ Beer Dispenser $ 4.00 E Blow Off Basin $ 5.00 $ +gam+ a fu a Rain Water Leader Heater $ 5.00 W tl C $ Sump or Receiving Tank 1 0! N X W 40M $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ YN $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND -.Ci 8 U N State Surcharge $ .50 Reinspection Fee $ y ($15.00) -A FEE $ to U D 07 � S o w to U O s lec 1st 2nd 3rd 4th (R) m Future Connection Opening Connected with Sewer (*) . New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures / S 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ y� /V•O ($15.00) TOTAL FEE $ Effective Aug. 1, 1981 Job Address /Aeeyln� 7e-rl- Department of Buildings City of Fridley Tel. #571-3450 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applic707 n are true and correct Fridley, Mn. , 19-L OWNER zfj�� f�fl� a KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ES TED COST / /y (5--,W BUILDING PERMIT NO. PERMIT NO. Company �dJS //•� Signed By Tel. No. IQ ROUGH INSP. Date FINAL INSP. 66.-f`? Date APPROVAL FOR PERMIT j MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE 0 CITY OF FRIDLEY INSPECTION DIViSION 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 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 $ 30.0 $ 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 'IF *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOBADDRESS aw ?'-tUte-Lji&V7�r OWNER U vvLa A R _ AaLyb ash BUILDING USEDAS ESTIMATED COST PERMIT NO. I DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)arm Air Trade Name p f— Size No. BTU,� 60 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. HEATING CO aUej- P.i k&4 15�VxC-4+ Al s , _"y `71t�1 j:�,vervitA--' lerrgc-O- 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 manufacture'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 .5 &AMX11MrAWBTU InputO® 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 1 Common Vent Type —AtOd*5 Vent Height Diameter �® inchesd 1s>.7P0 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) � � ®� zlw6 fe,465 C IIVO HEATING CO: Signed By: Date : ~®� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal I Tub' Shower NO. RATE Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Effective On January 1, 1997 Wash Floor Catch Auto Gas Gas Mf;ac Water Heater Tray Fount Drain Bas[ri. . Washer Appl Range i~Ixt......... Gas Elec TOTAL JOB ADDRESS rt/4 /( � I/ ek_-) r Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Q,g State Surcharge $ .50 TOTAL FEE $,a p, Sr0 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. -- — /5/ Owner Building Used As Estimated Cost _ &• 0-D PERMIT NO. PLUMBING COMPANY__ _ SIGNED BY — TEL No. Approved By Rough—ln Date Final Date �) PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. S 200,`�, a ; Effective 1/1/04 MOVING [ ] WRECKING [ PERMIT APPLICATION y Ave NE 432 FAX (763)571-1287 7W wek) tion: 70M H 4�jm ess: gth _ gth gth _ Cost $ s '-1' N+ Width Width Width 7elrgc E Tel. # Tel.�r93srs/ Pltd . State License # DESCRIPTION OF BUILDING Height Sq. Ft. Cu. Height Sq. Ft. Cu. Height Sq. Ft. Cu. Approx. Completion Date _ Ft. Ft. Ft. ER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Bill Paid: Yes [ ] or Collect [$ ] Signature Route: ��e) t dersigned hereby makes application for a permit to wreck/move the building described above, agreeing all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State which requires any water well on the property to be sealed by a State licensed water well driller, and ry y declares that all facts and representations stated in this application are true and correct. ALL 0. fly ♦ it 0yyA i i DTV DUAN! tATLLi1 Moving rinciple building into Fridley .... $300.00 Accessory building into Fridley ... $ 42.00 Through or within the City ...... $ 20.00 Move a building out of City ...... $ 20.00 PERMIT FEE: Z MINIMUM $20.00 /4 WreCklrig For each 1,000 cubic feet or fraction ...... $1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. STIPULATIONS: Effective 1/1/04 CITY OF FRIDLEY MOVING [ ] WRECKING [ PERMIT APPLI TION 6431 University Ave NE Fridley MN 55432 (763)572-3604 FAX (763)571-1287 Job Address: I/W Legal Description: Owner & Address: Contractor:[,qo� Address: 1'SAA- 1 s i --'l N+ HOUSE: Length Width GARAGE:Length Width OTHER: Length Width Estimated Cost $ )'Ir, Tel. # Tel. 395�'�3/ tAf)9E��- I-Iltd I State License # DESCRIPTION OF BUILDING Height Sq. Ft. Cu. Ft. Height Sq. Ft. Cu. Ft. Height Sq. Ft. Cu. Ft. Approx. Completion Date CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Paid: Yes [ ] or Collect [$ Moving Router t) ] Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL MoVjgg Wrecking Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: �jl MINIMUM $20.00 STIPULATIONS: