PRE 2010 DOCSCity ®f Fridley, Minn. 6
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUMDMG PERMT
Date: Sept mh _r 12, 1(72
Owner: Viewcon, Inc. Builder Same
Address
5901 Brooklyn Blvd. Address Same
_....
LOCATION OF BUILDING
No./
1545 __ Street _South Oberlin Circle - part of Lot
Lot --f– _ Block 6 $ _.. _ Addition or Sub -Division Innsbruck North T.H. 2nd
Corner Lot ___._ .._ Inside Lot Setback Sideyard
Sewer. Elevation — Foundation Elevation
To be Used as: 1240
To --ouse Front __20' _ Depth 'ILL— Height 28' _ Sq. Ft. 690— Cu. Ft. 1
Garage _ Front 2W Depth 22' Height 10' Sq. Ft. 440 Ca. Ft 4,400
Type of Construction __ Wood Frame Est. cost 21,417.00 To be Completed 2-1-73
Stipulations:
Owner and contractor to be responsible for elevations and for drainage for all
structures and the City shall be held blameless.
Construction mutt comply with U.B.C. 505 Cl, C2 & C3. See attached sheets - use
figures 5, 9, zxd Z or 10.
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 a& proviso - Of
Ordinances of the city of Fridley. �� _ -19 O
In consideration of the payment of a fee of S 61.50 permit is hereby granted to Viewcon 'Inc .
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, on all work
done in, around and. upon said building, or any part thereof, shall conform in all respects -to the or 'non .Of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
vpithin the city limits and this permit may be revoked at any time upon violation of any of the _provisions of said,
ordinances.
Aa),wce a Building Inspector
DARREL CLARK
NOTICE:
This permit does not cover the construction, installation for fairing, plumbing, gas heating, sewer or water. Be cure to we
tha , Building Inspector for separate permits for these items. ,
�, _. . -B
M
APPLICATION FOR RESIDENTIAL, ,ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: ��'a�i'On a-.Vc. BUILDER • .SQ~es
ADDRESS :.r90/ e,0 -00181y," 11DDRES S : Sa'r e—
NO :. /.546' STREET: cJO W'I
LOT P if, 6, BLOCK: ro ADDITION s��'i�.r�+r wc.� e�s/�i 7.
CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARDs„�„��.
Applicant attach to this force Two Certificates of Survey of Lot and proposes
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
lFront • 2 O Depth • 3/ Height • 26
/Z 40
Square Feet: 420 Cubic Feet: 17360
Q-cae e. ' Front:
Zo
Depth: 2 2 Height: /0
Square Feet; 19yo Cubic Feet:-914fa0
Type of Construction: 141 X�Pa.43,9& Estimated Cost: $ .Z/ x/7.00
To Be Completed: .2—/— 73
The undersigned hereby wakes application for a permit for the -work heroin
specified, agreeing to do all work in st$ict accordance with the City o$
Fridley 02dinances and rulings of the Department of Buildingso and hereby
declares that all the facts and representations stated in this applicat lgn
are true and correct.
DATE: 9-6-74- SIGNATURE • C
(See Reverse Side For Additional Information.)
�0'�
r/7
/ I . .. . " '. , . /
a6
rsodoc[
w
cl
Nr
APPLICATION FOR RESIDENTIAL, ,ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER IS : 04*00-y Pts¢�� BUILDER:
ADDRESS: %:Ff®l APpaaAlejoi Stud. ADDRESS:
NO:. /S4S STREET: SOU P' - 0 -401 -APF 0,4 C/M
LOT; &D BLOCK: ADDITION: ;V07'r.4;-Mex 01104-1%
CORNER LOT: INSIDE LOT: 80f SETBACK: SIDEXARD:
,applicant attach to this form Two Certificates of Sum of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
B 75-;Ls?hom-'e. Front: ZO Depth: 3/ Height: z 4
1240
Square Feet: &Z6 Cubic Peet: /7 J60
Front: 14 Depth: ® height: 1-
Square Feet; 308 Cubic Feet: 30 80 �
Type of Construction: Opd Estimated Cost:*/7 80
ESB 7 !?f 3
To Be Completed: _ 4 197.3
The undersigned hereby makes application for a permit for tbe.wgx4 hcrpi3%
specified, agreeing to do all work in stkict accordance with the City 9�
Fridley 02dinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this appll.c4�-on
are true and correct.
12® ® 7R,
SIGNATURE.
(See Reverse Side For Additional Information.)
B
ses a�
B
X5.7= ✓ t _
MEM WANK AM^ J,
Furnace Sven & Duct Work to 120,000 BTU .. .. .410.0D
each add. 60,000 BTU . ......... &W :
Replacement of Furnace 6.00 _
Repairs do Alteration ---up to $M.W &00
Repairs & Alterations each add. $500.00 &W 3— —
•
Furnace Shell & Lines—to 400 sq. ft. KDR Steam $10.00
Furnace Shell & Line—to 640 sq. it. EDR Hot Water 10.00
Each add. 200 sq. ft. EDR Steam 3.00Each add. 320 sq. ft. EDR Hot Water 3.00
OIL BURNER—to 3 gal. per hour 6.00over 3 gal. per hour --See Fee Schedule
GAS s (up to 199,M BTU) &W
over 1119,0M BTU lame Fee Schedule
GAS FITTING FEES. NO RATE TOTAL
1st 3 Fixtures x3 200
Additional Fixtures x .75 3
Gas Ran& to MAM 1$5.00 3
14 A
v 1 'TAF
F, I -of f X: flo 4 (#1, 1. 0 'a, � i'l
-L(-12.5—
Fridley, Minn
Owner --_-. , .44-&
Kind of Building..
Used as - __--
To he completed abGut _ —• _--- _ — _.. _
Estimated C'oct, $
Old—New. Building Permit No. _— Permit No. U
HEATING or POWER PLANTS—Steam Not Water, Wam Air—No— /
Trade Name Xc
07 Size 1-92) - 5!
Capacity—z") -M Sq. Ft. E.D.R BTU
Total Connected toad Mad of Fue
61
BURNER — TndeNom* Size
Capacity ft IL ILDA—
f� Q
el
c� C�
IN ;Z�%—A
97-8)1-879001
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PPPMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x $3.00
$��
Future Fixture Opening
x $2.00
$ `
New Fixture. Old Opening
x $2.00
$
Water
A
Catch Basin
e
$
Water Heater - to 99,000 BTU
x .$5.00
s+
1000000 BTU to 199,000 BTO
ft.
np
' Water Softener
u
a
w
x $5.00
$
Heater
x $5.00
� $
GAS FITTING FEES:
lst 3 fixtures
x '$3.00
�cCe
Additional Fixtures
x $1.00
$
Gas Range to 199,000 STU
x $10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
O
O O
$2.00
$
State Surcharge
A'
$ .50
•.i O
O
O
a.1
x
y
y
ani
in
V
M
q
DO
A 40.
N
W
U W
v
(7
O
a9
leC
.,��
1
la
5 Ober
in
I Ci
cl
2nd
d
e
3ra
4 tti
(R) a Future Connection Opening
Connected with Sewer
('7 - New Fixture, old Opening
Water
------------
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x $3.00
$��
Future Fixture Opening
x $2.00
$ `
New Fixture. Old Opening
x $2.00
$
Catch Basin
x $5.00
$
Water Heater - to 99,000 BTU
x .$5.00
$
1000000 BTU to 199,000 BTO
x $10.00
S
' Water Softener
x $7.00
$
New Ground Run Old Building
x $5.00
$
Electric Water Heater
x $5.00
� $
GAS FITTING FEES:
lst 3 fixtures
x '$3.00
$
Additional Fixtures
x $1.00
$
Gas Range to 199,000 STU
x $10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 8.00
REINSPECTION FEE
(510.00)
Job Address
L6
1515 Oberlin 'Circle
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 application are true and correct
Fridley, Mn. to -6-78 , 19
OWNER RENDAH
KIND OF BUILDING f rame
USED AS rPs.
TO BE COMPLETED ABOUT • 10-13-78
ESTIMATED COST 20.00
i
OLD - NEW BUILDING PERMIT NO. w Z MIT NO. .
Company
Signed By .
Tel. No.
ROUGH INSP.
Date .
FINAL INSP. %(' 2 o -
J Date
APPROVAL FOR PERMIT A"
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUs $.SO STATS SUFE
gin
SUBJECT
PERMIT NO.
City of Fridley
~�
AT THE TOP OF THE TWINS
I
BUILDING PERMIT
22524
kQEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�"►' �'' 612-571-3450
910-F15
5/18/94
JOB ADDRESS 1545 South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
6
INnsbruck North Townhouse 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
DIcks Fire & Storm 864 19 Ave SE Minneapolis MN 55414 781-6170
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Re s ideaai;;'il.a1
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
�❑
B DESCRIBE WORK
Reroof House & Garage (Tear-off); Install gutters
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 1 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
$2,172
$1.09
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-
$54.00
Fire SC $2.17
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$62.26
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHE PRO VALIDAT THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
BLDG INSP r7aTE
gin
NEW [ ] .
Effective 1/1/94
ADDN [ ]
CITY OF.. FRIDLEY.
ALTER : [I
SINGLZ FAMILY AND DUPLEXES R-1 AND R-2.
Building Permit Application
Construction Address:
1545 - South Oberlin Circle
Legal Description:
Owner Name & Address: Tel. #
Contractor: Dicks
Fire and Storm MN LICENSE # 2481
Address: 864 - 19th AVe. S.E., Mpls., Mn. Tel. # 781-6170
Attach to this application, a Certificate of Survey of the
lot, with the .proposed construction drawn on. it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length Width Height Sq. Ft.
GARAGE AREA:
Length Width Height Sq. Ft.
DECK AREA:
Length Width Hgt/Ground Sq. Ft.
OTHER:
Remove and replace roofing on house and garage.
Install gutters.
Comer Lot [) Inside
Lot [ ) Ft. Yd Setback Side Yard Setbacks
Type Of Construction:
roof i n g /gutters Estimated Cost: $ 2 ,17 2 . 0 0
Approx. Completion Date:
(Cost on Back)...
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 5/15/94
APPLICANT: Dicks Fire and Storm Tel. # 781-6170
CITY USE ONLY
Permit Fee
$ t Fee Schedule on Reverse Side
Fire Surcharge
$ .001 of Permit Valuation (1/10th%)
State Surcharge
$ l $.50/$1,000 Valuation
SAC Charge
$ $800 per SAC Unit
License Surcharge
$ $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
$
STIPULATIONS:
7
I
SUBJECT
PE NO.
City of Fridley
131041
AT THE TOP OF THE TWINS.
BUILDING
PERMIT
i •
O.
F _ COMMUNITY DEVELOPMENT DIV.
� fr v PROTECTIVE INSPECTION SEC.
3669
I .
1 ' ` ' `" 1 �•-M CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE Of
APPROVED BY
612-571-3450
910415
6/8/00
JOB. ADDRESS 1537, 419, 45, 49, 53, 57, 61; 65
South Oberlin Circle NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6•
Innsbruck North Townhouse 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Innsbruck Townhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp 2301 E 25 St,
Minneapolis, -MN 55406 612-722-7129
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Townhouse Building
7 CLASS OF WORK
0 NEW O ADDITION O ALTERATION] REPAIR O MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof Building
9 ., -CHANGE OF^USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
DIM inspection
..
Cnr ds
SEPARATE
Will Be Ma ti®d
r To
FOR:
�D�oo�n®r
a : = r® Post
WIRING
MOM AND
AND SIGNS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
, 8
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$19,160.76
$9.58
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-
$321.25
Fire SC $19.16
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
49.99
SIGNATURE OFCON'RACTORORAUTHORIZED AGENT IDATEI
VALI TTHIS Is UR P MITS.GNAYURE
NXKIFA&�
5!- NGATE
Of OWNER.IF OWNER BUILDER. IDATEI
I
7
SUBJEeT
MIT
City of Fridley
32181
AT THE TOP OF THE TWINS
B U I L D I N OFT VT
r
____ COMMUNITY DEVELOPMENT DIV.
------
-,
- k�
572400!4'
RECEIPT NO.
r : PROTECTIVE INSPECTION SEC.
NUMBER
REV
GATE
PAGE Of
APPROVED BY
1 CITY MALL FRIOLEY 55432
k �''
- -A 612-571-3450
910.F15
9/19/01
JOB ADDRESS 1537 - 1565 South Oberlin Circle NE dgs�
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DES CR.
1 — 8
6
Innsbruck North Townhouse 2nd SHEET
2 PROPERTY OWNER MAIL ADORES* ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors 2131 111 Ave NW, Coon Rapids, MN 55433 763-757-7530
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP. PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
8 Unit Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Building; Soffit/Fascia; Window Wrap
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in dvdr appl3catlon guidelines. Call for inspection of wrap
before covering.
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 80 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
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
$ SS, 192
$27.60
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.
$ 68S.7S
W
Fire SC $55.19
STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
V4768.54
t� /9 -Q
SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT IRATE.
EN ROP Y VALI IAED THIS IS UR PERMIT
BI OG hSP rrATf
_
S.GNATURE Of OWNER..$ OWNER BUILDER. IDATEI
7
CITY OF FI#DLEY 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 DEVIL
FAX (763) 571-1287
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
$ 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.
I A�_o Lam_
JOB ADDR
Effective January 1, 2003
OWNER T Y
TOTAL
BUILDING USED AS
$30-00
ESTIMATED COST PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating UnitsCircle One (Steam) (Hot Water) ar A r)
$ Trade Name Size No. J
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 all the facts and
representations stated in this application are true aycorect.
CCS DATE
aoigr
TI c0 STANDARD HEATING & AIR CONDITIONING CO.
410 WEST LAKE STREET
d MINNEAPOLIS, 1 408-2998
# 612-8242656
Approved By Rough -In Date Final Da
4j.
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
CnMMnN_VFNI. NT CONNECTOR ANn COMR111STION AIR VERIFICATION
When ra in nninnan awk inp n _e,. 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 (cy- 4o ( )
The aYieHng,Snmh s inn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes ( � ( )
When required to insbil a new combusban airy it will be sized and installed
to meet the current codes and manufacturers specifications. Yes ( W--N'o ( )
When jnatuffina a new venting sy tem, 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 (G)�fVo ( )
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 #1 Type Fck BTU Input o Fan Assisted or Nat
Appliance #2 Type L'- BTU Input J Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input,
71
Common Vent TypeB J L 1 Vent Height ameter inches
Appliance #1 Vent Connector Height Z ft
Appliance #2 Vent Connector Height _ j ft
Appliance #3 Vent Connector Height ft
Q
Length (O ft
Length T—ft
Length ft
4:6�y
Diameter Y in
Diameter7—in
Diameter in
Type g d AI0
Type Ccl�✓F
Type N
HEATING CO: 57" 0'vt/o �- +i_
Signed By: -�
Date : �� `�
cInroF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
June 22, 2004
Ms. Sandy Westman
1545 South Oberlin Circle NE
Fridley, MN 55432
Re: Final Inspection at 1545 South Oberlin Circle NE
Contractor: Standard Heating & Air Conditioning Co.
Dear Ms. Westman:
A mechanical permit was issued on July 17, 2003 to install a furnace and an air
conditioner at your address. According to the 1991 Uniform Mechanical Code a final
inspection shall be conducted on the work authorized by this permit. As of this date the
inspection has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and the permit will be expired.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh