PRE 2010 DOCSGey ®f Fridley, Minn. 11742
6431 University Ave. N. E., Minneapolis, Minn. 55432
BURDING PERMIT
owner: _Landvest De e1QP, MCorp r . Builder Same
,Address X28 -5y-enue SSouth Address Same
LOCATION OF BUILDING
No, 1548 Street South Timber Ridge N.E c Part of Lot
Pali of Section Mock Addition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation .
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Iownhous a Front 38' Depth -29f71,11 Height 201 Sq. Ft. 1854t CIL Ft 17288
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction -- Who d Frame rat. Cost — $21,187 To be Completed - 6 months
Stipulations: See 1531 South Timber Ridge
In consideration of the issuance to me of a permit to constrvo the building described above, I
ft proposed work in accordance with the description aboveset rM and in compliance with all ;
ordinances of the city of Fridley. a - —
ns of
In consideration of the payment of a fee of $ , permit is hereby granted to 1433 lVAct- DPU _ Corp.
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
V.1thin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
i
CE BELISL
NOTICE:
This permit does not cover the construction, installation for wg, plumbing, gas heating, sewer or water. Be sure we
the Building Inspector for separate permits for these items. !
APPLICATION FOR RESIDENTIAL, ALTERATION, #- 1.t3 Y 7
OR ADDITION BUILDING PERMIT
CITY Of FRIDLEYj MINKSOTA
BUCK I ITION I
4ORM LOT: I IR LOT; SETBACK: SIMARD%
ApltvAotst"ch to tbU f Certificates of Survey of Lot and proposed
i,14location dra on A*ese Certificates,
DESCRIPTION OF EUILOING
)L Vaca Be
gqugme Feet; LS
Cubic e ; ��. �C�O
Front; Depth: Height
Square Xpaet; Cubic Feet s
Ty#e of CoustructiomBstisaated Costt; $ 2/ /S% ,-
//
To Be "toted; . (� l'u =Lt�
fte,pn4orpigned hereby makes application for, a pemit for the work haretA
$ if#.ad, agreeing to du all work iu stiEict accordance with the !City of.
,dj. Or4$W=es and Tutftp pf the Department q£ Bu:L�dinga, amd hereby
doclarev OWX all the facts apid representations stated 1A this appItcation
axe true WA correct, t, ®, 1
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( Revue Me For AddWanal Infortqation.,. )
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Application for Power Plants and H % Cooling. Ventilation. Ite enation and
Air Conditioning Syten$s and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ................ $10.00 $
Replacement of Furnace .... . ..... 6.00 $
Repairs & Alterations—up to $500,00 6.00
Repairs & Alterations each add. $500.00 3.00
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 a
each add. 60,000 BTU .................... .. 3.00 ;
Replacement of Furnace .. &00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $M.00 .... &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 Plot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
$,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 299,0W BTU)
over 195,000 BTU See Fee ule
GAS FITTING
1st 3 Fixtures ..... _
Additional Fixtures _
Gas Range to 199, _
ROU`0if
FIN11L /0 -I - —?Y
5.00 $_ -57 0 v
NO RATE TOTAL
—x$2.00 $�-C�o
— x .75 $
- x$ 5.00 $
l UJ
See Fa schedule
37 .Uo
TOTAL PW a &11. S1_0
(SUPRUTARG� s_.5Q)
Dept. of Hldge. Phone 660-3460
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
specified, agreeing to do all work in strict accordance with the City Ordigancei
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and erect.
Fridley,
Owner
Kind of Building .�
Used as
To be completed about
Estimated Cost,��—
Permit No. Permit No. 1 58 "'
HEATING or PO tram, Not Water arffi —No.� .
Trade Name Sin No -9 Q- 6 I M
Capacity ® Sq. Ft. E.D.R BTU H.P
Total Connected Load Kind of Fue Q�
BURNER — Trade Name Size ift
Capaci Sq. FL Emit BTU
(REMARKS -OVER)
W I Y Ur FRIM -EY
APPLICATION FOR PLUMBING AND GAS FITfING PERMIT
PARTIAL RATE SCHEDULE
m
PLUMBING FIXTURE RATES: NO.
T
cz
R=ber Fixtures
•�
$3.00
0
Future Fixture Opening
x
o
$
hater
A
C!
e
A
0
►"s+
N
C
+ *s
to
°'
c
$
L
I k
W'
O.9
w
S
100,000 BTU to 199,000 BTU
Heater
tl
-+
.1
u
.r
a
E+
m
c_
a
New Ground kin Old Building
i
N
v
w
N
x c
u
$5.00
$ _
14
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Tlec
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1st
2n3
3rd
(Fa o Future Connection Opening
Connected with Sewer
{*) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
R=ber Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
.
0
Catch Sasin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
S
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground kin Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$ _
GAS FITTING FEES:
1st 3 fixtures x •$3.00 $
Additional Fixtures X $1.00 $
Gas Range to 199,000 BTU x SY0.00 $
REPAIRS $ ALTERATIONS
First $100.00 $5.00 S
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $
REINSPECTION FEE
($10.00) .
Job Address
Department of Buildings,
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the York 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 corre
Fridley, Mn. /
f
OWNER ` L
KIND 0- ILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company �- -
Signed By
Tel. No. 21 --
ROUGH INSP.
Date
,
FINAL INSP.
1p Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.SO STATE SURGE
' t
SUBJECT
IIT
City of Fridley
2 Z7! 0 9:
AT THE TOP OF THE TWINS
BUILDING
-PERMIT
REC O.
�` COMMUNITY DEVELOPMENT DIV.
_�����-
EC
r PROTECTIVE INSPECTION S.
/O�
,
CITY HALL FRIDLEY 55432
NUMBER REv
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
12/3/98
JOB ADDRESS 1520, 1524, 1528, 1532,1536, 1540, 1544 1548 South Timber Ridge N.E.
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
OESCR.
Part of Section 13
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
A-1 Roofing& Const. 3020 Sumter Ave
-
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION R REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
.Reroof town homes (114 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment�,must comply with the State Building Code.
YPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING,[NO
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIONONING
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.
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
$4.88
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF AN OTHER.STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TH PERFORMANCE OF CONSTRUCTION
162.25
Fire SC $9.77
(^/
t� ` `� r1 ^
PLAN CHECK FEE
TOTAL FEE
176.90
IGNATURE OF CON:RACTOROR AUTHORIZED AGENT IOATEI
WHEN PROPERLY V IDATEO THIS IS YOUR PERMIT
., µgo
BATE
S,GNATURE OF OWNER, -F OWNER BUILDER, IDATEI `
NEW [ ]
Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 10%
BUILDING PERMIT APPLICATION �' D
ConstructionAddress:
Legal Description:
Owner Name & Address: Tel. #
Contractor: 0 J0 Ain Al,MN LICENSE #
Address:
(° s�� / Tel. #`Z 6 •� 9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
LIVING AREA: Length Width
GARAGE AREA: Length Width
DECK AREA: Length Width _
OTHER: l Pao 1 `4
Height
Height
Hgt/Ground
r
6.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type:
ii C�_ ( 66� _
Estimated Cost: $
T7 �
(Fee Schedule
on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
_ $
DATE: �Zr_ 3 ' �� APPLICANT:
-.n L��/1
I
Tel. # `Sq
CITY USE ONLY
Permit Fee
$�. �S�
Fee Schedule on Reverse Side
Fire Surcharge
$__
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$:50/$1,000 Valuation
SAC Charge
$
$1000 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
$,—J-?
. STIPULATIONS:
CIS OF FRIDLEY INSPECTION DIVISION
Effective On January 1, 2000
64".1 University Ave NE
a'
FridleyMN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
,a
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
JOB ADDRESS 134 5•
OWNER
Rate TOTAL
BUILDING USED AS
$ 30.00 $
ESTIMATED COST�69 PERMIT NO. /-*/7gOf
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heatingnits Circle One (Steam) (Hot Water) 0DarmAir
$ 10.00 $ Trade Name_ /n 6X Size No.
BTU 9b, 660 HP EDR
$ 25.00 $ Fuel f Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
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.
$ 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 and correct.
DATE //�o�`� 00
Rough -In Date Final Date
, 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 manufacturer'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 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 :
f
UNOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 22, 2001
Mr. Joe Quigley
1548 South Timber Ridge NE
Fridley, MN 55432
Re: Final Reinspection at 1548 South Timber Ridge NE
Contractor: Cronstrom's Heating & Air Cond
Dear Mr. Quigley:
A mechanical permit was issued on December 6, 2000 to install a furnace and air conditioner at
your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final
inspection shall be conducted on the mechanical work authorized by this permit. Corrections
were noted on the inspection conducted on December 13, 2000. As of this date, no reinspection
has been called for to inspect the corrections.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Mechanical Code. 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 expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DA NSEN
Buil g Inspector
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY PERMI TO.: 2004-01392
6431 UNIVERSITY AVENUE NES
FRIDLEY, MN 55432 DATE ISSUED: 08/20/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 1548 S TEWBER RIDGE NE
PIN : 133024110131
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT TYPE : BUILDING
PROPERTY TYPE : TOWNHOUSES
CONSTRUCTION TYPE : DECK
VALUATION : $ 1,381.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 10'X T DECK/STEP.
STATE LICENSED CONTRACTOR 1
APPLICANT
BUILDING PERMIT FEE 50.95
LICENSE SURCHARGE 5.00
GASSEN COMPANY INC
7275 BUSH LAKE RD
FIRE SURCHARGE 1.38
EDINA, MN 55439-
STATE SURCHARGE, VALUE 0.69
(952) 522-5575
TOTAL 58.02
PAID WITH CHECK # 24679
OWNER
QUIGLEY JOSEPH S TRUSTEE
1548 S TINIBER RIDGE
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 work
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 co ctio t ei or,Fbof cons c
Applicant Date
Bldg Insp ' Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Ins 0-
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
IO .�-
Construction Address:
Legal Description: bm %1v
Owner Name & Add7715gtt
: Tel. #
Contractor. ' MN LICENSE #
Address: °^7 i �j ; -&i Let- k -e a zom'- Tel. # cr-r .
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Width Hei ht /'2 Sq. Ft
LIVING.AREA: Length 9 --
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: I J tI�L 7 Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
L
DATE: APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in a cation. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
F, Fee
$ CK
hitt
Pan Review
$
`,Fire Surcharge
$
State Surcharge
$ <
SAC Charge
$
License Surcharge
_
$ 'nn
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
TOTAL
$"''�°
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ]. Not Necessary [ ]
STIPULATIONS:
+ CITY OF FRIDLEY INSPECTION DIV.
Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55932 APPLICATION FOR POWER
PLANTS
AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS /5 W. i
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace) $10.00
$
OWNER Z2) -LI
Z2
Gas Range $10.00
$
/ J
.BUILDING USED AS
Gas Dryer $ 10'Q0
?
NO.
ESTIMATED COST, ice;' PERMIT .J
*Air Conditioning — All Sizes $ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercialilnddstrial
BTU HP EDR
�.
1.25% of Value of Appliance or Work
$
Fuel ' Total Connected Load
State Surcharge
.50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE=
MINIMUM FEE FOR*ANYHEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
HEATING COMPANY
Signed By TelNo.
Approved By Rough—in Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F�R STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURN E
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
I,J
CHIMNEY AND STA K VERIFICATION
The
undersigned hereby verifies that the existing chimney or
stack:
1.
Has been carefully examined
Yes ()
No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects Dodged within
Yes ()
No ( )
4.
Is securely supported
Yes ()
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes (}
No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (}
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
I,J
City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432
Mechanical Permit ��iO
Residential Application
City of Fridley
See Back Side For Required Information
Date 3/2//4& Site Address: I
The applicant is: (cirice one) ureter c:ontraci�
Property Owner: 'Z -am <-ruor"
Address: Llg 5 -Jt, 7, In6r'-- rl`4
city: T- I c State:,_ N''°' Zip: SS 7 a C'
Phone: &S/- 2 -y2 -7s-_-_ Cell: - Fax
Company Name
Contact Person
City: ► W : Zip:
Phone: (2(?-- 3 - (-71 t- a I: Fax:
cm„l• MN Bond# & Exp Date—
of
ate_
of Work (circle o
Detailed Description of work: -SA-4 (+ 14eo54- —J -
Equipment Installed: MFG: t�fti- a Model: i > r-ro "p-
Size1BT): Sas am v
MFG:
Model:
Size/BTU:
MFG:
Model:
Size/BTU:
Please check all that apply:
Fireplace (gas) $15.00
New Gas Grill $10.00
$25.00
_Fireplace (wood) $35.00
_Gas Unit HTR $10.00
_A1C
to Air exchanger $15.00
_Furnace $35.00
_Pool Heater $35.00
_Air
$35.00
_Gas Dryer $10.00
Ventilator $15.00
_Boiler
_Chimney Liner $10.00
Gas Piping $10.00
niar4 Mirk -tin on
Gas Ranae/Oven $10:00
Permit Fee $ 2 S'` • cpo (Total from above -Minimum fee $35.00)
Surcharge 1 0.50
Total Due $ Make check payable to City of Fridley
This is an application for a permit- not valid until processed
I hereby apply for a mechanical 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; that the work will be In accordance with the
approved plan in case of all work which requires review and approval of plans. -
Signature of
Approval Ins
Sate,
Date:
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1997
NORBLOM PLUMBING CO.
DBA VENTCO/APPLIANCE INSTALLERS
(612) 827-4033
2905 GARFIELD AVE. SOUTH
MINNEAPM IR UM SNAnA
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
QUIGLEY ,SPH
1548 SOUTH TIMBER RIDGE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
JOB ADDRESS FRIDLEY , 55431
- H 571-5392 W
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
, 1997
Sump/Receiving Tank*
$ 7.00
Water Treating Appliance
$10.00
-7 l
Owner
Water Heater —Electric
$ 7.00
L
Water Heater — Gas**
$10.00
1010b
Building Used As
o< �®
Gas Range**
$10.00
�In
Gas Dryer**
$10.00
Estimated Cost 0 PERMIT NO. �e ��
�z
=Lucowz
Back Flow Preventer Required ( )Yes () No
20C'>2
Type
$15.00
PLUMBING COMP NY AL.U19/�,�r//
-0j®�
Reinspection Fee $42.00/Hr
®® 7 ,,jj a'Uj®
SIGNED BY TEL N0.C7�/r i0 3 ®6--05
I
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
a]CCC99z
1.5% of Value of Fixture or Appliance
Z 0
Approved
By Rough—In Date Final Date
State Surcharge
$ .50
MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS $20.00
TOTAL FEE
$ 20-5-0
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
NORBLOM PLUMBING CO.
®BA VENTCO/APPLIANCE INSTALLERS
(612) 827-4033
2905 GARFIELD AVE. SOUTH
MINNEAPOLIS, MN 55408
NORBLOM PLUMBING CO.
®BA VENTCO/APPLIANCE INSTALLERS
(612) 827-4033
2905 GARFIELD AVE. SOUTH
MINNEAPOLIS, MN 55408