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PRE 2010 DOCSVillage of Fridley, Minn. l BUILDING PERXff 0 N. 8�'7 Office of INSPECTOR OF BUILDINGS Owner Fridley, Minn., r 19 = LOCATION OF BUILDING NO " Street s fr" a Part of Lot Lot Block Addition or Sub-Division ,j DESCRIPTION OF BUILDING Front Depth _-L2- Height Stories Manner of Construction To be used as, N To be completed Estimated Cost r•.. _ '� ' .{.A Permit is hereby granted to the building described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents,, employees and workmen, in all the work done m, ;'around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, ; Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. l �•> +. i! 4«a:r Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth I and according to the provisions of the ordinances of 'Fridley, and, being first duly sworn, I hereby] state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and Fridley, Minnesota, th1G d sworn to before me at .� day of - h PERMIT for Power Plants and Heating. Cool- ing, ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of _ %j Heating Plants (.C.i�cJ �- - to be installed—altered—repaired Make 2-� , Size A�k Tom' AJ)QCS0 Oil fired—, Coal fired—,- Gas fired ; Gas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector Pert N° 4'744 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. �JQ , 19_%1 Owner W -F Location &qj4 '/0" it -RAJ Kind of �� How Occup Eed r �, Work to be Commenced—,19— To ommenced ,19_To be Completed ,19-L6- Estimated Cost, $ 0-10C . 00 Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon t express condition that the person to ho m it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein me tioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set rth in the approved application for this permit on file in the office of the Inspector of Buildings. az 2M 11-67 V ' -�� � A ,, �' Inspector of Buildings Application dor Power Pkuft and Hewing. Cooling, Ventilation. R rwion and Air Conditioning Sptem and Devices ,� I., J�. PARTIAL RATE SCHEDULE Dept. of Bldus fire M4 b _ 1 GRAVITY WARM AIS: RATE TOTAL Furnace Shell & Duct Work ................ .. 3.00 i Replacement of F amee ..... ................... 6.00 $ Repairs & Alterations—up to $,500.00 6.00 $ Repairs & Alterations each add. $800.00 300 $—� MECH. WARM AM Furnace SheU & Duct Work to 120,000 BTU ........ ..$10.00 $ each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace 600 $ Repairs & Alterations ---up to $500.00 6.00 $ Repairs & Alterations each add. $800.00 .... .. 3.00 $ STEAM or RIOT 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 3.0n Each add. 320 sq. ft. EDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour over 3 gal. per hour ---See Fee Schedule GASB (up to 199, BTU) over 199,000 BTU See Fes schedwe GAS FITTING . 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 e r FINAL— & -- `r - `I "/ 6.00 $ — &00 $ NO RATE 017 T —$$2.00 $4„ — x .76 $ —. 8.00 $ see Fes $ ToTAL rez (SURN GE $ _50) Locafiea � N l9� ��� 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 Ordivances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correeL Fridley, Minn Owner Kind of Building ._ Used as To be completed about Estimated Cost, Ol New. Building Permit No. Permit No. HEATING or POWER team, Hot Water No Trade Name— f"a/�'6' Size Ido.—;4 Capacity 5qs. Ft. E.Dlt 2-3 1 'VV BTU N_ Total Connected Load Wnd Of BURNER —Trade Nam Sin g�®_ Cap city �. F t Emit � ��S:/p &X 13Tu (REMARKS—OVER) S RAMC N. HEATING CO, J i -Il. a � U EAPOLIS, MINNESOTA 564®,W' SUBJECT PE City of Fridley 5 AT THE TOP OF THE TWINS BUIL DING PERMIT L36 r R COMMUNITY DEVELOPMENT DIV. INSPECTION spc` I (/� PROTECTIVE SEC. 1 � 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/30/76 JOB ADDRESS 6434 Taylor Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 1 Moore Lake highlands SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE David Anderson 6434 Taylor Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Barkley Construction 1111 24th Avenue N.E. 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 j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install aluminum trim and gutters 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $1,000 50. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON, 7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE �! < V 10, 1 8.00 SIGNAT RE OF CONTRACTOR OR AU HORZE A( ENT Q A E) I HEN PRO ERLY DATED THIS IS YOU PERMIT BLDG. ISP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: � -12 1�-i AJ, f'5®pt-, BUILDER: e ADDRESS: ADDRESS: y' // L)L NO:. STREET:. LOT: BLOCK: Z ADDITION : �'/,��o�x_' � 44XC_ 1VsZ,1amAe CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: � d Type of Construction: 7TZAAk �11timated Cost: $ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: 3 6 SIGNATURE: (See Reverse Side For Additional. Information.) 41 BUILDING PERMIT FEE SCIII-MUI,1: SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: S.iagle Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average.* height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate .,f $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. D T-, Wry (wLo '?- WELL DRILLING FOR FOUR GENERATIONS 15688 Jarvis Streit NX, Sk River, SIN 55330 INCORPORATED (612) 427-6100 Fax:. (612) 427-0533 Date: FEBRUARY -141 1992 NORTH j� q-341 MINNESOTA DEPARTMENT OF HEALTH 717 SE DELAWARE STREET A DIVISION OF ENVIRONMENTAL HEALTH MINNEAPOLIS, MINNESOTA 55440'VJCLL 17 ATTN: Mr Jim Nye 73 (612) 623-5339 SUBJECT: WELL ABANDONMENT RE: NOTIFICATION Dear Mr Nye, SITE D/IAGRAM r $ L•' 2 L ( ,�Ci S (�l c' � 2'° /°-C f C9 .t 6 �'s•'�a c•/�c® �— j'/ It cl 'c' v—t y- f e, &^t, -j'4 + S kv I? t 14 a This letter is to notify you of a water well in your district that should be sealed according to the Water Well Construction Code MCAR §4725.2500-2900. E.H. RENNER & SONS, INC has been notified by the owner of this property or an interested party and have subsequently submitted to them an estimate for the sealing of this well under our LICENSE #71015. We have also included a copy of the current code with our estimate. In submitting our estimate, the owner may also receive additional estimates and hire any number of Minnesota licensed water well contractors in the area to seal this well. However, there is a possibility that this well may not be properly sealed and thus jeopardize the ground water and Public Health. E.H. RENNER & SONS, INC. wishes to provide you this information for future reference with the abandonment report when submitted. PROPERTY OWNER: ADDRESS: LOCATION 6430 Sincerely\�ubmitted, OF DAVE ANDERSON PHONE # DATE -2-7-92 WELL DIA. 3"x4" DEPTH: 150' or less Raymond T. Renner, V -President E.H. RENNER & SONS, INCORPORATED STATE LICENSE #71015 I CC: CITY OF FRIDLEY 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN. 55432 ATTN: DARREL CLARK Equal Opportunity Employer SUBJEtr City of Fridley 29690 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. f PROTECTIVE INSPECTION E _ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF AOPROVED BY 612-571-3450 910415 6/15/99 JOB ADDRESS 6434 Taylor Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. FIT 7 1 Moore Lake Highlands SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Mark Kohlhase 574-9718 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Exteriors 9701 Penn Ave. S. Ste 107 Bloomington 55431 428() 4 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ®( REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (26 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 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 BECOMPLIED $22/72 $1 1.4 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF APERMIT • DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHAR PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE O OF CONSTRUCTION PLAN CHECK FEE TOTAL Li c e ngp, 5.0 $91 6 SIGNATURE OF CONCRACTOR OR AUTHORIZED AGENT (DATE, N OR ALIDATED Y R P�{G/' �S S,GNATURE OF OWNER,IF OWNER BUILDERI I ATE, BL INS. DATE dw Q S"oa NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATION Construction Address: (0 Legal Description: QLL9 Ao Owner Name & Address: V W �6�� Tel. # Contractor: ,� �h�C Q.e� A MN LICENSE # e/ Address: Q C3 Tz-y,� OA,/�2 1. / Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: R Estimated Cost: $ `-2 -2� 2 . Driveway Curb Cut Width Needed: DATE: G - I c/ -qq Ft. + 6 Ft = Ft x $ APPLICANT: j Mn Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ 3 Z� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 $ (v STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Enhance your backyard lecor With 0 0 0 pa~, Eke �� �l{• a WII Toy a L���` styled ',� -4 ,ei, v l Su oats 6„ Vertu`, et pater. a �ectots, Wall. gteel.Poo1 Coated; .TM rvea�erc►Adobe Canyon III ��'' on III: a A distinctive pattern and solid . ` features unite to create an ideal Li,�„tedW ' tv 25 Yew onerits backyard environment. f "the r uY 5 k original portable poor Ori DOUGHBOY hbog ann compWy do OU -90771 x � * l y#Kr Test v4edOm Vaeme pa~, Eke �� �l{• a WII Toy a L���` styled ',� -4 ,ei, v l Su oats 6„ Vertu`, et pater. a �ectots, Wall. gteel.Poo1 Coated; .TM rvea�erc►Adobe Canyon III ��'' on III: adobe a A distinctive pattern and solid . ` features unite to create an ideal Li,�„tedW ' tv 25 Yew onerits backyard environment. ori all Steel COQ' ty an "the ?.� j,imite eW L iris original portable poor Ori DOUGHBOY hbog ann compWy do OU -90771 1 nn filter Tsa'k l y#Kr Test v4edOm Vaeme in �dltr ©Ginn �a�k��ra�" With Doughboy's Diatomaceous Earth Filtration Systems, sparkling clear water is easily obtained with the comfort of exceptional filter operation and easy maintenance. Sequel I Plus and Sequel II feature a unique V Grid design that provides a large surface area for D.E. distribution. In addition, the Permanently Encapsulated Filtering Grid Ends provide long grid life and less maintenance. What's more, selected models feature a Six Position Rotary Valve for maximum convenience. These features are essential for good performance and a clearer, sparkling pool for you and your family to enjoy. Sequel I Plus' with Pool Power Pak® I HP —1/2, 3/4, and 1 Filter Area —12.5 sq. ft. 4 Position Rotary Valve Sequel II'" with Pool Power Pak® II HP — 3/4,1, P/2, and 2 Filter Area — 20 sq. ft. Six Position Rotary Valve Anti -Syphon Rotor reduces backflow from pool when removiriv strainer lid. Both systems shown with Doughboy's Optional Filter Base. Important! Misuse of your pool may result in crippling injury and/or other dangers to life and health. Do not Dive or Jump! Do not use slides, diving boards, or any other platform or object which can be used for improper pool entry. Use only an above -ground swimming pool ladder to enter or exit your pool. It is your responsibility to secure your pool against unauthorized, unsupervised or unintentional entry. Always obey all safety rules. Remember, pool safety is everybody's responsibility. Change of Design: Doughboy Recreational expressly reserves the right to change or modify the design and construction of any product in due course of our manufacturing without incurring any obligation or liability to furnish or install such changes or modifications on products previously or subsequently sold. Doughboy Recreational is in no way affiliated with any professional pool installer. Therefore, Doughboy can assume no responsibility for errors in installation by the homeowner or said professional pool installer. If you have the pool installed by others, please supervise to be sure they comply with proper installation techniques as shown. Doughboy Recreational * 10959 Jersey Blvd., Rancho Cucamonga, CA 91730 Visit our website at: www.doughboy-pools.com DB1297-012 © Copyright 1998 Doughboy's World Of Filtration Doughboy's impressive filtration systems meet your needs by consistently delivering the sparkling clear, polished water every pool owner dreams about. We offer a variety of sophisticated filtration systems manufactured with state-of-the-art technology for maximum efficiency and long lasting performance: Media Master Series- Shown • Generation II"' Pressure Cartridge Filters • Media Master Series- of High -Rate Sarin Filters • Silica I Plus' and Silica II`"° Sand Filters • Sequel I Plus' and Sequel II"° Diatomaceous Earth Filters • Skim -Line' Vacuum Skim -Filters Doughboy offers injection - molded, and blow -molded, filter configurations. These rugged filtration systems come in a vast range of sizes from economical 13" ID (Inner Dimension) tanks to massive 26" ID tanks designed to keep pools looking great. Doughboy filtration systems are the perfect way to enhance your Total Pool System! Sequel I Plus- / Sequel II"' Shown Generous Product Warranties Doughboy backs our products with generous warranties. In fact, we have so much confidence in our products that the first 3 years of our pool and liner warranties are covered 100% against manufacturer defects (the remainder of each warranty is prorated). What's more, our filters feature a Special Ten -Year Limited Warranty on the Filter Tank (or Skim -Filter Body). Doughboy's warranties are your assurance of top quality above -ground pools and pool -related products. Ahl Doughboy also offers an optional, 3 -Year Enhanced Liner Warranty to y customers who purchase a Doughboy pool and/or liner. Ask your ovey s GES Doughboy pool professional, or visit our website, for more details. SPECIFICATIONS AND DIMENSIONS Model BTU Input 000 (A) Cabinet Width (B) Flue Dia. Water Connects. 2" Shipping Heater ASME w/Stackless To p Weights (lbs) Indoor Draft Hood Heater Capron w/Stackless To p P -13185A 181 18-1/4" 6" 1-1/2* 191 172 12 P-R265A 264 22-3/8" 7" 1-3/4° 214 195 15 P-R335A 333 25-3/4" 8" 1-1/20 234 215 17 P-R405A 399 29-1/4' 9" 253 234 20 Above input ratings are per A.G.A. specifications. Reduce input 4% for each 1000 ft. above sea level when installed above 2000 ft. elevation. Manufactured under Patent No. 3,623,458. (C) INDOOR DRAFT HOOD P-RI85A 61" P -191265A 63" P-R335A 63" P-R405A 64" (c) MOOR DRAFT e MODELS P-R185A THROUGH P-R405A I ] 43/8- (C) 3/B' 8 3/$ I I I I�8 °O 0 O(28-1/2'ASNE) O �r ------- 13 1/4 - GAS 13 -1/4 - GAS CONNECTION O o 1 —A 28-1/2- *Electrical Connection On Left Side is 19-1/8". HEATER SIZING RECOMMENDATIONS Proper heater sizing is based on the time required to heat the pool or spa. If water is heated for each intended use, energy- saving rapid heating may be appropriate. If water is gradually heated up to temperature and then maintained at that temperature, a smaller heater may be acceptable. To determine proper heater size, use the following guide: A. Desired water (swimming) temperature °F B. (Minus) average air temperature — °F C. (Equals) total heat rise = °F D. Total heat rise hours required to heat = required heat rise per hour. Use chart below to find appropriate heater for your pool or spa. POOL SIZE — SQUARE FEET SPAITUB SIZE GALLONS Heater Model 300 1400 1 500 1600 1 700 1800 11000 DESIRED TEMP. RISE IN OF PER HOUR P-R185A 1-1/20 1-1/4° 10 1° 3/4° — — P-R265A 20 1-3/40 1-1/2* 1-1/20, 10 3/40 — P-R335A 30 20 20 1-3/4° 1-1/4° 1° 3/4° P-R405A 3-1/20 2-3/40 2-1/2° 20 1-1/20 1-1/40 10 Heater Model 300 1400 1 500 1600 1 700 800 11000 DESIRED TEMP. RISE IN OF PER HOUR P-R185A 59 45 36 30 25 22 18 P-R265A 84 63 51 42 36 32 25 P-R335A 104 78 63 52 45 40 32 P-R405A 128 96 77 64 55 48 38 RAYPAK, INC., 31111 Agoura Road, Westlake Village, CA 91361-4699 (818) 889-1500 FAX (818) 889-4522 Raypak Canada Limited, 2805 Slough Street, Mississauga, Ontario, Canada L4T 102 (905) 677-7999 FAX (905) 677-8036 Raypak Australia Pty. Ltd, 7 Geddes St., Mulgrave, Victoria, Australia 3170 (613) 9560 4944 FAX (613) 9560 4974 Catalog No.: 6000.13A Effective: 10-15-98 Replaces: 12-01-93 a+p. www.raypak.com Litho in U.S.A. ©1993 Raypak, Inc. Raypak reserves the right to change these specifications without notice. URO cub" find Du" SYSWM r HOUSE HEATING TEST RECORD ADDRESS C54 APT. OOR CITY SUBUR OCCUPANT OWNER -*— HEAT LOSS DATE HTG. INST. GAS CO. METER BAD SOLD BY INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER •GASSIGN CONVERSION MAKE MAKE OF BURNER Model % e,-,4® 0_/ A0/ Model Serial �Ad/Z.� "'Z2 P Max. BTU Rating INPUT j MAKE OF FURNACE Model CONTROLS -THERMOSJfT at PIuJL Vent Size Valve ° KIND OF LINER SIZE NONE ��rr�' ����'�� Limit � ih Draft Hood Regularor Limit Setting Filters Size Number Fan Setting Chimney Location Inside +�- Outside Pilot Type Chimney Construction >, Pilot Make d Pilot Model Smoke Bomb Wiring Zy Pilot Timings Draft &'O'Ae!�= Test Tag' L.W. Cut Offoor Pressure Lighting Inst. 70,70 Pressure i p Pe e COQ+ Date Tested y Input CF1 &gmpany Testing Stack Temp. 5p Percent CO Name of Tester Form 235 i t .:;•'1A ho L"`, r $" &NL6e4 �p �o SQS Nxy 1�crwse s 8" •� S ew� IL W w 1 ; Nxb y b Kxb Ll )(b 0 �IXb 1 J L � b'b�Oto �lxb HAb ►ov(p %� 6 3b' _ __..4......_ a. co,-OUr; a -r d e cL c 0--(\ C 'r e. C— C, -- 10, 500 !°j a �►N��s CIO 5 'Do-o..cCl — Alt) J !& a.4v No 7 i 30 m ac� KOLIF.()-Illc �I 3 `( I axle r �-�0 c�e in f1 sou wes� I ��r�. - laD " - x7i x `j—.00 Cv, K zfulx.a S in �. r'i - ' . t ♦ B'Sr i - i -f' r .C- 4 4..• �;. s�,e+ u,: ;y d 43 aw''' ap it � ► „f t � � e " �Wit Vill AVTom'*-^--, .osa ' � e 9 i � •P� � � i It 4; �� •lics'��,� u ;f 9 J CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ?";. Jar- S+ n f RATE SCHEDULE tt�� OWNER �ar� KOY f sc- 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 ��,,/ �� t-)rcL T 1 � Gas Dryer �� S ce /C -L *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 $ $ 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 BUILDING USED ESTIMATED COST PERMIT NO.- 13 �— DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (h9ot Water Warm Air) Trade Name- Size No. BTU t HP EDR Fuel a.. 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 Signedwo-" ' DATE a r Approved By Rough -In Date Final Date l CHIMNEY AND STACK 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 lodged 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: r 1, SUBJECT 0• City of Fridley 29957 AT THE TOP OF THE TWINS BUILDING PERMIT ' 1 N0. #6 COMMUNITY DEVELOPMENT DIV. l PROTECTIVE INSPECTION SEC. NUMBER AEv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 7/28/99 JOB ADDRESS 6434 Taylor Street NE 1 LEGAL LOT NO. BLOCK11 TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 7 1 ¢ Moore bake Highlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark E. Kohlhase 574-9718 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O NEW )0 ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE 6 DESCRIBE WORK Construct a 21 ft. round above groundpool; 301 x 201 deck; 7 ft. fence 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. See letter dated July 27, 1999 for swimming pool requirements. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 8860 $4.43 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 $167.25 Fire SC 8.86 PLAN CHECK FEETO FEE E PROP P_ BLD tNSP VALIDA I$ U IT�j yam`/j gAtE �TusiE OF NTaA TORO � UT iZED AGENT �j�iDA I S GNATURE OF OWNER ,- OWNER BUILDER: )ATEA r 1, NEW [ ] d Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: �,� �( ��. 5 �a,,r,Q_ Tel. # s 7 y - ? 7. / 6 Contractor: '< . t i MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Length Width Height Length C,Cf- Wid a Hgt/G ). 1 4E � ea r o Tel. # Sq. Ft. Sq. Ft. cSq._Ft.1�h� Construction Type: W O' CeL + 'kazatimated Cost: $ 1/306 - W Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft/.x- $ _ $ DATE: APPLICANT:F Tel. # 7/ Permit Fee $ 16 o2s Fire Surcharge $ to State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ /80'a7Qj STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] e AW BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 ' 11 11 • '. Ili 111 $1,000,001 and up M: 0 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 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 Rate Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $. (Side.Vent —::Fill Out Back) Gas Piping (Needed with new furnace) $.10.00 $. :r Effective On January 1, 1998 JOB ADDRESS (a �(3 L/ �'�, , L" /,1 e The undersigned hereby makes application for a permit for the work herein TOTAL 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. ,19 /0,®D Gas Range : $10.00 $ Gas Dryer, ; $10.00 $ *Air Conditioning All Sizes $ 25.00 $ All Others/Repairs•$ Alterations (LIST ON BACK) 1% of Value of Appliance or Work /I/ 10®pL �f�t� $ lS,co Commercial/1 ndustrial 1.25% of Value of Appliance or Work $ State Surcharge $.50 TOTAL FEE 0 5c� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name `®�� SlzeNo. BTU HP /,/, oma HP EDR Fuel _ Total Connected Load Burner Trade Name BTU HP Size No. EDR gj"WAIING MIDAIR 410W OTUlmSTFI: 0 HEATING COMPANY_ �'W_'V�s°m "2aw PM Signed By Approved Tel No. Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE d ' t CHIlVINEY AND STACK VERIFICATION : The undersigned hereby verifies that the existing chimney or stack: 0 ; 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged 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.: V. ORSAT TEST RECORD CO2+ % METERED INPUT < CHIMNEY TYPE 02 % LIMIT SETTING o FLUE SIZE in. CO % PILOT OUTAGE sec CONNECTOR SIZE in. NET STACK TEMP -3 y' �r 0 TOTAL CHIMNEY INPUT `° btuh . WORK PERFORMED: :JOB CODE IPRICE CITY OF FRIDLEY INSPECTION DIVISION C��3®� Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES _ f 4. RATE SCHEDULE JOB ADDRESS � y 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 $ -�C) . representations stated in this application are true and Vorrect. (Side Vent —::FII Out Back) 19� Gas Piping (Needed with new furnace) $10.00 $ to OWNER Gas Range $10.00 $ BUILDING USED AS rr J t el Gas Dryer $10.00 $ m ESTIMATED COST ��� PERMIT NO. * 1 1�b Air Conditioning = All Sizes $ 25.00 $-2--5 . ` 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) 6 Ga� Trade Name 0Size No. Commercial/Industrial BTU �(5, &&O�j 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 S I�N�ATwiti��e�Ys..,; • . i,; HEATING COMPANY o -,ca mss^ MINIMUM FEE FOR ANY HEATING/COOLING(VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By lu Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR ST CK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: t ,i HEATING CO: Signed By: Date: t CEMN4NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chihmey or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged 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: t ,i HEATING CO: Signed By: Date: CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 29, 2001 Mr. Mark Kohlhase 6434 Taylor St NE Fridley, MN 55432 Re: Final Inspection at 6434 Taylor St NE Contractor: Standard Heating & Air Cond Dear Mr. Kohlhase: A mechanical permit was issued on September 30, 1999 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. As of this date, no inspection has been called for. 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. DJ/mh