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PRE 2010 DOCSCity of. Fridley, Minn. 6431 .University Ave. N. E., Minneapolis, Minn. 55432 PITILDING PEEMIT Date: August 15, 1972 Owner: .Tim Falkner Builder Richard Hastings Address . 6230 Trinity Drive Address 630 Ironton Street •�s, No...._.623.0 Street Trinity Drive Part of Lot Lot 4!9ek _. _. Addition or Sub -Division Corner Lot _ _ Inside Lot _ Setback Side g�* Sewer Elevation _ _ _ __ Foundation Elevation [RJ -4401,11 • • r To be Used as: Reroof Front Depth Height Sq. Ft Ca. Ft Front _ Depth Height Sq. Ft Cu. Ft Type of Construction Shingles Est, Cost 600.00 To be Completed 30 days 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 ah provisions of ordinances of the city of Fridley. _ — , A In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to Richard Hastings 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 ordin4nces of. Fridley, Minnesota regarding location, 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 NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, surer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PIT CITY OF FRIDLEY, MINNESOTA, OWNER'S NAME: BUILDER ADDRESS: ADDRESS: 63,3 I'X XSTREET:==-&.-2� cl� O BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEXARD: 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 Depth: Height: e Feet: Cubic Feet: Depth: Height: Square Feet; Cubic Feet: Type of Construction•: A&2 Estimated Cost: $ 6' O -,._- To Be Completed: The undersigned hereby makes application for a permit for the .w9rk herein specified, agreeing to do all work in sttict accordance with the city Qf Fridley Ordinances and rulings of the Department of Buildings, and hexebT declares that all the facts and representations stated in this applig4tion are true and correct. MATE: 8-114Z2 L SIGNATURE: . (See Reverse Side For Additional Information.) •' BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for tho 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic fact, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.55 for each one thousand cubic feet. 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 of $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 $5.00. 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 befoLe 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 boon issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 10 . CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND each addn. 50,000 BTU .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ (over 199,999 BTU see Fee Schedule) Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. 41 V G , 19 OWNER Ea A e f - Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ IR C��ION $- FAN HMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE s-10,5-0 ROUGH INSP. FINAL INSP. REINSPECTION FEE Date ($10.00) Late APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING USED AS 1� TO BE COMPLETED ABOUT C U tr ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER Trade Name 1E�a Z % Size No. Capacity \ Sq. Ft. EDR BTU cwt ©=�� BP Total Connected Load BURNER - Trade Name Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company 751-21 OdO r8 Signed By 1 -11,4-1 Tel. No. <Z2 -L1 " 2-CO_S_61 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1. 1991 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 Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ 20.00 $ 10.00 $ $10.00 $ $ 10.00 $ "Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work S Commercial/industrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE $ $ .50_ $ 20.50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 JOB ADDRESS 6230 TRINITY DRIVE 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 4-23-93 ,1991 OWNER JIM FALKNER BUILDING USED AS DWELLING ESTIMATED COST 1100.00 PERMIT NO. 0 ✓� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units___L_ Circle One (Steam) (Hot Water) (Warm Air) Trade Name BRYANT Size No. 395CAV 36055 BTU 66,000 HP EDR Fuel NAT GAS Total Connected Load 5 , o0 Burner Trade Name Size No. BTU HP EDR HEATING 9 COMPANYQPP Signed By ''""'� t BLAINE HEATING, A/C & ELECTRIC INC. Approved By CD�Y Rough -In Date 757-6200 Tel No. Final Date �- *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE OAIU AIR CONDITIONING HEATING HOUSE HEATING 'TEST RECORD AND ELECTRIC. INC. ADDRESS �` ` a, OCCUPANT HEAT LOSS D TE HTG. INST. SOLD BY Electrical Work By Gz TYPE OF HEAT GA FA HW STEAM_ SPACE HTR. GAS DESIGN MAKE Model Serial 6 INPUT THERMOSTATC-"& // °fit{ A— Heat Plug Valve Limit Limit Setting 7 Fan Setting Y Pilot Type 6A v 4Y -h m n,6. /% 6 Pilot Make Pilot Model PilotTiming L W. Cut Off Pressure Percent CO, Input CFH Percent OY ed . Stack Temp. t E Percent CO Form 235 APT. FLOOR OWNER INSTALLED BY :j Gas Line By UNIT HTR. OTHER MAKE OF BURNER Model Max. BTU Rating CITY 9 SUBURB 30111";P3I0L`l MAKE OF FURNACE Model D Vent Size KIND OF LINER C L • SIZE NONE Draft Hood h Regulator ' 1� Filters Size Number Chimney Location Inside .0 Outside Chimney Construction Smoke Bomb Wiring "%v Draft Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester "`=` 'IITY OF FRIDLEY INSPECTION DIVISION I Effective On January 1, 2000 'x431 University Ave NE -ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, CODUNG, VENTILATION, 763) 572-3604. REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES J013 ADDRESS ! nV � ls,� 1 VC, RATE SCHEDULE W OWN ER._,J��( Yx Q tesidential Rate TOTAL 12 N Furnace Shelf and Duct Work, Bumer - BUILDING USED Also Replacernent Furnace $ 30.00 $ �� ESTIMATED COST 1 �� PERMIT NO-�. 19 (Side Vent - Fill Out Back) � Gas Pim (Needed with new furnace, $10.00 Piping $ 13 but not replacement) DE�iCRIPiI(DN OF FURNACE ANIS OR BURNER _ Gas Rask $ 10.00 $_ @ _ C) No. of Pleating Units Circle One (Steam) (Hot Water) (Warm Air) { Gas Dryer $ 10.00 $ Trade Marne We No. x- Q BTU HIP _ _ EDR ____ *Air Conditioning - All Sizes $ 25.00 Total Connected load F All Others/repairs & Alterations (LIST ON BACK) io. Burner Trade Name _ Size No.- 1%A of Value of Appliance or Work 1% $ BTU--- Pili _ EDR_ _ commercial/industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ ,50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. O TOTAL FEE $ DATE NiMUMPEE F®R ANY Hg&TIN /C00 lhI1L C/_MENTlf&T10N HEATIRS IEFR,IGERATION/AIR CONDIi ONIMG PERMIT I $25 00 � UiACE 'LlS A Sign TEL N f -INSPECTION FEE $47.00/Hris � Air Conditioners can not be placed in a side yard without Approved ByR®u,gh-ln Date Final Date +ritten permission from adjoining property owner. FILL T K DE4qTACKVERIFICATION ON R EPLAC NT FURNAM ZO ' d luloi When _reAlacing an existing ffuranga. 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 plast[OPVC 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 manufacturers specifications: This does include AGA -LAMA Category I Central Furnace denting Tables for bn assisted and natural draft appliances. Yes ( ) No ( ) The existing corrabusgon air is sized and installed to meet the current codes and manuufact%;;aes spedfications. Yes () No ( } When required to install 21 pew 2Mbu-gfion air. it w13'Le sized and installed To meet the current codes and manufacturees specifications. Yes( ) No( ) When Installing a new ventingsystem, the undersigned hereby verifies that it Is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category 1 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 =mmon dent and vented separately as per current cedes. Yes( ) No ( ) Appliance TyRS ane! SizelC�snnton Vent and Vent Contractor InffoMadon Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type STU Input Fan Assisted or Net Appliance #3 Type BTU Input t=an Assisted or Nat �. Total Appliances Total Btu Input Common bent Type a dent Height Diameter inches Appliance #1 dent Connector Height ft Length Diameter in Type Appliance *2 Vent Connector Height fg Length it Diameter._ _Jn Type Appliance #3 !fent Connector Height Length ft Diameter in Type &MERATI®NS: (Qescri eib ) ze/zo"d S09968L 01 ATIGINA ,d0 AIIO WO2H eS:Zt 0002-TZ-nON G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 29, 2002 Mr. Jim Falkner 6230 Trinity Drive NE Fridley, MN 55432 Re: Final Inspection at 6230 Trinity Drive NE Contractor: Daves Appliance Heating & Air Dear Mr. Falkner: A mechanical permit was issued on May 25, 2001 to replace the condensing unit 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 take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAStFITTING PERMIT anADV an IRMCD nc 1=1VT11Rr—C Tn MP IKICTAI I F=n CIN FAr..N P nnR Stones 016Urinal RATE TOTAL .::•.:.:.:::::: �f1..... Shower $10.00 The undersigned hereby makes application for a permit for the work herein -::.:: Floor Drain ••.�� :111:1 Washer :..•.•.�: ;:<:..i�. Gas Blow Off Basin Water rAuto. HeaterWash and representations stated in this application are true and correct. sElec Basement ' >< UW)Q— Rain Water Leader $10.00 DATE: _._ , 200 Sump/Receiving Tank $10.00 I F Water Treating Appliance liance $35.00 OWNER i f Water Heater -Electric Floor 1 C� Water Heater - Gas** $35.00 BUILDING USED AS l Gas Range" $10.00 1 n Gas Dryer** $10.00 ESTIMATED COST U O n� PERMIT NO. Back Flow Preventer Required ( )Yes () No Floor 2 Type 1 $15.00 PLUMBING COMPANY r/ Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS' U in s11 za V New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 UW)Q— Rain Water Leader $10.00 DATE: _._ , 200 Sump/Receiving Tank $10.00 I F Water Treating Appliance liance $35.00 OWNER i f Water Heater -Electric $35.00 C� Water Heater - Gas** $35.00 BUILDING USED AS l Gas Range" $10.00 1 n Gas Dryer** $10.00 ESTIMATED COST U O n� PERMIT NO. Back Flow Preventer Required ( )Yes () No ` Type 1 $15.00 PLUMBING COMPANY r/ Reinspection Fee $50.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By State Surcharge $ -50 MINIMUM FEff F R TOTAL FEE$ /675-0 OF THE IMPR MI COMBUS ON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. TEL N0. Rough -In Date Final Date *PROVIDE COMMON VENT INFO ON BACK SIDE t FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSTION AIR_ _VERIFICATION When replacing an existing furnace, 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 m4nufacturer specifications including sizing, length, number of elbows and terminatidn. 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 Fumsce V6nting 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 Lenh ft Diameter in Type HEATING CO: Signed By: Date :