PRE 2010 DOCS-0'
'ty of Fridley, NUmm. N° 7697
MUDING PERMT
Date: June 30 1965
owner: Darwin Fitch Builder Dailey Dome Ino.
Address 6.360 Washington St. No E. Address 8510 Central Avenue K. E.
LOCATION OF BUILDING
No 6360,— Street Washington Street N. Be part of Lot
Lot 3 Block 3 Addition or Sub -Division Christie Addition
Corner Lot _ Inside Lot Setback Sideyard
Sewer Mevation — Foundation Elevation
To be Used as:
Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft
Type of Construction Fast. cost 94-j786,00 To be Completed
Storm Damage Repair
In consideration of the issuance to me of a permit to construct the building described above I agree to do
PPosed work in accordance with the description aboveset forth and in compliance with afl provisions of
ordinances of the city of Fridley. ,� A =Nl 1
In consideration of the payment of a fee of $ , permit is hereby granted
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
within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said
ordinances.
Allen Jensen Building Inspector
NOTICE:
Ibb pem dt don not cover the sonatr ®shim, huuMan for wkk& phmbh1& ®a hoaftV, sewer w water. Be giro to no
tho BWMIng iapodor for sopamdo pwmNs for than Name.
a
4
APPLICATION FOR JAING PERMIT
CITY OF FR.IDLEY, &WNESOTA
O6+M'S NAME Darwin r it cu BUILDER Dailey Homes Inc,
9
ADDRESS ---636o Washingtoh Street ADDRESS : • 8510 Qerltral .Avenue N,. E..-_
LOCATION OF BUWING
No. t� Stteet 4 - 7 Part of Lot,`
—��
Lot—� Block\, Addition' or Subdivi§ion,
Corner Lot Inside Lot etWok Side Yard
SEWER ELE`VATIQN FOUNDATION EUV°ATIONm._...:_.�..�.,,
Applicant attach to thit form, Two Certificates of. Survey of Lot and proposed'brVAl
ing location dfawn on these CA-ttificates.
DESCRIPTION OF BUILDING
Tar be used as
• a
-'rant Depth Height '
9$. Ft. Cu. Ft.
__,Front Depth . Height
;Sze. Ft Cu. Ft.
Type of Construction k
Tornado repair Estimated Cast $4786.00
The undersigned hereby makes application fora permit for the work herein specified,
agreeing to do all Mork ift strict accordance with the City of Fridley_ Ordinances and
rulings of .the Department' -of Buildings, and hereby declares that al��the facts and
representations stated in this application are true and correct.
DATk SIGNATURE
.of Fee Costs can be found on the Reverse Side).
BUILDING PERMIT FEE SCHItOJILE
Section 2. The Inspector. of , Buildings -s4-a.11t before issujgS. any permit for
the erection of any building or struckure,,.'or•for a4y.,addittv to any exist-
ing building or structure, -or for• any 4jterat;OAwvbr*.:repatvi to any existing
.building or structure, upon applicatrba soefdfqrs tequire the pa"out by the
applicant for such permit of fees -to ath`e amount •herein••below set torth._and
in the manner herein provided to -wit:'
4 - .1. For any §iuch permit for the ereQtioii-O any fireoipr buiIAIpg,, other f.
. "Ahm a garage!, warehouse, factory qr..g ti.a' 0@vqVOr,4 w. fir; the eventUn of :
auy 'fixe -pit of addition, .for s is ar °°aic peney � to-. any exist�i ft bud
$hall be at the rate of $1.40 for each" thousand pobid feet, or £ra3,c"on
..:thereof, in such cubical contents. :. .
22 For any such permit fee..,;#e erection. of, any fire -proof go.race-.• -y---°
factory ei grain elevator, or for, the $rection of uup- r Praoft
for similar occupancy., to any ek1st1ng jldivg shall••be at i6_
- °fo aeh
one .thousand cubic .feet.,%. olassi led.gs-11firdp roof" • by S+
.
-HOUSES
Fdrany such permit for' the erection of any rion-firep}xaf'b'uildift
`-than a garage, warehouse, factory or. grain elevator, or any non-firepqw, ' L
addition, for ,simildr octupa'ticy, to any eii:stiat building - peamit $1.=00 for. --.-
each one thoubaud •cubic, feet..
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage;.,,
ff •
w ren house, factory or grain elevator, or for the 'errection of any non-f3repropf"
additi,onr--f-orsimilar' occupancy, to any existing building 6r for each such
-wilding or addition - ninety •cents . ($0.90) for each one thousand ce_ibic feet
or ft
tion thereof, in the cubical mum
contents thereof with a minion $4.M -
For the purpose of computing fees for building permits, the.cubical ca,atentsr'
of any building or addition to a uniform height throug'hcot -.* multiplying tom-...-''•
ground area covered .from a point six (6) inches beylev the door line of -the -.
basement or cellar to the average height of -the _upper surface or to -the
average height of the roof surface of the main gable of a pitched roof.
. 2, .5. For repairs or alterations to an existidg structu' a gee sball.
.at the rate of $3.00 per each Five hundred Dollars .{$SOb'4) ox fraction'
. there6f in the cost 'of •u11 proposed work,,,.a
2_,06:_ in no case shall ' the
icef "f�sx'ch in '
Section _2 ,be ,les.
CITY OF FRIDLEY PERMIT NO.: 2004-02224
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 12/02/2004
572-3604 FAX: (763) 571-1287
ADDRESS : 6360 WASHINGTON ST NE
PIN : 143024420031
LEGAL DESC : CHRISTIE ADDITION
: LOT 3 BLOCK 3
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
# INSPECTIONS 1
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304 -
OWNER
GLEASON JAMEST,MARY & IRENE
6360 WASHINGTON ST NE
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 worl
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 construction or the performance of construction.
Applicant Date
Bldg Insp
Date
STATE SURCHARGE, ELEC FLAT 0.50
ELEC PERMIT FEE - MIN (RESI) 20.00
TOTAL 20.50
PAID WITH CHECK # 6271
acr,fttvi i Z rrrUV1113 KrIYU1KC,L VkJK WUKK U 1 HGK 1 HAN VESUKIBEV ABOVE.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 6360 WASHINGTON ST NE
PIN : 143024420031
LEGAL DESC : CHRISTIE ADDITION
: LOT 3 BLOCK 3
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT NO.: 2004-02225
DATE ISSUED: 12/02/2004
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
# A/C UNITS 0 VALUE OF APPL OR WORK 0
# FURNACES 1 # GAS DRYERS
# GAS RANGES 0 VALUE (FOR MINIMUM CALC)
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304 -
OWNER
GLEASON JAMEST,MARY & IRENE
6360 WASHINGTON ST NE
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 wort
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 bonstruction or the perorman9e of construction.
Annlicant _ Date
Bldg Insp
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 6271
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
2000
0.00
35.00
0.00
0.00
0.00
0.00
0.50
35.50
Cy/%"x3TY OF FRIDLEY BUILDING INSPECTION Effective 44/1/2004
M
9 3431 University Ave NE
9 iddley, MN 65432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
L 763-5723604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
9
D JOBADDRESS C-3Co®
n ,RATE SCHEDULE Fee Tota
Residential Owner
Furnace Shell and Duct Work, Burner &
also Replacement Furnace $35.00 $ 35°QO Building Used As � �8, rtie
Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST O(0C)C�) ®e' PERMIT NO
Gas Range $10.00
$
DESCRIPTION OF FURNACE AND BURNER
Gas Dryer $10.00
$
# of Heatin Units_,,_ Circle One (Steam) (Hot Water)
Trade Name o_N_A k,) - 0"1 Size No.
*Air Conditioning -Ail Sizes $25.00
$
BTU -ISOO® HP EDR
Fuel lite (:� o_5 Total Connected Load
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
$
Burner Trade Name Size No.—
A Minimum Fee $15.00 for Residential or 5% of cost of
BTU HP EDR
Y . Improvement whichever is greater on work less than $300.00
The undersigned hereby makes application for a permit for the work herein
CommercialJlndustrial/Institutional
specified agreeing to do all work in strict accordance with the City Codes
r 1.25% of Value of Appliance or Work (List on Back)
$
and rulings of the Building Division, and hereby declares that all the facts
Minimum Fee $35.00 for Commercial/industriaVinstitutionai
and representations stated in this application are true and correct.
CENTERPOINT ENERGY
Y State Surcharge
� .50
HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304
1b
TOTAL FEE
$ �S ��
Signed Tel #763-757-6202
�
:v
V REINSPECTION FEE $50.00/HOUR
FAX # 763-757-6701 Date
G) *Air Conditioners cannot be placed inside yard without written approval
T from adjoining property owner - copy to City
I
R1
Ek FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
cc Approved by Rough -in Date Final Date
E0, d 7uloi
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 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 existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes (1 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 tx } 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 -LAMA Category I Central Furnace
Yes No( )
Venting Tables for fan assisted and natural draft appliances.
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 Info!Mation
Appliance #1 Type 1--&f BTU Input 25, ®PW Fan Assisted or Nat '''/4
Appliance #2 Type av zle'r dzL BTU Input 3 j Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Z Total Btu Input /g
Common Vent Type &1 a Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ,eft Diameter in Type C d -�
Appliance #2 Vent Connector Height _L" ft Length ft Diameter n Type C/ -
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
i' �.� sr ,
CENTERPOINT ENERGY
HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304
Signed By: Date
x E �
Y
ZPIPP I A T01 A. AJ ' 01 A3IIG l dd do Al J 0 WON -4 C.?: t T b00Z-LZ-NC48