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PRE 2010 DOCSSUBJECT PERMIT NO. City of Fridley ® 15095 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO � `- COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 IL ,`J NUMBER REV. DATE PAGE OF APPROVED BY L---- 612-560-3450 910-F15 3/27/79 JOB ADDRESS 5625 West Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 18 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286 - 72nd Lane North, Mpls. 560-8110 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct 2' x 2' Townhouse and a 2V x 22' Garage 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,, VENTILATING OR AIR CONDITIONING. wood Frme THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 1 20,200 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS" OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $25,795 $12.90 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. $80.80 $425.00 PLAN CHECK FEE TOTAL FEE $20,20 538.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �.t i2 Arlt , , �> BLDG. )NSP DATEF SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) API' l i CAT J ON FOR RES I DIiNT I A1,) ALTE.IZATI ON P OR ADDITIOX BUILDTNG I'1:Ri•I.IT CITY OF I1RI1)LEY, MfINXESOTji ttAke- , Pet). ()t bqp, BUILDER: -& A o, I- f— ADDRESS:N84,724' Laky h_ _ADIMESS :p. W!J . _ Ja. LOT: BLOC}:; ADDITION:oMt ie a CO*4F,' FR LOT: INS IDE LOT:- SETBACK:' SIDEYARD : Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPT N --OF BUILDING rh To .Be Used As: 7L»nbawse- Front: c2 Depth: Height: Square Feet: ISS'Z Cubic Feet: s® Front: Depth: Height: Square Feet;e4 Cubic Feet: o Type of Construction: W00cl _ ¢'&We. Estimated Cost: To Be Completed: 1 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 SICNATUI'.};: (See Reverse Side For Additional Information.) Ir 0%0090 f"VW1 C P,a�- 4w rt`1° .9a S*C.- 7, rlr l CITY OF FRIDLEY • APPLICATION FOR PLUMBING AND GAS FiTn NG PERMIT .PARTIAL RATE SCHEDULE et NO. RATE Number Fixtures -,� - x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening N • m e Water A a� .t A Water Heater - to 99,000 STU x W C .ci N 4 Water Softener i 0. w Cr $5.00 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 $10.00 REPAIRS & ALTERATIONS First $100.00 o ' o S $ '� .1 5 o g a q '64 v a y o w w pa� ?. a o as lec vl'i vii tidi r 1st 2.^.3 3z3 4 t.1 (a) a Future Connection Opening Copneeted with Sewer (•) - New Fixture, Old Opening Water .PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures -,� - x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 e Catch Basin x $5.00 Water Heater - to 99,000 STU x .$5.00 100,000 BTU to 199,000 BTV ,� x $10.00 Water Softener x $7.00 New Ground Run 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 $10.00 REPAIRS & ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE PXINSPEC:ION FEE Job Address "j-64 .0 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes aliplication for a permit for the work hereih specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley. Mn. - / zL ® , 19 OWNER KIND OF BUILDINGA USED AS TO BE COMPLETED ABOUT -- - ESTIMATED COST TOTAL • -ESTIMATED BUILDING PERMIT NO. PERMIT NO., S Company $ Signed By S $� Tel. No. $ $ S- ROUGE INSP. Date " FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT' 28 $7.50 pygg $.So STATS SQRC!?AAGS �'0 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL.RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs &, Alterations -up to $5Q0.00 Repairs & Alterations each add. $500.00 MECHANICAL WAR.tif 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 STFIM OR HOT ti'ATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BUR,\ER- to 3 gal. per hour each add. 3 gal. per hour RATE TOTAL ,lob Address 7,00 7.00 $ Department of Buildings 4.00 City of Fridley Tel. #571-3450 The. -undersigned hereby makes application for a permit for the work herein $12.00 $ /oj� 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, mien. � of , 19 7 ; OWNER Q&124 e 7'4J�Jrr $12.00 4.00 7! PP P -OA $}A -AA IA- AA GAS BURNER- from 100,000 BTU 4,0 10q,B9q PTA $;P: RP (over 199,999 BTU see Fee Schedule# GAS FITTING FEES: 1st 3 Fixtures x $ I -PA Additional Fixtures x $ 11AA Gas Range to 199,000 B`T'U x SlA.OA AIR CONDITIONINGJtc� FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS • State Surcharge ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT TOTAL FEE REINSPECTION FEE (.$10.00) N.INIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form },IND OF BTJILDING psEP AS TP �:p PPMT LIETEP ROPT 79 FSTT TPR PSA -NM.P.q FFF,TT NC}- NO. COI PESr-RTPTTPn OF FURNACE/BURNER B:PATTnq Qr FQp?, $?A ?'Bs P#Paf #(pf W4ar, wa_M Alr- No. Trade Name Size No. 4:5 /-fid �9 - Capacity Sq. Ft. EDR BTU n ma HP Total Connected Load 019, /4 d Kind of Fuel 194 BURNER - Trade Name Size No.`a I � a J6- �.r Capacity Sq. Ft. RPR BTU �1 S�QOc) HP Company Signed By W-A� Tel. No. k " r HEAT OSS CALCULATIONS � � 8 �A ann—t#'°n 0 -IM IIAININICAPnI 11Z AAININI Weatherstrips A.S. H.V,E. Construction No. Insulation Windows Doors Guide Out. Wall Int. Wall Ceiling T Roof I Floor Kind How •efif3lied Reference _ Yes --No Yes -No 19 - -- -- ------ --- -- '��Fl, Rt L.- Room Length Width o� Height �' Ft.�y �tm } _��. "` ,,t &aom Ler: t, Ytidth Height Windows and Doors- Crackage and AreaWindows and oors—Crackage and Area I No. -I W,drh Height No. of Lineal tt. Area ---T-,-r--�--t # of pan of pane lights of crack sq. ft. No. Width !':fight N�,. n. Undal f(. A;pa t " x 'It pa .,of ;,,we lights .)f c•ra K sq. ft. ✓�gj & k $ y t ' A it - } ` °•'� 6}j(y -- � Coef f',,,,fl Btu Infiltration- _ �' a ---� _-=- i Infiltration j r Glass i t r -- ---- ---- �j Class_ ? Exp. wall �r3 Exp wall -- - --- z - -- -- y - Net exp wall Q .-. >' _� - ---- -- -- - Net exp. waI I Int. wa I I --- -- -'-----'--- -a -- Int, wall - -- CeilingCeiling Floor CD ----- �o - �s- � _ Floor 1 Total Btu. Regwred ft. Total Btu, sq. E.D.R, or sq. ins. W,A, Leader area Required sc,. ft. E.D,R, nr su. ^s. 4".',A, Leader area yFl. ` Room I Length Width Height FI. ' gown I Len.otrt Width :'��. Height, --- rrl,,. ,dov,s and Doors-Crackage and Area No. '::carr I H,rArea •,f pan.. Ligtas f crack 'g- No. pf Lineal ft. yr q ft. — --- — 1--- " I I Windows and Doors—Crackage and Arear; _ No. VJrdt� Height No. of Lineal It. of vane of pane, I !fights of crack sq. ft. --- -y f-'—'- P /� -- - - ' I I 001 Btu II Coef. Btu Infiltration- - 91'7 -_-- Infi ltration +- - - Glass G lass Exp. wall --- ----- - I - Exp. wa Net exp. wall ------._-_ - - ---- 4 -7 0 �^3t exp. ". "-- �.= Int. wall -----:..va - - - -- l l Ceiling i Floor -`,r t - - --- - - - - -+ -z_- Fioor Total Btu. Required sir. tt. F.U.R. or sq. iris. W. A. Learl•�r Aron I®'`(j .. 1 Re,;ulred I F.^.R. o sq, r S. A.A. Leader irea Fl.i r:•� °uom �Le ,"' J a- Wirlth t i fz:rght 4p F! d s� Ruum , W!ctt't ✓�/ night — Windows and Door "" Crackage and Area I T —r-7- y"v!nc'anti Donrs-Crackagk- ,grid Area i Nr, iv r!rn T leryhl ;•' 1 3 - – I V r f} A Nn _ ' 4- , a ! ;Cc et B t., fi " ' _� a•f Btu Infiltrat,on -'--- --- F --- ---- �- ---- I •y -- - - Exp. �- _ 14 -_ - -- -- ------ -- ---10 wail Fxp. w 3' Net exp. waI I ---- �, Net exp. wall ----- --Int. 6 - - Int. wall..._ �-___._.--------- wale--- -------------!- t --- I �-- Ceiiing --- - Ceiling I Floorrt--.--- L Total Btu. _ Total Btu. z Required sq. ft. E.D.R. or sq. rrs. W. Leader area I Required . 1 sq. `*. E.D.R, or sq. ins. V.A, Leader area t '- 1� _ 6d- m r. G J__ L as O as O J. —A C .fie 4 §, C7 M. a7 q ® aJ 0;K ®wd ® y a �� ' �' �S �5.. � YT,•�1. .i► spy;q °dJ '1.i., ..'a�. U -4 r _ iJ � _, aaq �. J%'j � ,�°.J AA'' � Y �' ' : Gam. � ` � .,>?N � F'z: yy � 1 a g„1 US va m a w v een. u9• ;aa. uc. as. �r9 :am �' a1 a ID• L a C 4 " as u -.4- as Y Ji d.► C sJ as 0-6 Ct. 91 13 m 9a m m sJ m Y as C us c c' cs CV A ,®. m u a 4 s � In ¢ aJ o 4 ca as O cl a <'t 8V T8 ft1 •d1 � P` � id'1 ^'9 wC as .s in 34 o 'a• m v* �� Fn N- C G. ri •Q C -• 60� w an EEm a V? �.t l► U8 i8^• °�° CI y a = m -•o aJ C. -C — L 1� _ 6d- m r. G J__ L as O as O J. —A C .fie 4 a� a C7 M. a7 8e. ® aJ cn ®wd ® y e" �� ' �' �S �5.. � YT,•�1. .i► spy;q °dJ '1.i., ..'a�. -9 �' _ iJ � _, aaq �. J%'j � ,�°.J AA'' � Y �' ' : Gam. � ` � .,>?N � F'z: yy � 1 a g„1 va vt' een. u9• ;aa. uc. as. �r9 :am �' "�'° ""'� a ID• as sJ as us c c' cs o o a s <'t 8V T8 ft1 •d1 � P` � id'1 ^'9 wC '� '83 9i9 ' �� ts) - a8b Q/i 60� va8=vii V? V? VD l► U8 i8^• °�° L $ m 96 9S 9S 96 e4 1C J8 9S X OO _ 6d- m r. G J__ L as O as O J. —A C .fie 4 a� a C7 M. a7 8e. ® aJ cn ®wd ® y e" �� ' �' �S �5.. � YT,•�1. .i► spy;q °dJ '1.i., ..'a�. -9 �' _ iJ � _, aaq �. J%'j � ,�°.J AA'' � Y �' ' : Gam. � ` � .,>?N � F'z: yy � 1 a m OO 42 � ® � m W3 tis . s Ra, ey aoo . a - ® .a In _ 6d- m r. G J__ L as O as O J. —A C .fie 4 a� a C7 M. a7 8e. ® aJ cn ®wd ® y e" �� ' �' �S �5.. � YT,•�1. .i► spy;q °dJ '1.i., ..'a�. -9 �' _ iJ � _, aaq �. J%'j � ,�°.J AA'' � Y �' ' : Gam. � ` � .,>?N � F'z: yy � 1 a 63-81,416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: ISO. RATE TOTAL >, Cr $ � x $2.00 $ 2.ex Fixture, Old Opening x $2.00 o Catch Basin Water $ C* m 0 100,000 BTU to 199,000 BTU x $10.00 uc c •+ w A New Ground Ran Old Building •+ �a+ W x $5.00 $ Heater -rO+ 4 x $3.00 C t7 E+ ..ao x :, W o H 4 C E CJ O,� First $100.00 $4 $ _ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $10.50 O U` O +� L t7 C N •.i y O O � .0 m u D c c�i ai 3 00 ai 1-4 u ve a s t o as lec 4 114= R ge :d +_ d 1 S:z ii I VA) = Future Connection Opening Connected with Sewer t=i = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: ISO. RATE TOTAL ti rhe= Fixtures x $3.00 $ F*u-"Ure Fixture Opening x $2.00 $ 2.ex Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ :cater -eater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $, New Ground Ran 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 $1:0.00 S REPAIRS t ALTERATIONS First $100.00 $5.00 $ _ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $10.50 REINSPECTION FEE ($10.00) Job Address 5625 W. B 'varian Pass Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a pe wit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and reprosontations stated in this application are true and ccrrect Fridley, Mn. 6-24-81 , 19 07=- R FARR KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT h0. Company Signed By MINNEGASC® Tel. No. ROUGH INSP. Date Data APPROVAL FOR PER4IT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCrFAP,E Sent by: GME CONSULTANTS INC GME CONSULTANTS$ Geotechnical • Materiels • Environmental 14000 21 at Avenue No. Minneapolis. Minnesota 55447 TEL (6121559-1859 FAX: (612)559-0720 612 5999 0720; 05121/96 11:11AM;J #972;Page 1/2 1'. Vt C .�i DAILY FIELD REPORT GME Job No. INC. Job Name � "fri�t�J .TA)iJ Location a !e TO MESSAGE r TIME: &P Weather: Subject: A /vsAT M DATE •� �� E e IV img/ ipg sm%� r e A -'o / /f SCD 74-P 614 V r yr 200 PS• 14�4 3,s8 7-5,FM7&to IS P r� %@ , 2,00 _ 4o r� �- fv,v y -lev �r ' ` = 3S"4y r 3 t f 37 3660 e ,� 120/s0 � Per SIGNED DATE Z Sent by: GME CONSULTANTS INC 612 559 0720; 05/21/98 11:11AM;,Jetft #972;Page 2/2 GINS CONSULTANTS, INC. Geaoeotv" • Materiels - &Mronrrwmw 14000 21st AvwvA Na WampoW, NWrw ole 55447 (612) 559-1859 STATIC CONE PENETROMETER REPORT GME PROJECT NO. Z17"(W44 PROJECT AND LOCATION 4 A. 7 I'd If V ARCHITECT OR ENGINEER CONTRACTOR DESIGN SOIL BEARING PRESSURE _L11-po psi. REQUIRED PERCENT COMPACTION _ GENERAL AREA TESTED SLAB I I FOOTINGS I I UTILITY TRENCHES I I PARKING LOT I I FIELD TEST DATA REPORT TEST DATE TEST TEST LOCATION SOIL DESCRIPTION PENETROMETER ADEQUATE REMARKS NUMELM READING FOR DESIGN BER egWo clVr w recsiFie`T S F SPS Zoo 3 z, e3 S b7Z� 2.3 7 City of Fridley SVBJECT IT NO. ? 4 92 9 AT THE TOP OF THE TWINS f BUILDING PERM EIT N � 7 ' ' • _ COMMUNITY DEVELOPMENT DIV. , tet,.------ r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OFTAPPROVEOP BY 612-571-3450 910-F15 3/28/97 JOB ADDRESS See Below - Multiple Buildings 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-91'95 3509 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouse Buildings 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 11 Buildings 9 CHANGEOFUSEFROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer`s specifications state it is not required. 5600,5602,5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr; 1510,1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511,1513,1515,1517 Trapp Ct; 5610,5612,5614,5616 W Bavarian Pass; 5621,5623 625,,5627 W Bavarian Pass; 5631,5633,5635,5637 W Bavarian Pass; 5651,5653,5655,5657 �3Bavarian Pass; 5680, 5682,5684,5686 West Bavarian Pass; 5691,5693,5695,5697 West Bavarian Pass SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD 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 $232,000 $116.00 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 $1,547.25 Fire SC $232.00 -f,,7Lie PLAN CHECK FEEI TOTAL FEE _ SC 5.00 $1,900.25 � �✓+p E OF CON•PA� TOn pn A,JTHOPIZED AGENT �DA'E, H N P ERLY V IDATED THIS IS YOUR PERMIT .ATUnF OF 't^.NEn � 11ti NEI E304DE R, CA-E, LOG, 1.So r,Arl -- 11 moi[ ,CITY OF FRIDLEY INSPECTION DIViSION � pjft'� 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 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°yo of Value of Appliance or Work Commercial/Industrial 1.25°J 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. Effective On January 1, 2000 JOB ADDRESS 64095 645 8,4X %J #"AAj PASS OWNER V L raA)t BUILDING USED AS ESTIMATED COST / ��. PERMIT NO:- DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm Trade Name Xr__*Mr Size No. BTU_ 60, .s&Q HP EDR Fuel_4g5 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. K�/ic16Cl DATE TEL # C� 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 V 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. The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. When installing a new ventina 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. 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. YesX No( ) Yes >k No( ) Yes( ) No ;< JQz5 724 y 0 (4rsras 424 Yes( ) No t< XX•rS7;rA)G Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type /- C4 k jJ,9CE BTU Input 60,4900 Fan Assisted or Nat Appliance #2 Type P. N 13.TU Input jW40,00D Fan Assisted or Nat 47 Appliance #3Tpe BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type 01+55 j3LtVent Height �� Diameter inches Appliance #1 Vent Cennec#or 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: A Signed By: Date: E CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 January 11, 2002 Ms. Reva Leone 5625 West Bavarian Pass NE Fridley, MN 55432 Re: Final Inspection at 5625 West Bavarian Pass NE Contractor: Krinkie Heating & Air Conditioning Dear Ms. Leone: A mechanical permit was issued on May 21, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. 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" 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. Sincerely, DJ/mh Vary wl�,.nt+�"F4�,—�-as:��.s.,�'a..a '�e'A ''"�'�� .�aui.]� .,��r iLu.,ZrrR ,.�.,w�t NA._._.�.Ysr.+ �._..�....�v.. .�ei.rL., _..,__,_�___ .�y �.._�n.y_e..__ _ _,.... .,,_ _s_,_us�.�.'•�.�_�..�._.. ...,