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PRE 2010 DOCSSUBJECT PERMIT NO. City of Fridley10�T4M36 AT THE TOP OF THE TWINS BUILDING PERMIT I CEIPT NO. `L COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. O 1 i = ---1 CITY HALL FRIDLEY 55432 IL---- NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 .12/22/77 JOB ADDRESS 5595 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Innsbruck North 2nd 'Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harstad-Zhdd Construction 2200 Silver Lake Road 636-3751 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 8 DESCRIBE WORK MINI;Cons 4' ' elling and a 22' x 24' Garage RAWC Igglpg call local Uf111�1E, ACr,URACY OF UIM LOCATIONS AND WATIONS. OrS_E TH2 C� HELLP o no fta'A 16 FOR NFOPAVAON ANDr 9 CHANGE OF USE FROjjjNS USG h1• SHOUM VERIFY' NE INFORMATION REQUIRED UIN STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Verify walkout elevations with City Engineering Dept. before beginning. Provide combustion air to furnace area. Provide pilaster course midwall in south side of basement. Builder and owner hereby understand that porch can never be fully enclosed. A recognized testing agency must certify the excavation, oversizing, and composition of any fill involved in developing this lot before calling for footing inspection. SEWER LOCATION: (Approx. 10' Deep in Street) 90' S. of Manhole (Inv. 853.47) WYE ELEV: 853.86 TOP -OF FOOTING: 856.86 Minimum WATER LOCATION: 6' South of Sewer Service DRIVEWAY DEPRESSION COST: N/A SOERATE PERMITS REQUIRED FOR MINA- TYPE OF CONST. OCCUPANCY GROUP- OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 1320 -I- 528 31,680 Total OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING '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. 46, 26O $21.13 $ 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. - STRUCTION,= - HEP F RMANCE OF NST ON. $126.72 $375.00 / PLAN CHECK FEE TOTALFEE $3 8 $554.53 S_1CW4TUR9OFCONTRACTORORAUTHORIZEDA ENT (DATE) W PR ERY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG )NSP DATE CITY OF FRIDLEY APPLICATION FOR -RESIDE=NTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 1 � OWNER: 64�s "�R p 1 � CCS�ns d� BUILDER: Address : ��- a ® 5, f u 'a �- Address: /yr / !-z- Tel. No.: 3L 3 7� { . No.:� J Street: lei LOT: 3 BLOCY:vim- ADDITION: �v� v� 5 b +'" ��' �� u� CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS: �5', 7 F ff 6 Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � t S�rle Front: �✓� Depth: Height: Square Feet: ® Cubic Feet:, '12 r Front: o2 Depth: ` Height: Square Feet: Cubic Feet: g e) Type of Construction: Estimated Cost: $ 6 3. To Be Completed:`tri� ?° ® Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional informaj;�*. DATE: Dec SIGNATURE:��G� Stipulations: wo- vn �� E or s D- u 'i`vr 2 41 Al 6e-® OWNER SITE ADDRESS EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION g� CONTRACTOR 14rd?A 19'045 DATE 77 PHONE Determine working square footage of each. 1. Total exposed wall area ....../ 7,X 4 sq. ft. x .17 - 2. Total roof/ceiling area ...... 1.3A6 sq. ft. x .05 = Total exposed wall area above floor a. Total wall window area ........................... 1417 b. Total door area ................................. c. Total sliding glass door area ................... )F Y d. Total fireplace wall area ........................ e. Total wall framing area (average 10%)............ 1 7 2, f. Total net wall area above floor ................. g. Total rim joist area ............................ It Total exposed foundation area = o� h. Total foundation window area.................. .. / i. Toal net foundation area above grade ............ -642 Determine "U" value of each wall segment. a. ®r� X "U° b. �/4 x „ill C X „ul, 1 _ d. X "U" e _ e. %7X--ull 1/20- f. 212 _ X llull ® h. ry % y X Hull _ / o 740 1 . X 'lull e YY = 7, 3.. .................................Total If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. . il Total exposed roof/ceiling area = v Total gross roof/ceiling area = ;; J. Total skylight area .. . ..........••• k. Total roof/ceiling framing'area............ 1. Total, net insulated roof/ceiling area....... Determine "U" value for each roof/ceiling segment. . X II U II _ w. k. X IIUII ®to Y— _ . X 11UH/ 4...... ..........................Total = if total of #4 is the same as, or less than #2, you have met the intent of SBC G006(c)1. To utilized the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING NRIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 1n Future Fixture Opening -�3 x $2.00 v New Fixture, Old Opening x $2.00 $ Water ® Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener Heater $7.00 $ flew Ground Run Old Building x $5.00 $ y x 3 g Win+ x a y 1st 3 fixtures x . $3.00 $ �r Additional Fixtures o .r o $ + q 1 $ $4 x .a ro ro u ro gg $5.00 $ each add. $100.00 or fraction $2.00 m v a ai $ .5o y S o w ul w c� en a ur o as lec r6 r 1st 2nd 3rd 4 tz (R) = Future Connection Opening Connected with Sewer M - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $�v Future Fixture Opening -�3 x $2.00 $ New Fixture, Old Opening x $2.00 $ ® Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ flew Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x . $3.00 $ �r 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 $ .5o TOTAL FEE $•S� REINSPECTION FEE (S10.00) Job Address 5-S �?-T int Department of Buildings City of Fridley Tel. #571-3450 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 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. J 7-2-D 19 7Y / — // ---/- // A KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED OST / OLD NEW ILDING PERMIT NO. PERMIT NO. /lQ I 7 Company • 1/� Signed By c/ Tel. No. �" L Z -7 t T ROUGH INSP. Date FINAL INSP. - 2 k P Date APPROVAL FOR PERMIT �2�2 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE October 2, 1978 CITY OF. FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. Bob Todd Harstad-Todd Construction 2200 Silver Lake Road New Brighton, MN 55112 Re: Final Inspection at 5595 West Danube Road N.E. Dear Mr. Todd: A final inspection was made on October 2, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by November 15, 1978. 2. Provide a hard surface driveway by November 15, 1978. 3. Install scuttle door by October 16, 1978. 4. Install glass on one side of two sided fireplace by October 16, 1978. 5. Monitor 1/8 inch crack in foundation wall for three months. If the crack does not enlarge, patch and repair. 6. Provide house numbers on structure by October 16, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine cbmpli.ance. If you have any questions on these items, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh 1925 Oakcrest Avenue Roseville, Minnesota 55113 (612) 636-7744 26 - 7th Avenue North St. Cloud, Minnesota 56301 (612) 25373451 (Direct written correspondence to the Roseville office.) REPORT OF S IL INVESTIGATION PROJECT: ` / l dvl, REPORTED TO: PROPOSED RESIDENCE "Iw / HARSTAD TODD CONSTRUCTION CO. 5595 W. DANUBE ROAD �,� 2191 SILVER LAKE ROAD FRIDLEY, MINNESOTA �i / NEW BRIGHTON, MINNESOTA 55112 �� CC: FRIDLEY BUILDING INSPECTOR GEC JOB NO: 1725 ��V DATE: OCTOBER 5, 1978 INTRODUCTION During the period of May 11 through June 1, 1978, we conducted a soil investigation at the subject project® The investigation included in- specting the excavation and testing the backfill. The location of the proposed building and the excavation is shown on the attached sketch.. We understand the house is to be a rear walk- out design with the lower floor at about elevation 95' (with respect to an assumed elevation of 100' at the center of West Danube Road in front of the house). The earthwork plan was to remove all organic and soft soils and re- place them with compacted fill. The building would then be constructed on the fill. We recommended that the excavation be oversized on a 1:1 ratio beyond the proposed footings. The results and conclusions of our investigation were reported ver- bally to the client and to Mr. Ron Holden, the Fridley Building In- spector, on June 1st. HYDROLOGY. SOIL AND FOUNDATION ENGINEERING* TEST BORINGS MATERIALS TESTING a PERCOLATION TESTING • ENGINEERING GEOLOGY 9 CONSTRUCTION INSPECTION GEC #1725 - Page 2 EXCAVATION INSPECTION Excavation inspection was done on May 11th and May 12th. The soil profile exposed in the excavation consisted of swamp deposits in soft clay underlain by firm glacial till. Glacial till is considered to be a suitable bearing stratum for support of a normal residence. The contact between the surficial soils and the glacial till sloped up to the south and west. The maximum depth of the excavation was at about elevation 85' at the east end of the excavation. There was a pond adjacent to the east of the excavation. The elevation of the water in the pond was about 93'. All swamp deposits and soft clay were removed, exposing the glacial till. The oversize met our recommendations. TESTING OF BACKFILL The backfill used was a clean sand. It was placed directly on the ex- posed glacial till. The degree of compaction of the fill was tested by means of field density tests and borings. Density tests were taken to depths down to the groundwater which flowed into the sand backfill. The standard proctor density was 113 pcf. Rela- tive density was computed by dividing the field density by the proctor density, expressed as a percentage. The tests were taken on May 26, 1978 and June 1, 1978. Density tests cannot be taken below water level in saturated sand. Con- sidering this,and since there was as much as 7' of fill below the water hnical Enaineerina Corporation GEC #1725 - Page 3 level, we tested the underlying material by means of standard penetration resistance (N values) and static cone tests (qc values). These were done on May 26th. The results of the tests are as follows: DENSITY TEST TEST BORINGS RELATIVE ELEVATION NO. DENSITY & N VALUE, BPF qC VALUE,TSF 95 7 112 94 4 110"-2 93 6 94 i 92 5 105 91 1 10112- 2 7 90 2 103 4 18 89 3 9612- 6 25 88 9 25 87 6 12 86 14 12 The tests at and below elevation 91' were taken on May 26, 1978. More fill was then placed, and tests above elevation 92' were taken on August lst. Glacial till was encountered below elevation 871. CONCLUSIONS Based on the results of our inspection and tests as reported above, it is our opinion that the excavation and backfilling operations were done properly and that the soil should provide adequate support for the house. Report Prepared By: Zoo Robert E. Pendergast, P.E. Minn. Reg. No. 8450 Geotechnical Enaineerina Corooratien I I%ron Pin(Property Corner) Base of Excavation (Approximate) I i r Iron Pin (Property L/ Corner) SCALE: 1" = 10' Den. #5 I lDen. #6 I I. PBorings & g Densities #1-4 IProposed House l I I Den.#4 Proposed Garage eDen.#7 hil 2191 SILVER LAKE RD. ® NEW BRIGHTON, MINNESOTA SS112 ® PHONE 636.3751 October 18, 1978 City of Fridley 641 University Ave. N. E. Fridley, Minn. 55432 Attentions Ron Holden, wilding Inspector RE, 5595 W. Danube Dear Ron, Although we gave the loan company the soils reports obtained from Geo Tech, they still wguld like t have the local inspection agency write a Letter to attest that the fill, compaction, and drain tile was satis- factorily installed. Could you please furnish this" Direct to Twin City Federal. -- 73 cAN 5 -OLA �` T6 Thank you. Yours truly, Robert S. Todd G r a CITY P..''. j , 1' LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)571-3450 ' October 20, 1978 Twin City Federal Savings & Loan Assoc. 801 Marquette Avenue Minneapolis, MN 55402 Re: Footing Inspection at 5595 West Danube Road N.E., Fridley, MN Dear Sirs: This is in reply to a request from Mr, Robert Todd of Harstad-Thdd Construction requesting certification in writing of the footings at 5595 West Danube Road N.E. I made a visual inspection of the site on June 11, 1978 and I met with Mr. Bob Pendergast of Geotechnical Engineering Corporation on the site. We accepted the soils excavation, back fill, and compaction test results and recommendations of Geotechnical Engineering Corp. in giving permission to place the footings on the lot. We do not inspect drain tile installed on new houses primarily because we do not have a standard by which to inspect drain tile, and we do not require it on -new houses. We do however suggest installation in some instances. If you have any questions on this matter, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh CC: Mr. Robert Todd SUBJECT r M City of Fridley 2 7 53 7 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r - ------ PROTECTIVE INSPECTION SEC. 5164 e , NUMBER REV GATE PAGE OF APPROVED BY i � ! CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 9/3/98 f' % JOB ADDRESS 5595 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRES* ZIP PHONE Raymond 572-8348 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 2 1/2 S572-IR20 4772 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 Xg REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 30 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlaymen¢t must comply with the State Building Code. 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 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2571 $1.29 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 THEMRFO ANCE OF CON TRUCTI )N. 74.75 Fire SC 2.57 PLAN CHECK FEE TOTAL FEE 74mhml License SC 5.00 83.61 6GNATU iE OFCON,-RACTOR R AUTHORIZED AGE -Nf dA IfE I WHEN PROPERL IfALIDrED THIS IS YOUR PERMIT d BLDf. iNSP � GATE .V _ SIGNATURE OF OWNER OF OWNER BUILDER) IOATEI NEW j ADDN [ ] ALTER j ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: pv- Contractor: / C �v 77 Address: LAX -3 A1C P Effective 1/1/98 Tel.#r%;z-73VP MN LICENSE # 7 /� Tel. # 7Z <�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 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: -?0 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: e2-�- 2EAPPLICANT:1$ Tel. # 72- CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431 University Ave NE ot,ov Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES T JOB ADDRESS 5 4 W• AYY Lt B F 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGIVENTILATION 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. OWNER �Pili'kno[� TOTAL A n - �®.� BUILDING USED AS $ ESTIMATED COSTv� PERMIT NO. A�9;E DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water (Warm Air) $ Trade Name C�21. Size No. H BTU HP EDR " $ Fuel 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 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are -true and correct. HEATING CO �, ►�-' i�. I nc. —7. Signed DATE Approved By Rough -In Date Final Date �'/� /2i✓4aC4 eF- its IVALV. 40„ �,� t Remarks: List ALTERATIONS Being" HEATING CO: Signed By: Date: CEWWgEY 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 O 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" HEATING CO: Signed By: Date: GiYOE FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 9, 2000 Teri Raymond 5595 West Danube Rd NE Fridley, MN 55432 Re: Final Inspection at 5595 West Danube Rd NE Contractor: Air Mechanical Inc. Dear Ms Raymond: A mechanical permit was issued on May 10, 2000 for the property located at 5595 West Danube Rd NE for a furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE�EOSEN Build i inspector CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 554321 l 572-3604 Effective On Jan 1, 2000 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURIEES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** _L $10.00 Gas Range" $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 el TOTAL FEE $ _ ' JOB ADDRESS � �. 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. A q IV 120 O eq Owner Building Used As Re- -C Estimated Cost �W PERMIT NO. 8 PLUMBING SIGNED Approved By TEL NO._,;'3 Rough -In Date Final Date ®� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE 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 : CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 " APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 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% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 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. l Effective On January 1, 2002 JOB ADDRESS Z)e-'? ud-. Rd 1_�. OWNER, TOTAL BUILDING USED AS $ ESTIMATED COST PERMIT N0. `® DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units i Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU .?5',; w H EDR $ Fuel A4, -k 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE /0 HEATING COO SignedTEL # 65-1 s 63 FAX # 4 Approved Bye_ Rough -In Date Final Date