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PRE 2010 DOCSCity of Fridley, 9804 BURDING PERMIT PAt 1— f n1"r-W. a•°: owner: Dr. J. Riley Builder Rodney Billman Inc. Address Address 151Bi— ..Lake Road LOCATION OF BUILDING No. 15J2-- Street Wj r mPrP l)r; vP _ _ Part of Lot Lot Block ____ Addition or Sub -Division __ Inns Gk rlth-A rl -n Corner Lot _ - Inside Lot — X Setback 32 --- Sideyard Sewer Elevation 9-91-21 _ 994.2-1 U Q ox. Top of Footing DESCRIPTION OF BUILDING To be Used as: Dw,- lin- g Front 51 Depth20176 Height S S. L • Sq. Ft. 1970 Cu. Ft. Front Depth Leight Sq. Ft. Cu. Ft. Type of Construction Frame Est Cost ^ $33,000.00 TobeCompleted Sept. 30, 1968 SEWER LOCATION - 3' W. of M.H. WATER LOCATION - 7' E. of MN.H. 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 apA in compliance with ;& provisions of ordinances of the city of Fridley. $100.00 Sewer Connection Char In consideration of the payment of a fee of $ 63.00 , permit is hereby granted to Rodney �_ 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 ordinance's 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, sewer or water. Be sure to we the Building inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY ; OF FRIDLEY,. MINNESOTA . OWNER'S NAME . o BUTIME ADDRESS ry ADDRESS�1'.� LOCATION` OF BLtLDING N0.„STREE T' LO'C�r ”— LOCK- „ ADDITION OR. SU.BDIVISION 4r 71 CORNER LUT INSIDE LOT � SETBACK gib: SIDEYARD;'�,� SEWER ELEVATION TOP OF FOOTING Applicant attach, to this-; form .Two Certificates of Survey. of . X of and proposed building location drawn on theseCettificat y _ DESCRIPTION OF BUILDING. To Be Used As Front�Depth. B eight Square feet AZi b �c. i` et Front Depth aeigltt Square feet Cubic Feet Type of Construction _ :Estimated Gost3 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 nd representations stated in this pplication are true and correct, - DATE _ SIGNAT ✓C� � (S edule of F,de Costs can be found on the v_ se Side). �( C -ell i'. Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldge. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ie— each a—each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT 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 ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ 21— '—Additional AdditionalFixtures ................ x .75 $ Gas Range to 199,000 1 ......... I x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE $�_ Location J ;f) L?— W R ,.A5!!� AMM. City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- 1 ®1 19 Owner Kind of Building Used as 14 q5 To be completed about Estimated Cost, $ %i az.� Old—New. Building Permit No. qvo� Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P, Total Connected Load a '2.0 Kind of Fuel BURNER — Trade Name '5�'A = Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) City of Fridley Application for Plumbing and Gas Kitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK rr/I Kind and Location of Fixtures Location— Number,/ ' a y $ X $1.50 $ — x $1.50 ,ti 3� �2 N p z LLa N Ej �O ,Sj� .� a z S� <3 �U'd w C9 �O ? z 01 �U' O • F • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Connection Openings +x New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ....................... — Additional Fixtures ................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS --Refer to Code x $2.00 $ X $1.50 $ — x $1.50 $ x $3.25 $ — x $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL x $2.00 $— x $ .75 x$.75 $ x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Mnn 9' � -7 19 Owner a xis Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Pe it No. �l Signe By Business Phone No =& 5 ROUGH FINAL j ® Al- 7 -�- Description ............................. .... .. ......... TOTAL FEE $ `� az City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK '91 - � Z Number, Kind and Location of Fixtures Location—. PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ 3c) . O c Future Fixture Opening ................ 8 Z Q= x $1.50 WATER • Z + HTR. x $3.25 $ Water Heater (Up to 99,000 BTU) ...... % x $3.00 $G New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater s $2.00 $ q, NO. 0o R N GAS EIEC oto $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Base 1st 2nd 2 3rd 4th ° Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ 3c) . O c Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... % x $3.00 $G New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... %'' x $2.00 oto $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE �� City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn "' 19_ Owner Kind of Building vv#`--qQs Used as / To be completed about .t► Estimated Cost, $ Old-7Te . Building Permit No Permit No. �,`1 Signe K By Business Phone No 14- ��✓� ROUGH FINAL City of Fridley, .Mian.. N9 10269 BUILDING PERMIT Date: June 6, 1969 Owner: Dr. Riley Builder Pools, Inc. Address 1512 Windeme a Dr ye Address 229 West 60th St. LOCATION OF BUILDING No. 1512 Street Windemere Part of Lot Lot __ Block Addition or Sub -Division Corner Lot . Inside Lot — Setback --- Sideyard Sewer Elevation __ __ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: swimmiug Pool Front 40 ► Depth 21 Height 81911 ►9►► Sq. Ft. 640 CU. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _$5x.000.00 __ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do ordi aO twork he city of Fridley with the description above set forth and in compliance with a'll p ons of In consideration of the payment of a fee of $-0;0.x__, permit is hereby granted to Pools, Inc . 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. NOTICE: fids permit don not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sore to as the Building inspector for separate permits for them bean. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLFIY9 MINNESOTA L OW.NM t BUILDER g r � ADDRESS �� 11' 1 LOCATION OF BUILDING NO. 1,;Zia T STRERT LOT BLOCK ADDITION OR SUBDIVISION CORNER -LOT INSIDE LOT SETBACK SIDEYARD•„., _ SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To.pe'Used A®: a -7!' T147 Front Depth Height Square feet ` Cubic Feet7i d Front Depth Height Square feet Cubic Feet Type of ConstructionEstimated Cost To Be Completed 1671, The undersigned hereby makes application for a permit for the world 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 0 SIGNATURE �� �/ �✓��• .(Schedule of Fee Costs can be found on the Reverse Side.) 0000"- - '! rlol AO a e June 5, 1969 Pool's, Incorporated 229 Nest 64th Street Minneapolis, Minnesota 55419 Gentlemen: _ A review has been made by me of the private pool for Dr. John D. Riley., 1512 Windemere Drive. The following items should be given attention; 1. An overhead line(not identified on plan) is noted about five feet from the edge of the pool grater on the shallow end. This is quite close if it is an electric line. 2. Fresh make-up water supply must:, be connected to the City water. 3. The distance between the center -�of the tip of the diving board and the side of the pool is six feet. This distance should be about seven feet. ®4. What about a handrail on the shallow"end? 5. The main electric service line is about twelve feet from the edge of the water. We like to see at least fifteen to twenty feet between the tato. 6. Why not separate the two skimmers to a. common manifold since the piping will be about the sada? We will not however, require such separation on private pools. 7. Provide adequate control valving on inlets since you have one inlet line. 6. Skimmers,"' -filter, pump and chlorinator shall be N.S.P. approved. 9. The general specifications indicate that a fence is or will be provided. The fence''is not noted on the plot plan but a fence will be required. Generally, the plans and specifications appear quite satisfactory especially since it is a private swimming pool. Please contact me if there are any questions. Sincerely, . y Fridley Board of Health HARVEY J. MGPHEE Public Health Sanitarian EJM/mh CC: Building Inspector Plumbing Inspector Ori& to PERMIT for Power Plants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No.o fjHeating Plants to be installed—altered—repaired Make s s , Size- _�iV7ZL 7 3 6 ; Oil fired ; Coal fired—, Gas fired; Gas Authorization Remarks Approved by. Final Inspection Date , 19._ Inspector Permit N° 4526 Fee $ 6-� Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.6k-At�a`t, 19-61 Owner Location Kind of Building How Occupied Work to be Commenced 4 � / ,19_k5�. To be Completed a -7 ,19 Estimated Cost, $__Z ' 0-3) Old -New, Building Permit No. Permission is hereby granted to install—erect—use the material and devices 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 and materials used under this permit, and in the operation of the devices herein mentioned 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 sfecifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. % L —c" / r ��� /'b , Inspector of Buildings 42 2M 11-67 V s- City of Fridley, Minn. 0 9 9 BUILDING PERMIT Date: April 29, 1971 Oar: John D. Riley Builder Same Address 1512 Windemere Dr. Address Same No. 1512 Street Windemere _ —, part of Lot Lot — 9 _ Block 3 Addition or Sub -Division .— Innalru th Corner Lot Inside Lot — X Setback ____ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Pa Y f f e ®ass t�� le Recreation Room)Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _y 000 _ To -be Completed 711171 In consideration of the issuance to me of a permit to construct thel builoing described above, I agree to do the proposed work in accordance with the description above set forth compliance with all provisions of ordinances of the city of Fridley. 19 .' In consideration of the payment of a fee of $_ 18 - 00 , permit is hereby granted to John n R j 1 P. 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 andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said li nnr7inannna NOTICE: 'fids permit does not cover the construction, installation for wiring, phnnbing, gas headag, sower or water. Be sure to we the BuibUng inspector for separate permits for these ham APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: D- �LLAPY BUILDER ADDRESS: Tj Z--- W ADDRESS: NO :. 1 S STREET: LOT:- BLOCK • ADDITION • CORNER LOT: INSIDE LOT: L/ SETBACK:_SIDEYARD: z-1- 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: G� x�ont: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet:_ Type of Construction: : _ Estimated To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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:' V 'd?- ` �- / S IGNATIMP (See Reverse Side For Additional Informat.) A U d City of Fridley ' J" Application for Ph g mid G= Dept. of Bldga. Phone SOD -3450 DESCRIPTION OF WORK LOOM= % 5�/� �, � �/ -X-,/ Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ ® C) Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Beater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... • ..... • • • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ A TOTAL FEE Sd City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do $11 work in strict accordance with the Ci4y Ovdiwnce and ruling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct Owner Kind of Used as To be a Estimat.E Old—New. Building Permit No. _Permit No.�j// 51? Signe C/r ROUGH iIF11lIa Si'c3®°' %� By Business Phone No -5 37 - 7 01 MMUMMMMMMIN I ME MEN NNEMENEENNIN PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ ® C) Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Beater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... • ..... • • • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ A TOTAL FEE Sd City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do $11 work in strict accordance with the Ci4y Ovdiwnce and ruling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct Owner Kind of Used as To be a Estimat.E Old—New. Building Permit No. _Permit No.�j// 51? Signe C/r ROUGH iIF11lIa Si'c3®°' %� By Business Phone No -5 37 - 7 01 SUBJECT PERMIT NO. City of Fridley ®13044 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV, DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 6-23-75 JOB ADDRESS JOHN & JOSEPHINE RILEY, 1512 WINDEMERE DRIVE. N.E. 1 LEGAL LOT NO. BLOCKT TRAC OR ADDITION SEE ATTACHED DESCR. 9 3 INNSBRUCK, 5TH. ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE JOHN & JOSEPHINE RUEY 1512 WINDEMERE DRIVE N.E. 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 RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK NEW ASPHALT ROOF 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. ASPHALT 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.iDWLG. 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 $1,200 7 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. $9.00 PLAN CHECK FEE TOTAL FEE 9.75 S ATUREOFCONTRACTOR ORA ORIZEDAGENT (DATE) VALIDATE THIS IS YOUR PERMIT �WHENOPE JUNE 23.1975 DATE GNATU OF OWNER (IF OW ER B ILDER IDATEI -APPLICATION FOR RESIDE IAL.'RATION, , ALTL;' Olt ADDITION. BUILDING PERPIIT CITY OF F}:IDLI Y, MINNESOTA OWNER'S Nmlc"IE : S4e nA 1*Vj BUILDER: ADDRESS:j5)ol I'V)6(eme_re. J])r',ueAADDhESS: 110:. ! S I STREET: LOT: BLOCK COT.iNE]", LOT ; IPS IDE LOT: SETBACK: SIDEYAi,D Applicant attach to this form Tc -7o Certificates of Sitryey .of Lot. and.propose ' _. building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic.Feet: o Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Mc,� to Estimated Cost: $ )aoo ` O° e To Be Completed: T'L t M 1 1� 7 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 ruiings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE , (See Reverse Side For Additional. Information. tz1_ CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 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 RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares _�that all the facts and re resentations stated in this a lication are Als Replacement Furnace $ 20.00 $ P PP true and correct. /v2/w � ,1991 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER q�A� Gas Range $ 10.00 $ BUILDING SED AS Gas Dryer $ 10.00 $ , , G ESTIMATED COST PERMIT NO. Z �r t� *Air Conditioning -All Sizes $ 10.00 $ 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 (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP '%� EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load i State Surcharge $ .50_ Burner Trade Name Size No. TOTAL FEE $ Z --nBTU HP EDR 1::1c;ond &Sons Elec.. Inc. dba r t7 Sons Elec., Inc. dba C- 'scn d' ".1. N,c R, A!r Cd ^,Iden valiey 11th. & Air Cd HEATING C <. ' _ devay MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION ; ` Crystal, Mil 55429 REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed B)v Tel No. 515-2000 PLUS THE $.50 STATE SURCHARGE %f qv REINSPECTION FEE $30.00 App�ved Rough -In Date Final Date 141 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 �✓ j (,� �- REPLACEMENT FURNACE 14 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 ( a 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 ( s� No ( ) 6. Has total heating BTU's of �Du� All other BTU's TOTAL BTU's Remarks List Alterations Being Done: CITY OF FRIDLEY INSPECTION DIV: 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash r ':<< Floor: < Auto. tih` > r.[ti.l........t. h.... Urinal Tial;;;:: Showerri:k;«:: Tra I`oun#»:> Drain Bann:>::>< Washer .. Y ......... I .................. NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $_ JOB ADDRESS. ­ Effective On March 1, 1996 Gas JVf C Water Heater a Ran a . Gas Elec The undersigned hefeby makes application for a perm it 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. T3 , 1996 Owner ULWA S� 7 / m �( Building Used As --- W Estimated Cost PERMIT NO. f /,s PLUMBING COMPANY. &AAL st SIGNED BY TEL N0. Approved By /� K Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT I PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 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 JOB ADDRESS 1/ 1 4- FV l r IV" OWNER M Rate TOTAL BUILDING USED AS $ 30.00 $ 2�®® ESTIMATED COST $ 10.00 $ $ 10.00 _Gas Dryer .00 *Air Conditioning - All Sizes �/" VI v/ $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work 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, 2002 cL PERMIT N0. G� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. 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. DATE JUN 13 2002 HEATING CO Rie..w Boos EI -F -r- INC. DBA: GOLDEN VALLEY H70- & AER Signed 5162 WEST BROAD^ t L # CRYSTAL, MN 5542 FAX # (.763) 535-200® Approved By4 Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT, VENT CONNECTOR ANn COMM IRTION AIR V RIFT ATION When rel�.a -ing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from Oast, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The existing nnmhustinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a naw cnmhustinn air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes O No ( ) When enc aIle g a new ranting system,, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 #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 HEATING CO: Signed By: Date :