The URL can be used to link to this page

PRE 2010 DOCSSUBJECT PER N City of Fridley 1;0.O. 412 AT THE TOP OF THE TWINS PERMIT r � BUILDING REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. f 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-Fl5 3/19/76 JOB ADDRESS 1578 Woodside Court N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Neelan 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pine Tree Builders 8535 Central Avenue N.E. 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 Garage Construct a 21' x 24' pSyb¢Xxyl� and a 3216" x 3916" Dwelling-99�IPGRTANT"- THE CITY OF FRIDLEY 'DOES NOT GUARANTEE THE NOTIFY THE "FRIDLEY ENGR. 9 CHANGE QF USE FROM THIS DATA IS FOR INFORMATION POPOSES ONLY AN --i REMOVAL AND REPLACEM-ENT STIPULATIONS ON THE SITE. Provide a truss design. Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the fornt and side yards. SEWER LOCATION: Approx. 10' Deep. 15' N.E. of Manhole (Inv. 905.73 WYE ELEV: 905.66 TOP OF FOOTING: 909.16 Minimum WATER LOCATION: 10.5' West of Sewer Service, 30.6' S.E. of Manhole A � UIRED FOR WIRING, SEPERATE PERMITS REQ Before digging. call local utilive,� HEATING, PLUMBING AND SIGNS. TELEPHONE - ELECTRIC - GAS Etc. RETIRE® BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 504 22,132 +5,04( OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1160 + ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z ISTALLS 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. $34,080 $17.04 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 rP-UVVjUNS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $350.00 K$50.27 TRU TI O HE PERFORMANCE OF CONSTRUCTION. JI I ^'° �'� ® PLAN CHECK FEE TOTALFEE $417.31 SIGtATUR CO CTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT uaAk e � . BLDG. INSP DATE s." SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: J �� F 9 ,LA AJ BUILDER: Aw it- `t"a f at Wrzoj �o ADDRESS: 1 S7 k cJ" a s M& C.$, ADDRESS: R - S -36S C4FAP "04�L 14V9 WO:. 7 STREET: i S jV L e LOT: BLOCK: ADDITION: ,ice cp p I f TP, S CORNER LOT: INSIDE LOT:--X-SETBACK: _SIDEYARD: 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: Front: Depth: 2-4 Height: Square Feet:®_ Cubic Feet: ®e f� Front: Z Depth: Height: �O Square Feet; ___Pubic Feet: Type of Construction: UO" Estimated Cost: $ y 0 To Be Completed: C A >P `.rhe undersigned hereby makes applicati-sn 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 representa ' ns stated in this application are true and correct. DATE: �� SIGN :TURF: (See Reverse Side For Oditional Information.) 6) ?4060iAae CERTOFICATE OF SURVEY I FOR: Fine Tree BuildFrs, Inc. rAItIIY OF IFRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS, _ tIIS DATA IS ,FOR INFORMATION PUrPOSES ONLY AND- PNSONS USING IT SHOULD VERIFY T -tN'F0%mAATIoN \( '41-1 r171E /f 0 o Denotes iron monument. F ilDLEY DOGS NOT GU T IRE ._ . K -'Y OF UTILITY LOCATIONS AND ELEVA ,)ATA IS FOR INFORMATION PURPOSES ONLY .AIS RSONS USING IT SHOULD VERIFY THE INFORMIA71ON ON THE SITE. Dc criptioni Lot 1 , Block 2, RICE; CI' HFK ESTATES, Anoka County, Minnesota . L )Ouln & L ®cart try Land Surveying o Site Planning Civil Engineering 8816 701h Av. N. (1 94 at Boone Av. N.) Brooklyn Park, MN 55428 Phone 533 7340 I hrreby, certify that this is a true and correct wlrrvwntatton of a survey of tht, boundanes of the above described land and of thy• Iocalion of all buildings, if any, thereon, and all visible encroachments, ;t any, from or on sad land. Donk Paf,p, . As surveyed by me this _ !'�-Jh___ day of Minn. Reg. No • _. .. .. p..�; .. " . u... +4 •. }L der t8. "'$I T' NOT GUARAMM � �� PTY PP FRIMY DOES °�q--qYRAMW OF LITILITY LOCATIONS AND ELEVAPON& TM DAMA P FOR INFORMATION PURPOSES ONLY AND W$Qti� WHO I SHOULD 'VERIFY THE INFORMATION ON TIM SlJT% I 0' f i Pei 31 116 1; 2 f - - � -- — - --!=--�-- 0 i .. I N I I w , I '- V .-- I ------ - ---��— I--00, oil _I — i ---- -- -- —_-- --- --- ' -- — ---— - - _ Fj I I I a i - F�J i I -- s— --�� -- — — !_ I , e I _ 9Z 47b 3a n f, -,7 2=N'. tay isA*S7."V'Cn kr.!-Zm w s q �^a AGqq r ccnz , e :ar'�� Sea lea `.� and, Da -d= PARTIAL. RATE SCHEDULE Gl'tl4VM WARM RIR: nP.*&'Z TOTAL Pumice Sl:ell & rnrct.Work 310.00 $ _ Rep:scernent of Furnar-e 6.00 $ F.epatrs & Allerat.ons--up to SSOO.00 600 S Repairs & Ait,-rations each add. 5§00.00 3 W $ IMCH. WAS Ant Furnace Shell & Duct Work to 120,04 BTU each add. 60,000 BTU 3. W $ Replace -nen: of Furnace 6.00 S Repairs & Alte'stions—up to $540.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM at HOT WATLR SYSTEM Pi race She!I & Lines --to 400 sq. ft FDR Steam. @10.40 3 Furnace Shell It Lines --to 640 sq It. EDR Hot Water 1000 S. Each add 200 sq. ft Ellft Steam 3 (10 $ Each add. 320 sq. ft EDR Hot Water 3.00 $ OIL ZURNER—to 3 gal. per hour 6.00 S. over 3 gal. per hour—,See Tee Schedule GAS BURT -ER Cup to un.000 BTU) 8.00 5 over 239.000 BTU Sea Fee Schedule GAS FITTING F'%Eb: NO RATE TOTAL �' lit 3 Fixtures x$ Z00 S Additional Fixtures ` x .7$ Gas Range A ISM= _ x$ 5.OA 3 State Surcharge .50 AM C0X'�TOEar.Q= F'si.R 2=411%43 5TBT= Fra A. n3o ?X3rTiLa div BTS. a Y�.c4 RLs.. 4;c1i r.EPRIFtB 'awaL r= u,, .4-02 -,' Z - Z 2 Dept. of Bid$%. Fh SW-UM City o4 Fridley: ! The mder_aigned hereby makes application for a permit for the work herein specified agreeing to de all work to strict accordance with the City Ordizsnce: and ruling of the Depai tment.of Auildir.Zs, and hereby declares that all the farts and repr,!sentatiuns stated in this application are true and correct. Fridley, Minn owner Kind of Used a• To be completed about Estimated Cost; S , Qid . ew Building Permit No. _.__ _� _ pormit No. V=CRI.irT OTT or WO"M HEA71NG or PLOWER F111ANT=' *'team, Not Water, Warm Air— No-Trade Name Size Ido-( Capacity_. __ . _ Sq. n E.D.R � � � HZ Total Connected Laod � iKf-4 of r"tsc 1/7 BURNER — Trach Nartw— Size leo /a— Capacity Sq. rL E.D R I=_ (MMARXB-a"a) Suburban Air c„owrf ng1, ,._._ 8419 Center Drive Miftmesafm 55"2 li�s'��ttaiey Appllc-a-zlon for Plurnb js Cnd M I 1 in -0 PC- £i:'ia ' Dept. of Btd4a. i'hono WO - 34W OF V,101,- xumbar. land s_nd Lccr!ion of Fixtures . t 24av Fi::!ury. Old Cc ---Pool El City of Fridley-. The undersigned hereby makes application for a permit for the work her el specified, of eeing to do all work in strict accordance with thd, Ci;f Ordirar:ce and ruling of the Department of Buildings; and hereby declares that 24 the fact and representations stated In this applicati are tr ee and correct' /b Fri ley. Minn '3 Owner Kind of Buildings Used as To be completed about ' Estimated Cast, $ PARTIAL RATE SCHIEDULE Old ew Bu:'.ding Permit Ko. .T•Li�iBI?iG FI;CTUI?E RATES: NO. RATE TOTAL Signed Number Fixtures • • • • • • • . • • ... • . • .._.-.�...�- X $2.03. � //-j r U Future Fixture Opening ........... . x $1.54 $ , S By • Business Mune `:ew Fixture Old Opening..... a • • • • M 1 I x $3.25 I{ N 1 N � <� •. W N 7• O A wLYtR HU. t,AS fUG laOUail :tiew Ground Run Old Bldg.....•.... x ;3.25 3--- — E:ectrsc Wa:ar Haatmr...... ........ x :2.00 $ - FIN S -G - 7 G iAS nTTING FEES: NO. RATE TOTAL / 1st 3 Fixtures ........... * • • • • • • / x S2.00 Additicnal Fixtures ..... ..+..'..... x S .75 $ Gas Ra.r fe to 199.000 BTU .. x S5.W 2nd State surcharge ALTERATIONS—P,aUr to Codi .50 .I;er,criptian ...............:........ ,.............. —.. 3: d. • TOTAL Ft..E -- t 24av Fi::!ury. Old Cc ---Pool El City of Fridley-. The undersigned hereby makes application for a permit for the work her el specified, of eeing to do all work in strict accordance with thd, Ci;f Ordirar:ce and ruling of the Department of Buildings; and hereby declares that 24 the fact and representations stated In this applicati are tr ee and correct' /b Fri ley. Minn '3 Owner Kind of Buildings Used as To be completed about ' Estimated Cast, $ PARTIAL RATE SCHIEDULE Old ew Bu:'.ding Permit Ko. .T•Li�iBI?iG FI;CTUI?E RATES: NO. RATE TOTAL Signed Number Fixtures • • • • • • • . • • ... • . • .._.-.�...�- X $2.03. � //-j r U Future Fixture Opening ........... . x $1.54 $ , S By • Business Mune `:ew Fixture Old Opening..... a • • • • x 41.50 C31ch Basin ........... ....... a . x $3.25 $ — s d J •. Water heater !Up to 89.004 BTU). • • • --.-1--- x $3.00 $ , laOUail :tiew Ground Run Old Bldg.....•.... x ;3.25 3--- — E:ectrsc Wa:ar Haatmr...... ........ x :2.00 $ - FIN S -G - 7 G iAS nTTING FEES: NO. RATE TOTAL / 1st 3 Fixtures ........... * • • • • • • / x S2.00 Additicnal Fixtures ..... ..+..'..... x S .75 $ Gas Ra.r fe to 199.000 BTU .. x S5.W & State surcharge ALTERATIONS—P,aUr to Codi .50 .I;er,criptian ...............:........ ,.............. -3 ';2,;z. • TOTAL Ft..E -- _Farmit No. ias • r r 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Pine Tree Builders Inc. 8535 Central Avenue, Minneapolis, Mn. 55434 Re: Final Inspections at 1578 Woodside Court and 1579 Briardale Road Dear Sirs: Final inspections were made on the above addresses and the following items were noted and giust be completed before the construction can be finaled out; 1579 Briardale Road 1. Sod the front and side yards by June 15, 1976. 2. Provide house numbers on structure by May 28, 1976. 3. -Provide smoke detector in basement by May 28, 1976.. 1578 Woodside Court 1. Block wall and top plate on north end in basement by May 28, 1976. 2. Nuts on anchor bolts in'garage are missing by May 28, 1976. 3. Provide sod in the front and side yards by June 15, 1976. We will expect the above items to be completed by the appointed dates. If any problems arise that will prevent you from completing these items by these dates, please contact us. Reinspections will be conducted on or about the appointed dates to determine compliance. Sincerely, RON HOLDEN Building Inspection Officer ,01UT1p', e� 01 Q i u m , a�hb ^a Effective Aug. 1,'1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEhTLAL RATE TOTAL Job Address Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridl6y, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • $ 10.00 $ U m Fridley, Minn. Air Conditioning (all sizes) All Others/Repairs and Alterations OWNER It of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS��®'i 1% of Value of Appliance or Work $ To BE COMPLETED ABOUT J ESTIMATED COST IV ` State.Surcharge $ .50 /0 OLD - NEW BUILDING PERMIT N0. PERMIT NO. TOTAL FEE $ Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date V/ Final Insp. �'®�®0 /6 Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load BURNER - Trade Name Capacity Sq. Ft I 6 Kind of Fuel Size No. EDR BTU HP Company v m Signed By Tel. No. e7�� J SUBJECT PER�R49-- City of Fridley 22943 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. cl r PROTECTIVE INSPECTION SEC. 3 Q 3 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1`j 612-571-3450 910-F15 9/22/94 JOB ADDRESS 1578 WOODSIDE COURT NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome Nedan 1578 Woodside Court NE 574-9622 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3600 Annapolis In, Plymouth 553-0020 2406 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 O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling; Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Ventilation to comply with 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 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 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 $17,976 $8.99 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- SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $189.00 Fire $17.98 PLAN CHECK FEE TOTALFEE License SC $5.00 $220.97 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT (/Y/ e p f, 2Y—f SIGNATURE OF OWNEROF OWNER BUILDER) IDATEI SLOG)NSP GATE J NEW [ j Effective 1/1/93 ADDN [ ] CITY OF - FRIDLEY, ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application��Q Construction Address: Wooc6'A E - (bex 7 Legal Description: Owner Name & Address: Tel #moi � _ Contractor: fV�ki L��za �'v� MN LICENSE # oco 2y66 Address: 36o ® ANyu"oto Tel. # 55:3 -®®sz0 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. FL DECK AREA: Length Width Hgt/Ground Sq. Ft. T OTHER: Comer Lot [ } Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction -_4:: 1 Estimated Cost: $ )`-7 , TZ 6 Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ (Cost on Back) = S I DATE: -�H APPLICANT: Tel. #,: --02Q CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%a) State Surcharge $ �5 .® $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ 9 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ } Not Necessary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV.. Effective On January 1, 1993-. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES t JOB ADDRESS 1 �vrse� RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ , C. C, representations stated in this application are true and correct. (Side Vent -- Fill Out Back) 10 . LJ -1994 Gas Piping (Needed with new furnace) $10.00 $ Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 14.00 $ ESTIMATED COST PERMIT NO._ l l&q l *Air Conditioning — All Sizes $10.00 $ DESCRIPTION OF FURNACE AND ORUDR E�R 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 �.n Size No. Z'- —� Commercial/industrial BTU g2,QQV HP E:DR 1 % of Value of Appliance or Work $ Fuel Total Connected Load 6 State Surcharge 50 Burner Trade Name Size No. BTU HP _ EDR TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $16.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY StANDABD HEATING AND AIR CONDITIONING CO. NUMEAPOUS, MH Signed By 612.82 mel hlo. Approved a Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. Remarks: !4 t r,� HEATING CO: Signed By: Date: Y 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 ( ) 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 'es ( ) 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: !4 t r,� HEATING CO: Signed By: Date: Y RESIDENTIAL LOAD Purchaser L► Sales Address ( au St C0�, CALCULATION Rep tcl Dat ij jq Sq Ft gross wall Running walls below grade: x (Ft wall Ht)= below grade Sq Ft windows and doors below grade — Orr et wall below E `flarade te�tt(� Sq Ft gross wall Running walls above grade: x Ca (Ft wall Ht)above grade(lst floor) (1st Floor) Sq Ft gross wall Running walls above grade: x (Ft wall Ht)= above rade 2nd f (2nd Floor) Sq Ft gross wall _ + 1 (40 Total gross Sq Ft (tO above arade Sq Ft windows and doors above grade Net wall above to I 1 grade Windows & Doors Sq Ft x ® HTM = BTUH Inf . (w&d x 1.'.3) `�,�� Sq Ft x HTM = BTUH Net wall below �— grade Sq Ft x HTM = BTUH Net wall above rn grade �Sq Ft x HTM = BTUH Exposed Ceiling �J4 Sq Ft x HTM = BTUH Exposed Floor �oj(, Sq Ft x HTM =� �`Z TUH F 1' BTU TOTAL Windows & Doors Ceilings & Floors CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 l® 3 2 - APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 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** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required (jYes () No 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 $2V 0 JOB ADDRESS Sawt-e a -Y The undersigned hereby 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. 6'7 c` 14,7-?- /.P -23— .q96 NEELAN JEROME Owner 1578 WOODSIDF COURT NORTH _ FRIDLEY Mid 55432 H 574-961-1Z W NORBLOM PLUMBING C D. Building Used As DBAVENTGOIAPPLIANCE INSTjZLERS (8127- Estimated Cost �/�tJ PERMIT N I&ARFIELD AVE. SOUTH IMINNEAPOUS, MN 55408 PLUMBING COMPANY "I WE 'UMM"AMWO/l/0041 Approved By Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. 4"P' CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 5532 APIRUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping {Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ 'Air Conditioning -- All Sizes $ 25.00 $ All OtherslRepaim & Alterations (LIST ON BACK) 196 of Value of Appliance or Work Commercial%! ndustrial 1.25% of Value of Appliance or Work $ State Surcharge $ 5Q TOTAL FEE MINIMUM FEE FOR ANY HEATINGICOOUNGIVENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REWSPECTION FEE $42.001Hr 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in. strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER - BUILDING USED AS ESTIMATED COST CD PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Tracie Name Size No, + 3� STUs,,�`z HP EDR Fuel_ ,,Uc,k C=2:,� Total Connected toad Burner Trade Name Size No. BTU HP EDR Allied Fireside DBA Fireside Corner HEATING COMPANY Retail Div. Lic #20090911 �1 Roseville, MN 55113 Signed B �I 612!638-311 ft. Approved By Rough—In Date Final Date FILLOUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE m c, r IN M 3 W, 0 n d r -A 0 w _0 ze •d -Idiol Remarks: List_ALTERATIONS Bein$ Done: HB.A'i7NG CO: Signed By: Date: 20/20'd 17888££9 01 A31GI83 .30 A113 WOdd 02:80 L66T-LT-33Q ICHDOW ANM STACK YHRIUCIA— O—N The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (') No ( ) 2. Is flee from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes $ } No $ ) 4. Is securely supporter! . 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 Bein$ Done: HB.A'i7NG CO: Signed By: Date: 20/20'd 17888££9 01 A31GI83 .30 A113 WOdd 02:80 L66T-LT-33Q