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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: .._ ...._.._�_._........_.._ _....._...:__...�._._ Owner: ..... r .:. ��� ..._..... �.�.�.�"�....._ Address..3. - Address- ......_ ._.._4;„ . 0- 0 Builder..................... _,...__.... .... _..... ...... _.__.................. _........ Address... ......... _...._:.....__.._._._.................. _....... LO QATION OF BUILDING No..' Street _.: �` _. _ .....:..... Part of t ....._...... _._........... .......................... _._ Lot ._._.`"Block- ----........ -Addition or Sub -Division A.... ..' ..._..._............._.._. Corner Lot .............. .....:....... Inside Lot ..-............................... Setback ..., .....:...._........ eyard ........ .: -........... _....... _. Sewer Elevation....._............._............._......_....._......._...._............._...................._. Foundation Elevation DESCRIPTION OF BUILDING 'o' as Height ....._. Sq. Ft .. - Depth ...--.............. -...................... ----_.......ro Depth ......... � Height Sq. Ft. Type of Construction .:,..:.... Est. C ... o be Completed ... cu. Fl(-.,�;' Cu. Ft....................... 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 and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of$ .........................., permit is hereby granted to. ......................... :........... .................. ... __.__.__._......_..__..__.__...__....__._ 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. I ing Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 1 j," , ,r,. ^-�E':ViViE LAN it#:JE%A%T' A'.J BLiILt',�,Pi�i=.E APPLICATION FOR BUILDING PMUW CITY OF FRIDIEY, MINNESOTA Owner's Name Z- til fl/R-d 11 Builder Address �` % ���b :2%A/ - Address 'S�-IM S] Lot Block Corner Lot __4 Inside LOCATION OF BUILDING of Lot SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: Sq. Ft. DESCRIPTION OF BUILDING Ft. Front,_, Depth Height Sq. Ft. Cu. Ft. ._._.�.,�..._. �Estimated Type of ConstructionCo 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and repre tations stated in this application are true and correct. DATE SIGNATURE a - 2� (A Schedule of Fee Costs can be found on the Reverse Side.)��� City of Fridley, BUILDING PERMT N? 6557 Date: Ile 11 (1/ Owner: - Builder Address Address L TI N OF UILDING No. Street f t W44_ Block 1. ale—'e— Addition or Sut Corner Lot W Inside Lot _ S.etback_� ..._._ S yard J Sewer Elevation _._. Foundation Elevation DESCRIPTION OF BUILDING To be Use? 9 Front"'- Deptl► Height S4• Ft.d' Cu. Ft: Depth Front Height �� Sq. Ft Cu. Ft. t Type of Construction Est. st — _ To be Completed WMIO/Z - I ME - ' I F 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 and in compliance with a& provisions of ordinances of the city of Fridley. ®/if 61 In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or addition as described above. This t is granted upon the express conditionthat the person to whom it is granted and his agents, employees an workmen, in all work done in, around and urn said building, or any paw thereof, shall conform in all respects to the ordinances of Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. p NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sem the Building hupector for separate permits for these Mems. 6 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAPM BUILDER ADDRESS ADDRESS LOCATION OF BUILDING '4 r7 / I l2tti - -{ rF F No. ��j � Street , Part of Lot Lot_& -f 1Y Block, Z._Addition or Subdivision ® Corner Lot /i Inside Lot Setback _12 Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: ' a Front ,'�— �DepthReight p Sq. Ft._ Cu. Ft.� Front Depth Height: Sq. Ft. Cu. Ft. G� Type of Construction h Estimated Cos 213 0 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 and representations stated in this application are true and correct. DATE _Zj_( �d� (schedule of Fee Costs can be found on,the-Reverse Side). ..I -'% 0 a - ,.M. a A BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage' warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to 6ny'existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. . DOUSES 2.3 For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for-eimilar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00.. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (b) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee chargod for any permit as -set forth in Section 2 be less than $4.00. -A, � ap •' 1 COMMERCIAL OR INDUSTRIAL BUILDING CHECK LIST 1. Zoning r Z. Area Requirements �,A6 3. Parking Requirements -- ll� 4. Front Yard Requirements 5. Side Yard Requirements 6. Rear Yard Requirements (A�C B 7. Duelling Unit Requirements(U/V . 8. General Construction rj- /1 r 0 Remarks: r ALLEN G. JENSENjV Building Inspector r I • City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, : Kind and Location of Fixtures J iii RATE ��F x a p� 3s, Y �. p ou 1.20 Z j a� LLc z Z ~ S �Z <3 n (�°d w z0 (9ya Z g d c90 • R N WATER HTR. GAS ELEC. Base 111 3 1st 2nd 33 3rd 4th • Future Connection OpeningsConnected e New Fixture, Old Openings with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES• N RATE Number Fixtures ................... x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin .... .. ;': ,' .................. x 3.25 Water Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old. Bldg . ............ x 3.25 Dept. of Bldgs. Phone SU 4-7470 Location , 0/— City `-- 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 Buil s, and hereby declares that all the facl and representations stated in this apnlic4tion are true and correct. / Fridley, Minn 19 `� Owner Kind of Building Used as To be completed about Estimated Cost, $ Old ew Building Permit Nom Perini No. TOTAL Ty $ cam! Signe $ By $ Business Phone No. ' ��-�✓ $ ROUGH /- GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... t/ x $1.50 $--611 15-10 Additional Fixtures :................... x .50 $ Gas Range to 200,000.BTU.............. x 2.00 $ REPAIRS & ALTERATIONS -Refer to Code FINAL . ............................... Description .......:... g _ TOTAL FEE aM Application for Power Plants and Healing. Cooling. Ventilation. ReMgeralion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE K AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 2.50 $ STEAM or NOT W1iTER SYSTEM Furnace Shell & i Ines—to 400 sq. ft. EDR Steam ...... 8.00 $� Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ..... ................. 5.00 $ GAS FITTING FEES: NO RATE TOT,�Jct 1st 3 Fixtures x $1.50 $ --��► Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ '—® --'I-1 ALTERATIONS &REPAIRS TOTAL FEE11 $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 Location 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 corregt. Fridley, Kind Used as To be completedf about Estimated Cost, $ Old—New. Building Permit No. P -C.0 u 19 63� DESCRIPTION OF WORK HEA POWER LANStea, f Water Air—No Trade NamrWs a a No_ Capacity �"Sq. Ft. E.D.R_ � 4 BTU— H.P. Total Connected Loa Kind of Fuel..! . BURNER — Trade Name Size No. 6 At 41, 0 Capacity –Z_;S_1DSq. Ft. E.D.R �� BTU H.P. (REMARKS -OVER) eoop Signetj S y- 511 W. 7th St. --227-7573 XL PAUL 2, 48N[t 4 z 2M Business Phone No ATTENTION OF: _ - Clarenee Belisle Bldg,► Insp' Fire Prevention Bureau K. Aldrichs, Chief SUBJECT An*,N_.F_ 2nd St. Aot Tri plea. DATE 9/12/" Recently -the Fire department as cz.7 ted to a fire at the above address. Ttnder present ordinances the Bureau has no jurisdiction over this type of bldg. Certain deficiencies were noted at the time of the fire investigation and -perhaps -your -office can being about correction. 1 The basement is divided into three sections but there is no blocking ---between the joista on the ton of the mansoe= diyieLi.on galls. This allows f.cation of fire betweens the units as happened in this case. 2„ lbere_-appears_to be some problems involving the elctrical wiring in the basement of lip't 2 and ApIt three. Mr. Eichmiller should look into this. SIGNATURE REPLY: L (� 5 C_ DATE�SIGNATURE REPLIERS COPY — RETAIN FOR YOUR FILES EA the Date: City of Fridley, Mum BUILDING PERMIT SEPTEMBER 16, 1966 Owner: BERTON CROSS Builder 0. R. ANDERBERG COMPANY ,address 5801 - 2nd. St. N. E. AddTess 2923 OAKLAND avenue FRIDLEY, MINNESOTA 55421 MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 5801 Street ___ 2nd. Street N. E. ____ Part of Lot Lot ,_,_,.16-17 __ Block 23 Addition or Sub -Division ____HYDE PARK Corner Lot ____ Inside Lot ^...— Setback _ _ _ Sideyard Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: REPAIRS AFTER F nt Depth Height Sq. Ft. Cu. Ft Front Depth Height _ _ Sq. FL Cu. Ft. Type of Construction _ Est. Cost .._.._�L.x_5_0O __ To be Completed — 991 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 and in compliance with af1 provisions of ordinances of the city of Fridley. ,� C K L'? _ Al In consideration of the payment of a fee of $_.9' 00 , permit is hereby granted to 0. R. ANDERBER.G COMPANY 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 h►, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, M city to regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Biding Inspector NOTICE: Tills permit does not corer the construction, Installation for whbg, plumbing, gas heating, sewer or water. Be suns to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME e - BUILDER ADDRESS � _ „� V� _ ADDRESS e �� LOCATION OF BUILDING 1 6 N0, STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and.proposed . building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front DepthHeight Sq. Ft. Front, . Cu.. Ft. Depth . Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost f's e) C) 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 and representations stated in this application are true and correct. DATE �✓ a (Schedule of Fee Costs can be found on the Reverse Side). s City of Widley A rfl o ` „r ub W , x a w. wk Dept. of BlagL Phone NO -3450 DESCRIPTION OF . Number, K; -A and Location of Fixtures Locaj��, �gQ aL� WATER HTR. �?j� i Z � s � < `a OO � Z • t S F d E; O 1 c� i< U*' I g O N GAS EIEC o - Base lot P _- 2nd 3rd 4th I -L- Tli_ Future, Connection Openings Connected with . t New Fixture. Old Openings fie! Cesspool O PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .... x $2.00 $ 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 Heater = $2.00 s GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .. . ...... ., x $2.00 $ Additional Fixtures .... .............. x $ .75 $ Gas Range to 195,000 BTU ............... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ...........g TOTAL FEE $_ " City of Fridley: wf—F ! 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 fact and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed about % l Estimated Cost, $ d New. Building Permit No.—_ Permit No�'C� Signed. ROUGH FINAL—L-1 -_2 Y By —4-1a Business Phone CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT .PARTIAL RATE SCHEDULE ,� PLMMING FIXTURE RATES: NO. RATE to Number Fixtures X 53:00 u . x 0 $ Water a $2.00 a0 e + Ea aw° $5.00 N ri W x $5.00 100,000 BTU to 199,000 BTU Heater u $ . 1 x cae »+ $ New Ground Run Old Building C $5.00 u + x 'C 6[ uai 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $ $ REPAIRS $ ALTERATIONS o vii vof w ai vmGi c w a ? as lec 1st 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (°) m New Fixture, Old Opening Water .PARTIAL RATE SCHEDULE PLMMING FIXTURE RATES: NO. RATE TOTAL Number Fixtures X 53:00 $ Future Fixture Opening x 12.00 $ 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 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x 55.00 $ 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 $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3950 The undersigned hereby makes &lplication 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. .• , l9 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ,.ESTIMATED COST �- NEW BUILDING PERMIT N0. PERMIT NO., Company - - /': Signed By @ .. Tel. XO.. .._ �...�... � _'.. s ROUGH INSP. Date e ' FINAL INFP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PEFM2T $?.SO pyas 5,50 S EQ11�►AG$ CITY OF FRIDLEY . APPLICATION FOR PWMBI•NG AND GAS FITTING PERMIT Job Address /r Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the vo=x 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 £ac Eu and representations statod in this applicAtion are true and correct Fr -ay, Mn- 19 OWNER (L KM OF BUILDING USED AS c - TO BE COMPL'ETD ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST FLUMBIPG FIXTURE RATES: NO. RATE TOTAL iD 2QEy; BUILDING PEP.MTT NO. PER= NO. _ RL•-.ber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By r �'% .00, Catch Basin x $5.00 $ �_ � �� Coater Heater - to 99,000 BTU x $5.00 $ sal. No. 100,000 BTU to 199,000 BTT x $10.00 $' Water Softener x $7.00 $ New Ground Fan Old Buildizq x $5.04 $ ROUGH INSP. Electric Waterer Heater ` � x $5.00 S Date G 3 GAS FITTING FEES: FINAL INSP.Date lst 3 fixtures x $3000 $ Additional Fixtures X $1.00 $ Gas Range ,to 199,000 BTU % $x.0.00 $ APPROVA?. FOR. namn 4 II' REPAIRS & ALTERATIONS First $100.00 .$5.00 $ each add. $100.00 ox fraction $2.00 S M XnP. ►Y FEE FOR ANY PLU:�BING PMLICT IS $7.50 pLCS $.50 STETZ S°J State Surcharge $ .50 . TOTAL FEE REUSPECTIOM FEE, ��� e a N ( V X N Water e r. ..Cr 's 0 q m u ro w G: O: w Heater «r as W a i. C C s v s+ aC o1 3AJ OM O OC 49 M 43 ,0, w •Oc v M ro c� -.4 ua rd 3 O Qw �n .i0 w ro ro vwaa 1 a b O as Iec I PIz- em Za yed-4 y Ist 2nd 3rd 4--h (R) s "Future Connection Opening Connected with sewer (�) - New Fixture, Old Opening Y `Yater Job Address /r Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the vo=x 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 £ac Eu and representations statod in this applicAtion are true and correct Fr -ay, Mn- 19 OWNER (L KM OF BUILDING USED AS c - TO BE COMPL'ETD ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST FLUMBIPG FIXTURE RATES: NO. RATE TOTAL iD 2QEy; BUILDING PEP.MTT NO. PER= NO. _ RL•-.ber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By r �'% .00, Catch Basin x $5.00 $ �_ � �� Coater Heater - to 99,000 BTU x $5.00 $ sal. No. 100,000 BTU to 199,000 BTT x $10.00 $' Water Softener x $7.00 $ New Ground Fan Old Buildizq x $5.04 $ ROUGH INSP. Electric Waterer Heater ` � x $5.00 S Date G 3 GAS FITTING FEES: FINAL INSP.Date lst 3 fixtures x $3000 $ Additional Fixtures X $1.00 $ Gas Range ,to 199,000 BTU % $x.0.00 $ APPROVA?. FOR. namn 4 II' REPAIRS & ALTERATIONS First $100.00 .$5.00 $ each add. $100.00 ox fraction $2.00 S M XnP. ►Y FEE FOR ANY PLU:�BING PMLICT IS $7.50 pLCS $.50 STETZ S°J State Surcharge $ .50 . TOTAL FEE REUSPECTIOM FEE, ��� July 6, 1981 Peterson and Kalina 556 40th Avenue Northeast Columbia Heights, MN 55421 Re: Exterior Site Improvements for the Residential Rental Property Located at 5801 2nd Street Northeast. Dear Sirs: On at least three occasions in the past, the City has broughtc'to your attention the need for some minimal exterior site improvements for the apartment building located at -the above address. A reinspection has determined that the following item continues to need corrective action: Provide and maintain striping for the parking lot to indicate individual parking stalls. A parking stall must be a minimum size of 101 x 201. At this time, the City must require that the above listed item be corrected or improved and that you provide us with a proposed plan and time table for completing this work. Please return your response and license application no later than August 109 1981 to the attention of the Code Enforcement Department. Your positive response to this needed improvement will assist; us in evaluating your application to renew the license for the 1981-82 licensing period. We are confident in your cooperation and if any questions or problems arise, please contact me at 571-3450. Sincerely, Steven J. Olson, R.S. Environmental Officer SJO sar Enc: License Renewal Application n u- GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 25, 1992 Expert Realty Management Attention: Jerry Finkelstein 4319 Cedarwood Road St. Louis Park, MN 55416 Dear Jerry: PW92-130 The purpose of this letter is to verify that prior to March 19, 1992 1 had not made an inspection of your unit at 5801 2nd Street NE. After my March 19, 1992 inspection, I sent you an inspection report showing deficiencies that needed to be corrected (see attached report). Since then, you have almost completed correcting all of the deficiencies listed and should complete the remaining ones within 10 days. You have kept in touch with me and notified me periodically of progress to date. Sincerely, on Thompson Rental Housing Inspector JG:cz Attachment CITY OF FRIOLEY, SUBJECT RESIDENTIAL RENTAL PROPERTY tj6431 UNIVERSITY AVE. NB. INSPECTION REPORT FRIDLEY. MN. 56432 t610 8711--3480 page I Of DAT � ADDRESS: �() �1 E • @ OF UNITS: i OWNER:/ l �=1 n! i 21,5 ' yy� RESIDENT MANAGER: ADDRESS: !�• v ADDRESS: s APT. 9 S, /A� TELEPHONE NO. '•^ TELEPHONE 110. CIRCLED ITEMS ARE VIOLATIONS OF CHAPTER 2201 FRIDLEY HOUSING MAINTENANCE CODE; AND MUST BE CORRECTED IN A WORKMANSHIP LIKE MANNER ON OR BEFORE THE REINSPECTION DATE EXTERIOR 1. Driveway/Parking Lot - (1)not hardsurfaced (2)insufficient (3)no striping (4)chuck holes (5)surface breaks (6)1ittered (7)junk vehicles 2. Refuse Area - (1)area littered (2)rodente; CONTAINERS: (3)not covered (4)not screened (5)inadequate Landscaping - (1)not maintained (2)dead vegetation (3)cut grass (4)cut weeds 4. ooze Windows, Screens - (1)loose-fitting (2)holes (3)not caulked or weatherstripped (4)painted"surfaces need aintenance 5) roken glass (6)locks don't work 5. Walls/Foun s - (1)holes (2)cracks or openings (3)not weatherproof POOR REPAIR: (4)paint (5)brick 6. Roof - (1)leaks (2)trim needs maintenance (3)downspouts misdirected; MISSINGs (4)shinglas (5)soffit or roof vents 7. General - (1)no address @'s (2)fire lanes unmarkedl STEPS: (3)unsafe (4)no handrails ACCESSORY STRUCTURESs (5)not maintained (6)incorrect location INTERIOR COMMON AREAS 8. License - (1)not posted (2)no resident manager 9. Stairway(s) - (1)littered (2)obstructed (3)handrail missing/loose (4)lighting inadequate; TREADS/RISERS: (5)IMse (6)broken (7)unsafe; FIREDOORS4 (8)not self-closing (9)propped open (l0)unapproved construction 10. Hallways - (1)lighting inadequate (2)littered (3)obstructed (4)no exit lights; FIREDOORss (5)unapproved construction (6)not self-closing (7)propped open 11. Walls, Floors, Ceilings - (1)not clean (2)poor repair (3)holes (4)cracks (5)peeling paint (6)stains (7)missing tiles 12. Electrical - LIGHTS OR OUTLETS: (1)inadequate (2)non-working (3)poor repair (4)improperly wired (5)not grounded. 13. Fire Prevention - (1)no fire alarm system or pull stations for 4 or more units; EXTINGUISHERS: (2)missing (3)unapproved type (4)size (5)location (6)no current service date 14. Storage Areae - (1)flammable storage (2)unlocked (3)under stair area unprotected (4)littered (5)not clean INTERIOR FURNACE/LAUNDRY AREAS 15. Fire Prevention - (1)flammable storage; EXTINGUISHERS: (2)missing (3)unapproved type (4)size (5)location (6)no current service date; FIREDOORS: (7)not self-closing (8)propped open (9)unapproved construction 16. Walls, Floors, Ceiling - (1)not clean (2)pocr repair (3)holes (4)cracks (5)peeling paint (6)stains (7)missing tiles 17. Appliances - (1)unapproved gas piping (2)no shut offs (3)flexible connectors (4)TPR valves missing (5)no, extension to floor (W open gas lines; MISSING OR NON-FUNCTIONING: (7)furnace (8)water heater (9)washer(s) CIO)dryer(s); FLUE) (II)loose connections (12)holes (13)improper pitch (4)no backdraft diverter (15)no make-up air 18. Plumbing - (1)no laundry sink (2)leaking hot/cold faucets (3)waste not vented or leaking (4)uncovered floor - drain (5)leaking water lines (6)no running water (7)no hot water 19. Electrical - (1)inadequate service (2)over fusing (3)improper grounding across water meter (4)non-working lights or outlets (5)inadequate wiring or ground (6)temporary wiring (7)extension cords 20. General - (1)insect or rodent infestation (2)littered (3)obstructed UNIT INSPECTION: t. BEDROOMS 1 2 3 EFF. Missing Number on Door KITCHEN Sisk - (1)no run ater (2)poor repair (3)leaking hot/cold faucets (4)waste not vented or leaking 22 ells. F1oor,CLe - (1)not clean (2)poor repair (3)holes (4)cracks (5)Peeling paint (6)stains (7)misainq file 23, lectrical - LIGHTS OR OUTLETS: (1)inadequat (2) oor repairf(3)n -workin (4 mproparly wired or grounded . stove/Rafrig vided (2)poor r (3)ncn-wo3 GAS CONNEONs (4)no shut off (5)flexible piping SATHRDC14 25. Hand sink a Bathing Facility - (1)not present (2)poor repair (3)leaking hot/cold faucets (4)no running water (5)waste not vented or leaking 26. Toilet - (1)non-functioning (2).leaking (3)no running water (4)no anti -siphon ball cock (5)no seat 27. Walls, Floor, Ceiling - (1)not clean (2)poor repair (3)holes (4)cracks (5)Peeling Psiint (6)staine (7)missing the 28. Electrical - LIGHTS OR OUTLETS: (1)inadequate (2)poor repair (3)non-working (4).improperly wired or grounded 29. General - (1)not within the apartment (2)access through bedroom (3)no door (4)no mechanical or natural vent BEDROOMS 30. Walls, Floor Ceiling - (1)not clean (2)poor r (3)holes (4)cracks (5)peeling paint (6)stains (7)missing the 31 Electrical - LIGHTS OR OUTLETSs (1)inadequa (2) r reps (3)no orking (4) roperly wired or grounded General - (1)no door; ESCAPE WINDOW: (2)too 3)too hig floor (4) cted LIVING ROOM/HALLKAYS ' 33. Walls, Floor, Ceiling - (1)not clean (2)poor repair (3)holes (4)cracks (5)peeling paint (6)stains (7)missing the s 34. Electrical - LIGHTS OR OUTLETS: (1)inadequate (2)poor repair (3)non-working (4)improperly wired or grounded 35. smoke Detector - (1)not provided (2)non-working (3)improper location GENERAL 36. Doors, Windows, Screens - (1)loose-Fitting (2)holes (3)not caulked or weatherstripped (4)windows not openable (5)no screens (6)brokan glass (7)locks don't work 37. Insects/Rodents - (1)easy access (2)harborage (3)food sources (4)present (5)exterminate 38. Heat - (1)inadaquate (600. at all times) (2)not provided COMMENTS:L LUQ►- '- 2O <;-tam- '� • VVICt Pr -N V_ ID L-1 -C FleCLiCAZV0 iz�Gi Lbi 2 ol c 4 nc,'. 1 SUBJECT City of Fridley 21748 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. (� r PROTECTIVE INSPECTION SEC. / t NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 2/18/93 JOB ADDRESS 5801 2nd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16,17 23 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Finkelstein (for Cross Estate) 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Macfarland Construction 2700 OHenry Rd Brooklyn Center 55430 560--4312 6149 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential (Tri--Rlex) 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure (22 Squares) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment roust comply -with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 3 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,166 $.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.00 Fire SC $1417 OR THE PERFORMANCE OF CONS UCTION. STR PLAN CHECK FEE TOTAL FEE ON -Q (� 2 License SC $5.00 $35.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP RLY VALIDATED THIS IS YOUR PERMIT 9 LDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 1 NEW [ ] Effective 1/ 1/93 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ERIK Legal Description: �r ) G 4 Owner Name & Address: Clc c t w� w Tel. # Contractor: / CCl , ' MN LICENSE # (o l4l % �1''��I ���•) �. C't Y` `•Yl Address: -7C t (5 �*> k) t L4 0 Tel. # X560 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. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ti'_ �'��, - rro .),� �� P / 6 _ o Comer Lot ,\) Inside Lot [ ] Ft. Type of Construction: _ Approx. Completion Date: Driveway Curb Cut Width Needed: Yd Setback Side Yard Setbacks Estimated Cost: $ Ft. + 6 Ft = Ft x $ (Cost on Back) DATE:c1` APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ 57 C 0 Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 3,5.9'�- Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th % ) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] :ITY OF F,RIDLEY INSPECTION DIVISION Effective January 1, 2003 X431 University Ave NE 1 -ridley, MN 55432 APPLICATION FOR DOWER PLANTS AND HEATING, COOLING, VENTILATION, z '763) 572.3604 REFRIGERATION AND Alit CONDITIONING SYSTEMS AND DEVICES o i FAX (763) 571-1287nd �1 I JOB ADDRESS S- Y®AIE, 9 ltr e e t N RATE SCHEDULE m OWNER__ -"E xp-ZY--- Rc a /i� Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS �.f1d,-,V1 CS: Also Replacement Furnace $ 30.00 $ ®a ® A (Side Vent -Fill Out Back) ESTIMATED COST Q PERMIT NO. r� '�� Gas Piping (Needed with new furnace, $10.00 $ l o but not replacement) DESCRIPTION OF FURNACE AND OR BURNER 3 Gas Range $ 10.00 $ n No. of Heating Units ® Circle One (Steam] Hot Water (Warm Ai Gas Dryer $ 10.00 $ Trade Name S/�qv,fi Pry,. Size No. —X--O—T-6 IFPF o BTU 6o coo HP EDR " *Air Conditioning - All Sizes $ 25.00 $ Fuel A/afuv-a f Grax Total Connected Load d All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. M 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25%o : f Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work her( specified agreeing to do all work in strict accordance with the City Codes VIn b AIL State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts ane representations stated in this application are true and correct. O TOTAL FEE $ � ®-1-0 vvv DATE l% / 2 - dr -3 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO _ _ ,F7,u0,eYo-"-f 7- c, R9FRIGERATION/AIR CONDITIONING PERMIT IS,52� 00 PLUS THE LIQ STATE SURCHARGE Signed _0(3a'I %9�° TEL # d,9-21 `/�" / REINSPECTION FEE $47.00/Hr FAX #r_6X9'7 P *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date' Final Date Z), written permission from adjoining property owner. � 0 �&) / W/S-� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR"THE APPLICATION WILL BE RETURNED When�n�ga_„We fzaoce, 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 (lei 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 fisted 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 is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When,[equired to instill a new cambLcfinn air it yyill be sized and installed to most the current codes and manufacturer`s specifications. Yes (1,(No ( ) When 10j&ft9 ana =Wjag sustem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAIVIA 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 Rot VJ i %_ BTU Input 6 is do Fan Assisted or Nates Appliance #2 Type BTU input 3,V ae u Fan Assisted or Nat% Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type 15 Vent Height _ _ 2 _ L®__ _ Diameter 6 inches Appliance #1 Vent Connector Height _ft Length /_ft Diameter min Type C Appliance 02 Vent Connector Height A ft Length ft Diameter 3 in Type c_ Appliance #3 Vent Connector Height ft Length ft Diameter in Type N HEATING CO: E &,f 1 P m k1V1-' J/'-qp f Signed By: C9 -Date : // /� - a 3 _. — 2—� 5130/2018 TL6Z9t79TS9 01 AAIG I NA A0 A1I0 WONA bZ : T T 2002-ZT-n0N ?EMT SUPPLY, MIC. 593 North Fairview Ave. L Paul, Minnesota 55104 110ust •H* EATING TEST RECORD ADDRESS 5-501 .2 ,J S_jr .4 ate. APT. (FLOOR CITY laSUBURB OCCUPANT 0 -cc. 0_04"I -T_ OWNER E-NPZZT HEAT LOU —DATE HTG. INST. -03 SOLD BY INSTALLED BY wa eed. e 0 4&de"W147 cf�'P/; !g -r r j 0, z!!! 66aftical Work By Go* Line By TYPIE OF HEAT GA — FA _HW STEAM —SPACE HTR. —UNIT HTR. —OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER "al S -die SAP Model Social Max. BTU Rating INPUT 60 MAKE OF FURNACE Model CONTROLS THERMOSTAT He" Plug Vent She Volvo !!&221d4jd'4 KIND Of L114ER SIZE—HON19 Limit dg2zDraft Hood Regulator Limit Sooting Filters _Hwm6of Fen Sooting Chimney Location Inside IS outside Pilot Type La& Chimney Construction Ire III Pilot M06 spillage P 111411 Madel- -too SM06 Bomb— wiring I'lloof Timing Draft — —Test Tag. eS L.W. Cut Off Door Prussome.. Lighting Inst. yes Poessuft - 364c- —Petcantco Dose Tested Input CFHA) 0 —Percent OZ company Tasting Stock Temp. —Percent Co Named Taster JSV-A-2 _C'_Ajd&&w& Certificate of Coinpentency_-*Act :I,TY OF-�RIDLEY INSPECTION DIViS10N - Effective January 1, 2003 5431-University Ave NE -ridley, MN 55432 APPLICATION FOR f10WER PLANTS AND HEATING, COOLING, VENTILATION, ;i63) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES l� o c FAX (763) 571-1287 JOB ADDRESS �� RATE SCHERU OWNER �X p ���` Rg ] t� MQ4 Residential Rate Furnace Shell and Duct Work, Burner - TOTAL BUILDING USED AS Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ®-00 _t J ESTIMATED COST PERMIT NO.—__/- A Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR B, URNER 0 Gas Range $ 10.00 $ � Gas Dryer $ 10.00 $ No. of Heating Units / Circle One (Steam) of Water (Warm Ai Trade Name .rlgkj I'OV; Size No, BTU 60 6 con *Air Conditioning •All Sizes $ 25.00 $ Fuel�j��,r,�� G a s Total Connected Load ` All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.-c d < 1% or Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work her( p State Surcharge $, 50 specified agreeing to do all work in strict accordance with the City Codes rulings of the Building Division, and hereby declares that the facts , all an( TOTAL FEE $ representations stated in this application are true and correct. 0 1 2C � DATE MINIMUM FEE FOR ANY HEATING/COOLING/—VENTILATION HEATING CO _ f 'Lu ° P rh4In t Zlyl C REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $ 50 STATE SURCHARGE n I n Signed �'1 '/�� TEL # _-� FAX# CS/'�YG`d97/ T;. REINSPECTION FEE $47.00/Hr 15T 0; *Air Conditioners can not be placed in a side yard without Approved By Rough-In Date' Final Date I.- written permission from adjoining property owner. -0 :-: FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE(!C ti x/)206) THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR'THE APPLICATION WILL BE RETURNED whenrance, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, �/ and is securely supported and firestopped where required. Yes (M. '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 (tfNo ( ) The ex sfi ,a combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When.required to install a new cemblis ion airAvAll be sized and installed to most the current codes and manufacturer's specifications. Yes (eNo ( ) Wiled mpg a 13= =nfioa, 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 #1 Type kal k;-, $ tv- Ov 444 BTU Input Cie 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 M Vent Height f - > Diameter inches Appliance 01 Vent Connector Height 73 ft Length ft Diameter_�2_in Type______ Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height f< Length ft Diameter in Type M HEATING CO: 'E&Vr®n� n`t J�1& -Z-I? L Signed By: o Date: -03 SO/M18 TL6Z9t79T99 01 A27GIN--1 10 Al I0 WON --A b2:TT T^O7-2!T-(l0N . a �' ., i ...:.� .. .. ' � •. t::.�: �..'d:•a-.�.i .: � •.. a• � fir•': "• •�'•..-� ^•h'7�irA>(r r.. .t. •. . r.' .F1 �*��: `HOUSE 'HEATING T-TEST RECORD •"i+•i,.s;*;. :.:�.R=,r�.� .,.�.,t% ,. ADDRESS 0 o3 APT. FLOOR CITYSUBURB OCCUPANT 0C!Ejd w r OWNER lxV�1 i HEAT LOSS DATE HTG. INST. SOLD BYINSTALLED BY Eleetrleol Week N { Gas Llno By TYPE OF HEAT GA PA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE 5rLt4 MAKE OF BURNER Modal s`- Lam® ti< D Model Serial app �6� Max. BTU Rating INPUT �� MAKE OF FURNACE Model - CONTROLS e� THERMOS ATn�- Haat Plug Vont Site Volvo -v KIND OF LINER SIZE NONE L1m11 WCXA &W Draft Head aQ S Regulator Limit Se"ing / g� Filters Site Number Fen Selling Chimney Location Inside 2� Outside �t Pilot Type 11�PAO e t bo, ' �°�T - Chimney Construction 1011016" 9S� Pilot Mak. 1 I �/ Spillage Ai`" _.._._ Phot Model 'eno F Smaka Bomb Wiring Pllat Timing ! Draft y Tost Tag L.W. Cut 011 - Door Ptessure..... Lighting Inst. �!� �r� Pressure Percent CO Date Tested._���l�d� Input CFM 6tn Percent 02 el, Company Testing Stock Tomp. ®� Percent CO ® Nemo of Tester Certificate of Compentency -,# a :ITY OF FRIOLEY INSPECTION QIViSION Effective January 1, 2003 5431 'University Ave NE =ridley, MN 55432 APPLICATION FOR FLOWER PLANTS AND HEATING COOLING VENTILATION ;163)-.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 0 [SAX (763) 571-1287 T_ SCHERULE 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 1.257o of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE W::` mug ��� •� _ �� REINSPECTION FEE $47.00/Hr "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. c JOB ADDRESS f So S- A/F V OWNER R -P --g' I Y MgV7ci y_Q,m.e.Yii w TOTAL BUILDING USED AS - 41 S $©-®® A ESTIMATED COST PERMIT NO. -n $ o DESCRIPTION OF FURNACE ANO OR BURNER 3 No. of Heating Units / Circle One (Steam) of Water (Warm Ai $ Trade Name f`lg o T Pr w Size No. 7-0 co E -P it o BTU 61 r -9a -0 HP EDR $ Fuel A44 I GLer Total Connected Load x d, Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herf specified agreeing to do all work in strict accordance with the City Codes $ .50 rulings of the Building Division, and hereby declares that all the facts anc representations stated in this application are true and correct. o DATE 11 - /A -c13 HEATING CO _ _��_va pXejp% —40C Signed 1 Zf !2�� TEL # �kl- 6y6d R3-7/ FAX # G ,�" < e 6 �6 �° '7 I Cn Cn N' Approved By Rough -In Date' Final Date a FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE N m THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR'THE APPLICATION WILL BE RETURNED When --kgAnAxisdagjucance, the undersigned hereby verifies than the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (Vi No The venting system is plastidPVC 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 (dNo The 121) � cemhictian it is sized and installed to meet the current cocles and manuf'acturer's specifications. Yes (1f No ( ) nthe current codand 'installed es and manufacturer's specifications. . to meat Yes (VfNo ( ) When kL4afto a raw van ficin ustern, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's spec ications. 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 iAJA,-Y Vj dy,13TU Input o o Fan Assisted or Nat Al's -� Appliance #2 Type He i vvTt H -f v, BTU Input 3 ly G40 Fan Assisted or Nat���_ Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu input Common Vent Type Vent Height 2, s" Diameter S inches Appliance #1 Vent Connector Height 3 ft Length _/ _ft Diameter �/ in Type Appliance #2 Vent Connector Height __L_ft Length �& ft Diameter 3 in Type c Appliance #3 Vent Connector Height ft Length ft Diameter in Type M I HEATING CO: 1C v m -, v,t J�l� ,SignedDate : / / -12 -63 90/20'd TLGE909TS9 01 A21QI8d d0 AiIO WO;�d VZ:TT 2002 -ET -(ION . + .•,;•.s:Y •s ,� tL ��LS:�.••;��; Si' •: ':�jr ti:i `..l.h •i.�i.'t••:,,. +Y.':'n^�tX4✓f�.y �.. :«t: .. .i;'.. :�r••�; i•c+J NOUSCEATING TEST RECORD •fiir:•s,. .•p,:.:,+r. �j,�,�_. 't:l.w ren.,• ADDRESS ART. FLOOR .CITYSUBURB OCO)PANT a&uFA"``-7 OWNER9­`P�T' HEAT LOSS DATE HTG. INST. SOLD BY f—a&.4 INSTALLED BY Electrical Work By Gas Lino By A<S7,-,f.'0 TYPE OF HEAT GA PA HMI ._STEAM SPACE HTR. UNIT HTR. OTHER ' GAS DESIGN CONVERSION MAKE LST i,Al MAKE OF BURNER Modal S -&C, Model _ Serial 1 Mee. BTU Rating INPUT MAKE OF FURNACE Madel _ ONTROLS da THERMOSTAT Heat Plus Vent Site valva 7v.,e KIND OF LINER SIZE NONE LIM Dealt Heed ' c Regulator Limit Sooting Filters Sian Num6er Fon Selling `_ Chimney Location Inside %� Outside Phot Type'^'+"sT �"'�'�• / r Chlmnoy Construction e- a l Pilot Maks Spillage 4 Pilot Model- Smoke Bomb —. Wiring Pilaf Timing i Dra11Test Tat L.W. Cut 011 Deer Pressure..... Lighting Inst. 49.5 Pressure r Percent CO2 Date Tested — . . . Input CFH_ Percent 02 -_ Company Testing Stock Tomp, Percont CO ® Nnm• or Teeter Certificate of Coinpentency .# PLUMBING RESIDENTIAL APPLICATION City of Fridley Permit Number Received By Date Received NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE - % 9 a CD,5- YOUR E-MAIL ADDRESS SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNER ONTRACTOR NAME PROPERTY OWNER/ ADDRESS S601 TENANT �- CITY_ STATE 'VV% ZIP PHONE # NAME_3yC,�^- LICENSE# ADDRESS CONTRACTOR CITY _I S STATE Vl-\ ''1 ZIP PHONE # & / a �c`� �r 6I ? e' 'j FAX# PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK l t7t' -� �+ �G C) �- tMe 0e (-" -r FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need Cfty License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ MINIMUM: $15.00 or 5% of cost of the Improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 S� TOTAL DUE $ Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the ap roved plan in the case of all work which requires review and approval of plans. NAME OF APPLICANT -,. Y Cn DATE 03 Please type or print SIGNATURE OF APPLICA 1;PARAT>s �'ERlIO�AR� RF,X�UIiR1=D FI F31 i1TIC�� EI 1�I1�ILfi �� CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESI Y AVENUE NE, FRIDLEY, MN 55432 (763)572-3604