Loading...
PRE 2010 DOCSSUBJECT P City of Fridley 23439 AT THE TOP OF THE TWINS BUILDING PERMIT j i RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r I v PROTECTIVE INSPECTION SEC 9's- NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/7/95 JOB ADDRESS 5801 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Knopik 5801 2 1/2 Street NE 571-4044 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Any bedroom windows being replaced must meet the State Egress 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $700 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $19.00 Fire SC .70 PLAN CHECK FEE TOTALFEE 20.20 SIGNATURE OF NTC R AUTHORIZED AGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT 44-11 B DG NSP rjTE SIGNATURE OF OVAEROF OWNER BUILDER) IDATEi NEW [ ] Effective 1/1/95 ADDN_...; [.] ....... :,-..-,...... _..-QTY..0 TRIDLE.Y:. :.. .... : ,......:.:........._.... ...... _. .:.. . ALTER [ ] SINGLE FAMILY AND DUPLEXES -R-1 AND R-2 Building Permit Application Construction Address: 5-00/ 2 1* ST /V' E Legal Description: Owner Name & Address: Da V/ D T Address: NG 0k Tel. #, - 7/ — 4-0 q- ' MN LICENSE # Attach to this application, a Certificate of Survey of -the - lot, with the proposed constructions drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. _ GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft.. OTHER: --- Corner Lot ]Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 'w(.NDD uu Estimated Cost: $®� a Approx. Completion Date: �— (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 6 `' 7 _ �� APPLICANT: C Tel. #,5- 7/ — Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 9. Fee Schedule on Reverse Side $ . r/® .001 of Permit Valuation (1 / 10th %) $ S -D $.50/$1,000 Valuation $ $850 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $_ Agreement Necessary [ ] Not Necessary [ ] U • 61 SUBJECT PERMIT NO. City of Fridley A_ 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 4/22196 JOB ADDRESS 5801 2 1/2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 22 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Knopik/Vickie Young 5801 2 1/2 Street NE571-4044 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 12' x 16' Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE A, $44.95 SIGNATURE OF CORACTOR OR AUTHORIZED AGENT IDATEI ERLY VALQED THIS IS YO R PERMIT WNP LDG P GATE SIGNATURE OF O NERUF OWNETI BUILDERI IDATEI • 61 NEW I l Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 t�4S Building Permit Application ConstructionAddress:. 5, O f Z lz ST /1/, ,E Legal Description: Owner Name & Address: A9 V I D kVIO P lk -f y/c [C l E YOU416, Tel. # 5 71 -Z ®641 -1-A Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: back- YAR 0 5 ORfI &-F S 4'r- D /.2 )( !6 Comer Lot 10 Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 5;70R4 -,E 511,' ® Estimated Cost: $ �, 3 02 Approx. Completion Date: J'01- R 4 UG 0.5 7 - (Cost (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 14 � 2 - �6 APPLICANT: 00a� r Tel. # 5 71 - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ 300 Fee Schedule on Reverse Side $ J. 3 0 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $900 per SAC Unit $ $5.00 (State Licensed Residential Contractors.) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] ' Not Necessary [ ) $ STIP TIONSA,-.4/,7-, �/L�b r n ' SUBJECT .. . City of Fridley 30434 AT THE TOP OF THE TWINS BUILDING PERMIT r O. COMMUNITY DEVELOPMENT DIV. i ♦V PROTECTIVE INSPECTION SEC. r 1 � � NUMeEi1 REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1 612-571-3450 910415 10/22/99 JOB ADDRESS 5801 2 1/2 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin McNamara 323-1839 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O ALTERATION REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof 7 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.50 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- $29.60 Fire A STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $.61 PLAN CHECK FEE TOTA EE 3 .71 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE. HEN R VALIDA THIS ISYOUR PERMIT BLO INSP ! f)ATE SIGNATURE OF OWNER of OWNER BUILDER. IDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2; ALJ BUILDING PERMIT APPLICATION Construction Address: 5A -- Legal Description:, Owner Name & Address: Tel. # Contractor: MN LICENSE Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/ round Sq. Ft. OTHER: - ' Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ (• % 0- DATE:ZAPPLICANT: ( Tel. # 2 CITY USE ONLY Permit Fee $ �QD Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ J D • 7 1 STIPULATIONS: 11 SUBJECT City of Fridley 30' 0' 1 AT THE TOP OF THE TWINS BUILDING PERMIT i _R _0__. � COMMUNITY DEVELOPMENT DIV. SEC 11-V r PROTECTIVE INSPECTION 1 J CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 3/7/00 JOB ADDRESS 5801 2 1/2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 22 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin McNamara 5801 2 1/2 Street NE 323-1839 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Interior renovation of wall finish on first floor 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4,000 $2'00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $97.25 Fir SC $4.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE $/03.25 SIGNATURE10F CONTRACT_ OR�PRAU 1 "ENT IDAT6 MEN I R;)Ppe VALIDATED HISISUR PLERMIT QJ�/�) gb SI NATURE OF OWNER (IF OWNER BUILDER) iD E, BL iNSF' r�A1E 11 NEW I l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R 4 AND R 2 BUILDING PERMIT APPLICATION �r\� Construction Address: Ae y Legal Description: ka-m Mees Owner Name & Address: c ate. � a Tel. #_4;7 Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft -- GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Lengih Width Hgt/Ground SqZr1 Ft OTHER: i 4' d�` l4� L-) t. .�/ 6 'eUl--- 00Construction Type: Al416017� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: *3i ?( 0y APPLICANT: Tel. # &a 3z9- /8.3q CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �,� Fee Schedule on Reverse Side Fire Surcharge $ 1/610 .001 of Permit Valuation (1/10th%) State Surcharge $ Z00 $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESSS'&I 9 -161ST A) New Fixtures $ 7.00 2,00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 — , 20 00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner�— Water Heater -Electric $ 7.00 Water Heater - Gas*" _� $10-00, a ®© Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No , Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY r TEL NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance O'r�o7-C1U Approved By Rough -In Date Final Date State Surcharge S .50 �® TOTAL FEE$ COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existina combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR ;> Wash °`` :i' q ..ti:%•'Q: +>.>Y.v •noi: •• • '4�Sy.,: •.� \. Auto. ::;,�.,�.>,•.<: ;�;: �:�.::•:;:' S. , Floor ,; Com`\�: 4i:•, •'y:1+: Urinal Shower-------------- t.l:; _ Tray DrainI��:, Washer 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 Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 u7.60 JOB ADDRESS 95MI . Q °1Q Si �,1E: Effective On Jan 1, 2000 Gas Heater 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. AU ylUs-r I I , 2000 Owner _ 1 e ► n t Ag_ WCsx►7a Lc& Building Used As - I LSALI 2 C -Q- C" - Estimated Cost QC0 > 00 PERMIT NO. / e� ! Fj PLUMBING COMPANY 1 t►°v1'S CI�Lt l t ISI 1�lurn�s+'t� Reinspection Fee $47.00/Hr SIGNED BY o TEL N0.�211�°-1 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough-InPL LU Date Final Date State Surcharge NY TOTAL FEE RLI!S THE S.50 STATE SURCHAM COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(") AND TABLE 6-A. ' - `�f}MMON-VEIN-INFO ON=BACKSIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing- an existing furance the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( No( ) The venting system is plasticIPVC 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-GCategory I Central f=urnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( } When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system. the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GCategory I Central f=urnace 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 ( ) ARMIance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Pan 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 Length Diameter in Type Appliance #2 Vent Connector He ft Le ft Diameter in Type Appliance #3 Vent Connector Height ft Length Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date 'ITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 J 5431 University Ave NE =ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 1, JOB ADDRESS_�� RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shelf and Duct Work, Burner - BUILDING USED A8 Also Replacement Furnace $ 30.00. $� (Side Vent - Fill Out Back) ESTIMATED COST ���g �� PERMIT NO.��- Gas Piping (Needed with new furnace, $ 10.00 $ . but not replacement) � DESCRIPTION OF FURNACE AND OR BURNER Gas Range: $ 10.00 $ `—�-, No. of Heating Units Circle Cne (Steam) (Hot W�ter (YVarm Air).. Gas Dryer $ 10.00 $ Trade Name_�1 � t" e iS-'t - Size No. (, � -' BTU �� HP EDR 'Air Conditioning All Sizes $ 25.00 $ Fuel � (� ' -S Total Connected Load ;5 J All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of 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 herein y specified agreeing to do all work in strict accordance with the City Codes ar State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $- " i' 2619,991S C N RAPIDS. SAN 55433 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING 42 ___,,5 0- REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 E .50 STATE SURCHARGE Signed �' l -DATE PLUS THE $ —�� - FEINSPECTION FEE $47:00/Hr Wx/ 'Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. vrn.r1nA1.^k1 .,AI 0=1 Ar+C11ACAIT CI IDAIAf%C M CHIIMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: J 1. Has been carefully examined Yes No O 2. Is free from rust or deterioration Yes No (`) 3. Has. no foreign objects lodged within Yes (✓) No ( ) 4. Is securely supported Yes (X). vNo ( ) 5. Meets all current Code requirements for size , - and total BTU's connected Yes (V No ( ) 6 Has total heating BTU's of All other BTU's !� TOTAL BTU's,c d' ' 7. Has a liner{ been provided for water heater Yes (✓) No ( ) 8. Has combustion air been provided for water heater Yes (e ✓� No ( ) Remarks. List TERATION_, S Bdag Done: n a �= n HEATING CO: Signed By: Date: DEPENDABLE IN MAINUM INC. 2619 COON RAPIDS BOULEVARD COON RAPIDS. MN 196M (612)757-5040 E CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 July 2, 2002 Alicia Fischer 5801 2 1/2 Street NE Fridley MN 55432 Subject: Paved Driveway Reminder Dear Ms. Fischer: This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by December 31, 2002*. As you are aware, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*. If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, va Stacy omberg Planner T on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a $700 fine. C-02-83 UiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 6, 2002 Alicia Fischer 5801 2 1/2 Street NE Fridley MN 55432 Re: Paved Driveways Dear Ms. Fischer: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a $700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, Wva StacyIStrmberg Planner C-02-53