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PRE 2010 DOCSCity of Fridley, llinn.. BUILDING P'E MIT S? 4457 Date: _3 _3.........--6._.a_.__... . . .......... . ........ a Owner: �... ._........._.... - ... Builder ... ..... - -..... .__ ....._.... Address.....- ......... _...._ - ..._........._._...._......._ _ ._ __ ...._... Address ........ ..................................... LOTION OF BUILDING No..> 1(� _Street • - - _6......._ ..................... ......... Part Of Lot ----------- ------- ---- _...._................... .._...._._ Lot/ . ! :./3....... Block ............. ........................ Addition or Sub -Division ......... -. --. .... ..... ..... ... ... ............... ..... _..... Corner Lot ...........A< ............. Inside Lot .... �....... Setback ... ......... I............... Sid and ...., J. ..._.........-..................... Sewer Elevation .................... ............................. .............. .............. _............. _........ Foundation Elevation DESCRIPTION OF BUILDING To be U as: a...... _................._........... Front oV Depth. Height .. ..-�.--.. Sq. Ft .3.5 �Cu. Ft I ................. .....-. Front ........................ Depth ....._........... Height ........... Sq. Ft. _.._..........---. Cu. Ft. ..... _............. Type of Construction ....✓��.��..�� Est. C sf�t....."...�fG�._..-To be Completed .....__.-..__.__ .............._......_...._.. -fu q i f THIS PERP01T DOES NOTAUTHORIZE VIOLAT- ION OF ANY Pfik'AT ND COVENANTS AND BUILDING RESTRICTIONS. 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. R, In consideration of the payment of a fee of $.... �....0.-�...-_....:, 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 violatio f any of the provisions of said ordinances. _-- •- --- --• -- - - ----• --------_-.._ ..------•-.--- uilding 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 hems. 4 Date: Juste 15, 1965 Owner: Bradley Builder General 1 rovem®nt Address 592 & st. x.E. Address 606 Rise St. St. Patel wee LOCATION OF BUILDING NO. �� ` '�tseett Part of Lot Lot 12 _ Block 14 Addition or Sub -Division EM18 PaTk Corner Lot._ Inside Lot Setback Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. n Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 12OO•OO To be Completed Repair Stow Damage 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 f rtti and in li ce with all provisions of ordinances of the city of Fridley. e . .1 In consideration of the payment of a fee of $10e��, permit is hereby granted to General 7emement 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 anypart thereof, shall conform in all respects to the ordinance's of Fridley, Minnesota 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 ordinance& Allen Jensen Building Inspector NOTICE 'lids permit does no effer the eenstreetion, hutagation for WkIng, phumbing, on heating, sewer or water. Be an to we the Beildieg hqm for for separato permits for thm hems. 0 5: 7e APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 0 BUILDER eV P ADDRESS_ / ADDRESS 4!! L Off LOCATION OF BUILDING No. Street Part o of LOT�s. BLOCK b /0 ADDITION OR SUBDIVI 0 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. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu., Ft. Front Depth Depth Height Sq, Ft. Cu. Ft. Type of Constructioti _;®_4yZ44 Estimated Cost /,;--76 •--- To be.,,completed. ' Y The undersigned,.hereby makes application for, a permit for the work herein specified, agreeing to.do a12.work in strict accordance with the City of Fridley -ordinances and rulings'af the Department of'Buildings, and hereby declares that all the facts and representations stated in this application'are true and correct. DATE c:)j-Ve a9 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PE City of Fridley ,� 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV- L _ PROTECTIVE INSPECTION SEC. ��7-7 NUMBER REV DATE 10/10/95 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5908 2 1/2 Street ne 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12,13 10 I I Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anoka County Community Actio 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hunerberg Construction 13705 26 Ave N, Plymouth MN 55441 553-0062 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 7 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 $2,900 $1.45 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- $74.75 Fire SC % $2.90 STRU TION ORT PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE � $79.10 SIGNATURE 6F -CON IRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT QLD iNSP OATS SIGNATURE OF OWNER OF OWNER BUILDER) IDATEi Prepaid Plan Check $ Estimated Cost $ Receipt # 3'97'7 I*I WAII,IN I1 Effective 8/1/95 Construction Address � ol� zJ6 S -k K) Zoning Legal Description Owner & Address M\N tel,- VYWI-N•a \t,v+�, `lel.# CD14MCIOR & ADDRESS Tel . # :52� 3 Architect & Address l _# Engineer & Address+# TYPE OF WORK [] New [] Addition []�Ttion--Describe U7 Applicant Signature Tel # 'rbate I0 - 1©- BUILDING DIlNERSICNS ll Length Width Height Sq. Ft. ��'� - # of Stories 012- OFC. AREAL: Length Width Height Sq. Ft. WHSE AREAL: Length Width Height Sq. Ft. amHER AREA: Length Width Height Sq. Ft. VALit MOR Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ A Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $ • ztt plem=ehmek- C2- 90 Fire Surcharg State $ SAC Charge $ Erosion Control $ Park Fee $ Spec. Ass $ Driveway Escrow $ TOM $ 0 See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $850 per SAC Unit (Plans to NWCC for determination) $450.00 Conservation Plan Review Fee d By Engineering Agreement Necessary [] Not Necessary [l feet x $13.50/foot CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1 s)0s 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Nide Vent - Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $__ Gas Range $ 10.00 $ Gas D yer $10.00 $ *Air Ccnditioning - All Sizes $ 25.00 $ All O&ers/Repairs & Alterations (LIST ON BACK) 1% o` Value of Appliance or Work $ Commercial/industrial 1.25% of Value of Appliance or Work $_16 - 25 Install owner furnished range hoods vent caps and range exhaus tate Surcharge $50 ducts TOTAL FEE $ 2,5 MIWI M FEE FOR R_ ANY _HEATING[COOLING 1NENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE _$_50 STATE SURCHARGE REINSF ECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOSADiNRESS 5908 2 1/2 Street N.E., Hyde Park #1 units #1, 2, 3, and 7 The undersigned hereby makes application for a permit for the work herein spec#W agreeing to do all work In sftt accordance with the City Codes an( rulings afthe Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. 10-2-95 1''0 - OWNER Anoka County Community Action Program BUILDING USED AS dwelling ESTIMATED COST 2100.00 PERMIT NO. No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Blaine Heatin , Air Cond & ELect `62 Central enue N.E. Anoka Signed.By- Tel No. 757-6200 Approved Rough -In Date Final Date FILL OUT BACK SI E F R STACK VERIFICATION ON REPLACEMENT FURN CE L- SUBJECT PE-EMI-N.Q. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT ?3823 r . IR EOEJP [-N{3 • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED B CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/19/95 JOB ADDRESS 5908 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11-13 10 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anoka County Community Action Program 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hunerberg Construction 13705 26 Ave N, Plymouth MN 55441 553-0062 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Darwin Windahl 535-3007 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 Unit Apartment. 7 CLASS OF WORK ❑ NEW ❑ ADDITION CK ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior Alterations 9 CHANGE OF USE FROM TO STIPULATIONS See notations on spec sheet.. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 7 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 $50,100 $25.05 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- $581.00 Fire SC $50.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEEAL T T FEE $377.65 1,033.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N PR LY VALIDA THIS IS YOUR 7RMIT r r" S-GNATURE OF OWNER IIF OWNER BUILDERI IDATEt LDG INSP 4A E L- Prepaid Plan (deck $ Estimated cost $ Receipt # Effective 8/1/95 TYPE OF WORK [] New [] Addition Alteration o nate 9 _ -- 9� Applicant Signature Tel # BUnDD G DIlBLSIC NS, Lenges Width Height Sq. Ft. # of Stories OFC. AREA: LgXjth WHSSE AREA: Length OEHER AREA: length Width Width Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. p;I 90 Ca G Sq. Ft. x $ Cost/Sq. Ft. = valuation Sq. Ft. x $ Cost/Sq. Ft. = Valuation Sq. Ft. x $ Cost/Sq. Ft. = Valuation /l 56 $ ) TOTAL VALUE Building use �% Construction Type (.z—bO Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performs Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee�hl. Plan Check,3 q7.� $ %8 56".Y6 Jr3DD Fire Surcharge $ State Surcharge $ ` 0 SAC Charge $� Erosion Control $ Park Fee $ Spec. Assts $ Driveway Escrow $ 4OIAL $ /,o33. See Fee Schedule on Reverse Side In Excess of Prepaid Amotnt - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $850 per SAC Unit (Plans to MCC for det rmi.nation) $450.00 Conservation Plan Review Fee Determined By Erginewing Agreement Necessary [] Not Necessary [7 feet x $13.50/foot FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (612) 571-3450 - FAX (612) 571-1287 April 2, 1996 Steve Klein A.C.C.A.P. 1201 - 89th Avenue N.E., Suite 345 Blaine, MN 55434 Dear Mr. Klein: Per your request, an inspection was made at 5908 and 5916 - 2 1/2 Street N.E. to determine if the window wells were required by the City of Fridley. It is my opinion that window wells are not required, and I would recommend that they be removed. If they remain, fill should be placed within 6 inches from the bottom of the window sill. The window wells at 6008 - 2nd Street N.E. should remain. They also should be filled within 6 inches from the bottom of the window sill. The window well next to the driveway should be protected with bollards. If you have any questions, please feel free to call me at 572-3604. Sincerely, Ron Jul wski Chief Building Official RJ:ls 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 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 ( )Yes () No Type $5.00 JOB ADDRESS 5908 —, 2; St. N.E. 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. 10/17 , 199,e - Owner Building Used As Apartment Estimated Cost $16,834.00 PERMIT NO. 4-/�j PLUMBING COMPANY Ryan Plumbing & Heating Co. Reinspection Fee $30.00 SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance J� $252 :'S'1 State Surcharge $ .50 TOTAL FEE /3 $ 253.01 TEL N0. (612)224-4771 Approved By( Rough—In Date Final D MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS PLUS THE $.50 STATE SURCHARGE 0 SUBJECT O. City of Fridley 3 015 2 AT THE TOP OF THE TWINS BUILDING PERMIT r R NO. � `� _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. C��r r PROTECTIVE 1 1 ="'1 CITY HALL FRIDLEY '55432 NUMBER REV DATE PAGE OF APPROVED BY �"""" .`' 612-571-3450 910-Fl 9/1/99 JOB ADDRESS 5908 2 1/2 Street NE 1 LEGAL LOT NOpt. 11, BLOCK R TRACT OR ADDITION SEE ATTACHED oescR. 12, Pt.13 X H de Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ACCAP 783-4747 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Oval! Roofing Const.Inc 6753-29S(-) 20171S44 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Commercial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION lex REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 7 Unit Apt. 30 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2622 $1.31 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 O T PERFORMAN F CO RUCTION $83.25 Fire SC $2.62 PLAN CHECK FEE TOTAL FEE License 5.00 $92. Je �,*"-SIGNATURE OF ON• TOR OR AU MORI AG NT iDATE) N P PERL A ATEDJY9 S UR PERMI S,GNATURE OF OWNER pF OWNER BUILDER) MATES SLOG SP 0 NEW[ ] + Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY 30 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: cc Tel. # �_ q7 (/7 Contractor: mUFO-i' . T n/ C • MN LICENSE # c)o / 7 Address: % �� 3TC,y, cc). (f -j retyC9•Tel. # of Q -W3- -� Attach to this application, a: Certificate of Survey of the lot, with theproposed construction drawn on it to scale. �--- DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: �ted Cost: $ d 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ - DATE: q1(41 I APPLICANT:,, ---Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ d.6 ,2, .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 $ STIPULATIONS: ,Y REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00' 1 O, PLUS THE .50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr H EATI h Signed *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final DateCJQ1.-cZd written permission from adjoining property owner. or CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR dONDITIONING SYSTEMS AND DEVICES JOB ADDRESS .SrJ®g -4 S0' / e`� �� S7 RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - ��� / BUILDING USED AS L.,1t- Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) ESTIMATED COST 6 ( 0 O PERMIT N0.12-9 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—,2—Circle One (Steam) (Cot=Water)--arm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU / 7o ®ra c HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel –Total Connected Load 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°J of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an 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 $ -Cb LotE LDATE of ,Y REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00' 1 O, PLUS THE .50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr H EATI h Signed *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final DateCJQ1.-cZd written permission from adjoining property owner. 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. YesX 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 �4 No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes -K 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_ Appliance #2 Type _ Appliance #3 Type _ Total Appliances BTU Input BTU Input _ BTU Input Total Btu Input Common Vent Type Vent Height Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 : C17YOE FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 January 18, 2001 Anoka County Community Action Program 120189 Ave NE #345 Blaine, MN 55434 Re: Final Inspection at 5908 2 1/2 Street NE Contractor: North Suburban Heating & Air Dear Sirs: A mechanical permit was issued on September 19, 2000 for the above noted address to install a replacement furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace was installed correctly, that the State Mechanical Code has been complied with for installation of combustion air for fuel burning appliances and that the vent has been sized correctly with the correct vent connectors. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, D'JARSEN Buildi nspector DJ/mh CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 January 18, 2001 Anoka County Community Action Program 1201 89 Ave NE #345 Blaine, MN 55434 Re: Final Inspection at 5916 2 1/2 Street NE Contractor: North Suburban Heating & Air Dear Sirs: A mechanical permit was issued on September 19, 2000 for the above noted address to install a replacement furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the furnace was installed correctly, that the State Mechanical Code has been complied with for installation of combustion air for fuel burning appliances and that the vent has been sized correctly with the correct vent connectors. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVEJENSEN Building Inspector DJ/mh Building PLUMBING Permit No.: � -C)ooa Inspections COMMERCIAL APPLICATION Received y ' 763-572-3604 Date M��l CITY OF FRIDLEY :® DATE YOURE-MAILADDRESS �� C�YAJfIJ'�V�� 1VW (fP vil". toe- SITE ADDRESS TENANT SUITE NO. PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR Nom: STATE LICENSE # EXP DATE �-' I' a SUBMIT A COPY OF YOUR STATE ADDRESS: 3,q 1 C! 15 DD [a ni Q E,CrrY 4Am L AJARFSTAT Z �ZI LICENSE WITH PHONE r7&A --)Qq APPLICATION PERIVIIT TYPE 0 INSTITUTIONAL 0 MULTI-FAMILY ❑ SWINDAING POOL 0 TOWNHOUSE XCOMMERCIALANDUSTRIAL ❑ OTHER TYPE OF WORK: fi(NEW 0 REPLACEMENT 0 ALTERATION/REMODEL DET D DESCRIPTION OF WORK 1 nS-e. & �Z J `t L, P a/ 1a-L* 1 FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS I RPZ VALVE —URINAL DISHWASHER _ GAS PIPING BACKFLOW PREY. — WATER HEATER DRINKING FOUNTAIN —GREASE TRAP _ ROOF DRAINS — WATER METER FAUCET _ KITCHEN SINK _ SHOWER _ WATER PIPING FLAN 04ABLE WASTE TANK _ LAUNDRY TRAY � SLOP SINK _ WATER SOFTENER —LAVATORY _ SWIMMING POOL _ WATER CLOSET Total Job $ ,'ia All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ 3 Valuation X.0005 Total Due $ a-3 Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERM[T NOT VALID UNTIL PROCESSED I hereby apply for a building 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 approved plan in the case of all which requires review d approval of plans. l work NAME OF APPLICANT h) 1 1101 C- e DATE I SIGNATURE OF APPLICANT V C GC AW rte/ {1W&--e PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 11/ From: City of Fridley To: 4346464 Page: 1/1 Date: 10/3/2008 10:21:55 AM - wilding MECHANICAL Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat 763-502-4977 FAX EFFECTIVE 1-1-08 DATE October 7,_ 2008 YOUR E-MAIL ADDRESS SITEAUDRESS 5908 22st. NE THIS APPLICANT IS: )FCONTRACTOR Anderson Burner Service, I n c PROPERTY NAME: Anoka County Community Action Program OWNER/ ADDRESS: 1201 89th Avenue NE CITY Blaine STATLIN Zlp55343 TENANT PHONE: 763-783-4904 CELL: FAX: CONTRACTOR C,'OMPANYNAME: Anderson Rrnrner Service, Inc. NOTE: SEPARATE CITY CONTACT PERSON: Howard o r Di sTATEBOND# 55-200208 EXP DATE: 12-19-08 LICENSES ARE REQUIRED FOR 17535 Chisholm St. NE Hm Lake N 5530 sm ADDRESS: CITYaSTATL�ZIP AND HVAC. AND PHONE: 763-434-6464 CELL: FAX: SUBPv1DINSUIT INSURANCE AND 1NSU1tANCE CITY GAS LICENSE# CITY HVAC LICENSE# 2008-00122 EXP: 4-30-09 PERMIT TYPE U MULTI -FAMILY ACOMMERCIAL ❑ INSTITUTIONAL ❑ CONDO ❑ INDUSTRIAL ❑ SWIMMING POOL ❑ OTHER TYPE OF WORK: El NEW CLEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK: Replace boiler EQUIPMENT INSTALLED MFG: Well MctainMODEL: SIZE/BTU t75,000 MFG: MODEL: SIZE/BTU MFG: MODEL: S1GE/BTU A/C DUCT WORK ROOF TOP UNIT (RTU) _ _ _X7 BOILER _ FURNACE —REFRIGERATION I HOOD APPLIANCE _ STEAM/HOT WATER HEATER —CLASS _GAS 11 HOOD GAS PIPING SWIMMING POOL _CLASS _ COMMERCIAL KITCHEN POOL HEATER _^ OTHER ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF BOR AND MATERIALS: TOTAL JOB VALUATION: $_/ l f10 On PERMIT FEE $ 51.25 1.25% OF JOB VALUATION / MINIMUM FEE $35.00 SURCHARGES 2.05 VALUATION x.0005 / MINIMUM .50 TOTAL DUE $ 53.30 MINIMUM $35.50 Make Chocks Payable to. City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codas 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 w k ' t to start without a permit on site; that the work will be in accordance with the approved plan inth � u o a w v ' re iew and approval of plans. SIGNATURE OFAPPLI PRINTNAMEHoward A. Anderso[PATE 10— —0 APPROVED BY DATED ,1113 . . City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 I GOLD CGa Gas -Hired Water Boiler --- Boiler MankAel p a 7Check-out procedure — checklist Li Boiler and heat distribution units filled with water? .J Automatic air vent, if used, open one fuU turn? J Air purged from system? :.1 Air purged from gas piping? Piping checked for leaks? i"1 t,U Correctly sized manifold orifices installed? Refer to Table 2, page 12 to check size and fuel type. L-1 Correctly sized manifold orifices must be used. Pailure to do so will cause severe personal U injury, death or substantial property damage. IJ Followed li4hting/operadng instructions on boiler or In manual section 8, page 34 or section 9, page 37 for proper start-up? 1.3 Proper burner flame observed? Refer to Check burner flame, manual section 6d, page 32. * 'last limit control — While burners are operating, move indicator on limit control below actual boiler water temperature. Burners should go off while circulator continues to operate. Raise setting on limit control above boiler water temperature and burners should reignite. G 'lest additional field -installed controls — If boiler has a low water cutoff', additional high limit or other controls, test for operation as outlined by manufacturer. Burners should be operating and should go off when controls are tested. When controls are restored, burners should reignite. U1 Button on spill switch pushed in? U Test ignition system safety device: a. Standing pilot—Turn gas cock knob to PILOT position and extinguish pilot flame. Pilot gas flow should stopin less than 3 minutes. Nut system back into operation see section 6, pages 28-32). b. Spark -ignited pilot— Connect manometer to outlet side ofgas valve. Start boiler, allowing for normal start- up cycle to occur and main burners to ignite. With lllain burners on, manually shut off gas supply at manual main shutoff gas valve. Burners should gc, off. L Q Open rttanual main shutoff gas valve. Manometer should c�anfir" there is no gas flow. Pilot will relight, flame sensing element will sense pilot flame and main burners reignite. Set limit control(s) to system temperature requirements. Adjust balancing valves and controls to provide design temperature to system. For multiple zones, adjust flow so it is about the same in each zone. Verify thermostat heat anticipator (if available) set properly? Refer to Field wiring, manual section S, page 27, Thermostat(s). Cycle boiler with thermostat — Raise to highest setting and verify boiler goes through normal start-up cycle. Lower to lowest setting and verify boiler goes off. Measure natural gas input: a. Operate boiler 10 minutes. b. Turn off other appliances. C. At natural gas meter, measure time (in seconds) required to use one cubic foot of gas. d. Calculate gas input: 3600 x 1000 13tuh number of seconds from step c e. Btuh calculated should approximate input rating on boiler rating label. Check manifold gas pressure by connecting manometer to downstream test tapping on main gas valve. Manifold pressure for natural gas should be 3.5" w.c. and for propane gas should be 10" w.c. U Observe several operating cycles for proper operation. Q Set room thermostat to desired room temperature. "ID , Pill in Installation and service certificate below? 4 Review all instructions shipped with this boiler with owner or maintenance person. Return instructions to envelope and give tq owner or place in pocket inside front panel in boiler. Installation and servicer certificate Boiler model CAA_ / Series j CP number R ` Date installed f131. Installation instructions have been;followed. Measured lituh Input Installation Check out sequence has been performed. Above information is certified to be correct. " information received and left with owner/maintenance person Instiller. (company) / ,(address) �..r� (pho,r.� WV 96:69:9 900Z/9Z/6b :91120 Z/Z :06ed b9tr9 b£b £9L .woad