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PRE 2010 DOCSCity of -Fridley, Mimi, � BUILDING PERMIT No 4099 Date: Owner: Builder6_' �._.. Address.............. •... ...................... ........... _._..__ .._._._......._.__---•-----. Address _WCA N OF—WILDING --�j No.Street.... -. .._� ssO --•------------�---..._.....................-�'------....._.........................-------.. Part of Lot....._............._../..�....._......._------•-----_...._.. ..... .. Lot.........l r�Z............... Block ........... ........................ Addition or Sub -Division . Corner Lot ------------------ ---------------- Psid, Lot ../� ............................. Setback ....ice.: �.--.................. Sideyard lv.-n....------------------......_......._.. Sewer Elevation.......................... ......................... ----------•---........................---.......---...... Foundation Elevation ..... ,.......................... ............. ........ DESCRIPTION OF BUILDING To be Used as: 1.0 ............. Front ..1._/{..�f..`®®Dpepth ° .. �_ Height /.7...Q...f Sq. Ft./®... DD—® Cu. Ft. .... l� ... Front ../......1............ Depth '..... Height ®.......0. IF Sq. Ft.3. Ct....... Cu. Ft.39-4t® Type of Constru tion ..... .?.. .............. Est. Cost../3, 214.._..�.'0......... To be Completed .................... - ............. _....... ......... In consideration of the issuance to me of a permit to cons t the buil ' g described above, I agree to do the proposed work in accordance with the description above set orth and m co ance with plovisions of ordinances of the city of Fridley. A , „ , r �0 , In consideration of thea p yment of a fee of $1....."�..., permit is hereby granted ..... _.......... .......................... ........................ 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. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. w� Application for Power Plants and Heating. Coating, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE rapt. of Bldgs. Phone SU 4-7470 WC GRAVITY WARM AIR: RATE TOTAL Location 3/ Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 .................. 5.00 Repairs & Alterations each add. $500.00 ............... 2.50 MECIL WARM AIR 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 HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 Furnace Shell & Line—to 640 sq. ft. IDR 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 TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU I .......... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: 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 ereby declares that all the facts and representations stated in this application true and correct. Fridley Mina , , n 191— Owner �/✓��G�i Q� 195— Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. —4,11 195— DESCRIPTION OF WO HEATING or PO PLANTS—Steam, Hot Water ;;�! go/ p Trade Name Size No �9�" Y 4 Capacity Sq. Ft. /E�.,D.R�9L` G' BTU H.P. Total Connected Load -5 k% `''J(% — Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign By r / POST 1M-12-58 Business Phone No -&!r' Application for Power Plants andHeating, Coating. Ventilation..Refrigerallon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 1 Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ reach add. 60,000 BTU ... ................. . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .... ............ Repairs & Alterations each add. $500.00 ....... :....... STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam...... . Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. . Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. OIL BURNER—to 3 gal. per hour ........................ over 3 gal. per hour—See Fee Schedule 8.00 $ 2.00 $ _ R.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 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 $ ALTERATIONS & REPAIRS TOTAL F$E It ROUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 City of Fridley: t aA ✓Ler The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building — 0. A7, � .v Used as To be completed about 00 Estimated Cost, $ /' Old—New. Building Permit No. U C Permit No. 24f DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuet BURNER — Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) V� J�1� - / � r ' _ti ��p42 2M 7.59 Business • • City of Fridley, Minn. BUILDING PERMIT Date: May 25, 1965 N? 1 7531 Owner: Mr. Thomas Oreskivich Builder Alan Construction Inc. Address 5831 Lyth Street N. E. Address 4850 Uchar7 .Lane, Minneapolis No. 5831 Street Lot 12 _ Block LOC►TION OF BUILDING Lyth Street E. Corner Lot _ Inside Lot Sewer Elevation To be Used as: Part of Lot Addition or Sub -Division Bennett Palmer Setback ____ Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height _ __ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of construction Remodel,xepairEst Cost 0•00_ __ To be Completed Storm Damage Repair 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'll provisions of ordinances of the city of Fridley. 0047Z;� In consideration of the payment of a fee of $ , •� , permit is hereby granted to A18II COl1StTI1Ct3o13 Inc. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinSs within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: M perm* don not eorn the coestrecHm, hntaMen for whine, pin*lne, 6u has&& awn w wda. Be un to we the Beihllae kwemr for sgwate pmft for thea Mew { Mr. Ore.s4ivich ._ (Thp a Alan Construction _ Ob P u APPLICATION FOR B'-: ING.ERMIT, CITY OF FRIDUY01ENNESOTA OWNER'S NAME Mr. Ore.s4ivich ._ (Thp LBUILDER Alan Construction Inc.. ADDRESS 5891 4th Street N. E. ADDRESS... 4850 Zachary:Lane, Minneapolis.._ . LOCATION OF BING No. Street Fart of Lot.. Lot — —Block Addit.ioir or Subdivistion ��''-'^°` Corner Lot Inside Lot _;._SeMr—k Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applioant.attach to thi-A form, Two Certificates of. Survey of Lot—and—proposed build- ing location drAwn on these C6ktificates. DESCRIPTION OF BUILDING Teo be used as: Front Depth Height. S$. Ft. Cu. Ft. Front Depth Height Std. Ft. Cu.. Ft. Type of Construction _.Remodel & repair Estimated Cost-. $420.00 --To-.be _Camp].eted The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work ift 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_ May. 21. 1965 SIGNATURE, 6V z'GVz✓ (v 'Schedule of Fee Costs can be found on the Reverse Side). p--,�.. i4t��.!"�' g_�f....%+—c" v°. ' recs' —fig p�N�oC'-:f Z...r..4i'llo -�a �o d7 �.h[lu Yri 9S :�ci:'d °asio'�sv (i qqo'•....�o dt ta.ro Gc• u,.ya n..:r'[ �7el�o'U e►v*a�,H Asa tarCdL:f: rv+.�6'i8+i+i� i'm�n•r.:Lo�'vi7.'ipi (16\$ PARTIAL RATE SCHID I E GRA VM WARM AIR: RATZ Z T©TAL P..anace Shen & Duct Work $10.00 $ Replamment of Purnare 6.00 $ Pepairs & Alterations- up to 5500.00 1600 $, Repairs & Aitera:ioss each add. 5500.00 3W $ UZCFL WARM AIR Florae Shell & Duct Work to 120,094 BTU 510 60 _- etch add. 60.W0 BTU 3.vj S Repllacement of Furnace 6.00 3 - Repairs & Alterations -up to ',54.00 6.00 $ Repairs & Alterations each add. 3500.00 3.00 $ STEAM cz HJT MATER SYSTEM Pinnace Shell & Lines --to 400 sq. tt F.DR Steam @10.3 3 Furnace Shell, & Line ---to 640 sq 11. EDR Hot Water 1000 $. Each add 200 sq. ft EDR Steam 3 rA Each add. 320 sq. ft EDR Hot Water 3.00 OIL SURNF.P-to 3 gal. per hour 6.00 s.�. over 3 gal. per hour -See Fee Schedule GAS BURN -SR (up to I-P9,0W BTU) 5.00 3 over 153.000 BTU Sae Fero >iekedulo GAS FITTING F'EFZ: 240 RATE TOTAL Isf 3 Fixtures X3 Z00 5 Additional Futures _ x .75 Cas Rangy to It3.3MO sS &00 3 AM CO MI IOXIrlar FAN r'ZA-.1-130 STSTM4 73J'itLATIX0 3YZ, .-4 ALiZ11- "iCN3 & REPAIRS ROUGH Mu.L /0--/- - % % State Surcharge .50 Soa To* fiGk�ial9 Q TOTAL a = Dept. of B? -Igo.. Fho3►o 50.3.M Loxatia�+ City of Fridley: The undersigned hereby makes application for a permit for the work herein spectfied agrcrtng to de all work cn strict accordance with the City Ordlln=cft- and ruling of the Department pf Buildings, and hereby declares that all the f&cts and represantatiuns stated in this appbeaticn are true and correct. F'ridley, Mian 6' 1� . Owner Kind of Building - a Used asi-v,'�--e�✓!rA To he completed about OTJ Estimated Cost; S z" I�-New. Building Permit No. _.-._ parmitNo- or WORX HEATING or POWER IFLXA cNTS- Ste=Tt Hot Watwr Warm Air -No Trade Name Size No PRV Capacity . Sq. Irt. E.D.R BTU X.P Total Connected LoodRind of Fuel BURNER - Trade Name Sitz No — Capacity . Sq. FL E -D — BTU (ONA zs-.orsal n I SuB.,E& PERMIT NO. City of Fridley 32299 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. r F PROTECTIVE INSPECTION SEC. 60?0 1 � � NUMBER REV DATE PAGE OF APPROVED BY ..—I � CITY HALL FRIDLEY 55432 L J\ 612-571-3450 9t0-F15 11/2/01 JOB ADDRESS 5831 4th Street 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 I 5 1 Bennett Rgmdm Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tonia Motyl, 5831 4th Street, Fridley, MN 55432 763-571-3713 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dr. Remodeling, Inc., 15239 Fairbanks Trail NE Prior Lake, MN 952-447-7587 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20233533 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Window replacement 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform YYYXXXXXXXXXX Building Code. Caulking and flashing for all exterior openings. SEPARATE PERMITS ARE REOUIgED 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 $7,095.00 $3.55 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ISIONS OF ANY THER STA E OR LOCA LAW REGULATING CON- PION TION OR THE P RFORMAN OF CONS CTION $153.25 Fire SC $7.09 CHECK FEE TOTAL FEE XPLAN `—_bkcenseASC L $5.00 $168.89 GNATURE OF CONT ACTOR O s f+ORi2ED AGENT DATE. W N PROPERLY VALIDATED THIS IS YOU PE MIT T J a S.GNATURE OF 0VYQrA0F OWNER BUILDER. .DATE. DG .NSA i,T E I FROM : D FAX NO. : Nov. 02 2001 10:41AM P2 MM -02-2001 08:58 FPO9l [ITY OF FRIDL=Y TQ 952746697? P.01/04 NEW (I Eftetive 'L/V 2001 ADDN CITY OF FRIDLEY (763) 6'I" 2.3804 ®1dg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICAVION Construction Address: 1 414�1? 61 Legal Description: Owner Norne & Address: 7f::R Attach to this application, a CertMade of Survey of the lot, With the proposed owstructieon drawn on It to sale. DESIOMPTION OF MWIROWMENT LIVING AREA: Length Width Hei;i t_ Sq. Ft GARAGE AREA; Length Width Height Sq. FL DECK AREA: Length Width Hgrkound _ Sq. Ft. OTHER; Construction T,V 1. 1G�6Cell�rrated Costs. 1015-00 Driveway Curb Cut Width Needed: Ft + t $ Ft x S = g CATS off -APPLICANT: %r TLx 7J�( CITY USE ONLY - Call�M 2.3604 for Permit Fem E nailing In application, Permit Fee $ — Fee Schedule on Reverse Side Fine Surcharge $ C>! .001 of PerrntValuation (111Qth%) State Surcharge $ 3.,!;!;- $.501$1,000 N1aluation SAC Charge $ $1150 per SAC Unit Lioetise Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ AIL "A" or Alt "8" Above Erosion Control $ $450.00 Conservation Plant Review Paris Fee $_ _ t=ee Deterrdned by Engineering Sawer Main Charge $_ ____Agreement Necessary j ] Not Necessary ( ] to TOTAL $,I S11PUL4MONS: SUBJECT P City of Fridley 33075 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SECLE r E E NUMBER REV DATEPAGE OF 19/11/072/ APPROVED BY CITY HALL FRIDLEY 55432 L J ` 763-571-3450 910415 / JOB ADDRESS 5831 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 12 5 1 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tonia Motyl 5831 4 Street NE 763-571-3713 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Merit Building Co Inc 2520 Coon Rapids Blvd #120 Coon Rapids, MN 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-323-7363 20271430 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW 0 ADDITION O ALTERATION 0 REPAIR 0 MOVE 0 REMOVE R 8 DESCRIBE WORK Install glass block in bathroom opening for window; fascia & soffit; insulate attic 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Bathroom must have openable window or exhaust fan provided. Permit inspection Cards will Be Mailed To Homeowner To Post 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 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 $4,620 $2'31 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 PLAN CHECK FE TOTA EE Licen S $5. 23.18 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT tOATE- NOP ALIOAT HIS IS Y U�ERMIT nJ- _ S.GNATURE OF OwNERof OWNER BUiLOER. iDATE� BLOC c Z MATE NEW I l CITY OF FRIDLEY Effective 1/1/2002' ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �D �) y h + IV Legal Description: Owner Name & Address: `7®h i (a_ M0 ±w i Tel. # 763-5-11 -3-713 Contractor m-eri 4 5oi 1 (9 l ►Ica e17 . I n c MN LICENSE # ZO 7:1 I Q 3 Address: _ 52C) ' 6w n fa p i d� bi vd 1 ZU, (&)n(� �P,� In Il Tel. # 7633 23 --7 3 (o 55 Ll 3-3 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: Length Width Hgt/Ground Sq. Ft OTHER: replGce bakh rrn to �'ndUw w/ 314,55 biotic. %lPn4— Construction Type: insu 1 a- e- 44k—ea ver 4/ c; u 4.sa#'tf stimated Cost: $ 4 (o ZQ `® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 9 -9 v APPLICANT: (sl ► y" Tel. # 7&3 -3 Z3 -73 6 3 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ I I j. 7-5 Fee Schedule on Reverse Side Fire Surcharge $ Il o (0?- .001 of Permit Valuation (1/10th%) State Surcharge $ 2. 3 1 $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ 5,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -6�)- $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ -t/� Agreement Necessary [ ] Not Necessary [ ] TOTAL $ Z3 0 1 STIPULATIONS: r APR ® 4 202 la I Y OF FRIDLEY INch'ti, i iuN DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: 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 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS CEZ /' 7 1�1- a' /V -,O—' 50 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. O Z Gox , 20 Owner _ 40 4 Building Used As. Estimated Cost lOy PERMIT NO. �Sr l 7 PLUMBING i SIGNED BY FAX # %G.?' '2f. r— Approved By ^— Rough -In Date Final Date TOTAL FEE PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNTVENT CONNFCTOR AND COMBUSTION AIR VFRIFICATION When raIng an aYic_ting furanca, 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 (1 No ( ) The venting system is plastiGPVC 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( ) No( ) The px"sting _nmhi,c+inn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a now enmhughon air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When jnstalling.a new vanting systam, 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 BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ HEATING CO: Signed By: Date: 3mmenclal/Industrial 1.25% of Value of Appliance or Work 0 it U v State Surcharge 3 .50 TOTAL FEE $ SS 5-D INIMM FEE FOR ANY HEATiRG/CODUNG/VENTILATUM TMGERATIOWAIR CONDITIONING PERMIT IS $25.40 LUS THE .50 STATE SURCHARGE a EINSPECTION FEE $47.00/Hr dr Conditioners can not be placed in a side yard without ritten permission from adjoining property owner. "I, LE 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. BLAINS HTG. ASC E'�.E INC. 15562 CENTRAL A ANOKA, MN 55304 HEATING C Signed 7T# If 1 - Approved By Rough -In Date Final Date �' L f 1718 AIR VERIFICATION � 311 TY OF f=RIDLEY INSPECTION DIViSION i o► �s s Effective On January 1, 2001 131 University Ave WE idley. MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, m i3-572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES a _ JOB ADDRESS_ � l � h S- AVE RATE SCHEDULE OWNER -IK2niG, asidential Rate TOTAL -urnace Shell and Dud Work, Burner • 30.0() O, LID BUILDING USED AS_ .&Siot2n« %Iso Replacement Furnace (Side Vent - Fill Out Back) $ $ C_ ESTIMATED COST IR �/� ` t� PERMIT NO. aas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF- FUJINACE AND OR'BURNER aas Range $10.00 $ No. of Healing Units Circle One (Steam) (Hot Water) arm Air) aas Dryer $ 10.00 $ -1— Trade Name Q�'Yren�i- Size No. KA BTU --, t3� HP MR - Air Conditioning • All Sizes $ 25.00 �� '� $ � Fuel Ajc4c.rc &4s Total Connected Load %it Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR 3mmenclal/Industrial 1.25% of Value of Appliance or Work 0 it U v State Surcharge 3 .50 TOTAL FEE $ SS 5-D INIMM FEE FOR ANY HEATiRG/CODUNG/VENTILATUM TMGERATIOWAIR CONDITIONING PERMIT IS $25.40 LUS THE .50 STATE SURCHARGE a EINSPECTION FEE $47.00/Hr dr Conditioners can not be placed in a side yard without ritten permission from adjoining property owner. "I, LE 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. BLAINS HTG. ASC E'�.E INC. 15562 CENTRAL A ANOKA, MN 55304 HEATING C Signed 7T# If 1 - Approved By Rough -In Date Final Date �' L f 1718 AIR VERIFICATION SEP -20-2001 14:53 FROM CITY OF FRIDLEY TO 7576701 P. 02/02 COMMON VENT MINT CONNECTOR AND COMBUSTION AIR 1JI:RIFICATION When replacing an exj2Uag furanae, the undersigned hereby verifies that the venting has been examined and is free from nest, deterioration, obstructions, and is securely supported and firestopped where required. Yes4 No C 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 -LAMA Category I Central Furnace Venting Tablas for fan assisted and natural draft appliances. Yes No( ) The existino combustion air is sized and Installed to meet the current codes and manufacturer's specifications. Yes-koNo ( ) When required to Install a new combustion air. it will be sized and Installed to meet the current odes and manufacturers 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 manufacturers spec iftations. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft apprances. Yes K 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. Yedjr,4 No ( ) Appliance Type and ShWCommon gent and Vent Connector 4nformation Appliance #1 Type - fd1(/ICE'_ BTU Input Fan Assisted or Not/UCi� Appliance #2 Type BTU Input Fan Assisted or Nat Axe+ Appliance #3 Type BTU input Fan Assisted or Nat Total Appliances _ Total Btu Input 0_ 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) OLAINE IST,3, ANOKA, MN 55304 HEATING CO: Signed By: Date: 2LE21 TOTAL P.02 lwi&' G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 77 2003 Ms. Tonia Motyl 58314 Street NE Fridley, MN 55432 Re: Final Inspection at 58314 Street NE Contractor: Blaine Heating Air Conditioning Electric Inc Dear Ms. Motyl: A mechanical permit was issued on November 26, 2001 to install a furnace and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604.