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PRE 2010 DOCS0 0 Village of Fridley, Minn. BUILDING PERMITs-j�� �?� �° 178'7 Date: .. ..L..... .......... _ Ir" V4 x`r Owner ....................................... Builder /Z&./ . �.... Address ....W Address ...................................... Aeg�.4 5000" LO TION, OF BUILDING No . ............. Street ....... 5.�................ Part of Lot.................. Lot ... ........ Block ......4r.......... Addition or Sub -Division ..... s�� �?rd� .. --'/ . !.w.'.. f.4,7 Corner Lot ........... Inside Lot ........ Setback ... Sideyard ....4,141 ..................... DESCRIPTION OF BUILDING To be Used as: -;k- ... Front . ' rte.. Depth Height . "'j . Sq. Ft. ........ Cu. Ft. ........ e:........ Front Depth Height . `S . Sq. Ft. ........ Cu. Ft. ........ �% ® C7V Type of Construction i� i- e3.!? �. ... Est. Co?.,C. ............... To be Completed .................. 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 ip compliance with all provisions of ordinances of the village of Fridley. ............ 44 " In consideration of the payment of a fee of $/t. 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. . . Inspector .. ... . Building NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. • • • City of Fridley, Minn. BUILDING PERMIT Date: August 2, 1965 e5k 9�.6q N° 8297 Owner: Mr. Nick Scarcella Builder Andrew P. Gavel Cont., Inc. Address 6051 - 5th St. N.E.Address 2407 Washington St. N.F. Fridley, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 6051 Street 5TH STREET N. E. Part of Lot Lot 9 Block 2 Addition or Sub -Division Bonny Addition Corner Lot Inside Lot Sewer Elevation To be Used as: Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft Type of Construction Est Cost 500.00 To be Completed Repairs - Storm 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 and in comp th 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted m ANDREW P • GWEL CONST. CO 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 ��gg location, construction, alteration, maintenance, repair and moving of buildings wig city limit r-st permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN NOTICE: Ub perm@ does eel own dw eoeatroatien, inatapation for Wfrhm piamhteg, ges hesthkg, sewer or water. Be sen to see the Bathing Www ter ter separate perm1- for these ttmm 8 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ANDREW P. GAWEL CONTRACTORS, INC. OWNER'S NAME Mr. Nick Scarcella BUILDER 2407 WASHINGTON ST. N. E. Mit ADDRESS 6051 -5th St. N.E. ADDRESS LOCATION OF BUILDING N0. STREET PART OF LOT LOT BLOCK aZ 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 draww on these Certificates. To be used as: Type of Construction To be completed DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost � 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 'S� . %LC LL•&UILDER' 2� • V � ADDRESS 6'0 . / T �h S'� a A P e ADDRESS LOCATION OF BUILDING NO. �� l "t STREET S r CE f 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. DESCRIPTIOF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq., Ft. Cu. Ft. Type of Construction Estimated Cost 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). l� d j V -0 h� h a 5 4 `-e W h% A /3 t' G t,o -P Q� � /2 �y w i� r c •� 1 � o for ��41L G E d DR�vQralh y (a. 0 V— or Juae. 91.,' 165 To = '. "' The Fridley Couto"i]. ffia p©miaok M. SP araela r 6051 5th, Street N.E. ���y �� Fraley, Minn. 11163 6431 University Ave. N. E., Minneapolis, Minn. 55432 e BURDING PERMT �� • p3 -.- '64- Dater 4es teo 't, 19n Owner: Mike Zmada- Builder Address _602 -n -4th St=et X - Address. LOCATION OF BUILDING No. 6051Street Std B.Z. Part of Lot. - X.ot 11 Block - Addition or Sub -Division —ay -ft, pzmk Corner Lot _ Inside Lot Setback- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING - To be Used as: Front -!=r Depth Height� " Sq. Ft . Cu. Ft Front _ S1._ Depth e. Height -J- Sq. Ft 561 Cu,.Ft. Type of Construction Est, cost .fib To be Completed 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 Trr"da.. 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 ordingnces 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. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Se sure to tae. the Building Inspector for separate permits for these items. 410 W. LAKE ST. GAS DESIGN 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-29980ST. �'�'�-� PAUL, MN 55101-3892 612/824-2656 HEATING AND AIR CONDITIONING CO 612/7 72-2449 MODEL -Serving The Twin Cities Since 1930- P �- Cid . BTU RATING INPUT ORSAT TEST RECORD _MAX. MAKE OF FURNACE ADDRESS � ��3 Q � � . CITY M� CQ( MODEL OCCUPANT OWNE io mf�Viced ak- DATE HTG. INST. INSTALLED BY A +ffak rj0 LIMIT �T GAS LINE BY TYPE OF HEAT: GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER PRESSURE IS" PERCENT CO2 10 DATE TESTED (� INPUT CFH ",S PERCENT 02 jo STACK TEMP. #450 PERCENT CO NAME OF TESTER GAS DESIGN CONVERSION MAKE �'�'�-� MAKE OF BURNER MODEL co' Lk 4 ens( �(l� MODEL SERIAL O (900 01 d 3- P �- Cid . BTU RATING INPUT _a 2S, (966 _MAX. MAKE OF FURNACE CONTROLS MODEL THERMOSTAT �JVUJ WC HEAT PLUG m , VENT SIZE �( VALVE MID KING OF LINER SIZE NONE LIMIT DRAFT HOOD REGULATOR Ara LIMIT SETTING CHIMNEY CONSTRUCTION FAN SETTING Y0s 0661 DRAFT , TEST TAG ouj CollL -r PILOT TYPE !;Pd -v, kc LIGHTING INST. & PILOT MAKE PV V"&) PILOT MODEL PILOT TIMING sfrm '� PRESSURE IS" PERCENT CO2 10 DATE TESTED (� INPUT CFH ",S PERCENT 02 jo STACK TEMP. #450 PERCENT CO NAME OF TESTER OF SUBJECT IT NO. City of Fridley 26 57 4 AT THE TOP OF THE TWINS BUILDING PERMIT 1-7 ______ COMMUNITY DEVELOPMENT DIV. ~ -- PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J\ 612-571-3450 910-F15 7-13-98 JOB ADDRESS 605 1 5th AA�'_ I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nick Scarella 571-4342 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. LaFrance Exteriors, 342 McKinley, Anoka, 55303, 712-1090, 20081887 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING XROARMIX (X( Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION 01 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Re -roof house & garage - tear -off (25 Sq) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $2,085 $ 1.04 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 F 4 e SC $ 2.08 STRUCTI OR TIF PE FORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT FEE Licens C $5. $82.87 SIGN'TU FICbK RACTORO UTHORIZEDAGENT IDATEI OpE LIDA THIS IS YOUR PERM I 27-P, 1�f SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI - BLD INSP DATE OF NEW [ ] Effective 1/1/98 ADDN [ ] CITY_OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: i0 It n' UPC— � Legal Description: Owner Name & Address: s c o tte 1 ( Tel. # Contractor: LA �`v /C'C�' MN LICENSE # Address• .' �%� A4,c /c/av e4It Tel. # Attach to this appliEation, 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,,✓✓��rrrr Width Hgt/Ground S , Ft. OTHER: �4.��y%C�—'�t�cC V - Construction Type: Estimated Cost: $��C (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: !.S - "I APPLICANT: h,�k0—P e, Tel. # CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ Q c .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PE 27320 r • ______ COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. F � CITY HALL FRIDLEY 55432 IL'""Jl•f ,'� 612-571-3450 R NO. NUMBER 910-F15 REV DATE 8/20/98 PAGE OF APPROVED BY 10B ADDRESS 6051 5th Street NE I LEGAL DESCR. LOT NO. 9 BLOCK 2 TRACT OR ADDITION 1 Bonny Addition SEE ATTACHED SHEET 2 PROPERTYOWNER MAILADDRES.5 ZIP PHONE Dominick Scarcella571-4342 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner x7&2auvft -- 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 a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rebuild chimney 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU. FT. '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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $975 .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- STRU TION OR T PERFORMAN CONSTRUCTION. $32.00 Fire SC .97 PLAN CHECK FEE TOTAL FEE 33.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PPROPERL LIDATED THIS IS YOUR PERMIT BLGICINSP -g MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEV'r' [ ] Effective 1/1/98 ADDN] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Q P 3 _ JJa ConstructionAddress: /— Legal Description: Owner Name & Address: �� y X92 C ��Cy� Tel. # %/ Contractor: 29i 7c -L &Z4,0, --1o9 �-C' MN LICENSE # Tel. # Address: 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: C Construction Type: i�bk)� �_�stimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. +, t = Ft = $ 0 DATE: ` lot rL/OEM d Permit Fee civ $ 2 Fire Surcharge $ q State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ y . STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] • CITY OF FRIDLEY INSPECTION DIV. ` Effective On January 1, 1999 6431 University Ave N Fridley, MN 55432©� ®�APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 1" 572-3604 PLUMBING FIXTURE RATES: 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 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 1§0 TOTAL FEE $_ I! JOB ADDRESS !S� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the ci odes and rulings of the Building Division, and hereby declares that all and representations stated in this application are true and correc %yj . aese dck) / Owner Zln Vt� INS c� Building Used Estimated Cosh PERMIT NO. WGUIRE & SONS PLUMBINOMPANY ms 19th_ Avenue South Hopkins, MN 55345 SIGNED BY TEL N0. Approved By 4 Rough—In Date Final Date i b3 MINIMUM FEE fOR ANY PLUMBING/GAS PERMIT IS PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 1 CriYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 7, 2003 Mr. Dominick Scarcella 60515 Street NE Fridley, MN 55432 Re: Final Inspection at 60515 Street NE Contractor: McGuire & Sons Dear Mr. Scarcella: A plumbing permit was issued on October 9, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing 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. DJ/mh CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $,10.00 $ $ 10.00 $ d0J' $ 25.00 $� State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property own-/ Y_fp $ .50 Effective On January 1, 2002 JOB ADDRESS CD05-1 6 � � Ak E, OWNER ZLre_ /-S BUILDING USED AS ge3%�i`�✓[ ESTIMATED COST �� .'C"& PERMIT NO. LL DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Unitsircle On (Steam) (Hot Water) (Warm Air) Trade Name � -4-161- v e-4 Size No. BTU -3a.0—a�P EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR 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. DATE -fie) - HEATING CO Signed % TEL # FAX # Approved By Rough -In Date Final Date! in FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED rAMMQN VENT, VFNT rQNNFCTQR AN[] r.QMR1 ICTIr1N AIR RMC TIBN When ■_r Ip a -ino an Pyisfing furannia, 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The PYA og-Oingrnmh„stino air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to Install a new _nme ,etinn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new ventingrys m, 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( ) AApp lance Tyne and Si p/Cnmmnn Vent and Vent Connector Infarmatinn 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 : ' 1 ..CITY OF FRIDLEY INSPECTION DIViSION '�l Effective On May 10, 19991, 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND.HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION .AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS � 1 ""' �� �� AJF RATE SCHEDULE ,. OWNER,�'e I �f Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS-�rc Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST '�X PERMIT N0. 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 One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name ' Size No. *Air Conditioning All Sizes 25.00 C BTU HP EDR - $ $�'1 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% 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 a State Surcharge $ 5Q ' rulings of the Building Division; and hereby declares that all the facts and representations stated in this application are•true and correct. TOTAL FEE $ . MINIMUM FEE FOR ANY.HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HE TING CO �' 9 _ti ATE 1 1/4 Approved By � Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT F AC 0 . . « CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or.stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O No (' ) 3. Has no foreign objects lodged within. Yes O No { ). 4. Is securely supported Yes . () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No () Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: O CITYoF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 8, 2002 James Freichels 6051 6th St NE Fridley, MN 55432 Re: Final Inspection at 6051 6t' St NE Contractor: Anderson Heating & Air Conditioning. Dear Mr. Freichels: A mechanical permit was issued on February 21, 2001, to install 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, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. 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" 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. DJ/ls