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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 3661 Date: .. o ... ... ... ..... ............ =. Owner ................................ ...... ....... Builder ................... ...... .... Address ...................................... Address ............................................. LOCATION OF BUILDING No. .�`� Street ....V......� :.r Part of Lot .. ...... Lot ..... ..... Block .... � ........... Addition or Sub -Division ............. Corner Lot .. ,i(....... Inside Lot ............ Setback 3J 7—'07. Sideyard ................. DESCRIPTION OF BUILDING To Use s .er .............. .... Front if; Depth .�..G�.. Height . f. ,%—® Sq. Ft f �.�4'.J. Cu. Ft. `�..f*%.% .................... Front ........ Depth ..... .. Height ..�_. Sq. Ft....... . Cu. Ft. ........ Type of Construction ................... Ast. C � ® 0 . ®....... To be Completed In consideration of the issuance to me of a permit to construct the building desribed 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. V .................................................... In consideration of the payment of a fee of $ R... f .., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ ......... Byilding Inspector 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name. -� :; e"F' iALd I P.A�ta A10�' Builder Address •��' ��Address LOCATION OF BUILDING No.�1 StreetFort • of Lot Lot Block Addition or Sub. Div.►.'� �� Corner Lot Inside Lot Set Back Applicant attach to this form Certificate of Survey of Lot and.proposed building location. DESCRIPTION OF BUILDING To be used... as. we Front %' t Depth__Height e Front Depth ._._.___N-ight Sq. Ft. Cu. Ft.._.._�.._ Type of Construction _ _.FRIA,& C-' :. 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 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. Date � -- `�� Signature �i� :' . 611 (A Schedule of Fee Costs can be found on the Revers' Side) Lli Application for Power Plants and Heating, Coaling, Ventilation. Refrigeration and Air Conditioning System and Devices -� PARTIAL RATE SCHEDULE DepL of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Location �E- 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 'F erry Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 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. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 840 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR 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 BTI) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM 1 $ 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 hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Min- ' � 195 owner., f 195_ Kind of Buildingr 195— Used as To be completed about Estimated Cost, r Old-44ew.yBuilding Permit No - DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, arma4ir— Trade Name i Size No ;�—e'' — epo Capacity r7 -b Sq. Ft. EM.R Total Connected Loa d_L'.—� Kind of Fuel BURNER — Trade Name 4aG ��-Size No Capacity Sq. Ft. EM.R BTU H.P. Sign a ag�ll POST 1M-8-58 Business Phone City of Fridley, Minn. BUILDING PERMIT o N.(ALI ij Date: __✓�_ __._ Owner: .,,- �:.;.�i :�...? Builder ....._..__._ ............._...._.... �..._......_ _......._....__ _.._.._- _— _ _.... Address �`_""0-0 .,t Ar. ._ Address _�___ _... 0T? T O OF BUILDING No. w "- ,r! • -... Street - I -.._..s ................ ........ _..... Part of Lot ..................... ....__ .._...__...._......_. // Addition or Sub -lei 'on _.. o Lot...._..._�/.............._........ Block ....._....... _G2.....................- ---- Corner Lot ................A .. . `....... Inside Lot---.._.......---------.------------'9hback.��?`:.. �.. Sideyard ... �..._. SewerElevation .... .................. _..._...._......._...___........._.........._._......._...._..._... Fo dation Elevation .... ........................ ... -...... .... _......................... .............. DESCRIPTION OF BUILDING Wse . as,,,, .. ..- . ,,p�ryry Q,. t.... Front ..._. -.. Depth ..._.. Height ..ts'...._.. Sq. Ft... _.1�J Cu. ...._.............._............._...................... Front ...................... Depth ....._.._....... He�*ht ................ Sq. Ft......_............._.. Cu. Ft. -.._............._.. Type of Construction ... Est. Cos ............................... To be Completed .................... ............. .................. dVT AUTHORIZE VFOLAT. LAND OOVENANTS AND J,L���f�� In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of permit is hereby � - •-• Y granted to ........ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents,'employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. !") A A /i Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name k a ,, L .8 dAJG—moi..— Builder � Address % O / Address LOCATION OF BUILDING No. Street 2572 Part of Lot Lot Block �^ Addition or Sub.Div,© G Corner Lot, Inside Lot Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To b® used as-.':,`� Front � 7 Depth Height, 1®.. .._ 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE % L9 SIGNATURE ✓ 1 ���� 1�� .(A Schedule of Fee costs can be found on the Reverse Side.) m !®T 0 0 Date: July 27, 1967 ,• Ken Belkhom City of Fridley, Minn. BUILDING PERMIT Builder Same Addrm _5870 - Sixth Street Northeast Address Same _ LOCATION OF BUILDING No. 5870 Street Sixth Street Northeast -_ Part of Lot Lot — 1 _ Block 6 Addition or Sub -Division ._ Bennett -Palmer Corner Lot — x — Inside Lot Sewer Elevation To be Used as: Setback --_ Sideyard 1 17 a c Foundation Elevation DESCRIPTION OF BUILDING 93'76 Garage Front Depth Height 10' Sq. Ft 3 08 ca. Ft Addition to HouseFrontDepth Height 201 sq. Ft cu. Ft Type of Construction Wood Frame Est Ott $3500.0 _ _ _ _ To be completed . Jan. 1,- 1968 Garage is draw on the survey of Building Permit # 3661 - Jan. 27, 1959. 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 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 18.00 , permit is hereby granted to Ken B el kho 1 m 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 Ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiuga within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances CLARENCE BELI SLE Building Inspector NOTICE: This permit door not cover the construcdon, installation for wiring, plumbing, sac heating, sower or water. Be core to see the Building Inspector for separate permits for these boon. APIMICA IQ. -1 FOR 3?IIID ING ?M1 2N tT Cs'.ti'Y OF n" 5. D XZ,, NINNESOTA OWNER'S NAME BU -J. -DER ADDRESS ,S -,i O ISI ADDRESS LOCATION OF BUILDING NO. Sg % STREET (y PART'OF LOT LOTBLOCK 1 ADDITION OR SUBDIVISION CORNER LOT x INSIDE LOT SETBACK. SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used Ad: DESCRIPTION OF BUILDING Front Depth Height we �. 30941, Sq. Ft.A" Cu. Ft. Front Depth Height- . Sq. Ft. Cu. Ft. Type of Construction ! "i 0 8 yp ^ �.(� j_tk4 ,�-�— Estimated Cost ���iU. 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. DATEa / l� SIGNATURE_ _'�o��� (Schedule o -Fee Costs can be found on the Reverse Side).. City of Fridley Application for Plumbing and Gas Fi ing Permit Dept. of Bldgs. Phone 560-3450 i DESCRIPTION OF WORK �'�- 9 '7c-) Number, Kind and Location of Fixtures Location 'e I12 m NO. RATE TOTAL -; d� Z F Number Fixtures Z ���O Z O W Future Fixture Opening ................ U' Z • F • N WATER HTR. GAS ELEC Base x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL -; d� "G eJ Number Fixtures Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... . ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ............. I............ Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- > %/y , 19iu Owner4f�,--,v��7s Kind of Building / Used as To be completed about Estimated Cost, $ � Old—Nese. Building Permit No f� Permit No. 5igneazll e �2�IPYL"�rlerr ��� By = -/-- Business Phone No b `2 Q ` 3 ROUGH FINAL Description ................................................$ TOTAL FEE 4"")az SUBJECT PT138215 City of Fridley.AT THE TOP OF THE TWINS PERMITRE BUILDING COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. le 1 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 10/14/76 JOB ADDRESS 5870 - 6th Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. l 6 Bennett -Palmer SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ken Belkholm 5870 - 6th Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. sEPERATE PERMITS REQUIRED FROM WIRING, HEATINGr PLUMBING A"D SIGN. " TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 5200 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z 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. $3,848 $1.92 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- $20.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $22.72 SIGN RE CONTR RAUT T (DYE) WH PROPERLY,VALIDATED THIS IS YOUR PERMI BLDG INSP ATE I ATURE OF OWNER (IF OWNER BUILDERI tD CITY OF FRIDLEY APPLICATION FOR RESI DENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S I E : z / J BUILDET.: ADDRESS: ADDRESS: II ^ 1 TEL. NO. . WO:. STREET: l9 11JJ 'CTP-(�L'C- LOT : I BLOCK: ADDITION: �FMW—T—i CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Gertificates. DESCRIPTION OF BUILDING Troy Be Used As: Qt� � , Front: Depth: aG � Height Square Feet: 5-,a0 Cubic Feet: 1 t2o • Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: D© ,Estimated Cost: •To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE• (See Reverse S de For Additional Informat on.) al ; 0� *90410 NIIN RC0.4)INce ENGINEERS AND SURVEYORS LAND SURVEYING SOILS TESTING CIVIL & MUNICIPAL ENGINEERING LAND PLANNING - G418 -SGT" AVENUE N. MINNEAPOLIS 'M MINN. KE 7- 3637 � �.' q�1� 11 � 111t1� 1� ��. 1� IF �� �� t!�`II'1�►� I ,e Al�W/4 x 4.... J .1 ii . v ? •--. aIj "4;--- IIr f� J , - J r� r .. / i Lh. - /Iv.`�_.r.14, Ai•^• WE HEREBY CERTIFY THAT THIS 1$ A TRUE AND CORRECT REPRESENTATION OF A SURYEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION of ALL BUILDINGS, IF MY, THEREON, AND RLL VISIBLE ENCROACHMENTS, IF ANY, FROM, oR ON SAID LAND. MINDER ENGINEERING CO., INC. ' ^wT6D TMIS_,_„��D/.YOF -°' 4 A.0.19j ', ENGI"EERS AND sv"ayOR5 J tri G.� '._ �• y r "4;--- IIr f� J , - J r� r .. / i Lh. - /Iv.`�_.r.14, Ai•^• WE HEREBY CERTIFY THAT THIS 1$ A TRUE AND CORRECT REPRESENTATION OF A SURYEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION of ALL BUILDINGS, IF MY, THEREON, AND RLL VISIBLE ENCROACHMENTS, IF ANY, FROM, oR ON SAID LAND. MINDER ENGINEERING CO., INC. ' ^wT6D TMIS_,_„��D/.YOF -°' 4 A.0.19j ', ENGI"EERS AND sv"ayOR5 J tri G.� '._ �• SUBJECT City of Fridley 2 6 47 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. /, _ L PROTECTIVE INSPECTION SEC. �G�//"l/// NUMBER REV DATE PAGE OF APPROVED BY `"'1 CITY HALL FRIDLEY 55432 IL ---- ll, 612-571-3450 910-F15 7/7/98 JOB ADDRESS 5870 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Blick 5870 6 Street NE 574-2154 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (36 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERIN IS TYPE OF WORK WILL BE COMPLIED WITH WHETVFIOR THE GRANTING OF A PERMIT $3,002 $1.50 DOES NOT T ITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OR LOCAL LAW REGULATING CON- Fire SC $3.00 STRUCTIE OF CONSTRUCTION. $99.75 QO PLAN CHECK FEE TOTAL FEE z. License SC $5. 0 $109.25 SIGNATURE OF CONTR R OR AUTHORIZED AGENT IDATEI WHEN/p�PROPE VV-A/LI//yDAATED THIS IS YOUR PERMIT BL )NSP BATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI I-- NEW I ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �P�� ConstructionAddress: 5 6 %6) Jr— 71° ��� Legal Description: Owner Name & Address: Tel. # Contractor: ✓ I A)C' 5 r , S � �� C� �J1� MN LICENSE # o?C),O ��01 Address: /4 c�rsFril, c 1�/��, `YI aU �� �rdve , 3�3// Tel. # e✓/L - �% S� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 36 - �b Construction Type: - 6 , /e ov F Estimated Cost: $ � � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ ,A = $ DATE: 7/7/- - �l APPLICANT: / Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $� $ $ L6!2' Z�5- 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 [ ] ,��VLo - � si �,Y- Date: January 25, 2002 To: City of Fridley Building Inspection Division From: Gregory S Block 5870 NE a St. Fridley MN 55432 763-574-2154 Re: Placement of exterior central air unit I Marge McGuire have been informed of my neighbor's intent to place a central air unit on the south side of their home. They have talked with me and I am in agreement with this. I am aware that this puts the air-conditioning unit near my bedroom window. Signed, 763-571-3694 4? (�c� aITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NIIMRFR OF FIXTI IRFS Tn RF INCTAI I Fn r1N FAr_u 9:1 nr1R Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: 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`* NO. RATE 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 $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS 54NC i -S 6W01E 12-- The ? State Surcharge $ .50 TOTAL FEE $20.550 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. BLOCK, KAREN/GREGG 5870 6TH STREET NORTHEAST FRIDLEY, MN 55432 (763)574-2154 Owner- $15.00 wner_ Building Used AsCeC, I /23 _12002' Estimated Cost _ PERMIT NO. PLUMBINGCOMPANY OrkC!QM PLO AJ(j � SIGNED BY � TEL N0. IZ- Approved By A&Rough-In Date Final Date �'O0) COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE CR • Y � ., t ' RSR • - ® � R � �® PLUMBING FIXTURE RATES: 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`* NO. RATE 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 $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS 54NC i -S 6W01E 12-- The ? State Surcharge $ .50 TOTAL FEE $20.550 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. BLOCK, KAREN/GREGG 5870 6TH STREET NORTHEAST FRIDLEY, MN 55432 (763)574-2154 Owner- $15.00 wner_ Building Used AsCeC, I /23 _12002' Estimated Cost _ PERMIT NO. PLUMBINGCOMPANY OrkC!QM PLO AJ(j � SIGNED BY � TEL N0. IZ- Approved By A&Rough-In Date Final Date �'O0) 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 manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace 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-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 : M1 Oeb-i bDrQD--10 -ITY OF FRIDLEY INSPECTION DIVISION Effective On May 10, 1999 5431 University Ave NE =ridley, MN 55432 APPLICATION TOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 372-3604` REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00. $� (Side Vent . Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range. $ 10.00 $ Gas Dryer $ 10.00 $ 'Air Conditioning - All Sizes $ 25.00 $35--00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 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. JOB ADDRESS_ �� OWNER_Vin OCA _ BUILDING USED AS— E S ESTIM -TED COST rkJ � CC) PERMIT NO. ILI% DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm ir) Trade Named (�� Size No. lCr BTU, ACX) HP EDR Fuel_ Total Connected Load J , 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 ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DEP1VMMARQX"-!NC- 261 OEM RAPM WU"AJW C N RAPIDS, Md 55433 HEATING "/- 12 757040- — Si�r� Approved By Rough -In Date Final Date _ CHMMY 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). No ( ) 3. Has no foreign objects lodged within Yes) 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 "7l? &&0 All other BTU's '7-f Y&C TOTAL BTU's /0.2 sow 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes ) No ( ) Remarks: 94 o -or List ALTEMTION_ Skein Done: rryt T7 C? eii P - a HEATING CO: Signed By: Date: DEPENDABLE INDOOR AIR QUALITY, INC. 2619 COONASS BOULEVARD COON RAPT 55433 JAN -18-02 FR I 08:-12 PM DREYER, ROBERT 7554937 P.03 RIGHT -3 LOAD AND LQUIPMI-a`,'T SLMMARY File natne. 5870 f t h St For. By: blinnegasco WiN'11iR DESIGN CONDITIONS COOLiNo OLtside db: -20 Deg F Inside db 72 Deg F Design TD. 92 Deg F hT,AT'INIG SUMMARY 31dg Heat Loss 50277 13tuh Ventilation Air 0 CFM Ven: Air Loss 0 Btuh Design Heat Load 5a277 Btah INFILTRATION Method Simplified Construction Quality Average Fireplaces 0 HhATING EQUIPL¢_NT S UhA IA.RY Jcb M Wthr Minneapolis! St._Paul AP MN ?one Entire House _ SMSDv11 R DESIGN CONDIITONS Outs,*de db: HEATING COOLiNo Asea (sq. It.) 1000 1000 vohne(CU h.) 5000 5000 Air ChangesItiour 1.0 0.5 Equivalent CFM S4 42 HhATING EQUIPL¢_NT S UhA IA.RY Jcb M Wthr Minneapolis! St._Paul AP MN ?one Entire House _ SMSDv11 R DESIGN CONDIITONS Outs,*de db: 95 Dcg F inside db: 72 Deg P' Design Ti 23 Dcg F Daily Rgage M Btuh Rel. Hum.: 50 Deg F Grains Rater 33 gr SENSIBLE COOLD G EQUIP i.OAD SIZWG, Stn:eture 2 0 x 2 9 Btuh Ventilation 0 Iituh Dcstgn Temp. S%iing 3 . C Deg F L!se Mfg. Data n space Thennostat Rate/Swirg Mult 1. JC Total Sens Equip Load 20829 Btuh LATENT COOLING F-Qtltp 1.0_AD 817,,WG Internal Gains 920 fitLh Ventilation 0 Btuh Infiltration 93'7 Btuh To: Latent Equip Load 1857 Btuh Total Equip Load 22686 B+uh Make Model Make Type Mode! Type COOL•LNO EQU:PMENf SUMMARY L:tllciency / 11SPF Heating InputCOPMER/SEER 0.00 :. C 0 Beating Output 0 0 Btuh BtuhI Sensible Cooling 0 Btuh heating Temp Rise Actual ideating Fan 0 Deg F atent Cooling Total Cooling 0 0 13tuh Htg Air Flow Factor 1114 0.022 CFM CEM/Btuh Actual Cooling Fa -r -114 Btuh CEM Cl Air Flow Factor g 0 , 053 CFM/f3tuh space Thennostat Load Sens Heat Ratio 92 MANUAL J. 71h Ld RIG[ff-J: Vl 3.0.-'4,%/N 12076 Printout certified by RCCA to me, -t a u requireMcnts of )&nual Fonn J From: unknown Page: 1/1 Date: 5/15/200811:49:50 AM Z Ir✓ BURCEMg BINDING Permit No.: 7 Inspections RESIDENT APPLICATION x VedQy: � 763-572-3604 COY OF DLEY 763-502-4977 FAX W"MM 1-14A YOUR &MAIL AUDRM srrs AnUw�s _ � '1.1 TIAIS APKXANr M- DOWNER J890WRACIOR. P Wp=TY 0WNW NAM. Kc, �k 'y"ENANT ADORFSS; o I , �{ STATB {�TlP pNM. E; s CONTRACTOR NAND: d AMRESS: _jr ctz�r s'raTe, L1P SC1BiuIIT A C DPY OF PRONF. Lf n W Si0 qaS 16 FAX YOUR STATE UCENS$ °jon Lbul ry STATE I,FiCt I - W 0 ( EXP DAT.6 _ PROMTY TWE a Wi1.E FAMMY/NEW CONMUMON SIZE O TWOFAhMY/NEW CONSFRUMON STORIES PERMIT TM O 00ARAGSWOD 4"VO m 13 BASSUM PEEVISH a DECK Arswm Q �E D !L TYPE OFVMRK- ©NEW HOME CONOMWTION n AMMON D MAWMANCERRAER ❑ ftmV cram DFSCR173F WORK BsM DOt SIZE OF LIItii= WIDTH FEST SQFT RODEM E3 HOM ON.LX I UMM OF SQUARES O ROMA OARA09 I. adeting Flax Ptah ftABASRie'I 13 A1TACM0ARAGE 2. Propylsoarplan p? wpcP =SIZE: O DBI'ACABD GARAGE 3. List ofSbUcbA i members tobe used PROP05P.DRW0 r FOR EDW WNS RUJC'f= JNCLUDE1Vti DE= � Alamoimm � i, Site f bwsurny tiro edis ft s O Ottir.s 13F=4 andpi 2. t`vp phare � 3. B=gy Cetcutattona G OKit QS qrW talo LOCATLO& OF WINDOW" OR FOR NWOPENiNGS-DESCRIBE SUE OF to O.P.BIVM CHANGES a TYPE OF WRWO ►TO BE ]NST lit OP WRtDM ALL tr aam A z sAmu SEK vAwA-vIoN, INCLIJDI[m TIRE COST OF LABOR AND MATERIALS: 'I'AL JDB VALUATIONS ti7SII�tG TRE 1W UBC FEE SCHEDULE) -tMANCY TYPE Petrrdt Fee $ 3-11'.295 See Hack Page far FiM 8411e6le Plein Review S 6916 r fBiz11 ft Permit Fee Fite smhap $ e 30 .001 times the total jab vaim don Stec, hwv $ L L .0005 x Permit VabAdi t J. mimm $.50 Lire S=ba p $ ® $5.00 (Sine Lk&r d Radde" Cotionam) SAC Chum $ $180 pec SAC Unit (Plans to MWCC fur deteRn oR) Cmb Cut Escrow $ ft + 6 & Ax $21 - S Etr sion Cool $ $450 Conse,'v Won Pbn Review Plnlc Fee $ Fee Deters AUd- by Eugin=kg sewer main $ Agreement ► ( ) Non Necesn y ( ) THIS IS AN APPLICATION FORA PERMIT NOT VALID UNTIL PROCESSED I hetebq epp� far a buihlmg Pmn+t e� i ra¢imoadedSe thst fhe iadwrraaiest ebavo is s G the wo=k criit ba in c�rdprmmrx wdtt ttro Sed codes td the C�r aFF[hJlay the Cmc Cadre; tied t mslm re! this is not s p=It tea wdy m sppU atim for a pmndt mid wwk b nA t¢ start wideast a P=konsft bin eewithtbi pm tbae�afatlararkwl+ict+ tvvieurNtdappiov�olp�ats. 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