PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERNIIT N® 3826
Date: ... .. `'� .. .�............ .
Owner ....................................... Builder ../..... ...... /...................
Address...................................... Address .............................................
r
A► / ION iO BU LDING
No. Street ..... Cly ...... .....�%G. Part of .... .... .. .. ... .
Lot . ,0,/...... Block ..../ ........... Addition or Sub -Divi cion of .. ... �:4 .� .. r .... .
ot�� �/O
Corner Lot ............ Inside Lot .../<...... Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as:
�� �
r w 4 gh ` Sq. 1� t. MOO Cu.� ..
,E�s3E� ...... Frost 7.� � Depth WYE Hei t�� .®. !�lX10.
.................... Front ........ Depth ........Height// / ... Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est Cost. ./1.�Q.P..': To be Completed ...................
In consideration of the issuance to me of a permit to construct the buil g degribed above, I agree to do
the proposed work in accordance with the description above set forth compliance with all pr ons of
ordinances of the city of Fridley.
. L/...............%�........... .........
In consideration of the payment of a fee of $. ......, 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.
NOTICE:
This permit does not cover the construction, Installation or r4teration for wiring, umbing, gas heating,
sewer or water. Be sure to see the Building Inspector for SWarate permits for th items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Buil_ der
•� �___
Address � � Address _,.ea=af
_LO,PATION OF BUILDING
No4r_Z� Street — Part 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 us as
2- Front Depth
r,�.,Iieight
Sq* Ft. Cu. Ft.
Front Depth flight
Sq a Fte - Cue 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 representations stat/inns application
are true a correc
Date Signature
(A Schedule of Fee Costs can be found on the Reverse Side)
oif<�
City of Fridley
Application for P hnn ing and Gas F'riting Permit
DePL of Bldgs. Phone SII 4-77470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Loca3i
Oy(�Z-a
3i3
��
Number Fixtures ......................
3
eGu
r�TOTAL
$___[ �C.d
LLc
$m
a3
(�°d
d
(90
N
WATER HTR.
GAS
ELEG
Base
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
[
x
3.25
$
GAS FITTING FEES:
NO.
1st
1st 3 Fixtures ..........................
x
$1.50
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
2nd
3rd
4th
• Future Connection Openings I
New Fixture, Old Openings
Connected with
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
Number Fixtures ......................
x
$1.50
r�TOTAL
$___[ �C.d
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:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ o S-6
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.
'dley, Alin_ Gam% 19-1
Owner &2!e 19—
Kind of Building
1
Used as
19_
To be completed about
Estimated Cost, $ Z2-6 0
Old—New. Building Permit No- �� W.
Sign --e-,41)r
Byu�v�rs C/o�r�+-)
a
Business Phone No
11 POST IM -12-58
•
Date:
Owner;
Addres
City of Fridley, Minn.
BUILDING PERMIT
N® .'7444
Builder --'K'F9A=f 1'2!1 Z -
Address —
OCA ��'N F ILDING
No .�L�i.� Street ____1�9-��y--11, r.�� .._._... Part of Lot
Lot ___ __ Block
Addition or Sub -Di
Corner Lot _ Inside Lot ._. Act--' Setback Sideyard
Sewer Elevation Fo tion Elevation
DESCRIPTION OF BUILDING
Tr, U �j
e Front Depth �� Height Sq. Ft. �Ctfj f CU. Ft-
t Depth_C�e''` - Height Sq. Ft. — Cu. Ft.Constructi. :--------To be Completed
Type of on Est
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
ordinanc:ea oP the city of Fridley. _
In consideration of the payment of a fee of $ �, 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 aII respects to the ordinances of
Fridley, 1♦Rinnesota reg location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits andth s permit may be revoked at any time upau violal3o�of any of the provisions of said
ordlnanc m
NOTICE:
7W pun* does not corer the eondmedw, hwandkn for whfM plumbing, gas heating, sower or weer. Be sots to see
the Building Inspeeter for separate permits for thus Items.
APPLICATION FOR BUILDING PEP,MIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME GR Il F���e b /y% i�/iV BUILDER
ADDRESS 6 / 5-I 6 TA S %-• ADDRESS
LOCATION OF BUILDING
No. Street . Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot r/ Setback Side -Yard
SEWER ELEVATION FOAMATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
R1k Cy Front A �L Dapth X 4 Height
Sq. Ft. S d�3 - Cu. Ft. Sa p0
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_ 5— SIGNATURE
,,(Schedule of Fee Costs can be found on the Reverse Side).
_.. -4 0 6 d -
SUBJECT
PER
City of Fridley
o 16 0 37
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
r
ECEIPT NO.
` _____ COMMUNITY DEVELOPMENT DIV.
v
r 1 PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBERREV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
12/23/80
JOB ADDRESS
6151 6th St. NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
6
3 CONTRACTOR MAIL ADDRESS
same
ZIP
PHONE LICENSE NO.
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 X ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re-siding
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
1,000.00
5O
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 ANY OTHER STATE OR LOCAL LAW EGULATING CON-
7.50
STFTHE PERFORMANCE OF CONSTRUCTION.
STRUCTION OR
•50
PLAN CHECK FEE
TOTAL FEE
$$.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
y. W.EN PROP L
IS YOUR PERMIT
2XIS
BLDG iNSP
nA7E
SIGNATURE OF OWNER IIF NER LDERI IDA EI
CITY OF FRIDLEY
APPLICA'fI0'4 FOft RESIt)['NTIAL BUILDING PER111TS
(New, Alterations, Additions, or Repairs)
OW14ER: %; BUILDER:
ADDRESS: 6l5'/ Ey"h 5t ADDRESS:
TEL n'0: _5_71- 3 6 -6 -et TEL NO:
Construction Location '
STREET NO: G S STREET: 67-k St
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square. Feet:
Front:
Square -Feet:
Depth: Iieight:
Cubic Feet:
Depth: Height:
Cubic feet:
Type of Construction:
To Be Completed: C) s®
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $'�(��„�G'�
Alt. A Alt. B
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the tnrk'herein specified,
agreeing to d 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: C412 3"&o SIGNATURE:
' v
stipulations:
iv-171.ao
,
Q_ e-/d6S7
CITY OF FRIDLEY
RESIDENTIAL
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes)
All Others/Repairs and Alterations
14 of Value of Appliance or Work
y COMMERCIAL/INDUSTRIAL
lip 4
RATE TOTAL
$ 20.00 &r0
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $_
It of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE
Keinspection Fee ($15.00) $
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
ozd—
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address 6 4��/ L- `4 1�
Department of Building% 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. /571-3450
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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. /O!7 , 191"4
OWNER S',/'z� 'Q'
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. C/COc�
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade NamSize No. �1�JC� /�1 :9 - %S
Capacity Sq. Pt. EDR HTUIS HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
company
signed By
Tel. No.
Fill out back side for stack verification on replacement furnaces
CITr,; OF Y FRI DLEY
APPLICATION FOFF HEFTING REPLACEMENT
CHIMNEY AND STACK VERIFICATION
THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM.
LOCATION DATE /0116
OWNER ADDRESS
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from rust or deterioration
3. No foreign objects are lodoed within
4. That it is securely supported
5. That it meets all current Code requirements
for size and total BTU connected
6. Total Heating BTU 7 5
All Other BTU 3u� er C -5: -
TOTAL
REMARKS I
HEATING PERMIT #
SIGNED aft" d u
Licens
by- -1�
Address
UZ �r
Telephone
Fridley City License
o U - m � _ ®-Y 4 ngy,- ,r 1�T;, !� i7 E� "?� t➢'12�'!`LSL-'�,.-'J'� -•r—� -t,1 �2''�'s:+'
SEDGWICK HEATING & AIR CONDITIONING CO.
i ' 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (812) 881-9000
ADDRESS Sf d"Ist sc,
OCCUPANT Sl eV el Pi f C
SOLD BY s' c'
MAKE Levmo k' I
SERIAL NO. �V oka/ 4?/
THERMOSTAT U e 1
VALVE
LIMIT S evh� o
LIMIT SETTING I K0
FAN SETTING \�
PILOT TYPE
IGNITION MODEL
PILOT TIMINGIT-in
PRESSURE PERCENT CO2 740
INPUT CFH _S PERCENT OZ /S�d
STACK TEMP. PERCENT CO A/bh
FORM 235 (REV. 11/89)
CITY r1
HEATING JOB NO. god / /
TEST RECORD
OWNER C %!
INSTALLED BY S (GI L
MODEL 6- 20-9 3 E - 7S`"
IMPI IT -? �i b t o
11
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE it y ;_j—
NUMBER k
WIRING
TEST TAG
LIGHTING INST.
DATE TESTED u-21-90
COMPANY TESTING
5 e -J
W f C h
NAME OF TESTER
FORM Dll;AION:TE
COPY - JOB FILE YELLOW COPY - CITY
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appiiance or Work f7cza, ®p
Commercial/Industrial
1 % of Value of Appliance or Work
Rate
$ 20.00
$10.00
$10.00
$10.00
$10.00
State Surcharge
TOTAL FEE
Effective On January 1, 1995
JOB ADDRESS (o / S / (BM 51-/vt
The undersigned hereby makes application for a permit for the work herein
TOTAL 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,
/6- ,)C_� 1995
OWNER Ai z4, . ` ,- m 0-0_!�'.L r, AZ
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
BUILDING USED AS 4, -e, -
ESTIMATED COST 7-00®."7— PERMIT NO. S�
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name
BTU HP
Size No.
EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY 1('- 4ef-syn, Anal 24" .rte
Signed By_ RA, _L No. 7&Z-'T7d' Z.
Approved By Rough -In Date Final Date
FILL OUT BACK DE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: #1 through #8 required when using a side vent furnace.
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 ()
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
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* TIONS Being Done:
: // �y
,rA Is �n � ! �U i i / !LLA 1i � / / -.� y� iS (- 1 s 4/ Civ/
HEATING CO:
Signed By:
Date:
r. —
J
SUBJECT
PERMIT NO.
of Fridley
24539
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir?City
RECEI T NO.
• _ COMMUNITY DEVELOPMENT DIV
r PROTECTIVE INSPECTION SEC1-9
1
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/6/96
JOB ADDRESS 6151 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DescR.
I 14
1
Upland 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Steve DeGroote 6151 6 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
American Designers & Builders 2835 Central Ave NE, M ls., MN 55418 3887
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
788-2881
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 30' x 18' Addition
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plans.
WA
s'I'M digging
call
all Utility for
+ Jocatiois
SEPARATE PERMITS REQUIRED FOR
REQUIR��0'a
WIRING, HEATING, PLUMBING AND SIGNS.
8Y LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$32,346
$16.17
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 CION-
$421.75
Fire SC $32.35
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK F
TOTAL FEE
7- 9` �+�_
Li n SC .00
$475.27
SI NATURE OF CONTRACTOR OR AUTHORIZED AGENT �
N P RLY V I TED THIS..+S. Y UR PERMIT
V
LDG ,NSP MATE
SIGNATURE OF OWNER IIF OWNER BUILDER, IDATEI
J
NEW [ ] Effective 3/1/96
ADDN CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �13
Building Permit Application
ConstructionAddress:
Legal Description:
Owner Name & Address: �]`�,P �� G,"]e Tel. #
Contractor:01-sl r pel , Q MN LICENSE # 3h' 7
Address:
fo'l i -4
'.fS yle Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length -�g O Width Height �,� Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length _ Width Hgt/Ground Sq. Ft.
OTHER: Ale'". S�,4 410 :::AL- QTT a )
Corner Lot f 1 Inside Lot Dd Ft. Yd Setback 3,57 Side Yard Setbacks /d
Type of Construction: Estimated Cost: $ c/ ? "w. CX)
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - 2d, APPLICANT-1547c-�-
/ Tel. #�—
CITY USE ONLY -'
Permit Fee
$ Y)/,
Fee Schedule on Reverse Side
Fire Surcharge
$-
.001 of Permit Valuation (1/10th%)
State Surcharge
$ , /%
$.50/$1,000 Valuation
SAC Charge
$
$900 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:
s vLf'.zI
• a vn.�n�l'. • %VLLU' V NNLnNUL
U LU11YUTAI IUN
UWHER: ✓TP✓e- oe�SLea0
SITE ADDRESS:
CONTRACTOR: tM ��, SIPS/� P.a 9-674oldeti DATE:_
,�/ ��—`j >(
PHONE:
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA 6U
ft "U"
sq x
2. TOTAL ROOF/CEILING AREA...,.... YS o
sq ft x "U"
• O��i
��j!A
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor,,...... S'
sq ft
a) Total wall window area: t
Z61 c,,,, glazed...... •�6
sq ft hull
ullglazed......
x
-glazed ......
sq ft x "U"
a
Ulm
b) Total door area .........
sq ft x "U"
c) Total sliding glass door area:
glazed...... 4YU
sq ft x bull l
glazed......
sq ft x "U"
d) Total fireplace wall area — 0-'
sq ft x "U"
e) Total wall framing area�I
(Averaae l Og) .......... ��jS
„u,I
r 0/
3
sq ft x
s 1
f) Total net wall area above
floor (Insulated)....... :1 ? �.
sq ft x "U"
g) Total rim Joist area......
sq ft x "U"
.03
Total foundation
area (Exposed).........
sq ft
h) Total foundation
window area .............
sq ft x "U"
e
i) Total net foundation
area above grade........
sq ft x "U"
y
6
TOTAL a)
t h ru 1)
•
If item 'R3 is the same as, or less than item ,l1,
2 MCAR 1.16008 A and 0.
you have met the intent
of
Wage .1
TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed/�
roof/ceiling area........ 5' O sq ft
J) Total skylight area....... sq ft x "U"
k) Total roof/cellinq framing c L/
area (Average In%)...... � sq ft x "U" p�
1) Total net insulated Ir
roof/cellinq area....... `► � 6 sq ft x "U"
TOTAL J) thru 1)
f total of '4 is the same as, or less than 02. you have met the intent of
MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of•items #3 and #4 shall not be greater than the sum of items 01 and,02.
1. -76 + 2. 0 - %b
3. Ox + 4. � 3,
C E R T I F I C A T I O N
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the huildinn here described meets or exceeds the State
of Minnesota Energy Conservation Act.
r 4�9��
G c/
Slq azure
cp-— 9 -6
(Date) page 2
'OIISTRUCT I ON
'RIMING SECTION:
I Interior air film
3 — '4 Inch s sot woo
4 — 2S/-3 ;L 0,..1Vi 4e
S X10, J s V d).
& Exterior a r m
ECTION (INSULATED)
TOTAL R
R VALUE
0
I Interior air film x.68
2 / GYM
4 �I1'..�tc .06
S e e.. d 9- n J\ �7 b
�+ Exterior air Ilm .17
TOTAL R -a-
U - 1/R - ®c301
ST SECTION:
Interior air film0 6fi
X81 FIAZ --
e _ g (/
Exterior • I r f Ilm
L) '03
CONSTRUCTION R VAL UC •;w. ,.,; :�•
CEILINIi SECTION (INSULATED).
;.
I n t e f l O r a l r film
,: '•'
;;;
�• o. sem,,
3.
.r,'�
4 scterlorrai I Im Still
n
CEILING' FRAMING SECT1011t'.
' :�3•
2
5
I. Interior air filmMg
• �,._
3' ��,
;. �- �- �i�:.'.•
'VENTED
.
•
Interior-alr film
S nches $of t wood
TOTAL R
,
U I/it
IL
W
a
LL
0
u
CITY OF FBI DLEY INSPECTION DIV.
6491 University Ave NE
Fridley, MN 55432
572-3604
Stories
i.�l`?I�° Urinal
Basement
Y ,9Ef
Poor I
'.--';�=
Old OpeNng. New Fixture
1Nash
Floor 2
Auto.
Floor 3
Tray
Blow Off Basin
Floor 4
=;VK ==h`=
APPLICATION FOR PLUMBING ARID GAS FITTING PERMIT
PLUMBING FIXTURE RATES: NO.
------
BE INSTALLED ON EACH FLOOR
MARK NUMBER
OF FIXTURES
TO
'.--';�=
Old OpeNng. New Fixture
1Nash
Auto.
Beer Dispenser,
Tray
Blow Off Basin
>:k_ Shower
�c:�.
Rain Water Leader
$ 7 �
PLUMBING FIXTURE RATES: NO.
------
RATE TOTAL
3
$ 7:00 ?.
New Fixtures
$ 4.00$
Old OpeNng. New Fixture
5.00
Beer Dispenser,
$ 7.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7 �
SumplReceiving Tank
Appliance
Water Treating AP
$10.00
Water Heater -Electric
$ 7.OtS
7.00
Water Healer -Gas** _
$
$10.00
Gas Range** - --
$1o.oa
Gas Dryer'`* -
—
Back Flow Preventer Required (}Yes { } No
$15.00
Type-
Reinspection Fee $42.00IHf
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance —
Effective On March 1, 1996
`SINI3 Weer Heater
Mann`_';' {gas Elec
6151 6TH STREET NORTH
JOB ADDRESS
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do allDwork In sion, a{ict nd hereby declardance es ibe city that all the facts
and rulings of the Builth g
and representations stated in this application are true and correct.
OCTOBER 10-.---1996
Owner
Building Used As RES ID i'
1000.00 PERMIT NO.
Estimated Cost
PLUMBING COMPANY PLUMBING SE
SIGNED
TEL NO.
ByTEL
Date Final Date
Approved By .
W Stat® Surcharge $ •5 BINGtGAS PERM
crim (�O MINIMUM FEE R ANY PLUM
0 $ J PLUS THE.5o SURCHARGE
i
TOTAL FEE -'— `'�
U
0
**COMBUSTION AIR SMALL BE PROVIDED PEA UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 8Q INC ES.
01
suaaEcr
PE
City of Fridley25223
AT THE TOP OF THE TWINS
?
PERMIT T
BUILDING E R
Ir
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV
_
L PROTECTIVE INSPECTION SEC
��
01CITY
NUMBER
REV
DATE
PAGE OF
APPROVED By
HALL FRIDLEY 55432
612-571-3450
910-F15
6/30/97
/ /
JOB ADDRESS 6151 6 Street NE
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
1 LEGAL
DESCR.
14
1
Uplands 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Steve Degroote 6151 6 Street NE 571-6082
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION jj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside garage
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$500
$.50
WITH HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PRO SIONS OF ANY OTHER STATE OR OCAL LAW REGULATING CON-
$21.00
Fire SC $ .50
STR TION OR THE ERF MANCE OF NSTRUCTION.
PLAN CHECK FEE
T94ALFEE
$22.00
I EOF NT ACT R RAU _ IOATEI
EN0.AO VALID T D THIS IS YOUR PERMIT
v VA -30
SIG TUBE OF W RIIF OWNER BUILDW IDATEI
g I.J91 INSP F)A7E
01
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Constru/ �/ f
L
crionAddress: ����/ h n 51'-
Legal Description:
Effective 1/1/97
-J�
33? -q
Owner Name & Address: Tel. # 5 71 —K9
Contractor: /&,O MN LICENSE #
Address
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Tel. #
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 6-" Sq. Ft.
Length� W�i�dth Hgt/Ground Sq. Ft.
,C- S / �. bra r%lI (-2 P r ✓ i�Lk 1/111A Lo C
Driveway Curb Cut Width Needed: Ft. +
DATE: APPLICANT: _j
Estimated Cost: $� .,
(FPP qt-h,=fii7 7 P nn Pm,-Zr)
CITY USE ONLY
Permit Fee $ c� /- 06 Fee Schedule on Reverse Side
Fire Surcharge
$
S-2
.001 of Permit Valuation (1/10th%)
State Surcharge
$
S-�)
$.50/$1,000 Valuation
SAC Charge
$
$950 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
SUBJECT
5606
AT THE TOP OF THE TWINS
BUILDING PERMIT((
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r �
I . �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
10/17/9
JOB ADDRESS 6151 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
1
1 Uplands 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Steve DeGroote 6151 6 Street NE
571-6082
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION a REPAIR, ❑ MOVE ❑ REMOVE
X X
6 DESCRIBE WORK
Construct a 17'9" x 9'10" Deck; Reroof
Garage (6 Sq) 2nd Layer
9 CHANGE OF USE FROM
TO
STIPULATIONS See notations on plan. Roofing can be the 2nd layer but not the 3rd.
WA"#IC
Ref0is digging
call for
all utility locations
454-0p02
N�A �,� �
REQUIRE® Y
l�
PinAft
,� �� �!/
i
sift
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$1,990
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIONFire OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOT FEE
5.24
OF CONTRACTOR OR AUTH iZED A ENT �DATE�
SjGNATjJRE�OVIN�11
EN P P A ID E THIS IS YOUR PERMIT
BLDG J&SP AF DATE
SIGNATUER BU4.DERi iDATE�
NEW [ 1
ADDN [ )
ALTER [ ]
ConstructionAddress
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effect' i / 1 /97
M I
(�/.I I P�/l
Owner Name &Address: V2. P*4 9, IVE Tel. # ,j 71-ol0l a
Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft. �L
DECK AREA: Length Width /0 /1 Hgt/Ground �`�!� Sq. Ft.(oZ'
OTHER: 5x ( % srgpa 11,e
Construction Type: fl,
PC04-dEstimated Cost: $
(Fee Schedule o Back)
Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT• S4eV(- Oe 6-00k Tel. # —
CITY USE ONLY
Permit Fee $ 6#7. oU— Fee Schedule on Reverse Side
,Fire Surcharge $ /, �i .001 of Permit Valuation (1/10th%)
State Surcharge $ 6O $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
License Surcharge- $ $5.00 (State Licensed Residential Contractors)
'3riveway Escrow $ Alt. "A" or Alt. "B" Above
rosion Control $ -$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
fewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
;TIPULA"1 IONS:
N4iNDERFAwGrtqERxzr*zG Co,,91NCe
ENGINEERS AND SURVEYORS
LAND SURVEYINO SOILS TESTING
CIVIL d• MUNICIPAL ENGINEERING LAND PLANNING
6418 -SGT" AVENUE N.
MINNEAPOLIS 2T, MINN.
KE 'T- SG37
IC i n H �C ii -4 it 4D IF !i IN i''► wqyF
I oA.)T H[ l -.'A L_ A ND t IQEALTY CD.
t --
jir•,
i
Lor 2!�'A Ap21r1jN
WE HEREBY CERTIFY THAT THIS 15 A TRUE ANO CORRECT REPRE5ENTATION OF A SURVEY OF THE BOUNDARIES OF THE
LANO ABOVE DESCRIBED ANO OFTHE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS,
Co. i-; u*c:;I%r ss:�T oq. z uo-[ oos
tY T-•r.uS 0or!') OTI Lir 007
411'./fq
b
co
S T14 I
0
DR
rh
e
/0 7 '
Z
ql
Al I c ubod f
f
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 1, 1999
l
Steve DeGroote
6151 6th Street NE
Fridley, MN 55432
Re: Final inspection at 6151 6th Street NE
Contractor: Anderson Heating & Air
Dear Mr. DeGroote:
A mechanical permit was issued on June 3, 1998 for the property located at 6151 6th
Street NE for a new air conditioner. 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.
You will be given thirty (30) days from receipt of this notice to respond. If we do not
hear from you, we will expire the permit and any inspections on this installation will
require a new permit.
Any questions can be addressed to myself at (612) 572-3603.
Sincerely,
Barry Riesch
Building Inspector
'a
r1—
CD
r—
1s;
ca
C)
c�a
CATY OF FRIDLEY INSPECTION DIV, ' � Aective On March 1, 1996
6431 University Ave NE
Fridley, MM 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRfGERATION AND A419 CONDITIONING SYSTEMS AND DEVICES
JOS ADDRESS�� �-� , .
MILE SCHEDULE ---
The undersigned hereby makes application for a permit for the work herein
Furnace Shell
Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes at
Furnahell and Duet Work, Burner - rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct.
(Side Vent -- Fill Out Back)
Gas Piping (Needed with new furnace) $ 10.40
OWNER e-Ve- ld c 0� �
Gas Range $10.40 $
BUILDING USED AS
Gas Dryer $10.04 $
*Air CanditioniESTIMATED COST 300
,00 PERMIT No. --Z2 /31_
rrg -All Sizes $, 25.00 $ '�f', ®6 --
(
All Othersfftepairs &Alterations (LIST ON BACK) § CRIPTION OF FURNAQE AND OR BURNER
1% of Value of Appliance or Work $ No. of Heating Units Circle One {Stwamj (Hot Water) ara- Ai 61
Commercial/industrial Trade Name Size No.
1.25% of Value of Appliance or WorkSTU HP EDR
$ Fuel Total Connected Load
State'Surcharge $ .5U Burner Trade Name Size No.
TOTAL FEE BTU HP EDR
MIN1l41UiW FEE Ffl€t ANY H�ATIbVCjCt}OLIPI^�1fNT1LAITK?N HEATING COi47PANY iteCi�
REFRIGERATIONIAIR COND1ilONIiNG P Rl4lttT IS 25.00
PLS 7
UHE__ $.50 STATE SURCHARGE Tel No -- t
REINSPECTION FEE $4Z00/Hr Approved BY Rough -In Date Final Date
"Air Conditioners can not be placed In a side yard without FILL OUT BACK SIDE F STACK VERIFICATION ON
,mitten permission from adjoining property owner, REPLAC�MEIVT FURNA
•- • -• • ■%I✓LGI 1114Qf GV IMV UI V.
6431 University Ave NE
Fridley; MN 55432
5,7.2-3604
Effective On May 10, 1999
1 L APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
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
NO. RATE TOTAL JOB ADDRESS_ -45 tgWr,,7 45
Water Heater - Gas** _L
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 $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$,20.50
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
OU aLO
DEGROOTE, STEV .� f
6151 6TH ST T NOR1 HEAST
FRID , � 554�JELL) YOwner ) 571-60808 2
Building Used As V -e 5 i c"ACo,
cc
r�
Estimated Cost roy PERMIT NO. /C
PLUMBING COMPANY FL-0mal-AiG
SIGNED BYIJA
TEL N0.(/2 a/ -7V33
Approved By Rough -In Date Final Date ; S -C) -z
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
Ivenl�n rrumptK ur- HA I URES
TO BE INSTALLED
ON EACH
FLOOR
................:-,-
Urinal
,..:.<> :;>:;,..:.::.;:.::.;::. Wash
.::4:.:::<>:><::
.: Show ';vi-::
''i::::::.. er Ii#3CTral31<°.>;
..............
t>=>.;
b?'...-..->.:.:::.
vv:::
... :::
Floor
Drain
`
>:<::-:y:;:;:
:,;,:.
.:.:.::
Auto. .......::::.
:::f.:::.:-..:.::
r':;:Y.:,::'.;:;::;::
:<:.
Washer :. ur::
Gas
Range
::G�::::.;: Water Heater
v:z >;<:
` :,,:x.;.;
�.:f..,Gas EI ec
Stories
Basement en
t
F111101loor oor 1
FI 00r 2
--------------
Floor 3
Floor 4
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
NO. RATE TOTAL JOB ADDRESS_ -45 tgWr,,7 45
Water Heater - Gas** _L
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 $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$,20.50
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
OU aLO
DEGROOTE, STEV .� f
6151 6TH ST T NOR1 HEAST
FRID , � 554�JELL) YOwner ) 571-60808 2
Building Used As V -e 5 i c"ACo,
cc
r�
Estimated Cost roy PERMIT NO. /C
PLUMBING COMPANY FL-0mal-AiG
SIGNED BYIJA
TEL N0.(/2 a/ -7V33
Approved By Rough -In Date Final Date ; S -C) -z
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
March 29, 2002
Mr. James Hougen
61,516 Street NE
Fridley, MN 55432
Re: Final Inspection at 61516 Street NE
Contractor: Norblom Plumbing Co.
Dear Mr. Hougen:
A plumbing permit was issued on March 21, 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