PRE 2010 DOCS0 City oFridley, Fridl, Minn.. 0
BUILDING PERMIT No 4107
Date: .---......... .%_..._r........_......_......_....._.......__._.......... -
i
Owner: ...................................................................................................................... Builder ....... ............----.. ....._.... ._... ._ _.._._.... _ _._
Address................................ _............................. _............ _...._..... _................ Address Z.f..'.0_12............_........ _........ ...... R._.._.._....
be LOCATION OF BUILDING
fy Part of Lot----------------•----......._...._............._............._...�.._
No. �..�--�--�--_. Street ....._![�.---a-_'--- ----------....../,�..o...:.�......................
Lot --------------'9 ........... Block ............. Z........ -................. Addition or Sub -Division ......... .... .'... i... ...... .............
Corner Lot ....._ ................... _........ Inside LotX ....................... Setback ..... _............. _............. ....... Sideyard .
Sewer Elevation ................. 7-A-0 ..... -..................................................... Foundation Elevation ....�...._..----......-............................ ..... ... ..... _
DESCRIPTION OF BUILDING
To be Used as:
_ .......... Front 7.....7....._7.® Depth .�- ._-Q Height - ,,9 .. 70- Sq. Ft.40.%4r.6. Cu. Ft. Z.0..0 - k T
.............. I ..... _...................... ................ Front ........................ Depth .................... _.. Height ...................... Sq. Ft....................... Cu. Ft. .................... _..
Type of Construction «✓`1 ..... Est. Cost .......... ................._.......................... To be Completed...-&.. ......
In consideration of the issuance to me of a permit to construct the b ' g described above, I agree to do
the proposed work in accordance with the description above set forth in compliance with all pro Bions of
ordinances of the city of Fridley. ' /� 't
J
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
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _ _ �—
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
Owners Nam
Address.:._��
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Builder
LO�qA.OF BUILDING
No. '0 Street Part.of Lot
Lot Block Addition or SubZiv.
Corner Lot Inside Lot Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant nE oh to this. :.form Certificate of Survey -of Lot and proposed building
location.
• DESCRIPTION OF BUILDING
To be use V/ as :
Front Depth Height
Sq. Ft. Cu. Ft._ Q-�
Front Depth height
Sq. Ft. Cu. Ft.
Type of Constructio Estimated -Cost
To be completed
The undersigned hereby makes.application for a permit for the work.herein specified,
agreeing to,.do;aall:.:work in 'Otrict.accordance with the City Ordinances and ruling of
the Departmenti-of Buildings; and hereby declares that all facts and representa-
tions stated th s�application are true and correct
DATE SIGNATURE
(A Sched-41e.of Fee costs can be found on the Reverse Side.)
City of Fridley
AppOcation for Piunnbing anti Gas Fitting Permit 'r
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION Or WORK
Number, Kind and Location of Fixtures Location_�2 f,� ®� • �%
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ ,.d y
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin .............................
x 3.25
�Z
c74c
a
t90
F
N
WATER HTR.
GAS
ELEC.
Base
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................-�
x $1.50
$ /• �'D
Additional Fixtures ....................
x .50
$
!
x 2.00
$
I
1st
t
2nd
3rd
4th
• ruture Connection Openings I
New Fixture, Old Openings
Connected with
Sewer
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ ,.d y
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin .............................
x 3.25
$
Water Beater (Up to 200,000 BTU) ......
x 2.00
$ 1-60
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................-�
x $1.50
$ /• �'D
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE
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, 19A:;p
Owner 19—
Kind of Building , 19_
Used as ,
To be completed about
Estimated Cost, $
Old—New. Building Permit No
Signe
By
Business
AUG 20 1959 Rough
11 POST IM -12-58
City of Fridley, Nunn.
BUILDING PERMIT N9 9
Date:"""'
�1a
Owner: Builder Joe)
Address ` Address ----
LOCPIRVVUILDING
No. Part of Ut
Lot _ __ Block Addition or Sub- i on, T^I
Corner Lot _ Inside Lot $jtback deyard
Sewer Elevation_ _ Fo dation Elevation
DESCRIPTION OF BUILDING
To U as.,
Polo
Front Depth - tl- Height Sq. Ft. cu. Ft.
Deptheight Sq. Ft. Cu. Ft.
Type of Construction ddLdAL.MEst. -- 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 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, alterations maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at tuupon violation of the provisions of said
ordinances. "All ./
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
owner's Name Builde3� _Je�jj�
(LT '
LOCATION OF BUILDING
No. �/
�=2-0 "- StreePart of Lot
Lot Block Addition or Subdivis on gEL,7.�_-/,_
T
Corner Lot Inside Lot Setback Side -Yard
SETIMR ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
Tob used as:
Front_,::� 60 Depth Q- �'--Height
Sq. Ft. cu. Ft.
Front Depth mei
Sq. Ft. -2 Cu. Ft.
Type of Constructions 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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and cor ec I/ - C', )Le
DATE�--`r1�� ��SIGNATURE - - -
(Schedule of Fee Costs can be found on the Reverse -Gide)-.
L79—
LOT RATS
BLOCIAMES.LrAT.roN 7A
'-
AIyPE DD.
6(, 6
9
Oc� A='7 e" A-,' 7- ^4 A A.1 r v
CITY OF FRIDLEY INSPECTION DIV. Effective On Jan i, ZUUU
6431 University Ave NE I -O D
3-5
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
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 l
$10.00
$10.00
$15.00
JOB ADDRESS Co 42 O 6`% nS
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.
a/ -.)- 7 ) L � _,20 -
Owner
20_
Owner /' ' N'P A- P)eh c. Tci f')
Building Used As JC e S
Estimated Cost _<n-6- PERMIT NO.
�Y)7
PLUMBING COM
J
PLY - a /Y (�'b c'06
/i
Reinspection Fee $47.00/Hr SIGNED B.-8� TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved By Rough -In Date Final Date
State Surcharge $ .50
R Ah Ex
MINIM M FEE F NY PLUMBINGIGAS PERMIT IS $20.00
TOTAL FEE $ -�6,SO PLUS,THE 5.50 STATE SURCHARGE
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 :
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Linda Proctor
6200 6" Street NE
Fridley, MN 55432
Re: Final Inspection at 6200 6'h Street NE
Contractor: R. A. Johnson & Son
Dear Ms. Proctor:
A plumbing permit was issued on March 31, 2000, 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 plumbing authorized by this permit. As of this date, no inspection has been
called for.
The permit fee that was paid covers the inspections 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 permit 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.
WIN