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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