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PRE 2010 DOCSW. SUBJECT P City of Fridley ®12'759 AT THE TOP OF THE TWINS BUILDING PERMIT i EIPT N COMMUNITY DEVELOPMENT DIV. �� . /�, PROTECTIVE INSPECTION SEC. 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-560-3450 910-F15 110/11/74 JOB ADDRESS 1260 - 52nd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Marian Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Vant (Apartment on 52nd Avenue) 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. W. A. Osborne Construction 7565 University Avenue N.E. 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 El ALTERATION ❑ REPAIR El MOVE ❑ REMOVE R 8 DESCRIBE WORK Construct a 26' x 4014" Dwelling and a 22' x 2714" Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. SEWER LOCATION: 78' East of Manhole (Inv. 936.41) Wye Elev: 936.80 Top of Footing: 939.80 Minimum WATER LOCATION: 10' East of Sewer Service SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 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 R-1 1619 32,794 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $30,753 15.38 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $61.00 $300.00 PLAN CHECK FEE TOTALFEE V K 37 8 r N T E F9 RACTORO UTHORIZEDAGENT (DATE) ENP OPERLY VALIDATED TH Y R PERMIT 4 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)DG INSP GATE W. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME. s /V T BUILDER: 4. am o R ly g: 7, ADDRESS: Sa au�E .� E. ADDRESS: / c5 �/I'% f J 1��' /� �/ e ! �► NO:. ,65 STREET: S a Owe. N 2. LOT: BLOCK:. ADDITION: CORNER LOT: INSIDE LOT: SETBACK: 16 SIDEYARD : 1 Olt 3-0 1 Applicant attach to this form Two Certificates of Survey of Lot and proposed building.location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: r UJ2 1 Front., _Depth : Lfo' �Height ?Square Feet: Cubic Feet: , d d Front • __Depth: — 7 Height:_ Square Feet; Cubic Feet:� - Type of Construction: 1A) (n t3A, Estimated Cost: $ 3S To Be Completed: � ® `�S• The undersigned hereby makes applicatian 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: •J P SIGNATURE • JZ4 T (See Reverse Side For Additional Information.) , I • Land Ala n1,,W Lvjd Sa-wtj,nq Sall lest h; ��, � o87S N�hn� fCS a�• . ENGINEERING, INC. Engineer's Survecyof 5A ab — ceptus, icate of sup few Rhiet 4 b0uor VAT' -.q� •"1 nd m 1 Mani� � w ' r a0 it ► �wa�,s�r • 4flr ��. o �' 14;a w. sf l LCAT 9 , ������ 2 , ��� I��,rJ -����� 2"PADDITQN ........ .._�__.'�LCnv+ca v►.:r�..,vl.:''..►� _;'a•.�trt,�•.�t .6t•�Q./.A C4,INTY G Tje.r-r..4Ps Ont• F Dr•pa��d �.iro-.i cv.�wv5� or'rG•$ _.- ' "'r_; / W14y' #W &.5 fs o /nm ar,d sarirei reprsenfofiunr a o +carrey bvmdari q('#x ebaff 'w ford diad s{� aN&1do s , thorm . a risib/t oximbi Genf! , �`&y. �n or w sad l� As surveyed � w f�� of A.o SU5 URBAN ENCWNEE2lN6, INC. ' + SGC�ie 1 40► //� -7-27 02 ZOCP7-,1'010 l� ' E. OF Z� e r rr/ic- e City of Fridley for MurNng end Cr Vee g F+Y6—..!T Y . Dept. of Bldg*. Phone 580-3450 ' DESCRIPTION OF WORK ® 6 ® __I;-� Number, Kind emd LoeaBon of Fixtures Location 'o38= O; OOU ?_` d 2 �n <� ; r• O r a=" r O 5 o 7 7 I N WATER Mrs. GAS ELEC. _—N Base • A B 1st 2nd _ 3rd 4th . � waanveaues waau ruturo Connection Openings Sower A e Now Fixture, Old Oyonings Ccaspool a PARTIAL RATE SCHEDULE PL171rf81NG FIXTURE RATES:• • • • • . • �� • x $2.00�$ TOTAL � Number Fixtures .......... Future Fixture Opening ........... . .tel- x $1.50 $ New Fixture Old Opening .....:.... x $1.50 $ Catch Basin ...........:......... x $3.25 $ Water Heater (Up to 99,000 BTU) .... __..L_ x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Boater, ..... ........ a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... x $2.00 $ "� Additional Fixtures ................. x $ ,75 $ Gas Range to 195,000 BTU ... ,.......... x $5.00 6 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 Citi 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, lllinn J� v2 197y Owner Aft PS Kind of Building�i � �/ i �n %,i Used as P_C ; P"I—; a / To be completed about e� /• 07� Estimated Cost, $ Old—New. Building Permit No. I °? a 9 Permit No. ROUGH REPAIRS & ALTERATIONS--Rofer to Code .50 State Surcharge . Description ................. ,............................$ TOTAL FEE ' _,Xi Signed By Busin une No Application for Peyer Phuft and HealhMh Cooling, Ventilation. Reft.,,..ulloe and�j 61 Air Coedltioe189 Sydan mid Devicu 1 'I /1. PARTIAL RATE SCHEDULE GRAVITY WARM AIR: BATE TOTAL Furnace Shell & Duct Work ..... .. $10.00 $ Replacement of Furnace ..... ..... 6.00 f Repairs & Alterations—up to =500.00 6.00 Repairs & Alterations each add. $500.00 300 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ... .. $10.00" each add. 60,000 BTU .................... 3.00 i Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3.00 $ STEAM or HOT WATER SYSTEM 6,00 Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam A00 Each add. 320 sq. ft. EDR Hot Water 3,00 $_ OIL BURNER—to 3 gal. per hour 6,00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 8.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ %D 0 Additional Fixtures a .75 $ Gas Range to 199.000 s$ 5.00 $ AIR CONDITIONING Lennox HS8311FF FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE 76o ROUGH (SURCHARGE $_=53) Dept. of BldvL Phone 560-3480 Lie 1260 - 52nd Ave. N.E. 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 an the facts and representations stated in this application are true and correct. Fridley, Minn— Owner inn Owner Osborne Const. Kind of Building ._- Frame Used as - --- - — Dw_!9_e — To be completed about Estimated Cost, Old—NekK Building Permit No. Permit No. � 1 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm AiK—No 1 Trade Name Lennox Size Na- G1203-110 Capacity Sq. Ft. E.D.R- 3 10. 0 0 0 BTUHp Total Connected Load 60,907 Kind of Fuel Nat. Gas BURNER — Trade Namp Size No Capacity Sq. FL E.D.R BTU Blp sty (REMARKS -OYER) Mill City Heating Co. Business Phone No 544-1501 r HEAT LOSS CALCULAnoms DEPARTMENT OF INSPECTION Wem rstri conetrnestioaa No. � �I�ts�alsteeln fi -� ' ��• Geeide Ali®dlra4s Doors Refference Out. Wan Int. Wan cline Roof air I�i_md How Awl°� V A Ye®- CV;d¢h igaht1:1, lwra�ch r id¢h pari �dts`d �iliatdovrfa aced ®oar rackage and Area Wm&ws and Doo--Cuckage, and Area � dd th tf pane lig os of Pt. Aron Width Helsht N:. 4,f Tdaneal ft. Arra Q f l Na of of ®ane IIQAIo of craclt o4. it. N of Pane o fir ne Ilzboa oY crach e®. ft. ." + 9R m u Btu Qae5ltrat�® Glass ® ��ee.. Itl0ration T L '. os�_tttj g� . watt 2:42. �i er>p, wall Wet .oval! t� C 0 a�- Net exwall Int. wan r �'Bs'; d lat. wall Ceiling Floor a ML T, 'TAM as. Flocr sq.WDooac ins. WA. Lfeader area aq. C .or . ias. e�1.A. G&r are��eight ngeh �i'idth Bath �/idth . I-Iu 2tAdenas kagge and Areas VIM.tnalows and &�oara rackage and Area e' width 'Refs–ht- Ne K LMeal Pt. irea s tda of of pane lights of eraerk aQ. Pt. WidthHaight Pao. 02 nine'! ft. Ares No. oP Dana of {sane 14gAts Vcreek sq, PE. Ilt�ltrationbtu COO . InfftltrationChm IM —7 t 4Glass EqL wan � Exp. wan Not ow. wall Net exp. wall ImL `{'all Int. wall Ceiling Ceiling Floor TAtallute. Floor JAMMOkmqd F..D.R, or Tota! RBar. sag. iris. WA der areae �� 3, . o ate. ills. VIA. der area QU I:l. oom length ®Jid¢h ®Height �. �, ! I.ertgth / idol, Ekight —f WireW Ns and rs—Crmckag�e and Arca '!I/indowa acid R.- raekaga and Area teeth tght No. of Llaoal ft. Area IdeA Height No of Inoal tt Area gym. of o e lights of Brae aq. Nolo,.Q40afte ' of a lights, of raek on. Pt. e Vii' HEAT LOSS Majuuws DEPARTMENT OF INSPECT"iON Weatherstrips A.SS.H.V. Construction No. Cuid® Reference Out. Wall Int. wall I Ceiling I Roof ­J Floor Kii-I Hmw wa m- I Length lt -4 Fl. oo tiv;IZ7 Vindo, d Doors—Crackage -and A ea Windows d Docm,--4Creckvg'� and Am "o c h Win nd n MtWid H*lghv of Lineal ft. Area Width an to of ctgc)v,^ sq It Height No I Anma L� Arae PTO. of Pan p of pane liffitta of -rock Sq. ft—l". 7 Coe zz:v Btu Coe Btu Infiltration Infiltration A Glam b4q C433 Up. wall &P. wall Y Net M[P. wall Af >y Net exp. wall let. wal Int. wall Ceiling 7 Ceiling Floor Floor Total Btu. sq. fL EDR or sq. ins. W.A. kader area Required,U). 4. fID.R. or sq. ins. W.A. lAader area F1 AgjRROOM I Length // width ®,-Height 2L —7--m-, Room I Length //<,-Width.. Id Height Windows an&Uklom—Crackage and ea 7AW . _ Height Width Height NO.09 Linsalft. Area ---Win s and Doors—Crackage and Area No. of of pane lights of crack sq. ft. Width Height No. of Lineal Area No. of PV f I sq- f V7 a- a Pape lights of crack t - Btu h0ration G6w Glass Exp. wall---- 7r;P-N­ Exp. wall Not exp. wag Net exp. wall lat. wan 'j Int. wall Ceiling C Ceiling, ril. "I Floor Floor _2� Total Btu. Total Btu. Requirtj_ orliq.ins. W.A. &ader area RequiMdsq, A.YAR r sq. ins. WA. kader area is 40 ic-0 m I L e n -A i :Wid,h F11 . '2 M &*menath 0' Width F1.1 & 2C R. — Y_ t Windows -1 D-- rzackage and Area Windows and Doom—Crackage and Area width Height No. of LinealCCArea of pane of pane lights of crack Width Height Na of Lineal ft. Area. ft. No. of a of Pass lights of$g k sq 94 0-S mme Infiltration CUSS Exp-.�,wa4 —Nif pip. "wall Z 4M, lat. wall Ceiling Floor Total Btu. Requ°" ft, F_DJL or !y: ifts.. JAk Cn�,mecun_. SOWf;f WaIEr PAk5 $Ir LCIS w�a Ifll en an CC MEMORANDUM TO: William W. Burns, City Manager PW94-162 FROM: John G. Flora Public Works Director DATE: May 10, 1994 SUBJECT: 52nd Avenue Floodway. Project On Monday, May 9, 1994, 1 attended a meeting with the residents on the 52nd floodway project, Jerry Sorenson at 1280 52nd Avenue and Jerry Johnson at 1298 52nd Avenue. Purpose of the meeting was to outline the three proposals that have been established for this portion of the project; i.e., a second pipe, a swale and berming around their patios. Neither resident supported berming around their patio. They were strictly against that option. While they supported the underground pipe as their first choice, they indicated they would be willing to support a drainage swale as long as the abutting property at 1260 52nd Way did not have any major objections to the swale being on their property. The Sorenson's at 1280 have sold their home and indicated to the buyer the on-going problem with the drainage system. The residents at 1260 52nd are in the process of building a gazebo and a retaining wall on the back of their properties. Any drainage swale that would be proposed would have to be discussed with them as easements would be required. The Columbia Heights City Council is to meet on June 13, 1994 to discuss this issue. If the City of Fridley was interested in installing a pipe on the Fridley side of the line, additional easements would be necessary from 1240 and 1260 52nd Avenue in order to provide right-of-way for this construction. I will present the residents position to Mark Winson, who will be making the presentation to the Columbia Heights Council. JGF:cz ri SUBJECT City of Fridley 30014 AT THE TOP OF THE TWINS BUILDING PERMIT i • ►V �_____ COMMUNITY DEVELOPMENT DIV. yq'7 r � � PROTECTIVE INSPECTION SEC. 1 1CITY HALL FRIDLEY 55432 %.4 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 8/6/99 108 ADDRESS 1260 52nd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 iMarinn Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Vant 571-22 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellinjzton Windows 3938 M - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X99 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Window and patio door replacement 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of the house. Permit inspection Cards Will Be Mailed To Homeowner To Post 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $15,784 $7.89 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $265.25 Fire ASC $15. 78 PLAN CHECK F TOTXL92 E SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN ROP I T D is I V PER .000 L INS QAtE S-GNATURE OF OWNERJF OWNER BUILDER, IDATEIBLD PrdpaiT Plan Check $ Estimated Cost $ Receipt ' # Effective 1/1/9y CITY OF FRIDLEY R-3, COMAORCIAL & INDUSTRIAL BUILDING PERNM APPLICATION. Construction Address l a '' �n►, I�j Legal Owner & Address J; OM1IRACD0R,& ADDRESS Architect TYPE OF WORK [] Reg.# Engineer Tel# J Tel# b5 0e Reg.# BUILDING CONSTRUCTION ) �} 0 Addition A� teratian-DescribelnJ I'r ' *� ,' ( Uan c OFC. AREA: Length Width Height Sq. MM AREA: Length Width Height Sq. OTfE R AREA: I g h Width .. Height SI 4 APPLICANT Tel • VALUATION Ft. Ft. Ft. Date [ Sq. Ft. x $ Cost/Sq. Ft-. _, Valuation $ Sq. Ft. x $ cost/sq,. Ft. Valuation $ ) Sq. Ft. x $ Cost/sq. Ft. Val tion $ ) TOTAL VIALUE g Moo I fir' Building Use Construction•Type Occupancy Group Air Conditioning [] Yes [] No Fire Prot ion Provided [] Yes [] No Perfo=ance Bond Amount $ See Reverse for Schedule Received [] Yes [] No Permit Fee d` $ .See Fee Schedule on Reverse Side Plan Check n $ '• In Excess of Prepaid Amount - See Reverse Side Fire SurcharN $ .001 X Permit Valuation (1/10th a) 1 State Surchaxge�• a5011�Q00 7 $ Valuation (See Sched. for > $1 Million) . •$1050 `per SAC Unit (Plans to MKCC for detenniriatior� Erosicn_Contml $ x$450.00 Conservation Plan Revie Park. Fee. -`-.,s$ tFWpetermined By Engineering'' Spec. Assessments $ Agreetrtnt Necessary [] Not Necessaxy, [] Driveway. -Escraw $ feet x $13.50/foot ,• : [. r ATTACK. STIPULATIONS � 0�� •� 1 S s. g CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. TOTAL $� III Llrective January 1, LUUJ JOB ADDRESS /d loci 5,Rn d A Uee 776 OWNE BUILDING USED ESTIMATED COS PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating its Circle One (Steam) (Hot Wat arnAir Trade N me Size No. BTU HP EDI Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Sharp Htg & AC Signed o fir`_ TEL # 763-572-0459 FAX # 763-5724164 n Approved ByZt)�.A Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When .,a a ani a % axi�finp ftirane-is, 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 o ( ) 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 @xicfinp e -n is sized and installed to meet the current codes and manufacturer's specifications. �es No( When required to inctail a new enmbimUnn ai - it will be sized and installed s s ecifications. Yes () No to meet the current codes and manufacturer' p When inr&llinn nunspam.., 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 #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 It Diameter in Type Appliance #3 Vent Connector Height _ft Length ft Diameter in Type J HEATING CO: Sha xt Signed By: e CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 r63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1260 52ND AVE NE PIN : 253024220042 LEGAL DESC : MARIAN HILLS 2ND ADD : LOT 9 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00187�00 DATE ISSUED: 02/10/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL UNIT HEATER (WARM AIR, REZNOR, 45,000 BTU) VALUE OF APPL OR WORK 0 # FURNACES # GAS DRYERS ENTER VALUATION APPLICANT SHARP HEATING & AC INC 7221 UNIVERSITY AVE FRIDLEY, MN 55432- (763) 572-0459 RTA s VANT JAMES M & SANDRA J 1260 52ND AVE NE FRIDLEY, MN 55421 0 # GAS RANGES 800 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of yoth state or local law regulating construction or the pe rman e of construction. Annlicant Date _ i Bldg HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 14181 ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 30.00 0.00 0.00 0.00 0.50 30.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RAIHEDUt.E affiftaftl Furnace Shell and Dint Work, Sumer & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes ,;�v&s - OC23 11 Effective 4/1,/2004 ` APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Al Othw Repairs or Alterations (List on Bads) 1% of Value of Appffarm or Work Minimum Fee $15.00 for Residential or 5'% of cost of Improvement whichever is greater $10.00 $ $10.00 $ $25.00 $a�o Cam mewJal IndusMal/1 nstitutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ i1 -.1 L, I el , - I Ill Building Used As ESnMATED COST PERMIT NO p of Heating Untts__�__ Circle One (Steam) (Hot Water) Air) Trade No Size No. B1U Wl� HP EDR Fuel Total Connected Load Burner Trade Name Size Into. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeingto 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. *Air Conditioners can not be placed in side yard without written approval from ac#dning property owner - copy to City I Vii. I' AW ,-P I a vT / I FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough4n Qate Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an exlstina furnace, 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. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacture's specifications. This does include AGA GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The exisfina combustion air is sized and installed to meet the current odes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacture's specifications. Yes Oi� No( ) z a�� Yes (7 No( ) Yes (} Not ) Yes {) No( ) Yes( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacture's specifications. This does include AGA GAMA Category I Central Furnace Yes { Venting Tables for fan assisted and natural draft appliances. No( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes () No( ) separately as per current codes. Appliance Type and Size/Common Vent and Vent Connector Information 2® Appliance #1 Type o iy % BTU Input ' Fan Assisted or Nat �"� Appliance #2 Type pec --90,3 `O BTU Input :�� Fan Assisted or Nat ApppI ABTU Input Fan Assisted or Nat pliance #3 Type Total Appliances Total Btu input �;---- Vent Height Diameter inches Common Vent Type 44-� a�d Appliance #1 Vent Connector Height Length 1'� Diameter in Type Appliance #2 Vent Connector Height O= ft Length rft Diameter �in Type Appliance #3 Vent Connector Height _= Length ft Diameter in Type ALTERATIONS: Describe E I 1n-- ^� HEATING Signed By. NOV-16-2004 Ntvv ADDN [j ALTER { j 10:25 CITY OF FRIDLEY IN ! 1 yr 1 I XLLJL_L- 1 6431 University Ave, NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION i Construction Address: Legal Description: Owner Name & Ai Contractor. LPANG AREA: GARAGE AREA: DECK AREA: e .n — \ {tee _ -4 ! "_//,V l � P. Ci--,. ['I-' (763) 572-3604 Bldg Insp b0s, .0 Attach to this applications 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. Driveway Curb Cut Width Needed:Ft. + 6 Ft= Ft x $ = $ LO3 l3 DATE: APPLICANT: Tel. # ?, 3–& . Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut 'Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ q7, o�f Fee Schedule on Reverse Side $ 65% of Permit Fee $ ` . jO .001 of Permit Valuation (1110th%) $ /, 61 Q $.501$11000 Valuation $ $1350 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 [ ] $ STIPULATIONS; \f /6,2' �S— oltoa-j Building PLUMBING Permit No.: inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FIt DLEY Date Reed: � IS DATE !124 " YOUR &MAIL ADDRESS SITE ADDRESS 11 V o S 2."-` A J E A/ E THIS APPLICANT IS: 0 OWNER 060NTRACTOR PROPERTY NAME: E S VA14 OWNER/ - --T-44% ADDRESS: / G, a 5,2 "-a' A•J6, CITY f12 6+E y STATE ZIP `�''z TENANT PHONE: "7 CONTRACTOR NAME: 6 R. p_y 4 V a Aex E e P L u M 6, 6 .je. $rATELICENSB# 61,4,f PM E (PDATE 1'Lhi I0 6 - - y 3 L CT H SPR J G LAk 6 PK STATE�-<rZIP SUBMIT A COPY OF YOUR STATE LICENSE WITH ADDR�-._ Ile a 8 y u: y 16 ary l PHONE it 3 5 y Z 88 0 _FAX APPLICATION PERNUT• TYPE WSINGLE FAM1LY D TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the Exturw, (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x A5 = FOR PROJECT'S WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE„ EXCEPT WHERE NOTED. FI)ntT S: ([DEDICATE TOTAL NUMBER OF EACH BELOW) S1NKAAV FLOOR DRAWS —SHOWER WATER PIPING —BATH BATHTUB OAS PIPING azw carricEnO _ SWRAMI +TG POOL _ WATER SOFTNER ($35) '- CLOTHES WASHER—KTCCHEN SINK WATER CLOSET ^ BACKFLOW PREY. ($M .._ DISHWASHER LAUNDRY TRAY WATER HEATER (S35) FOR IRRIGATION '—" - WATER METER —OTHER Number of fixtures @ $10.00 x 510.00 = $ Permit Fee $ Surcharge .50 Number of Sxwres @ $15-00 x $I5.00 - $ Number of fixtures @ $35.00 x$35.00 = $ TOTAL DUE $ State Surcharge = $ So Total = $ TAS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in the and codes of the City of Fridley and with the Miamesota Construction Codes; that I understand this is conformance with ordinances not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance witb the approved plan in the case of all work which requires review and approval of plans. l �! P / a 6 SIGNATURE OF APPLICANT 4A Z K 4 9 k kO J -0 PRINT NAME DATE oz,��,tTFY::R+ARkTF?,:P�^sI2Ml`iR=�iRTiEC�ilIREDF(3RBLIlI1Tlci _ r'm"W", City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, NN 55432 763-572-3604 FAX: 763-502-4977 ... r ..-.. INV 66 V94: 90OZ/6Z/8 :BIaO vz :a'6'0d-- 6'888 ZL5 S9L :uioJd ..^... � � .... ..� a....