Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
r i City of Fridley, Minn BUILDING PERMITN. o � 4199 Date: .. .. /.f11...._._.._......_..._._._.... - - - '} . Owner:............................... Builder ....._...................._...._............_......_...._......._•--------..._..._._._......_.._... .�.. Address................................. ..... ............... _...._..._.._._....._._..._._..... .......... Address _........... - LO TION F B ILDING No.... 7.,� ... Street .::.'�i..�... .. �.. '._.......................... Part of at ........................... ........ _............. Block ..........:�� ...... _................. Addition or Sub -Division ..._.....,rt,� ........._................_ .._. Lot......A....::.................... .............._�_ ....2 2 Corner Lot ................................... Inside Lot ....._.... ......... Setback .................... Sideyard.._.._.............-........---------...--------------------._.._.------ Sewer Elevation-•.......................•----....._...........-----------------....................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 1�1JFront - ..?..:. .. Depth ..�...._.�® Height /�%�_._®._ Sq. Ft /...%I. _.. Cu. Ft. ..... ................................................. Front ........................ Depth ............... Height ...................-.. Sq. Ft. ........................ Cu. Ft......................... Type of Const ction....................:.................... Est. Cort .. a".C�- f- 6.............. 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 $QAA....0......., 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 anyqtAkelWovisions of said ordinances. f Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to M the Building Inspector for separate permits for these Nems. \I City of Fridley Application for Phnbl g and Gas F'rtHg Permit DepL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK ' S % �7 — Number, Kind and Location of Fixtures Locatt°n rn iii �F� TOTAL v n = 3t zIZ �� oLL a Z Q G'o �3Z t� o a3 , U°d U4n U0' i U0 • R a N WATER HTR. GAS ELEC. Base x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 1st GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... � x $1.50 50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2nd $ 3rd 4th ' Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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 50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........................................ TOTAL FEE $ •q 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. r c\--- Fridley,A Minn /� r 19 ; / Owner ) (=L1 Ci-��%J.1.1 e- C.2_��. — 19— Kind of Building �� 19— Used as To be completed about 1-2-- 1 S `1 Estimated Cost, $ lo o Old ew Building Permit No / Y Signe � 1 �Q . C, By ��•� . Business Phone No �L I a i QCT 7 1959 RQUO 11 POST 1M-12-58 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME YO,,&Mr , 4BUILDER ADDRESS 7% - j '/� XVC ADDRESS LOCATION OF BUILDING N0.1 Z 7 ^STREET 373'" 47v X/, � LOT BLOCK ADDITION OR SUBDIVISION 57 ems, A/w--zr," CORNER. LOT INSIDE LOT SETBACK � � � SIDEYARD 3.Z SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front O Depth 2 Height �© Square feet Cubic Feet ��®D Front Depth Height Square feet Cubic Feet Type of Construction /��2Ar�a� 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 A'4L-y / IX5�9 SIGNATURE At"obl` 4�" / aa:�b✓ (Schedule of Fee Costs can be found on the Reverse Side.) Form 133-R IOU 8-69 McClain Hedman as Suiiuldt C(j., SL Pa" :Sinn. MIdway 6-6858 Wilway 9-5072 FFAerd 5-6611 THE E. B. WDONOUGH CO. 1953 University Avenue 406 National Building St. Paul 4, Minnesota Minneapolis 2, Minnesota C It- r t If it" 3 berebp ctrtifp that on— December 29 lq5g, 31 mabe a surbep of tbt propertp locateb at 1377 – 53rd Ave. N.E., Fridley, 11inn. Imbicb W be9cribeb atfollob3c Lot 16, Block 2, "Swanstrora-'s Court Addition" Anola County, 11finnesota 79L)67 41ncroacbmenfig x x 3 founb t! at the fallowing builbing(.Q 11--use (under const. no address number) i� biftbin Hot propertp limi,15 as set forth in the abobe legal botription. E. B. McDonough, Registered Surveyor, No. 1990 Paul J. Crane, 9.9 is, No. 4449 John J. Ryan, to to No. 4489 Ournber 7705 dame William G. Parkin SO x 117.55 Fee 44'15.00 Form 133-R IOU 8-69 McClain Hedman as Suiiuldt C(j., SL Pa" :Sinn. PLAT OF bURVEY OF PROPERTY 0FJ/►�/11��L DESCRIBED AS FOLLOWS—�GC�/�'.-`/17- 3.2 -- - - 223 b -- --� �jf s0�s 21 O Q� c r Pay ob 0 ,5-3 lve5- f3 799®7 t. Il CEP.TIFICATE OF LOCATIO)\ OF BUILDING CERTIFICATE OF SURVEY ' 1 hereby certify that o -12- 1 hereby certify that wi 19 } I made a su-vey of the loent;on of the buildinz(s) on the I surveyad the property described above and that the above above described property and ;;hat the location of said plat is a correct representation of said survey. r building(s) is correctly shown or the above plat. � p � i � �t E. S. N1c00,,06Gi-i. PEG1STERED SURVEYOR. 1990 PAU r�ANE. N"�'d9 } JOH YAN. NW489 i Form No. 1:•:t 2M 4-5?. T} k, i.—He Schioat Cn. _ 0 _ JS I qs CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 'RESIDENiTIAL RATE TOTAL Furnace Shell and Duct Work, $ 20.00 $ D zrz) Burner (Also replacement furnace) Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ • Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL e18 of Value of Appliance or Work $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp./— Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15-00- PLUS 15.00PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ �SS0 Job Address / 3 7 '1 Department of Buildings, 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 Band correct. Fridley, Minn. -3— w,E 1 , 196-7 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. I Trade Name `.3[dQl�� Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP p i jr` Company` Signed B Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks a Company Signed By Date CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1377 53 AVE NE PIN : 243024340058 LEGAL DESC : SWANSTROMS COURT ADD : LOT 16 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMNO.:2004-01839 DATE ISSUED: 10/07/2004 f 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 A FURNACE (WARM AIR, AMANA, 70,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES VALUE (FOR MINIMUM CALC) 4000 APPLICANT SHARP HEATING & AC INC 7221 UNIVERSITY AVE FRIDLEY, MN 55432- (763)572-0459 C11AIJ01 D) :7 BARTA ROBERT A & KATHLEEN C 1377 53RD AVE NE FRIDLEY, MN 55421 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 wort 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 any other state or local law regulating constructipn or the performance of construction. Applicant_---, Date My� Vii: N r 1- tffiD HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 14860 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 35.00 0.00 0.00 25.00 0.50 60.50 CITY.OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 3 - 7 5 3,--d- /i UC. �E .Few Total Owner 1&.b i� fk- $35.00 $ 35-00 Building Used As $10.00 $ ESTIMATED COST&QQ0,00 PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units_I Circle One (Steam) (Hot Water) arm Air) Trade Name Ah,,r"6 Size No. fan Ik- $25.00 $ as` 0 BTU '7o 06c) HP EDR Fuel 6a S Total Connected Load Commercial/Industrial/institutional 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 $ 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ Sb HEATING CO Sharp Heating & AC Inc $ 60,5'0 Signed 763—r5/72-0459 FAX# 763-572-0164 Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date City of Fridley MN FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and frrestopped where required. Yes No( ) The venting system is plastic/PVC and meets all current codes and manufacturer �� 7�QO® Appliance #2 Type E -v BTU Input d oma© Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input cfc-sl Common Vent Type- ��``� Vent Height i� Diameter inches Appliance #1 Vent Connector Height ft Length 3 ft Diameter in Type Z Appliance #2 Vent Connector Height n Type L ft Length t ft Diameter Z i Appliance #3 Vent Connector. Height ft Length ft Diameter in type specifications including sizing, length, number of elbows and termination. Ye)� s 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. Yesf 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 Tyne and Size/Common Vent and Vent Connector Information Appliance #1 Type --2BTU Input Fan Assisted or Nat ALTERATIONS: (Describe) 'et- lJ,5., l A C"Cc HEATING CO: Signed By: & AC_ Inc Date ' 0