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PRE 2010 DOCSCity of Fridley, Mi BURDING PERMIT lm Date: Owner: Build" Address Address 40�9C r ION OP BUILDING No. Street '_ Part ojLot Lot _ _ Block Addition or Sub -Division Corner Lot _ — Inside Lot Setback % Si yard _ Sewer Elevation __, _ _ Foundation Elevation DESCRIPTION OF BUILDING To?Used �t Front Depth Height Sq. FtSlSri Cu. F't.�+'r+• Front ..._ _ __ _ Depth Height Sq. Ft. — Cu. Ft. Type of Construction �Est. Coit �1��.y'"'""_�" 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, 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. ..•.% _ ----I 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name"c Builder Address y� >, ,,� �� ,-, r r Address LOCATION OF BUILDING No. Street 4k r- °`� Part of Lot Lot Block_Addition or Subdivisi) r'� Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING �� l 4_" To used as: . � � a ,S -� All ---- Front 2 Depthj ;_Height Aonr Sq. Ft. _ Cu. Ft. 'Z Front Depth Height Sq. Ft. Cu. Ft. Type of Constructs Estimated Cos 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 P,/h SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Porneit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK �� S Number. Kind and Location of Fixtures Location q SCHEDULE Estimated Cost, $ Building Permit No_� Permit PLUMBING FIXTURE RATES: Q Old—New. D N ®D N P L U i� B i N C O. Number Fixtures $1.50 $ 3- .SO Y� O ...................... N WATER HTR. GAS EIEC_ Base $ By � New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ OV New Ground Run Old Bldg . ............ x 3.25 $ ROUGH 1st i 2nd _ 3rd o 4th h • Future Coanectioa Openiags New Fixture, Old Openings Connected with Q Sewer � Cesspool City of Fridley: r AC The undersigned hereby makes application for a permit for the work hereil _specified, agreeing to do an work in strict accordance with the City 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, Minn JUN 121962 19— Owner A % D Kind of Building 447A Used as fit/' To be completed about f ®� M/ 7– PARTIAL RATE SCHEDULE Estimated Cost, $ Building Permit No_� Permit PLUMBING FIXTURE RATES: NO. RATE TOTAL Old—New. D N ®D N P L U i� B i N C O. Number Fixtures $1.50 $ 3- .SO Signe ...................... x Future Fixture Opening x 1.20 $ By � New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ OV New Ground Run Old Bldg . ............ x 3.25 $ ROUGH FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ "So Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ G REPAIRS & ALTERATIONS—Refer to Code G Description ................................................$ TOTAL FEE $ y `7 . i Application for Power Plants and Heating. Coming, Ventilation. Refrigeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SD 4-7470 GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECB. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ pe 8.00 $- 2.00 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TOTAL t 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN BEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Location .Z�-- 2– �, . �— / �4',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 all the facts and representations stated in this application ar true `d correct. Fridley, Minn -� �L 195_ Owner /� /!iT/ /lam 195— Kind of Building �/ `� 195_ Used as To be completed about ",2,1( / G -z— Estimated Cost, $ Old—New. Building Permit No. DESCRIPTION OF WORK r BEATING or POWER PLANTS—Steam,Hot Water, tarm Air No— G �/ Trade Name l" ! S � Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe (� By 11 POST IM -12-58 Bus' ss Phone No.1L / / Z 3 D,J6 _ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— /R-1 / Room ILength/7 ' _ Width Heiaht 7 ' II FV RoornlLength Width / J;HeighVe Windows and Doors—Crackage and Area 21 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z2-1 1,K=M � 1 / t� Coef. Btu Coef. Btu Infiltration Infiltration Glass Exp. wall Net exp. wall Exp. wall t/ Int. wall Net exp. wall Int. wall AF, za Ceiling Floor Floor / r Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I / Fl.l // a I"Room I Length19ty Y Width / V Height -7 ° Windows and Doors—Crackage inct Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z2-1 1,K=M � 1 / Coef. Btu Infiltration Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Glass Int. wall Net exp. wall Int. wall Exp. wall / Floor Net exp. wall Inc. wall p-=7jM CeilingFloor Floor 12RVI / f Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area R.l / /? a Room I Length 19 Width / i Height -7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z2-1 1,K=M Coef. Btu Infiltration Coef. Btu Glass Glass Exp. wall Net exp. wall Glass Int. wall Net exp. wall Int. wall Ceiling / Floor Int. wall Total Btu. ° I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I V 9C1 ?` Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack Oct. ft. Z2-1 1,K=M Coef. Btu Coef. Btu Infiltration Glass /, rJ Glass %Isli Net exp. wall Int. wall Exp. wall Net exp. wall Ceiling a Int. wall 3 Ceiling Floor 12RVI Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I t B;Aflk 14eivht7l/ Windows 1,nd Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. tt. Z2-1 1,K=M Coef. Btu Infiltration C/ d Glass �i4722 Exp. wall Exp. wall Net exp. wall Int. wall Ceiling a Floor 3 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1,�/ '/ a / 97_I7 7Z Room I Length / % _Width / 1- Height`? Y Windows and Doors—Crackage and Area Width Height No.of Lineal ft. Area No. of pane of.pane lights of Crack eq. ft Coef. Btu Infiltration Z Glass & Exp. wall Net exp. wall Int, wall Ceiling a 3 / v v a Floor Uy Total Btu. Required sa. ft. E.D.R. or sa. ins. W.A. Leader area IX, PP"' 0 11 • City of Fridley, NUnn. BUILDING PERMIT a'// -7,F N® '7039 Address CATION OF BUILDING No. Street 6e" �.b _ Part o t Lot ._.t. _ Block Z Addition or Sub -Di an . s Corner Lot Inside Lot _ _ Wb ack Sideyard Sewer Elevation _ _ Foiddation Elevation DESCRIPTION OF BUILDING To as: ® Front Depth Height AQ Sq. Ft. JCu. Ft.3-&/" Front DepthHeight 904=1 Sq. Ft. Cu. Ft. Type of Construction ._ Est. Cost? ' 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. d 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. n _ A 1.1 1 NOTICE: This permit does not cover the construction, hafallation for wh%& plumhhrg, gas hosting, sewer or water. Be sun to see the Building Inspector for separate permits for these item. '. - a'// -7,F N® '7039 Address CATION OF BUILDING No. Street 6e" �.b _ Part o t Lot ._.t. _ Block Z Addition or Sub -Di an . s Corner Lot Inside Lot _ _ Wb ack Sideyard Sewer Elevation _ _ Foiddation Elevation DESCRIPTION OF BUILDING To as: ® Front Depth Height AQ Sq. Ft. JCu. Ft.3-&/" Front DepthHeight 904=1 Sq. Ft. Cu. Ft. Type of Construction ._ Est. Cost? ' 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. d 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. n _ A 1.1 1 NOTICE: This permit does not cover the construction, hafallation for wh%& plumhhrg, gas hosting, sewer or water. Be sun to see the Building Inspector for separate permits for these item. ADDRESS 7 ' J y.. .� �/ ADDRESS LOCATION OF -BUILDING No, 7 , . Street ! 6A.4 Fart of Lot Lot_. Block. Addition. or Subdivision ; Corner Lot Inside Lot—Setback Side -Yard SEWER ELEVATION FOUNDATION 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: Front Depth Height Sq. Ft... Cu. Ft. Front Depth Height Sq. ,Ft_. Cu. Ft. Type of . Construction .. `��z 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,,,l?epartmeg�..of .Buildings,. and Thereby declares that all .the facts and representations stated in this application are true and,correct� DATE S Schedule of Fee Costs can be found on the Reverse Side). SUBJECT City of Fridley9 1352 AT THE TOP OF THE TWINS BUILDING PER I T r RECEIPT NO. `L _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,'J 812-580-3450 910-F15 3/21/77 JOB ADDRESS 524 - 54th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Moran 524 - 54th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minn. Exteriors Inc. 700 Hamel Road, Hamel, Mn. 55340 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside house 9 CHANGE OF USE FROM TO STIPULATIONS c TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. AluM num THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 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. WITH WHETHER SP IFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,270 $.63 PERMIT FEE SAC CHARGE DOES NOT PRES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI S ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI R THE PERFORMANCE OF CONSTRUCTION. $9.00 dJ'%% PLAN CHECK FEE TOTAL FEE $9.63 SIGNATU OFCONTRACTORORAUTHORIZEDAGENT IDATEI ^ HE PE BLDG INSP Y VALIDATED THIS IS YOUR ,ER d SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) CORNER LOT: INSIDE IAT: ill SETBACK: SIDEYARDS: 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: ,q a -LAPP 'ont: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:WOnp Ft)-4m� Estimated Cost: $ ���®. To Be Completed:/alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: --4-21- 1717 SIGNATURE: Stipulations: OWNER: �� C�/�/ id BUILDER: Address: �.j'1 7�1 gid, A .� . Address: /zo 1-4117c5j— /?J . Tel. No.: '�%� - 600.2, /' No.: ��077 Street: '` Y �1 II /(!• LOT: 9 BLOCK: _� ADDITION: /-/J'J%c_ CORNER LOT: INSIDE IAT: ill SETBACK: SIDEYARDS: 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: ,q a -LAPP 'ont: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:WOnp Ft)-4m� Estimated Cost: $ ���®. To Be Completed:/alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: --4-21- 1717 SIGNATURE: Stipulations: L NO. 15532 SUBJECT PE of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT rpCity kC EIPT . • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.j 612-571-3450 910-F15 110/26/79 � � JOB ADDRESS 524 - 54th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Bkman 524 - 54th Avenue N.E. 560-4178 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Landgraff Construction 521 - 53rd Avenue N.E. 560-5827 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 ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 12' x 21' Deck slidin door and Remodel kitchen 9 CHANGE OF USE FROM TO STIPULATIONS 'SEPERATE PERMITS REQUIRED FOR WIRING. IDEATING, PLUMBING AND SIGNS. WARNING Before r i Pall local 11iwftes TELEPL j BY ,� LAW 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 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 $7,000 3.50 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. 42.00 PLAN CHECK FEE TOTAL FEE ` 100, Z�z i -y -In f / $45.50 GNAT REO CONTRACTOR ORA RIZED NT (DAA) WHEN PROPER VALIDATED THIS IS YOUR PERMIT 4 /0 Z BLDG INS P E SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NO. 15532 CITY OF FRIDLEY APPLICATION"FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:' 6&a22t__ ADDRESS: S-A�IcA�� TEL NO: Y./79-," SUI L D E R ADDRESS: TEL NO: Construction Location � STREET NO: S�2 y STREET: LOT: BLOCK: �_ ADDITION: �%� iJ� L 1 i�� � 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: %a2 ��if / Depth: Height: Squane.Feet: Cubic Feet: o -- v� Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $�� �Q To Be Completed: z; i % • Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: � 1 7_�SIGNATURE Stipulations: pa't� -- uoo i or WE KF''E bi (EPMFY THM TH-5 IS A TRUE AMC) CORRECT RtPZfS£NTAT;0%4 OF A SOIZVEY• QF .THE 5oufgpPajE5 aF THE LPND P.90VE X5CPI5ED AND OF TkE LOW10N OF ALL. BUILDINGS, IF AMY, T4E.REONPNO ZL, VISIBLE EMMA .RMENTS* If ANY, F2Gti'. OR 0111 SP -ID LAND. 1.41-NDEIZ EtsGINErRcNCi CO., INC. o*f �_ ENG!►jE R Aup SVRvE fQQ.ss A„ t. - ENGINEERS .-AND SUrIVEYOPS =j _a.vJ 9vG1vE.Yrr•.0 So L3 -rESTlNG ". �. �. tir•t t.. lJ., N1VN�CiPAL ENOj NEE 0Iry Gi _ sr i.•AND PLANNIfV� t - 6418-56T" AVENUE K. ;° ,. . MINNEAPOLIS ll(_MINN. 1 , KE. T- 3G37.,,-.. ��' �o iF t� �t•t IF : �'a� ` y - a — _ i or WE KF''E bi (EPMFY THM TH-5 IS A TRUE AMC) CORRECT RtPZfS£NTAT;0%4 OF A SOIZVEY• QF .THE 5oufgpPajE5 aF THE LPND P.90VE X5CPI5ED AND OF TkE LOW10N OF ALL. BUILDINGS, IF AMY, T4E.REONPNO ZL, VISIBLE EMMA .RMENTS* If ANY, F2Gti'. OR 0111 SP -ID LAND. 1.41-NDEIZ EtsGINErRcNCi CO., INC. o*f �_ ENG!►jE R Aup SVRvE fQQ.ss A„ t. - 1 1 , I w7 Y_ / C i or WE KF''E bi (EPMFY THM TH-5 IS A TRUE AMC) CORRECT RtPZfS£NTAT;0%4 OF A SOIZVEY• QF .THE 5oufgpPajE5 aF THE LPND P.90VE X5CPI5ED AND OF TkE LOW10N OF ALL. BUILDINGS, IF AMY, T4E.REONPNO ZL, VISIBLE EMMA .RMENTS* If ANY, F2Gti'. OR 0111 SP -ID LAND. 1.41-NDEIZ EtsGINErRcNCi CO., INC. o*f �_ ENG!►jE R Aup SVRvE fQQ.ss A„ t. - 1 1 , i or WE KF''E bi (EPMFY THM TH-5 IS A TRUE AMC) CORRECT RtPZfS£NTAT;0%4 OF A SOIZVEY• QF .THE 5oufgpPajE5 aF THE LPND P.90VE X5CPI5ED AND OF TkE LOW10N OF ALL. BUILDINGS, IF AMY, T4E.REONPNO ZL, VISIBLE EMMA .RMENTS* If ANY, F2Gti'. OR 0111 SP -ID LAND. 1.41-NDEIZ EtsGINErRcNCi CO., INC. o*f �_ ENG!►jE R Aup SVRvE fQQ.ss A„ t. - z 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 /,} (� RESIDENTIAL RATE TOTAL Job Address �02 li pe /f • E Furnace Shell and Duct Work, Burner (tlso replacement furnace) $ 20.00 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_ It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge Reinspection Fee ($15.00) Rough Insp. Date (p Final insp. r6 Date Approval for Permit 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. a� $ 2®, Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ The undersigned hereby hakes 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. $/e,ley Fridley, Minn.Minn.���/��� / � , 19_ OWNER KIND OF BUILDING _ Uti'Q4/ r`e— llSED AS �� 5 C Gn P: TO BE COMPLETED ABOUT Ape l / 3o ESTIMATED COST ��• // OLD - NEW BUILDING PERMIT NO. PERMIT NO. I�lo DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS,” SSteam, Bot Water, Wa - rNO. ^ Trade Name Size No. T Capacity Sq. Ft. EDR BTU ZaHP i-_ Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No.T— Fill out back side for stack verification on replacement furnaces a homyo a-2 5-16 - S�,V 5,� SUBJECT PE City of Fridley 2 33 0 9 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r , CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/29/92 JOB ADDRESS 524 - 54th. Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Temple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Agerter 524 - 54th Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc, 7401 Central Ave NE Fridley 55432 7847543 4840 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling ()_5 S uaresj Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with_ $ tate Building Code, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $79 $.50, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21-00 Fire: 5c $,79 STRUO OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ,-.-� �� License SC $5,00. $27,29 SIGNATURE OF CTORORAUTHORIZED AGENT IDATEI WH Y ALI TED THIS IS YOUR PERMIT XPER BLDG INSI DATE SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW I J Effective 3/1/92 ADDN [ J CITY OF FRIDLEY ALTER [ J SINGLE. FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: 44,01V r&X7e� Tel. Contractor: D & D Home Improvement, Inc. MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: 1144-1YRIA Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ J Ft. Yd Setback Side Yard Setbacks Type of Construction: �®&5e �Aow—®7'54 Estimated Cost: $ Approx. Completion Date: _/ sfz- (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ BATE: G rs APPLICANT: Tel. # 71W -;t L Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ r TOTAL STIPULATIONS: IJI Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader NO. RATE Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** 1 Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 TOTAL JOB ADDRESS -;Amr 746 6W1UE1Z 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. , AGERTER,RONALD 20 CM 524 54TH AVENUE NORTHEAST Owner FRIDLEY, MN 55421 — (612) 572-9109 n J 6. CID Building Used As I� Z61 e -V_ Estimated Cost 1 6-0 C/V PERMIT NO. Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance go. 00 State Surcharge $ .50 TOTAL FEE $20.60 PLUMBING SIGNED BY Approved CJS �O� G�vn j� t �vV1� i ail TEL N0. FZ 7 - L10 3? _ Rough -In Date Final Date - l® 06 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 : f� SUBJECT PERM1 City of Fridleyq'T2 3 4 5 AT THE TOP OF THE TWINS BUILDING PERMIT r E � F COMMUNITY DEVELOPMENT DIV. ______ r y PROTECTIVE INSPECTION SEC.1 T,�, 1 . NUMBER REV DATE PAGE OF APPROVED BY I r...1 CITY HALL FRIDLEY 55432 j 612-571-3450 910415 12/3/01 J08 ADDRESS 524 54th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 ITemple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Ronald & Mary Ray Agerter, 524 54th Ave Fridley, MN 55432 763-572-9109 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Snedeker Construction, 11657 Palmer Rd o 612-99n-2042 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO BC20197339 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK New deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. WARNIG Before digging call for all utility locations 464.0002 REQUIRED RY LAW 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOV NING THIS TYPE OF WORK WILL BE COMPLIED $2,898.00 $1.45 WITH WHETHER PE IF HEREIN OR OT TME GRANTING OF A PERMIT P DOES NOT RESU T GIVE RUTH R TY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI ANY O ER STATE O AL LAW REGULATING CON- $83.25 $2.90 Fire SC STR N OR THE PE ORMANCE F C STRUCTION PLAN CHECK FEE TOTAL FEE Lice $5.00 $)2.60 NATURE OF CON'AACTOR OR AUTHORIZED AGENT 10 TE, EN PROPE Y ALIOAT THIS IS YYO PER IT r _ / 1 A_G / SAG INSP q E S-GNATURE OF OWNEROF OWNER BUILOERI 'DATE, f� NEW ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDI'N`iG PERMIT APPLICATION l 4 //, 1/q / I )f Construction Address: Legal Description: _ Owner Name & A1ddre Contractor. Address: Effective 1/1/2001 (763) 572-3604 Bldg Insp LNING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Driveway C 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 Length Width Length Width Width Needed: Height Sq. Ft. Heiaht Sa. Ft. Estimated Cost: $ CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ o4 Fee Schedule on Reverse Side Fire Surcharge $ ,Q© .001 of Permit Valuation (1/10th%) State Surcharge $ 1 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 6,�r (90 $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 $2 A 4 CA too STIPULATIONS: f 11 M ■ 0 ��0 l IV 11 � IL71 L I ; E ■ENLlfC�r,�w la C� d l � � a���,r. IIS �. ; j ia..'Off -ALM im.g m�wmrw 1404, '!tip JOIN, -- TO ril-_'111 _J ----'--- i � 6_L__I _--_i J- i C952) 881-7210 CELL (612) 2042 STEVE SNE®EKER CONSTRUCTION RESIDENTIAL & COMMERCIAL 11657 PALMER ROAD LICENSED • INSURED & BONDED BLOOMINGTON, MN 55437 SUBJECT P City of Fridley 32419 AT THE TOP OF THE TWINS BUILDING PERMIT i ' • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E � E NUMBER nEv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 l 612-571-3450 910415 218102 10B ADDRESS 524 54th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Temple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Agerter, 524 54th Ave NE, Fridley, MN 55421 763-572-9109 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows, 3938 Meadowbro.o.k Rd, St. Louis Park, MN 55426 952-933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Exempt 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK CR NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE - O REMOVE 8 DESCRIBE WORK Replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIRED 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 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 $13,149.00 $6.57 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- $237.2,5 Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $,43.15 SI; PLAN CHECK FEE qTAL 6.97 SIGNATURE OF CONTRAC TOR OR AUTHORIZED AGENT (DATE, HE P 015YALY V10 ED THIS IS YOUR PERMIT SIGNATURE OF OWNEA.IF OWNER BUILDER, I FATEI Rkbr, INS MATE G431 OAiVers+ Awe- FJL NEW ADDN [ } CITY OF 7RIDLEY EffecWe 1/1/2000 ALTER [ } SINGLE FAMILY AND DUPL�S R-1 AND R-2 (763) 572-3604 Bldg Insp BUILDING PERMIT APPLICATION Construction Address: Legal Description: LL Owner Napes & Address: 2 Tel. # 763-- C-2`ct Contractor. Pi MN LICENSE # E Ge Address: !rte Tel. # �Qf� u u� 50 Attach to this application, a Certificate of Surrey of the lot, with the proposed construction dra on it to scale. DESCRIPTION OF IMP OVEMENT LIVING AREA: Length Width HeiPht Sq. Ft GARAGE AREA: Length Width Hei ht Sq. Ft DECK AREA: Length Width H Ground Sq. Ft OTHER: Construction Type: ( U(rce-APCA� Estimate Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: APPLICANT: Tel. # !D� CITY USE ONLY - Call (763) 572-3604 for Pennit Fees If mailin In application Permit Fee $ Z- Fee Schedule on Re' erse Side Fire Surcharge $ .001 of Permit _Val u tion (1/10th%) State Surcharge $ lam, S� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ i 'dentia) Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main c Charge $ Agreement Neessa a g g ry�[ ] Not Necessary [ l , TOTAL STIPULATIONS: cV 0,501 CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Effective January 1, 2003 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 JOB ADDRESS So -N 5c(! RATE SCHEDULE OWNER '�10h 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 TOTAL ' BUILDING USED $ 30.00 $ 0.00 $ 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 $ .50 $-5-51!50 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. c ��►�r �,r �S -T X U o`Z q orL l U v\ d end, ESTIMATED COST �s5oc) • co PERMIT N0. f&wy DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units t Circle One (Steam) (Hot Wate Warm Air) Trade Name Ca -r r l e r- Size No.v o BTU '-lO,000 HP EDR Fuel i\3 a-1- 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 (0-9-a� CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed atn� �- I Aiik FAX # 763-757-6701 Approved Bj Rough -In Date i3-757=6202 Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r/'1AIAIC�''rn AND GQMB ISTION AIR UFRIFInATION r,,,,■,,,,,,N VENT NT„T the undersigned hereby verifies that the When , venting has been examined and is free from rust, deterioration, obstructions, and firestopped where required. Yes (x) No ( ) and is securely supported The venting system is plastic/PVC and meets all current codes and manufacturer of elbows and termination. Yes (x1 No ( ) specifications including sizing, length, number The undersigned also verifies that the replacement unit is a listed assembly specifications. and meets the current codes and manufacturer's es include AGA-GAMA Category l Central Pomace Venting Tables for fan Yes (x) No ( ) assisted and natural draft appliances. The -'-�"" ^^mb,i� inn air is sized and installed to meet the current codes Yes No ( ) and manufacturer's specifications. When required to Ingtall a naw ^^^^bM5U0j arir_ it will be sized and installed Yes �) No( to most the current codes and manufacturer's specifications. ) When jn%ftIlin , 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 Yes f) No( ) Venting Tables for fan assisted and natural draft appliances. insta led Is the common as been removed from the commonvent and vent connectors sized v vent alnd vented Yes after an appliance Yes (x) No ( ) separately as per current codes. �nRamp J yne and -gj7pf`�+i++mnn Vent and Vent Go n or Infnrmatinn Appliance #1 Type �e BTU Input' -10. o 0 an �sistedNNtt2 T e /�, �c BTU Input� I Appliance # Type BTU Input Fan Assisted or Nat Appliance #3 Type Total Btu Input Total Appliances Common Vent Type L Vent Height. Diameter inches Appliance #1 Vent Connector Height = Length —�ft Diameter in Typd � - ft Diameter in Type Appliance #2 Vent Connector Height _,._ft Length Appliance #3 Vent Connector Height _ft Length _ft Diameter in Type HEATING CO:CenterPoint Energy Minnagasee 13562 Central Ave NE, Anoka, MN 55304 Date: Signed By: % Q i Gypsum Wallboard Partitions -Wood Framing (load-bearing) (CAD FILE NAME GOLDKDWG OR 60LDHmn No. Fire Rating Ret. Design No. Description STC Test No. FIRE — SOUND "' _1/(pmihield C Gypsum Wallboard or 1/2 NGC 2161 y'` 12.7 mmle f - sides 2 x 4 (38 mm x 89 mm) studs, 16" o.c (406 mm). 2 1 hr.�— UL U305 5/8" (15.9 mm) Fire -Shield Gypsum Wallboard, 5/8' (15.9 mm) 35 NGC 2403 ' GA WP 3605 Fire -Shield Kal-Kore plaster base or 5/8° (15.9 mm) Fire -Shield MR Board nailed both sides 2 x 4 (38 mm x 89 mm) wood studs, 16° o.c. (406 mm).