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PRE 2010 DOCSDate '• ao*.. ..R. ............. ........ j11 Owner Builder .....:...:.................. ........ .... . Address ........'. .' ... ....... .......p ..•... ...'..:f..... � Address-..........:....................... LOCJ*N OF BUILDING No.... • .... r � .,..... Part of Lot ... Street .. � .'�1" J!..... .... . .............. . Lot .......y...... n. Block ....10........ Addition o:j Sub-Division.... ...... I............................. Corner Lot ....... .... Inside Lot ... Setb ck .MV40W Sideyard /AV.I ............... DESCRIPTION OF BUILDING To be Used as: Front, . .. Depth , r.0 #' eight a .... Sq. Ft. ..... Cu. Ft.......... V ............ Front .. , .... Depth .... keight .... Sq. Ft.... . Cu. Ft......... Type of Constructio . Est. Cost. !........ To be Completed 40 .. itit I' In consideratior �I of the issuance to me of J, a permit toil construct the building described above, I agree to do the proposed work I accordance with the . description above set -forth and , in compliance with all provisions of ordinances of tho age of Fridley. if :.. ... ... .. In consid a0 the payment of a fee of $ •►. • , permit is hereby granted to to construct the building or ad diion as described above This permit is gr ted upon the expressconditi that the person to whom it is granted and his agents, employees and worlanen, in all work done in, around and onsaid building, or any part thereof,. shall conform in. all respects to the ordinances of Fridley, Minnesota r location, construction, alteration, maintenance, repair and moving of buildings with- in the Village limits d this permit may be revoked at'an* time upon' violation of any of the provisions of said ordinances. ,SII .. ✓owl Building ^Inspector .�J NOTICE: 11a ;. This permit d not cover the construction, instai10on or alteration for wiring, plumbing, gas heating, sewer or water. E e sure to see the Building Inspeoigr #q`r_.separata:permiis for these Items. , SUBJECT PERM City of Fridley 15 814 AT THE TOP OF THE TWINS BUILDING PERMIT rp RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 7/7/80 rPAEE / JOB ADDRESS 660 - 57th Ave. N.E. 1 LEGAL LOT NO. _ BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 10 Donnay's Lakeview Manor Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Fyten 660 57th Ave. N.E. Fridley Minn. 55432 571-5256 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Owner 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 )7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add an 8' x 16' addition to the house. 9 CHANGE OF USE FROM TO STIPULATIONS 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $4,000.00 $2.00 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. $24.00 $ANN PLAN CHECK FEE TOTAL FEE 7" $6.00 $32.00 SIGNATURE WCONTRACTOR OR AUTHORIZED AGENT (DATE) �— WHEN PROPERLY V TED THIS IS YOUR PERMIT 'a�ce:5� - 77 -JtF BL15G INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or -Repairs) OWNER: — BUILDER:.�-- ADDRESS c-�� ADDRESS: TEL NO: --5z� -5— TEL NO: . Construction Location STRICT .NO: UoD STREET: SN L //� / 9 LOT: „S BLOCK: ADDITION: oiwJ Ay'S �-��Etk) IL� AJQ IL Corner Lot: Inside, Lot: Setback: Sideyards: /4,0,8 Aj� Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to.scale. DESCRIPTION OF CONSTRUCTION AFront: Depth: Height: /C; Squane.Feet: Cubic Feet: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Ldtoo 1`-6 lYl _ Estimated Cost: $ 7 Ono 9.b 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. DATE: S IGNATU F.E :== Stipulations: 00 p. r. v ® Fel. .U"� �� 00 13.5 Z 12 10 ro 71) X% -A C'%exl-� lqz/- D + OU. r 5 e- c TI 6 ,, v r 1. lot414,o Q404 01 J SUBJECT City of Fridley 243 AT THE TOP OF THE TWINS BUILDING P E R M) Ir RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I r � � r 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 I'' 612-571-3450 910-F15 7/19/9 JOB ADDRESS 660 57 Avenue NE 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 5 10 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Fyten 660 57 Avenue 571-5256 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE X❑ 8 DESCRIBE WORK Remove 16' x 22' Garage; Construct a 24' x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide XX a hard surface driveway. 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 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 1 STALLS I 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,600 $4.80 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- $162.25 Fire SC $9.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 176.65 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER ALIDAT D THIS IS YOUR PERMITT ./ .e. /V — �CJ SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI GATE 01 J NEW j ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: -4� Owner Name & Address: Tel. # J 2S_Z Contractor: l� ►` MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT t LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ftt�5�ia DECK AREA: Len +h Width Hgt/Ground Sq. Ft. OTTER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback-- Side Yard ,Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: ��PT -? (Cost on Back) Driveway Curb Cut Width Need' Ft. + 6 Ft = Ft x $ _ DATE: APP T: Tel. # STIPULATIONS: CITY USE ONLY a Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 9 .001 of Permit Valuation (1 / 10th %) State Surcharge $80 $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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 $ s STIPULATIONS: 7• N' 0r = -L L 41 AV, I�FcoW,*—,b G- S U /c/- 110 22 poc it 7• N' 0r = -L L 41 AV, I�FcoW,*—,b G- S U /c/- 110 22 poc e'Y��— u S, t' Q .—� �. (.� f 0-7 /-�--n c � re -1c, Ilam+ _3a �CV n CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES JOB ADDRESS 5r% tb /�t✓` RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are truea d cotrect (Side Vent — Fill Out Back) _ 1� ,1997 Gas Piping (Needed with new furnace) $10.00 $ y1% ` I OWNER ` Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ 00 ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs& Alterations LIST ON BAC 1 % of Value of Appliance or Work Ind finl(bn $ag)Do Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE $ 50 06-60 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining propgrty owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR . I ft BLAME HTG- AIC ELECT.. INC. 725/) -(vAo7D Approved By Rough—in Date Final Date 617 FILL OUT BACK SIDE F01�l STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . WA rd, P-1. 789 RUMUN a HEATING CO: Signed By; Date: CBMWgEY 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 O 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's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes( ) No (. ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . WA rd, P-1. 789 RUMUN a HEATING CO: Signed By; Date: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 d� 6431 University Ave NE q� Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, S 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES JOB ADDRESS l!0 0 �]� N RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in, strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $-3Q.00 representations stated in this application are true and correct. (Side Vent - Fill Out Back) 1997 Gas Piping (Needed with new furnace) $10.00 $� P0_0 .OWNER. Man (Un w +en Gas Range $10.00 BUILDING USED AS Lx) f,1I" nq 4 , Gas Dryer Dryer $1400 $�- `'- ESTIMATED COST ;5(o00,610 PERMIT ND *Air Conditioning -All Sizes $ JL5 00 $ 0 5.0-0 5 l4 3 C.m 1( 0 ()-q DESCRIPTION OF FURNACE AND OR B>IFNER: All Others/Repairs & Alterations (LIST ON BACK)" $ 1 % of Value of Appliance or Work No, of Heating Units Circle One (Steam) (Hot VI�aff�r) (Warm ' Trade Name_ lP�r�lQvt+ Size No. 33®q (o®& o Commercial/Industrial BTU (oo,000 HP EDR 1.25% of Value of Appliance or Work $ SS Fuel_ca-S Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE S$ S• � . . MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BLAINE HTC. A1C ELEM�1INC. CENTRAL AVE. .L HEATING COMP ANO M Signed By %5 7-1paoD Approved By Rough -in Date FILL OUT BACKSIDE F'0 STACK VERIFICATION ON REPLACEMENT FURNA Final Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack: 1. . Has been carefully examined Yes (bpi No ( ) 2_ Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes( No (3�1 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of 0&0 All other BTU's 3y O'er TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . Yes (JJ No (.). Yes W No ( ) Yes ( ) No (. ) Yes ( ) No ( ) List ALTERATIONS Being Done: r fl :w • BWhu a. ELECT., INC. AVE.N.E.HEATING CO: v� aglaft n Signed By: flul Date: 525 077 SUBJECT I City of Fridley 2 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT ANr R ' • COMMUNITY DEVELOPMENT DIV. _ tr PROTECTIVE INSPECTION SEC. z �3✓� NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7 /1 7/98 10B ADDRESS 660 57th Ave 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 10 Donna SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul F ten 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jayson Lindsay Roofing 792-1857 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20098263 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CI REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 18 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 1 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 1501 .75 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 OF CONSTRUCTION. $51.25 Fire SC $1.50 �FORMANIE e PLAN CHECK FEE L FEE 7s,28.50 I_ Licen 5.0 IGNATURE OF CONTRACTOR OR1kjjX40UIZED AGENT IOATEI H R 0 P VALID THI$y�VOUR PER 70b G INSP DA SIGNATURE OF OWN ERIIF OWNER BUILDERI IDATEI NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (P (_D 0 � � �� U � . �J • ie Legal Description: Owner Name & Address: Tel. # Contractor: .3or-�-`L('r-) clsAz w -& ? Q MN LICENSE # 5&Y)982,?, (a3 Attach to this application, a Certificate of Survey of lot, with the proposed construction drawn on it to sc DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGEAREA: Length Width Height Sq. Ft. DECK AREA: 1.45ngth Wicyh Hgt//CAound Sq. Ft. OTHER: Construction T e: 1- r� - o Estimated Cost: $ /-S— / (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] CITY OF FRIDLEY INSPECTION DIV. I�s� Effective On Jan 1, 2001 6431 University Ave NE ? 1 Fridley, MN 55432 ® APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 763-572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS / C- O dam? � /90& New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture SO4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 0/0 _,20— Sump/Receiving 20_Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner PA LL 7-1, t3 Water Heater -Electric $ 7.00 Water Heater - Gas"" / $10.00 < Building Used As 'q£ Gas Range*" $10.00 f % ry Gas Dryer"" $10.00 Estimated Cost -50o• PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY �e) A/'3 SU'J w So A) Reinspection Fee $47.00/Hr SIGNED B TEL No. 33 - 89 3 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved ByZIO J NY PLUMBINGIGAS PERMIT IS $20 00 Rough -In Date Final Date � State Surcharge $ .50 TOTAL FEE $19A 1-50 PLUS THE S.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 : CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 7, 2003 Mr. Paul Fyten 660 57 Avenue NE Fridley, MN 55432 Re: Final Inspection at 660 57 Avenue NE Contractor: R A Johnson & Son Dear Mr. Fyten: A plumbing permit was issued on September 7, 2001 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 work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. 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 inspection called for by homeowner after notification" 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. Sincerely, DJ/mh I ILIV—1U—G1JF7�—/ Nt:vv [ I ADDN {j ALTER { j lu �� Ui l'' UF- FRIDLEY wI a vt A auuL—L-4 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: d .57 f' E_ P. o`, 63) 572-3604 Bldg Ins ) 63) 571-1287 Fax )� /8.35 Legal Description: Owner Name & Address: *Pa v/ AAA 40106 S P*A,, . tJC rrijiteTel. # ht. -S) ( - S2_Sze Contractor: WZW Y► -gyp r1 ► C O Wj5 Mlv LICENSE # k�o �S r -oLl-3 Address: _ 38 /�P.21C�0 W /Oro0 jz Tel. # C9S2� 93.x- lo.�Dd Co444 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT .LIVING AREA. Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgdGround Sq. Ft. OTHER: Construction Type: fJeP la ,_93 G17 Estimated Cost: $_ Le, _ J idavv W yloto V",/ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 1 S n1tj APPLICAN Tel. #1/9 6 z Call (763) 572-3604 for Permit Fees if mailing in applicatio Fax to 763-5714287 if using credit card and we will caj 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 - $ 3 a Fee Schedule on Reverse Side $ 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.501$1,000 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: Building PLUMBING Permit No s00STR Inspections RESIDENTIAL APPLICATION Received By:_P_1ZL__ 763-572-3604 CITY OF FRIDLEY Date Rec'd --j 763-502-4977 FAX EFFECTIVE 2-19-09 C1 DATE/YOUR E-MAIL ADDRESS SITE ADDRESS O S _] A V C, N. E THIS APPLICANT IS: AOWNER ❑CONTRACTOR PROPERTY NAME: OWNER/ TENANTPHONE ADDRESS: l4 !�- V (? �V CITY 1-1\"V STATE V�ZIP 3 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE - FAX PERMIT TYPE tilSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW 14REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK f • P i G "Q U r Y -e— I Y-,� U 1 `(IIN aNQS L )(Nfi W). MINIMUM FEE FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER: OF EAC7ATER $35.50. BATH SINK/LAV _FLOOR DRAINS SHOWER PIPING _ -BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER (nI) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. -DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER � 't,.`�T r �a•S'F, � >k�"3,�i�ti ; � �y. _, � �"�^^� £t gs"ti' s� �`"�� 3�, i,.. g � arae„ j N 3 � A4 5,�� q,;.� yts �7a „'�� "4'�' t �, �`. -?�'a 3 r.. - �',> y S h THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan i t e case of all work _ hich requires review and approval of plans. !� �: SIGNATURE OF APPLICA _ PRINT NAMEP7'1r�I I DATE �1' 1 `�� V City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977