PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N®
Date: ..............-............. _.16..........._�--..._.. .._........_..._............._..
Owner:..._ .........................: .---.................... Builder
Address ....._.......V ... .- ... ... _ .. ... ................ Address
4213
,I ,O O F BUILDING
No. _.131 _........ Street ...... ............ ...... .......:�........... -._ . P f Lot .. .......................... .._.... --.... _...
Lot .../. .......... Block .--.................... Addition o ub-Division ......... ......W—
Comer
Lot ....../Y-* ...................... Inside Lot ....................................... Setback .. ... .. ...... Sideyaarr�d..... _............. -............................ _............. _...........
SewerElevation ...... ............. ........... ..._............. .............. ....................................... Foundation Elevation .......@...........�....'.....��............. ............ ............... _
DESCRIPTION OF BUILDING
To be Used as:
.�.. .................. ........ ... Front_ Depth �.�T_� Height/7._0'. Sq. Ft. !../(® Cu. F��
/ 0
� c y
.................................... Front �0.'.. w Depth Z0.� Heightl _ . qSq. Ft... X0. Cu. Ft. $4- Y._CM
Type of onstruction............................................................ Est. Cobs jA1 _.c�./.... .. �^-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 f h and in compli with provisions of
ordinances of the city of Fridley. _ R"y l
In consideration of the payment of a fee of $,?-�.._=_.,
is hereby granted
__._.___._.........._.._---..... ............ .....•--•-.. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
�3
City of Fridley
AWIcation for Plumbing emd Gas Fitting Perndt
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
m
K
y
x $1.50
Z
Future Fixture Opening ................
x 1.20
Y
New Fixture Old Opening ..............
K Z
Z
Catch Basin ............................
�U' $
$
6
z
C�90
•
F
N
WATER HTR.
GAS
ELEG
Base
1st
/
2nd
3rd
T—v
4th
"T!
• Future Connect:ton OpeningsI
New Fixture, Old Openings
Connected with Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ j
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 $
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU....:. :.: x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn 19sl�
Owner �-r� 19—
Kind of Building e�v� , 19—
i
Used as
To be completed about
Estimated Cost, $
Gffll�--New. Building Permit No
SignM 4444A
By
Business Phone N®®o
OCT 2 8 1959 R®u�h
/0.40 0
a2 O • o ca
it POST IM -12-58 !;-57-0
CITY OF FRIDLEY INSPECTION DIV. n Effective On January 1, 1997
6431 University Ave NE �A b,q . I -�
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT On
572-3604
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
NO. RATE TOTAL
_-L
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type _
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance,
State Surcharge $ .50
JOB ADDRESS 131 a LAj
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.
9.11-3 .1997
Owner w 6 l � i w t, E 1- 5'7 IV Y .7
Building Used As k £. S
�—
Estimated Cost d d . PERMIT NO. (G"
PLUMBING COMP Y . K} Se 4 AJ so A3 -,�- c.,
SIGNED BY r �a- TEL N0. -K 3
Approved By Rough -in Date
TOTAL FEE $ C94.S-4 PLUS THE $.50 STATE. SURCHARGE
Final Date _& A em
MIT IS $20.00
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
'.ITY OF FRIDLEY INSPECTION DIViSION v �S� Effective On January 1, 2000
5431 University Ave NE
=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, CODLING, VENTILATION, Z
763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 4`
JOa ADDRESS "Ok
RATE SCHEDULE OWNER
_OD01
2esidential
Rate
TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
$ 30.00
$
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
$ 10.00
$
but not replacement)
Gas Range
$ 10.00
$
Gas Dryer
$ A. 0.00
$
*Air Conditioning - All Sizes
$ 25.00
$
Ail Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
:ornmercial/Industrial
1.2590' of Value of Appliance or Work
$
State Surcharge
TOTAL FEE
4iWiMUMFEE FOR ANY EATING/COOLING/VENT iLATION
ff iGERATION/A1. R�QQN0ITIONING PERMIT IS 5Z�.00
ILUS THE S.0 STATE SURCHAR
INSPECTION FEE $47.00/Hr
Air Conditioners can not be placed in a side yard without
tritten permission from adjoining property owner.
50
BUILDING USED AS
ESTIMATED COST �� ®® _ PERMIT NO. -
No. of Heating Units_ Circle One (Steam) (Hot Water) arra Air
Trade Name :e 0 0 7� __ Size No.
BTUL—U:)41-y-so HP _— EDR __
Fuel Total Connected load
Burner Trade Name_ _ Size No.
BTU .- — IiP _ _ EDRt -
12
9
0
3
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. o
DATE__
m
r
N
'r
Z0'd -4101
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furan&, the undersigned hereby verifies that the
venting has been examined and Is free from rust, deterioration, obstnic tions,
and is securely supported and firestopped where required.
Yes (,-KNo ( )
The venting system is piassUc/PVC and meets all current codes and manufacturer
specifications including sizing, iength, 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 AOA -LAMA Category l Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes V No ( )
The existing combm-tion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes Vf No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and rnanufacturees specifications.
Yes (,fNo ( )
When Installing a new venting system, the undersigned hereby verifies that
It Is a listed assembly and meets the current odes and manufacturer's
specifications. This does Include AGA -LAMA Category I Centra! Furnace
Venting Tables for fan assisted and natural draft appliances.
Yes WN* ( )
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 y'No ( )
A1221118nCe Type and SiWIC-o-:nmon Vent and Vent Conneatorinformation
Appliance #1 Type 1k BTU Input -AL -10D_ -t) I=an Assisted
or Nat
Appliance #2 Type BTU Input Fan Assisted
or Nat
Appliance #3 Type BTI! Input Fan Assisted
or Nat
Total Appliances Total Btu Input
Common Vent Type _ Vent Height Diameter
inches
Appliance #1 Vent Connector Height _ft ft Length fit Diameter
in Type
Appliance #2 Vent Connector Height ft Length 11 Diameter,
in Type_
Appliance #3 Vent Connector Height ft Length ft Diameter
in Type
ALTERATIONS: (Describe)
F1 A(Y- S�
Signed By -HEATING CO:
iii`` .�� Date:
Z0/Z0 ' d S09868L 01 AHIG I 8A d0 U I D W08=1 BS : ZI 0002-T?-AON
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
March 14, 2003
Ms. Martha Sele
13162 Way NE
Fridley, MN 55432
Re: Final Inspection at 13162 Way NE
Contractor: Daves Heating & Air Conditioning
Dear Ms. Sele:
A mechanical permit was issued on October 10, 2001 to install a furnace at your address.
According to the 1991 Uniform Mechanical 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.
DJ/mh
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
I -JA .-416103.' �
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
Etfective January I, 2UU3
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR_ CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARG9
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written,,permission from adjoining property owner.
$ 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
$ `\ representations stated in this application are truepd correct.
�-bL- ; _
HEAT[
Signe(
FAX #
Approved B �� Rough -In Date
,. AS
iWA 1
i
Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
JOB ADDRESS
OWNER VAY:Jit6
Rate
TOTAL
BUILDING USED AS
$ 30.00
$
r23-
ESTIMATED COST
PERMIT N0.
$ 10.00
$
DESCRIPTION
OF FURNACE ANO OR BURNER
$ 10.00
$
No. of Heating Units
Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00
$
Trade Name
Size No.
BTU
HP EDR
$ 25.00
$06P
Fuel
_ Total Connected Load
Burner Trade Name
Size No.
$
BTU
HP EDR
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR_ CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARG9
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written,,permission from adjoining property owner.
$ 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
$ `\ representations stated in this application are truepd correct.
�-bL- ; _
HEAT[
Signe(
FAX #
Approved B �� Rough -In Date
,. AS
iWA 1
i
Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Ca ON VENT, MM CONNECTOR AND COMIJU&TION AiR MF(CATIQN
When replacing an exLsfln9_OM3LM, the undersigned hereby vermes 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 plasti /PVC and meats all current codes and manufacturer
specifications Including sizing, length, number of elbows and termination. lies () 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 -LAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No { }
The ettifto combustion gir is sized and installed to meet the current codes
and manufacturer's specfficsMons. Yes (} No ( )
When required to install 11 nM combustion air, it will be sized and installed
To meet the current codes and manufacturers 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 manufa+cturer's
specifications. This does Include AGA -LAMA 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 TJ/ KW ala ommon Vgnt and Vent Conner Information
Appliance #1 Type OPwiO BTI Input _. Fan Assisted or flat
Appliance #2 Type STU Input Fan Assisted or Nat ,
Appliance 93 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height _ Diameter -_e inches
Appliance #1 Vent Connector Height _ft Length ft Diameter in Type
Appliance 02 Vent Connector Height f t Length 7t Diameter. n Type
Appliance #3 Vent Connector Height ft L.angth ft Diameter _in Type
LT CNS: Mescribg)
10 e,-- _..Opin of_.l )Y1t
?A/M*A cngPAW. n 1'a v rma an r i to cv-.�'r rann� T' --.
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763) 571-1287
13162 WAY NE
153024430032
JULI-ANN ADD
: LOT 2 BLOCK 2
BUILDING
RESIDENTIAL
: WINDOW/DOOR REPL
PERMI NO.: 2004-01705
DATE ISSUED: 10/01/2004
VALUATION : $ 4,820.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317
OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
REPLACE WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT
LIFETIME SIDING & REMODELING INC (1'1,8®)
355 21 ST
NEWPORT, MN 55055-
(651)458-0844
OWNER
THORVALD WALLACE & SELE M L
131 62ND WAY NE
FRIDLEY, MN 55432
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 any other state or local law
regulating c"truction or the performance of construction.
Bldg
BUILDING PERMIT FEE 111.25
FIRE SURCHARGE 4.82
STATE SURCHARGE, VALUE 2.41
TOTAL 118.48
PAID WITH CHECK # 47160
clQDeu ATP DVuAarrc u1r7nrrm1Pr1 Vnu Ulr)DV nTTJPD rruekr n'Vcr12n11Pr1 ennIM
JUN -05-2003 10:26 FROM CITY OF FRIDLEY TO
NEW Z I CITY OF FRIDLEY
ADDN [ l 6431 University Ave NE, Fridley, MN 56432
ALTER I l SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 131 ltd xnd
Legal Description -
Owner Name & Address:% A Ouryho .
contractor L .1ci. Z l
6514581865 P.02/05
Effective 1/1/Z003 ov
(763) 572-3504 Bldg Insp
(783} 679 1267 F !�
Ob •C�l�7C�
Tel. 6
MN LICENSE;
Tel. #
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 HgUGmund Sq. FL
OTHER:
JAI
Construction Type. 1 y & i Cost: $
9"ay C rb Cut NVidt eeded: Ft. + S Ft m Ft 57
= $
DATE: APP Tel.
Call (763) 672-3604 for Permit if icing in applimflon. Fax to 763471-1287 K using credIi card and we will
call you for card number. Aj
�J
CrTY USE ONLY -
Permit Fee
$ / Fee Schedule on Reverse Side
Fire Surcharge
-A- 001 cf Permit Valuation (1110th%)
¢-A
State SurchaW
$ ' $.501$1,000 Valuation
SAC Charge
$ _ $1275 per SAC Unit
License Surcharge
$ $5.00 (State Uc ensed Residential Contractors)
Curb Cut Escrow
$ Ali. "A" or Alt. " B" Above
Erasion Control
$ $450.00 Conservation Plan Review
Park Fee
$ Fee Determined by Engineering
Sewer Main Charg
$ _ Agreement Necessary [ ] Not Necem y [ I
TOTAL
.$18
��
$ STIRU,I„ TtO ONS'
�J