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PRE 2010 DOCSBUILDING INSPECTION DIVISION MEMO MEMO TO: Barbara Dacy, Community Development Director MEMO FROM: John Palacio, Chief Building Official MEMO DATE: February 8, 1995 REGARDING: Proposed House Move -in to 53 63 1/2 Way NE Mr. and Mrs. Jason Graf recently asked me to inspect a house that they proposed to move into the City. This inspection took place February 2, 1995 and the City was represented by Scott Hickok, City Planner, Michele McPherson, Planning Assistant, the owner, Jason Graf and his father, and myself. To date I have issued a report of this inspection and have identified code items that must be addressed prior to issuance of a moving permit. Jason Graf has received this report (copy enclosed). The relocation of this single family home will include building and zoning code issues. The outstanding requirements are; 1) Increase of the structure equalling 50% of the home. 2) An attached garage with hard surface driveway. 3) A foundation with egress. 4) Mechanical, plumbing, and electrical systems. 5) Report dated February 2, 1995. I will keep you up to date with the developments for relocation of this home. JP/mh ATTACHMENTS rp City of Fridley AT THE TOP OF THE TWINS DAILY COAiIMUNITY DEVELOPMENT DIV REPORT CIWOF r PROTECTIVE INSPECTION SEC FRIDLEY .CITY HALL FRIOIEY 55432 ' ATS: 212/ 612-57 1-3450 PROJECT NO.95 �— CLIENT: PROJECT - Jason & Tia Graf I 1895 Todd Dr Moving House Into Fridley Arden Hills MN 55112 ion St Paul Airport 1995 Michele McPherson Planning Assistant John Palacio, Chief Building Official i Owner to provide -the City of Fridley -two sets of plans for review to verify the - following: * That the single family home meets City codes and State codes. * Survey to indicate placement of structure and elevations for drainage contro . * All mechanical, plumbing and electrical shall be completed by licensed contractor ?� Windows to.meet State Egress Code to be installed in all sleeping areas * Foundation shall be designed to meet Code. Soil report may, be required: - * Roofing shall be replaced - siding shall be replaced in areas as required. * Smoke detectors shall be -located as per Code. * Addition to structure shall meet the Ener Code. * Replace rim joist and other lumber as needed Owner shall comply with the items listed above and not be limited to other requirements of City and State Codes Also to indicate all costs of reconstruction and agrees to full compliance of City Codes and assures that work will be completed within the time frame of 180 days. estions call me at 57 TIONS PERTAINING TO PROGRESS: MATERIALS RE IEVED ON SITE: h 2 _ e Moll 41 nMf�k - x r 10 {o Y . 30 -71 0 0 3, 000 Soo 3 60 loo /00 I of St. john's Credit Union Serving the Community Since 1946 400 East Little Canada Road February 14, 1995 • Little Canada, MN 55117 • (612) 484.0265 City of Fridley 6431 University Avenue NE Fridley, MN 5543 To the Honorable City Council, This letter is tc confirm that St John's Credit Union will provide $57,000 to Jason and Tia Graf for a construction loan for property located at X 63z Way NE,.Fridley, M. Sincerely, ��ann/ F/A SUBJECT PERMIT City of Fridley i go AT THE TOP OF THE TWINS BUILDING PERMIT r '' NO. ______ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC r ---n CITY HALL FRIDLEY 55432 � , 1'j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/27/95 JOB ADDRESS 53 63 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,22 15 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jason/Tia Graf 1895 Todd Dr, Arden Hills MN 55112 628-9532 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 QX NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 48' x 22' Foundation for House; Construct a 22' x 22' Addition; an 8 x 8 Breezeway and a 20 x 24 Garage (A 26 x 22 House will be move in 9 CHANGE OF USE FROM TO STIPULATIONS Moving permit needed to move house onto lot. See notations on plan. Provide City with copy of verifying survey before capping foundation. Provide sod in -the front and side yards (seed can be tried once). Provide a hard surfaced driveway. See report dated 2/2/95 for additional stipulations. Verify sewer and water locations in field. Invert of sewer at centerline of street is 832.5±. If driveway curb cut is necessary additional monies will have to be paid. WARNING SEPARATE PERMITS REQUIRED FOR Before digging call for all utility locations WIRING, HEATING, PLUMBING AND SIGNS. 454-0002 TYPE OF CONST. OCCUPAM"I FX U NY 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 GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $60,000 $30.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $60.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FESID SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $459. W $850.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $1,399.50 SIGN TUREOFCO TRACTOW AUTHORIZED AGENT IDATEI WHEN PAOP LY ALIDATED THIS IS YOURPERMIT i AT R FOW N E R II OWf UILDER IDATEI I, INSP FATE ��ann/ F/A NEW [l ADDN [ J CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application i Construction Address: Legal Description: 1®1 - Owner Name & Address: �l1hN�i() , i-SY�-� '�,� '� w►iJ_7ii7 Effective 1/1/95 Contractor: Se Li = MN LICENSE # Address: /89,5 TODD Z Ad j"Ab- 4S5 / Tel. # 6 201- 2311 Ow -a &h, Attach to this application, a Certificate of Survey of the lot,- with the proposed construction drawn on it to scale. - DESCRIPTION OF IMPROVEMENT AREA: Lenghi Width d eight ��T.. SqZ- --Ft- -LIVING GARAGE AREA: Length �� a- n Width Height FT Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot Inside Lot Ft. Yd Setback Side Yard Setbacks y k < [ l �1 4hz T of Construction: �" ,�� Type � 1 CQ .1 Estimated Cost: $.C�d Approx. Completion Date: !! qW Tine (Cost on Back) Driveway Curb Cut Width Needed: lbFt. + 6 Ft = Ft x $ _ $ _ LDATE: —/q- 75 APPLICANT: � ?� Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 40160 $ 30, c'J $ $ Fee Schedule on Reverse Side _ .001 of Permit Valuation (1/ 10th%) ( `� Lc C �� ✓�� S $.50/$1,000 Valuation,! $850 per SAC Unitcy� / $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above t ��<> r� r� �� $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary T f2 C� f� fa L� �� _l72 - ruts is mar A BOUNDARY StPVEY FOR _kL- (AAF 1HEREBY CERTIFY THAT THIS PLOT PLAN WAS PREPARED BY ME OR UNDER WY DIRECT SUPERVISION. THAT THIS PLAN CORRECTLY SHDMS PROPOSED rHE PLACEI/F-NT OF A PROPOSED BUILDING ON THE LAND HEREON DEICRISEO AND THAT I AM A DULY REGIST RED LAND URVEYOR UNDER THE LAO'S GRADES OF TATE OF INNES A GARAGE SLAB -0�1 MINNESOTA REGISTRATION NO.Zozl o roa OF BLOCK • ��•� BASMENT FLOOR i Au. GLC- VAM OA(5 AIZL ON ►Al2$ufXO ONWAI. 6CNG�►QQK ?,.M. GLGv, = 50,0 C455UMF7) o w I �.�. •R�m= q'1•b SAta.'�:.�t:R� 1►aV,= 3�{.2,' c.v9Ra�c • mac.. sc-P— 14 �E55 I M J v.�AZG2 MAS wt 1 � I l LCCA A L ALS- OP- wT 27- WAD -RANT ?F.\" OV- LAT 't.\ k. (1 Nu GASTG c,L:-y 0 R 'MG W Gsr Io.00 F cT TAGRt;0f-t 9,Lor q. I G 9-k0u y P4(ZKI KURTH SURVEYING. INC. 4002 JEFFERSON ST. N.E. 55 (012) 700-9709TSFAX (8121750.7602 DATE Z- Z-1-9 5 SCALE- IRON MONO ENT FOUND BEARINGS ARE ON AN ASSUMED DATUM - 60 D SPIKE SET SPOT ELEVATION ( ? PROPOSED ELEV. E— — DRAINAGE ARROW w) CERTIFICATE OF SURVEY FOR Mcz,Mioo7 :n KiNc* KURTH SURVEYING INC. IHEREBY CERTIFY THAT THIS SURVEY, PLAN, OR REPORT WAS PREPAREO 4002 JEFFERSON STREET N.E. OYME OR UNDER MY DIRECT SuPERYISI .�N AND THAT I AIA A DULY COLUMIQIA HEIGHTS MINNESOTA 55421 —,zCG AE LA 0 STV uNOE HE LAWS OFTH!_ STATE OF MINNESOTA. 5tY-7a;8-9r6� OATS - 2'q r ti- "[1 .+- - SCALE 1"a MINNESOTA REGISTRATION NO.201, (4 0 -IRON MONUMENT t'e...` .A.t`...tt..F_`( Sc:A`3�.r•:t:-l.`.'Z �t't`\l\\�'i'1tCY�' V� 00 Q% A11N4-- i 3e \ 0 0 (9 0 e ^� " i Sl rivE y0, d� o J•e.. I� a V :•c.. P:-i`..—_�_ _ • — FISTING *LEGAT- DESCRIPTIc'N Lots 19, 20, 21, and 22, Block 15, Fridley Park, Anoka. County, Mirmesota. , PROPOSED PARCEL A All of Lots 19 and 20, and the west 6.00 feet of Lot 21, Block 15, Fridley.. -,-- Park, Anoka County, MIruiesota. PROPOSED All of Lot 22 and .that part of Lot 21.Y;lyinge :,, t asterly of the west 6.00 f thereof, Block 15' Fridley Park, Anoka County, Minnesota. x.ry� � d J, FBS Mortgage M.L. IT F13S Mortgage Corporation Residential Mortgage Banking 1700 West Highway 36, Suite 430 Roseville, Minnesota 55113 612 636-2456 Balance Required For Construction .......... S . EXPENSES .............. SWORN CONSTRUCTION STATEMENT TOTAL TO COMPLETE .... LOAN INETI.............. Additional Amount Required. OWNER'S NAME STATEMENT CHECKED AND NECESSARY AMOUNT AVAILABLE ^ X � P) . 'Y1 f IP'l- _ . PROPERTY AT �,-^- --I IC►oserl ITEMS FURNISHED BY -Laborers, Material Men and Subcontractors TOTAL COST AMOUNT PAID BALANCE Y. -------------- 1. Survey, Building Permit -------------- 2. Architectural Services 3. Clearing Building Site 4. Excavating, Filling 5. Grading, Backfill c y j Oa 6. Foundation C �� I 7. Concrete ( Gt /6� S. Blocks 9. Waterproofing c �(� -4' r� D 10. Concrete Work 11. Floors. Steps. Walks 12. Driveways X4544 rV3 13. Roofing 14. Prestressed Concrete Units , ; Lia �! 61, 15. Structural Steel 16. Laminated Units, Trusses 17. Brickwork. Chimney, Fireplace • J 18. Stonework, 'Stone 19. Ornamental Iron c1�I,tkc? 20. Lumber I 21. WmW.Flooring C (� / 22. Sheetrock 23. Insulation 24. Hardware, Rough ' 25. Hardware, Finish 26. Millwork, Trim, Windows 27. Cabinet Work, Cabinets 28. Counter, Vanity Tops 29. Glass. Mirrors 30. Sheet Metal. Gutterwork 31. Plumbing. Roughing In "' , 32. Plumbing Materials 33. Water, Gas. Sewer Conn. �� r 0D = 5 --------------- 34. Well, Pump (Continued On OtheJ Sloe) FORWARD TOTALS _ _ _ ............,,.►..fo at in names of all oersons and companies lurnishina labor and/or ITEMS FURNISHED BY—laborers, Material Men and Subcontractors TOTAL COST AMOUNT PAID BALANCE X 5. Septic System S. -Heating 7. Air Conditioning a(.r hrS i 01C S. Electric Wiring e rle o{ r S. Electric Fixtures �c 10. Plastering, Drywall 11. Drywall Taping 12. Stucco Painting Interior, Decorating 44. Painting Exterior 45. Tilework, Ceramic, Plastic Lei U- 46. Linoleum, Floor Tile 47. Floor Finishing 48. Garage Doors n 49. Oven, Range Top, Hood, Fan C 50. Disposal, Incinerator 51. Exhaust Fans 52. Dishwasher. Refrigerator me �° l 14W 53. Window Shades 54. Carpeting 55. Blacktopping 56. Sodding, Sod 57. Landscaping ' 58. Carpentry, Labor 59. Contractors Fee 60. Construction Loan Interest 61. Financing Fees 62." Contingency 63. General Requirements 64. Land 65.kofP n OL ` OD . TOTAL .TLA i c yr n ........... . it. COUNTY OF The undersigned, being first duly sworn, each for himself, as contractor or owner of the property at the address shown on reverse side hereof, deposes and says that the foregoing are the names of all parties having contracts or subcontracts for specific portions of the work on said property and budding or material entering into the construction thereof, and the amounts due and to become due to each of said parties; that the items plete said budding according to plant and specifications; that cher* are no other contracts mentioned include all labor and material required to cam outstanding; and that there is nothing due or td become due to any person for material, )abor or other work of any kind done upon said building other than as above stated. The undersigned further depose. and says that no increase in the cost of construction will be nude under any circumstances without furnishing information on same to FBS MORTGAGE CORPORATION with additional deposits to cover such increase; that, in the event of any such increase, no orders or claims will be made on said company until such mlormation and additional deposits shall have been completed; that the purpose of said statement is to induce said company to pay out the proceeds of a loan of S secured by a mortgage on said property; and that, upon payment of the specific unpaid items listed herein, the undersigned contractor hereby agrees to waive all claims of priority to said mortgage and both parties herein will save said company harm[*" as to any other claims of priority or lien lot any labor or material, furnished or to be furnished, for completion of construction. r Subscribed and sworn, to before me this day of . 19 Notary Public. County, Minnesota. lContractorl SUBJECT city of Fridley MOVING AT THE TOP OF THE TWINS P E R M I T (7n f RECEIPT NO. COMMUNITY DEVELOPMENT DIV, I L PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/1/95 JOB ADDRESS 53 63 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,22 15 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jason Graf 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bahl Movers Inc 8970 7 Street NE, Blaine MN 55434 786-5650 105 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 Move 26' x 22' Dwelling into Fridley to above site 9 CHANGE OF USE FROM TO STIPULATIONS ROUTE: Anoka County 102 to 61st to University to Osborne Rd to East River Road to site. 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 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 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 $80.00 PLAN CHECK FEE TOTAL FEE 80.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI ; yy I PROP RLY ALIDATED THIS IS YOUR PERMIT BLDG INSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI CITY OF FRIDL.EY N40VING OR WRECKING ( ] APPLICATION Job Address: Legal Description: ryo,4 M rz_iOL`� ei �i4 eZ., Owner & Address :�� ll jcks o, _(/ j r �'L1. # ) p/ Address: 6110 � s • IUI F - State License # �� S DESCRIPTION OF BUILDING Living r Area: Length Width ZZ Height /l% Sq. Ft. /®'J� Cu. Ft. Garage F Area:.Len th - - -- -i� i t . _ -- r,- Cu. Ft . other: Leng h�___ _ - Height Sq . Ft . c Cu'. Ft. Estimated Cost $ Approx. Completion Date UTILITIES TO BE NOTIFIED City Water/Sewer Mpls. Gas Company Northern States Power U S West_ 571-3450 [ ] 372-4720 [ ] 566-9120 [ ] 663-6000 [ ] Water Bill Paid: Yes [ ] or Collect [$ ] Initials Moving Route:1A Q,Kaek �'Fy lOaa �� Acis �✓��u<rSiA t 4o Lei i oA N6 -ins 5o. on The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this ap icatio a true and correct. Date Signature Moving: Principle Building into Fridley . . $ 80.00 Accessory Building into Fridley . . . $ 20.00 Minimi= Fee: $15.00 Through, within or out of City . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction . .$ 1.25 For structures which would be impractical, to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. 461 PH4 1T PM:—C�o, o c) e-1-6411VO-t- Q1, we—All'o-Ir Mt lar �Iflh �tftw Pe e And '.6 ;I e pcjss�: 6 -vek- t ta�Ses gStandard frr l=ire f the Te L 'fOPG ASSMI—E814. Every deeft room shag ,116YO-st lull 108 w 14 fto 44' 1/46 -1,pey 1 or, C tit provide I trff� W1 8 provide not togs than openable area. mini wiah _ar. 3 u4c, fA14 �� A.� 7_ IS 7 VAC, 32YN) p2aua� ,O�W-� eFeVe.4-ajc 3 �-IW A Al L /W"7 Y 1 c9� 5'71(,-t) lfcc��s 77 A.utomatir, i; ra?.e Door openers s11811 corrplyA yrity &q11 - Statutes 32rr 2 and 325F.93 whioh requires safety devices complying ►,ith U.L. Standard No. 325 for the QVing of garake doors and to prevent the closing of tarage doors. All openinLe In bearing wall shall be framed with double headers of proper size. Certificate of occupancy trust be obtained bafore this building is occupied, FLASH OVER ALL EXPOSED EXTERIOR OPENINGS THIS JOB COPY SHALL BE AVAILABLE ON THE JOB SITE FOR THE FRAMING AND FINAL INSPECTIONS MW ,1.206 .HABITABLE 1100MS SHALL HAVE NOT LESS THAN �,rAy��fk,FACP?LzF DEOPEI RWITH A MINIMUM OF 1.0 SQ. fEFT P&R HABITABLE ROOM, ENGINEERED TRUSS DESIGNS AND LAYOUTS SHALL BE MADE AVAILABLE ON THE JOB SITE FOR THE FRAMING INSPECTION REGULATIONS ON LOIN MATER USE WATER CLOSET; Effective January 1, 3993, In ftp@Cg jurisdiction of the Minnesota Stgt,, p,Iii Ill' $Ile all new (new construction, fetritp@eii, g O0d®, er r-4piggom p floor—mounted water closets jnstt,dis!d must be gallon or less.State St?t;*P 326,37 6?u69, . BUILDING OFFICIAL REVIEW AN AUTHORIZATION REQUIRED PRIOR TO CHANGES, MODIFICATIONS OR ALTERATIONS Attic Ventilation 1/300 of harizontal projection of roof area. — 1/2 to be in sO fit, 1/2 to be in roof near ridge. POST ADDRESS NUMBERS ON SIGN IN FRONT OF BUILDING PLACE - ADDRESS NUMBERS ON BUILDING PRIOR TO FINAL INSPECTION. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Effedtive On January 1.; 1995. APPLICATION FOR PLUMBING AND.GAS FITTING PERMIT. MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR . • , hath " Wash 15rinkF'' �� Floor Gat"c Auto, Gash" 'Gas Water Treating Appliance Illis� �. Water Heater Water Heater —Electric ub' ;Shower Sin ';, Tra iah Fot, Drain a^� " �rr �I' �,:y '' Washer A 13 , Ran a Fiat: Gas Elec' () No Type N N iru-ul'ffliT 11f NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin J_ Rain Water Leader Sump/Receiving Tank I Water Treating Appliance Water Heater —Electric Water Heater — Gas _ 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $ �® JOB ADDRESS -� • ' The undersigned hereby makes application fora permit for,'the work, herein` specified agreeing to do all work in strict accordance witli.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: 1995 Owner.0¢� Building Used As Estimated Cost _ 2,26 0 PERMIT NO*'' PLUMBING COMPANY t�r SIGNED BY � � TEL N0: Rough—in Date Final DatApproved BX MINIMUM FIEE FOR ANY PLUMBING/GAS PERMIT • IS $15 00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1996 6431 University Ave NE s Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 9--6,3 ka y 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 ar Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. 0212 joky 1995 (Side Vent — Fill Out Back) = Gas Piping (Needed with new furnace) $10.00 $ c')` OWNER Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST l�� PERMIT N0. *Air Conditioning — All Sizes $10.00 All Others/Repairs & Alterations (LIST. ON BACK) 1% of Value of Appliance or Worky 4c' -t ct2 ")I�fe Commercial/industrial "n 1 % of Value of Appliance or Work State Surcharge TOTAL FEE $50 0 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $ 50 STATE SURCHARGE REINSPECTION FEE $30.00 1, •;• • •i , _q;� No. of Heating Units / Circle One (Steam) (Hot Water)q CarmAir) Trade Name SIze.No. BTU 9r) d00 HP EDR Fuel 0- Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY 171 / °�Uy�?6/A.)G Signed By Approved Tel No. �J�-3 -1 F 3 9 Final Date / *Air Conditioners can not be placed iri a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. Y AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined . Yes () ) No ( ) 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'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: List ALTERATIONS B ft Done: HEATING CO: Signed By: Date: r , _ P) UM //;/C)- 9 r �n�l JOCI 4 0 Heating Air-Conditioning BLP41NEand Electric, Inc. 13562 Central Avenue N.E. Anoka, Minnesota 65304 Phone (612) 757-6200 FAX (612) 757.6701 A QUALIFIED MECHANIC EMPLOYED BY THIS FIRM HAS -CAREFULLY INSPECTED THE HEATING SYSTEM OF THE DWELLING LOCATED AT: 4 5':� — (om` /-. \.,6w-�I , �. , -- �0�c4 G2 [] 1.) THIS INSPECTION REVEALS THAT THE HEATING SYSTEM IS FUNCTIONING PROPERLY AND IS CAPABLE OF FURNISHING ADEQUATE HEAT FOR THIS DWELLING. [ ] 2.) THE FOLLOWING REPAIRS WERE CONSIDERED NECESSARY, AND WERE COMPLETED IN A WORKMANLIKE MANNER. LIST REPAIRS: [ ] 3.) THE FOLLOWING NEW EQUIPMENT WAS CONSIDERED NECESSARY, AND WAS INSTALLED IN A WORKMANLIKE MANNER. A WRITTEN WARRANTY (IF APPROPRIATE) HAS BEEN FURNISHED THE MORTGAGEE FOR DELIVERY TO THE PURCHASER OF THIS PROPERTY. LIST EQUIPMENT REPLACED: 4.) THIS INSPECTION REVEALS THE FOLLOWING -DEFICIENCIES - RR ION f I CERTIFY THAT 11AM AUTHORIZED TO SIGN OF: G.t.-Y'l.Q, 1a�R C� .I THIS CERTIFICATION ON BEHALF InC.- AND THAT, BY THE SIGNATURE HEREINAFTERSJMADE, WE WARRANT THAT THE ABOVE COMMENTS ARE TRUE BASED ON A PROFESSIONAL AND PRUDENT ANALYSIS OF THE SYSTEM. I FURHTER CERTIFY THAT I HAVE NO INTEREST, PRESANT OR PROSPECTIVE, IN THE PROPERTY, BUYER, SELLER, BROKER, MORTAGEE OR OTHER PARTY INVOLVED IN THE TRANSACTION. ONLY THE CONDITION F THE SYSTEM AS OF THIS DATE IS WARRANTED BY THI TRANS //CA�TION DATE: '1' /�'/ SIGNATUR TITLE: X431 0L -Q-.01 1 `�'C .Y1CIJ�CJIQ-V1' REPORT ON CONDITION OF HEATING SYSTEM VISUAL INSPECTION OF OVERALL CONDITION OF FURNACE: CIRCLE # 1= POOR, 10= EXCELLENT 1 2 3 5 b) 7 8 9 10 1.) TEST OF HEAT EXCHANGER AND TYPE [p'-9 LEAK -SEEK [ ] SMOKE BOMB [ ] CO DETECTOR RESULTS: GOOD [IA] QUESTIONABLE [ ] BAD [ ]* *IN THE EVENT THAT THE HEAT EXCHANGER IS BAD, THE TECHNICIAN WILL DISABLE THE FURNACE AND PLACE A 'RED TAG' STATING THE FURNACE IS UNSAFE TO USE. 2.) CHECK BURNER CONTROLS AS� LLOWS: HEAT ANTICIPATOR: BAMP RECORD GAS PRESSURE: _3._5 INCHES W. C. DISABLE BLOWER AND CHECK HIGH LIMIT AND RECORD BURNER SHUT DOWN TIME: 2 MINUTES /7`SECONDS -r CHECK FOR BACK DRAFT FROM FLUE: YES [,>C ] NO [ ] /P(- r CHECK CONDITION OF CHIMNEY OR LINER AND CIRLE NUMBER: 1 2 3 4 5 6 7 8 9 �1D RECORD THE TYPE AND MAKE OF ELECTRONIC IGNITION SYSTEM: G-60 [ ] BIMETAL (740) [ ] DIRECT SPARK (S87) [ ] INTERMITTANT PILOT (S86) [ ] HOT SURFACE IGN. [ ] OTHER [ ] DESCRIBE: 3.) BLOWER & MOTOR TYPE: DIRECT DRIVE [VN BELT DRIVE [ ] 8 9 10 CIRCLE NUMBER TO DESCRIBE CONDITION: 1 2 3 4 5 6 7� RECOMENDATIONS: F l AMP DRAW: 61-7 AMPS AT—/ / 5 VOLTS FILTER CONDITION: BELT CONDITION: CITY OF FRIDLEY INSPECTION DN. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 19% APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NLJMRFR OF FtXTtIRRA TO RF INATer r Fn rnN XAP.W i=i nna W 4 �I!tMN yHill { Wash TOTAL Floor �kr Auto. -" Gas Water Heater Stories Urinal Shower Tra '.; �. ' Drain �f Washer "� �a: ,.;; $ 5.00 and rulings of the Building Division, and hereby declares that all the facts _� Irl. Ran Gas EW Basement and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7,00 Sump/Receiving Tank $ 7.00 Floor 2 Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 Water Heater — Gas** —.i� $10:00 I� Floor 2 Building Used As '®,fes Gas Range** Gas Dryer** , �_ $10.00 $10.00 0 f' Estimated Cost PERMIT NO. ! -3 g% Back Flow Preventer Required ( )Yes () No Type $15.00 r Floor R V PLUMBING COMPANY 1%O��' 1 1 vlo? 10Cl4/4- Reinspection Fee $42.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Floor 4 Approved By Rough—In Date Final Date State Surcharge PLUMBING FIXTURE RATES: NO, RATE TOTAL JOB ADDRESky- x/11/7- y New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 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 Sump/Receiving Tank $ 7.00 2 Water Treating Appliance $10.00 Owner Water Heater —Electric $ 7.00 Water Heater — Gas** —.i� $10:00 1705 Building Used As '®,fes Gas Range** Gas Dryer** , �_ $10.00 $10.00 0 f' Estimated Cost PERMIT NO. ! -3 g% Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY 1%O��' 1 1 vlo? 10Cl4/4- Reinspection Fee $42.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance r Approved By Rough—In Date Final Date State Surcharge 50 TOTAL FEE MINIMUM FEE FOR ANY PLUMBING GASPERMIT IS 20. $ ,5RO.-O PLS $ Grp STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 July 27, 1995 Mr. Jason Graf 53 63 1/2 Way NE Fridley, MN 55432 Re: Final Inspection at 53 63 1/2 Way NE, Fridley Dear Mr. Graf: A final inspection was conducted on July 27, 1995 of the above address and the following item was noted which must be completed before the structure can be finaled: Provide sod or seed in the front and side yards by September 1, 1995. We will expect this item to be completed by the scheduled date and a reinspection called for. The house is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 572-3603. Sincerely, l��Gt/, Cry BARRt RIESCH Building Inspector BR/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE Effective On March 1, 1996 JOB ADDRESS iJ 3 — 63Y,)- Lot:� . The undersigned hereby makes application for a permit for the work herein TOTAL 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 $ 0 O U representations stated in this application are true and correct. $ ,199e OWNER 0 ZZt �, BUILDING USED AS bEn 119 L $ ESTIMATED COST ) SZj o - 0 f! PERMIT NO.��/ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units I Circle One (Steam) (Hot Water) (Warm Air) Trade Name ftT, T -p -en L Size No. BTU �S, 000 HP EDR $ Fuel Total Connected Load 50 Burner Trade Name Size No. BTU HP EDR s 3o 5b 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. HEATING COMPANY TTI I C ftL J Jq C Signed By ,�1U l,L Tel No. (JZ Q,3q— 7`74-7 LA— Approved By Rough—In Date Final Da k �- FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNA E Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ��/lvic�9 I CHIlVI 4EY 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'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: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ��/lvic�9 I CITY OF FRIDLEY INSPECTION DIViSION ��'Effective On January 1, 2000 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 _C� RATE SCHEDULE Residential Rate TOTAL OWNER Furnace Shell and Duct Work, Burner - BUILDING USED AS we. VL;% ry L Also Replacement Furnace $ 30.00 $ (Side Vent • Fill Out Back) ESTIMATED COST d 00 O Q PERMIT NO. �� / 14 Gas Piping (Needed with new furnace, $ 10.00 $ Gas Range but not replacement) $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. *Air Conditioning All Sizes SAQR"' $ 25.00 $ �5 • DO BTU HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1qo of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE representations stated in this application are true and correct. $ DATE-- LID9 00 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO River City Sheet Metal, Inc. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Coon RB 9928 Bluebird St. . . PLUS THE $.50 STATE SURCHARGE Signed4fiVIN 55,433 612) 754-2199 Fax (612) 754-29 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved B Rough -In Date Final Dat l� ��-A written permission from adjoining property owner. � 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 rJAW G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Jason Quisberg 53 63 1/2 Way NE Fridley, MN 55432 Re: Final Inspection at 53 63 1/2 Way NE Contractor: River City Sheet Metal Inc. Dear Mr. Quisberg: A mechanical permit was issued on July 12, 2000 to install as air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. 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 expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh