PRE 2010 DOCS*City oFridley, F , Minn. 0
BUILDING PERMITS? 4328
�_ _
Date: .-----•---.._...._.............---•-----••----------- 67��-
-------_.................... _- •---...------------------
Owner:
........................... ............. ....................... ................................... -.................... Builder...................----............_.........................
L�,r�Y;"�..1' ......._.._ ...
Address.... ...... .... _.......... _-... - _......... _.... ........... Address ............. _......... ._............._......................_......._......._......._......._.....__.._...
'ION , BUILDING
� v1•-• Street ... -•�P .--�--._'%��................._.............. Part f Lot --------•-----• - --............_............. _....__
No. .......... -. .
Lot ..:r-,3Block...............�........................... Addition or Sub-D!visio ......... �.. -.........................._.............-
CornerLot .................................... Inside Lot ...................................... Setback ...................-......................... Sideyard .......------...................................._.....-------._......._..
Sewer Elevation ..... _............................ _...-....--_................---....................._.......... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
, e
•/Depth c a
.� Height._.. �� f Sq. Ft. Cu. Ft./..._./.Y.�
..................................... Front ............................. De th ...................... ..................... ...... Cu. Ft. .
p Height Sq. Ft.. .................
Type of Construction ._........ ...._..._..................... Est. Cost. _...........(. /,F'—"'robe 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 set1%4!�
vs'ih all -pm, ' ions of
ordinances of the city of Fridley. �7
---.�........... ..................................
a t
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.
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
N? 5104
Origin Kermit fdT PLUMBING AND GA94TITTING "f- 5 f 7
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Pernni [T 0 f
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of thisF�
permit..
Connected with
Number, Bind and Location of Fixtures
M
m Z a Y I z D °o Z uQQ m I Z¢
m m 3 O LL 2 a 00 m K J
W WATER HTR. City of Fridley , 19_[x,
O
i 4 O a O K GAS ELEC.
— � Owner
Location
Gas Piping for Openings
Permission is hereby granted to do the plumbing and
gas fitting in the building described in the statement hereto attached,on the express condition that
the person to whom this permit is granted, and his agents, employees workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
42 JM–"9-v
Kind of Building-�a
Used as �C-
To be Completed—�Y1a)--& ck '19.2-0
Estimated Cost $. /15-0 6
Old- ew. Building Permit No.
Inspector of Buildings.
dJ
Stories
< p
m
3 U
M
m F
Basement
1st
2nd
3rd
4th
Connected with
Number, Bind and Location of Fixtures
M
m Z a Y I z D °o Z uQQ m I Z¢
m m 3 O LL 2 a 00 m K J
W WATER HTR. City of Fridley , 19_[x,
O
i 4 O a O K GAS ELEC.
— � Owner
Location
Gas Piping for Openings
Permission is hereby granted to do the plumbing and
gas fitting in the building described in the statement hereto attached,on the express condition that
the person to whom this permit is granted, and his agents, employees workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
42 JM–"9-v
Kind of Building-�a
Used as �C-
To be Completed—�Y1a)--& ck '19.2-0
Estimated Cost $. /15-0 6
Old- ew. Building Permit No.
Inspector of Buildings.
City of Fridley, Minn.
BUILDING PERMIT
Date: June 24, 1970
Owner: Walter Eyler Sr. Bider
Address 1456 -64th Avenue N.E. Address
Same
Same
'S a- 3IS
LOCATION OF BUILDING
No. 1456 —Street � 64th Avenue N.E. _ _ � _ Part of Lot
Lot Kko f 3 Block 2 Addition or Sub -Division . G gr i ng gal l py Addition
Corner Lot _ .N Inside Lot —. X Setback __ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 22 Depth 24' Height 10' Sq. FL 528' Cu, Ft. 5280'
Front Depth . Hdight _ _ Sq. Ft. _ _ Cu. Ft.
Type of Construction game Est. Cost _,$1,_100 To be Completed 1year
Provide Hardsurfaced Driveway
In consideration of the issuance to me of a permit to construct the building
the proposed work in accordance with the description above set forth and in
ordinances of the city of Fridley. 14".7
I agree to do
provisions of
In consideration of the payment of a fee of $ 10.00 , permit iehereby granted Walter er Fyl er
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.
NOTICE:
This permit does not cover the construction, hutalHHon for wiring, plumbing, gas heating, awn or water. Be arra to we
the Building Inspector for separate permits for thea Rena.
It
a
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: / f 0Z Cil k J R BUILDER:
ADDRESS: / �6fGt (� `� x0e ill � ADDRESS:
NO • . / �5o STREET: /4 (%r2' 1V
LOT: Wes 12 B K; L,2- ADDITION: S� / ////� ` lqp�70 AJ
�! 7
CORNER LOT: INSIDE LOT: ETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
� r r
Front:- p? ;�-- Depth • o;� IV Height
Square Feet: �a� ! Cubic Feet: (5—v7 Y
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: G'�r�l / Estimated Cost •_ $ Z!® O
To Be Completed: /,�-1 l-rwtN
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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 applicat
are true and correct.
DATE: 5r % 0 SIGNATURE :
(See Reverse Side For Additional Information.)
�0
a
0 0
CERTIFICATE OF SURVEY
M I LN ER W. CARLEY & ASSOCIATES
CONSULTING CIVIL ENGINEERS LAND SURVEYORS
500 W. HWY. 96 314. OAK ST. 18 4TH AVE. S.E.
ST. PAUL 12, MINN. SAUK CENTRE, MINN. ST, CLOUD, MINN.
484.3301 352.3664 251.7751
1 hereby certify that this survey, plan, or report was prepared by me or under my direct supervision
and that, I amra duly Registered Land Surveyor under the laws of the State of Minnesota.
r. a Reg. No.� Date -_� r .3, 1970
to 4
e 0116151 4� I/ Lo T .� B�o CW .Z
n� /y%i'hr�esor�t•
A:inev-f/owr oi-t ,e ea IV
7o-Zo3
r'
a CERTIFICATE OF SURVEY
M I LN ER W. CARLEY & ASSOCIATES
CONSULTING CIVIL ENGINEERS LAND SURVEYORS
500 W. HWY. 96 314 OAK ST. 18 4TH AVE. S.E.
ST. PAUL 12, MINN. SAUK CENTRE, MINN. ST. CLOUD, MINN.
484-3301 352.3664 251.7751
1 hereby certify that this survey, plan, or report was prepared by me or under my direct supervision
and that, I am a duly Registered land Surveyor under the laws of the State of Minnesota.
Reg. No.� ODate_�+^ .3, /9 ?A
0
fr_
0
The Glees/� i o/J///
�JOv.Je
70 -?03
hyo -moi
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ra
SUBJECT
PERMIT
City of Fridley
12989
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�612-560-3450
910-F15
JOB ADDRESS
1 LEGAL
LOT NO.
BLOCK ' TRACTOR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Walter r
3 CONTRACTOR MAIL ADDRESS
SAME
Z P PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
25 x 15 X 12
RESIDENCE - REBUILD GARAGE 24 x 28 x 10 & Addn. to Living Room &BAthroom
7 CLASS OF WORK
❑ NEW CIX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
REBUILD GARAGE & ADD ADDITION TO HOUSE
9 CHANGE OF USE FROM TO
STIPULATIONS
WARMI G
SEPERATE PERMITS REQUIRED FOR WIRING
Before digging call local utilities
HUTING, PLUMBING AND SIGNS.
TELEPHONE -ELECTRIC -GAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
FRAME
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. F .
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
672
5T, 280
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
'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
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FE
SACCHAq E
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
SIGN T�QONTRACTORORAUTH T (DATE)
1 56-36
HEN PROPER Y HIS IS YOUR PERMIT
Z14_ _ 3- ��
,..
=VTED
June 3, 1975
BLDG iNSP
DATE
SIG ATURE OF OWNERIIF OWNER BUI RI IDATEI
ra
/ � o
•APPLICATION FOR RESIDENTIAL.,- ALTTION—
OR ADDITION. BUILDING PERMIT ¢ , ..4� • 3—, cs o
CITY OF FRIDLEY, MINNESOTA —
OWNER s NAME : tiA S -v & ' UILDER : fry �
ADDRESS : lid 4. 6,F7 79.4 P Aj • C _ ADDRESS:-
NO:.
DDRESS:NO:. �vF�� STREET:.
LOT :W t.T j BLOCK: - ADDITION: VA
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach this form Two Certificates of Survey.of:Lot and.proposed
building location drawn on these Certificates.-
DESCRIPTION
ertificates:DESCRIPTION OF BUILDING
b .1-1 f,4
C-1
To Be Used As :6� A R A 9 e -
Front• Depth: 99A Height: % C,
7
4,,. ' Z�- a Square' ; Cubic . Feet : C5-1;? y
AlFront: Depth: /6-7 Height: % :2-
6,9
-6,9 to RI -I ---,Square Feet; ',-3 2-5—Cubic Feet: 4-0
Type of Construction: Estimated Cost:
To Be Completed: 4k.`
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 applicatio
are true and correct.
DATE: C SIGNATURE:
(See Reverse Side For Additional Information.)' _
e, LO,
PIS
a
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 �n �j� /�
RESIDENTIAL ` RATE TOTAL Job Address %�%1�"� - "� V e / )`
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.0G $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $ 10.00 $ Tel. #571-3450
(piping needed with new furnace)
Gas Range $ 10.00 $ 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
Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct..)
t)
* Air Conditioning (all sizes) $ 10.00 $/0 -CO / oo Fridley, Minn. 0 W OW 194S
All Others/Repairs and Alterations OWNER
1% of Value of Appliance or Work $
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL USED AS llgi—��_ ,
1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT JO l �� Lti lP��
ESTIMATED COST
State Surcharge $ .50
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL FEE midwht4 n Fee- $ 61
Reinspection Fee ($15.00) $
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Final Insp. Trade Name Size No.
Date Capacity Sq. Ft. EDR BTU HP
Approval for Permit Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU / HP /
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, Company / %�l� /V S-1 sAee-1
PLUS $.50 STATE SURCHARGE
Signed By �J / nom/ /,
Tel. No. / F! -pC / 74?
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
W
CHIM14EY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes ( )
No ( )
2.
Is free from rust or deterioration
Yes ( )
No ( )
3.
Has no foreign objects lodged within
Yes ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
5.
Meets all current Code requirements for size and
total BTU connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
R Signed By
Date
1
{�
9
�`
��- �
>ysz� �� � � �l�
CITY OF FRIDLEY INSPECTION DIV.
643'I 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: NO.- RATE TOTAL
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** ,J_
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 $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $
JOB ADDRESS NME--t S, - als4&31Ee_
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
EYLER, WALTER 20PO
1456 64TH AVENUE NORTHEAST
FRIDLEY, MN 55432
(763)574-9881
Building Used As ' SS60CA,1C.Z
Estimated Cost PERMIT NO.
PLUMBING COMPANY O f�:DM) /✓?A&/Q 4 Cz
SIGNED BY TEL N0. �" O
Approved By Rough -In Date Final Date ' ,
COMBUSTION AIR SHALL BE -PROVIDED. PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACKSIDE
f-
R ® ®
®
�-
�-
PLUMBING FIXTURE RATES: NO.- RATE TOTAL
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** ,J_
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 $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $
JOB ADDRESS NME--t S, - als4&31Ee_
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
EYLER, WALTER 20PO
1456 64TH AVENUE NORTHEAST
FRIDLEY, MN 55432
(763)574-9881
Building Used As ' SS60CA,1C.Z
Estimated Cost PERMIT NO.
PLUMBING COMPANY O f�:DM) /✓?A&/Q 4 Cz
SIGNED BY TEL N0. �" O
Approved By Rough -In Date Final Date ' ,
COMBUSTION AIR SHALL BE -PROVIDED. PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACKSIDE
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 18, 2000
Walter Eyler
1456 64 Ave. NE
Fridley, MN 55432
Re: Final Inspection at 1456 64 Ave. NE
Contractor: Norblom Plumbing Co.
Dear Mr. Eyler:
A plumbing permit was issued on June 13, 2000, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
a
SUBJECT
City of Fridley
3396
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
1.
__�__ COMMUNITY DEVELOPMENT DIV.
-�
i� p %
6 k- 6
r PROTECTIVE INSPECTION SEC.
1
1 ; �
NUMBER
NEv
DATE
PAGE OF
APPROVED BY
1 e---1 CITY HALL FRIDLEY 55432
A,
j 763-571-3450
910-F15
10/9/03
JOB ADDRESS 1456 64 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Wj 3
2
1 Spring Valley Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Inga Eyler 1456 64 Avenue NE
763-574-9881
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Turco Construction 3259 Terminal Dr STE 201 Eagan MN
55124
952-452-1922
d ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20287552
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (29 SQ) Tear-off
8 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code.
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
1
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
$3,357
$1.68
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
$97.25
Fire SC $3.36
PLAN CHECK FEE
TOTAL FEE
Lice se SC
$5.00
107.29
S NATURE dFCON-RACTORORAUTHORIZED AGENT iDATEi
HEN PROPERLY VALIDATED THIS IS YOUR
PERMIT
S,GNATURE OF OWNER,IF OWNER BUiLOERIiDATE.
BLDG -NSP
N )Art
a
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: i �1' �b Y kvF_ ltl'6'�
Legal Description: _
Owner Name & Address:/-�/���/�4- �i c��' Tel. # 7 & 3�
Contractor: _V� S TA -\1C7 -r'0 YJ MN LICENSE # (90 Z–S %5�"Z
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 Height Sq. Ft.
Length Width Height Sq. Ft.
Wi th Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $ 33E
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
Q 63 � � cr- Tel.# � 77B (`7O
DATE: APPLICANT:
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
TOTAL $ j L)? -dg-
CITY USE ONLY -
Permit Fee
$ ,o�S
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1275 per SAC Unit
License Surcharge
$ <<i0
$5.00 (State Licensed Residential Contractors)
Curb Cut 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 $ j L)? -dg-
Effective January 1, 2003'
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
1-53u5 RATE SCHEDULE
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
JOB ADDRESS. ` S
OWNER
Rate TOTAL
BUILDING USED AS Cf5id 060_
$ 30.00 $ 0. % -
ESTIMATED COST 2�'w, o � PERMIT N0. �e�"� ' �
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00
No. of Heating Units_ Circle One (Steam) (Hot Water)arm Ai
$ 10.00 $ Trade Name CCo rf 1 er Size No.S�6/N A-o6y
BTU C r)- rg7-0 HP EDR
$ 25.00 $ Fuel A_.) Al vral Cis 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 SURCHARGE
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 true and correct.
DATE 2—ll -
v
CenterPoint Energy Minnegasco
HEATING C013562 Central Ave NE, Anoka, MN 55304
Signed e.-> %S - ",q p °`�-a '763-•757=6202
FAX # 763-757-6701 _
�-
Approved By Rough -In Date 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-nmmnN VENT VENT CONNECTOR AND CC)MRI 1cT10N AIR'/ERIEtCATM
When Milstrinw no exie in- furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes (X) No ( )
and is securely supported and firestopped where required.
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (X► No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and
cTaThis
ndoes
include AGA-GAMl Central Furnace Venting forfa
A Category Yes (X) No ( )
assisted and natural draft appliances.
The eXl_tinn ,..,. hiratinn id is sized and installed to meet the current codes
Yes No
and manufacturer's specifications.
�) ( )
When required to Inet"Ir n naw cnmhistinn air_ It will be sized and installed Yes ) No( )
to meet the current codes and manufacturer's specifications.
When Installing a n yonfina systam, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AG natural draft CategoryICentel Furnace
es.Yes ) No ( )
Venting Tables for fan assisted and n
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented Yes ( No ( )
separately as per current codes.
AllowTyllp end S17P/Cnmmn^ vent and Vent
014
Appliance #1 Typ _ BTU Input, �.a ccs' Fan Assisted or Nat r�
Appliance #2 Type _ BTU Input—*Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances a2- Total Btu Input
Common Vent Type i„
! Vent Height 7 Diameter 2� � inches
P'j L r
Appliance #1 Vent Connector Height=ft. Length = Diameter Z in Type '?4 <-
Appliance #2 Vent Connector Height = Length = Diameter in Type
Appliance #3 Vent Connector Height= Length _ft Diameter in Type N
HEATING CO: CenterPoint Energy Minn ------e 13562 Central Ave NE, Anoka, MN 55304
Signed By: ----- ` Date:
-
Eller/
Minnegasco r
ADDRESS `� y'Al, Ie;
OCCUPANT
HEAT LOSS Yes DATE HTG. INST.
SOLD BY CenterPoint EneW Minneg"M
Electrical Work By + I
TYPE OF HEAT FA :" SPACE HTR.
GAS DESIGN
MAKE 1 f
Model
Serial /
NPUT
CONTROLS
THERMOSTAT
Value
Limit
Limit Settin
e' ,
G
Heat Plug
Fan Settin
- r?
Pilot Type
fid'
Pilot Make_`
Jl e
Pilot Model/
Pilot Timing wS
4 f'f
Pressure
Percent CO2
nput CFH +r�r
G6'e
Percent 02 % f
Stack Temp.
"
Percent CO
APT. FLOOR. CITY 1
OWNER
XU
INSTALLED BY ConterPoipt
Gas Line By I
UNIT HTR.
rGYR..I ..i
CONVERSION
Vent Size
KIND OF LINER SIZE
NONE _ a ,,
Draft Hood 7 Regulator
Filters Size Number
Chimney Location Inside 301,r— Outside
Chimney Construction
Wiring k
Test Tag >('
Lighting Inst.
Date Tested
Company Testing ® int En r
Name of Tester C
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
163) 572-3604 FAX: (763) 571-1287
ADDRESS 1456 64TH AVE NE
PIN 133024420031
LEGAL DESC UNAVAILABLE
LOT BLOCK
PERMIT TYPE HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
1/1
---l-l-V Is
PERMIT T.. 2004-00225
DATE ISSUED: 02/18/2004
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
REPLACE FURNACE
VALUE OF APPL OR WORK
# GAS DRYERS
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304-
(763)757-6202
OWNER
EYLER WALTER C JR & INGE
1456 64TH AVE NE
FRIDLEY, MN 55432
0 #FURNACES 1
0 # GAS RANGES 0
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Bldg
HEATING PERMIT MINIMUM FEE
0.00
FURNACE SHELL/DUCT WORK
30.00
GAS RANGE FEE
0.00
GAS DRYER FEE
0.00
HEATING REPAIRS/ALTERATIONS
0.00
STATE SURCHARGE, MECH FLAT
0.50
TOTAL
30.50
PAID WITH CHECK # 5345
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763) 571-1287
PERMIT NO.: 2004-00226 � �q
DATE ISSUED: 02/18/2004
ADDRESS
: 1456 64TH AVE NE
PIN
: 133024420031
E
LEGAL DESC
: UNAVAILABLE
�.
: LOT BLOCK
'
PERMIT TYPE
: ELECTRICAL
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
FURNACE CIRCUIT
# INSPECTIONS 1
APPLICANT STATE SURCHARGE, ELEC FLAT 0.50
CENTERPOINT ENERGY/MINNEGASCO ELEC PERMIT FEE - MIN (RESI) 20.00
13562 CENTRAL AVE NE TOTAL 20.50
ANOKA, MN 55304- PAID WITH CHECK # 5345
(763)757-6202
OWNER
EYLER WALTER C JR & INGE
1456 64TH AVE 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 wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date.
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Building
Inspections
763-572-3604
DATE SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
RESIDENTIALMECHANICAL
APPLICATION
CITY OF FRIDLEY
�JI-Mlip
■ • 49 • •.
� •1' ' 1%i�'J � �� it a. L r1
• r • i � , /�. 1:_,.►1 ice._ �.
Permit No.:
Received By: L
Date Rec'd:(A`6
CONTACT PERSON: vy _
STATE LIC ISSE # n XP DATE �n n
�-�� �n CITY STA tEJ� 1Z�
;Wd
E
ADDRESS: 3– q
PHONE ��—rSPI`lOS"QI FAX Q
INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
0 NEW )QREPLACEMENT .LTERATION/REMODEL e
DETAILED DESCRIPTION OF WORK
PERMS 1613.665 the permit fee is a minimum
residen a fixtweo excluding the fixtures (Ths shouldwhichever
reflect onlygreater,
the cost of labor )
improvement, installation or replacement of
Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor
x.05=
FOR PROJECTS WHERE LABOR EXCEEDS $ 00, FEES ARE BASED ON $10.00 PER FIXTU1RE,�EXX�CEEP/T/ J` WHERE NOTED. FIXTURES: (IND
KATE TOTAL
NUMBER OF EACH BELOW) MODEL:! (� �% SIZEBT
Equipment Installed MFG: SIZE/BTU
MFG: �— MODEL: SIZE/BTU �—
MFG:A/C $25.00 "— MODEL: GAS RANGE/OVEN $10.00
FIREPFIREPLACE (WOOD) $35.00 LACE (GAS) $15.00 _NEW GAS GRILL $10.00
_AIR TO AIR EXCHANGEER $15 —FACE $35.00 _GAS UNIT HTR $10.00
_.
BOILER 535.00 ._GAS DRYER 5.0-00 _POOL HEATER $35.00
_CHIMNEY LINER $10.00 _VENTILATOR $15.00
DUCE WORK 510.00 _GAS PIPING $]Oh00 c � tSG �i 1 1 i C t fan
e
a.:. R'.., ._. is is a!R .:-. ,::•t ,-:....
Number of fixtures @ $10.00 x $10.0 =
Permit Fee Number of fixtures @ $15.00 x $15.00 = $
Surcharge $ .50
TOTAL DUE $ �•S� Number of fixtures @ $25.00 x$25.00 = $
Number of fixtures @ $35.00 x $35.00 = $ 50
State Surcharge = $
Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that
t the
work will
land th s is
n
conformance with the ordinances and codes o of Fridley and with the Minnesota Construction Codes;
not a permit but o an application fora a it and wor of to start without a permit; that the work will be in accordance with the
approved plan in a of all w b)hic
'a r�e�andproval of plans. PRINT NAM C: DATE ✓/•
SIGNATURE OF APPLICANT
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES'
1. Combustion Air (See note below)
a. Oil or solid fuel NC Chapter 7 with MN Amendments
b. Natural Gas or Propane;UGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per 1MC 1346.0603.2
a. ACCA Manual D
0
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations