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PRE 2010 DOCSCity of Fridley, Minn.. NO 9878 BUILDING PERMIT • Date: A,»igt Owner: Edward G. Simko Builder Owner _ _ Address 1327-66t Ave . N.R. Address Sam _ 0 LOCATION OF BUILDING No. T Street ._ th-A�re_._ _ _ _ _ Part of Lot Lot _ _ _ __ Block Addition or Sub -Division ._ _. Ill is Corner Lot Inside Lot _.. __ Setback _ _ Sideyard --.- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ad onm"�nn Front 221 Depth 16' Height 20 f t. 52 _ Sq. FCu. Ft. _�40 Front Depth Height — Sq. Ft. Cu. Ft. Type of Construction Est. Cost _ L�,.;?9�_ To be completed Dec 1 , 1968 In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 11 .00 , permit is hereby granted to Edward G. Simko 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, 112iimesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances Building LUPWW Official NOTICE: 'lids permit does not cover the construction, Inift tion for whdng, Plumbing, gas heating, sower or water. Be sun to see the Building hmgmtor for separate permits for these Neva. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OW_NM IS NAME xtG40ar �. Jl�j�o BUILDER OWtZ �v ADDRESS 1.347- 6��/ 'a eE ADDRESS LOCATION OF BUILDING NO o A. Z % STREET 06 f 1 4,, 05- LOT E LOT BLOCK ADDITION OR SUBDIVISION ;Ppr�a�rs` COR�'ER. LOT SEWER ELETATION INSIDE LOT '� SETBACK TOP OF TOOTING SIDE -YARD Applicant attach to this form. T-r7o !'e'rtifioates of Survoy of Lot and proposed building location dram on these: Certificates. To Be Used As: DESCRIPTION OF BUILDING A Front epth Height Square feet '11 Cubic Fent � 0 4 o Front Square feet Type of Construction Depth To Be Completed . f ,_ _/A�e Height Cubic Feet Estimated Cost 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 %- l,F SIGNATURE && OA (Schedule of Fee Costs can be found on the Reverse Side.) 0 V 0 N° 5056 Origin Permit for PLUMBING AND GAS FITTING �- # N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Fr tG=B® inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit , DESCRIPTION OF WORK Number, Kind and Location of Fixtures -/ le city of Fridley N0VF-M 8� a( ,19� u'tUrlPB m m � W F O Z Q J K 3 U 2 0 Q 7 0 t O m Q m Y Z 0 U Y Q C 3 F F• Z 7 R O O LL m W o I tp C m O 4 J C LL O = � U F, Q Q U m Z D Q G K J X E 4 o d Q d e Q 4] 0 2 Q Q a WATER HTR. 6A8 ELEC. Basement 1st 2nd 3rd 4th Connected with pool Gas Piping for Openings Permission is hereby granted E&t4)aA&, to do the plumbing and gas fitting in the building described in the statement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and 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 'M'—"9•v Owner 66LUelk-A CO- S- m e0 Location ljg7 - (a(oTN A�� N•�. Kind of Building FjeA Used as L u! re_LL.,i 0 ro To be Completed FEB /s —,19-20- Estimated ,19-20- Estimated Cost $ SC0, o 6 (gNew. Building Permit No. 9-07,e Date Inspector of Buildings. 0 44-1 Cify of Fridley APpticaffoe for Nwnbing and G�n RM" Permit Dept. of Bldgs. Phone SW -3450 DESCRIPTION OF WORK �G 14 !¢�e /Ug Number, Kind and Location of Fixtures G11 � x $3.25 $ x $3.00 $ x $3.25 1L $2.00 C N YI O W ? e WATER HTR. 7 I N GAS EIEC. Base 1st % - 2nd - 3rd _ -- 4th TT _ ' Futur* Conation Openings Connected with — + New Fixture, Old OpeningsI ewe Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures — 3 x $2.00 Future Fixture Opening x $1.50 New Fixture Old Opening Catch Basin Water Heater (Up to 99,000 BTU) New Ground Run Old Bldg. Electric Water Heater GAS FITTING FEES: NO. TOTAL $fir—cam x $1.50 _ $ x $3.25 $ x $3.00 $ x $3.25 $ $2.00 $ RATE TOTAL 1st 3 Fixtures ..... .... .. x $2.00 $ Additional Fixtures ..... .............. x $ .,M $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS B ALTERATIONS—Rete: to Code Description .... .... ........................ ...........$ TOTAL FEE $ a , QV City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn .2,1- Owner 2,1-Owner r Zt.114 Kind of Building 5,4/e Used as Lt 6)*" 4e - To be completed about - fel Estimated Cost, $ 57&0 ---' (701d—'New. Building Permit No.—Ye_ZS _ _ —Permit No. Signed ROUGH FINAL .S L3 By- - - Business Phone No_ 7 IN 7 sue�Ecr PERM City of Fridley 2 0 4 2 8 AT THE TOP OF THE TWINS BUILDING PERMIT O. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Pn r � � i CITY HALL FRIDLEY 55432 NUMBER REVJATE18,190PAGE OF APPROVED BY 612-571-3450 910-F15 6/ JOB ADDRESS 1327 - 66th. Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 Dennis Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Kim Deline 1327 - 66th Avenue N.E. 572-3835 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Addition & Remodeling Spec., Inc. 10800 Xavis Street N.W. C.R. 55433 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 11 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Interior Remodeling (.2 bedrooms into 11 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Smoke detectors must be provided on all levels of dwelling. One window in bedroom must meet State egress requirements. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,100 $1.05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESU TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI NS OF A OTHER STATE OR LOCAL LAW REGULATING CON- $PLAN STRUCT OJN OR T E OFC NSTRUCTION. CHECK FEE TOTALFEE PE7RFONCE i $55.05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI=__--4_LDG PRO ER 1 T D THIS IS YOUR PERMIT GATE SIGNATUREOF OWNERIIF OWNER BUILDER. IDATEISP 7 NEw [ ] ADEN [ ] AL'I'T [ ] R-1 AND R-2 Building Permit Application Effective 1/1/go Construction Address: % 3 27 &6 Eff A (l- A./, Legal Description: Owner Name & Address: r A,4 D EZ- i P447- 4$ ✓.Tel . # 2 Contractor: A1- >,b &A-4026L(,sI41 SPEC .J 1^ -IC , Tel. # 4 Z7 - 7330 Address: S S 7, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DBM AREA: length Width Hgt/Ground Sq. Ft. OMM: /A{7r-7,e1olz ,�Errca.o�ct,�/c, - Z IA-t7CY / Corner Lit [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks C 11 Type of Construction: %Lc-wto D e -r- Z-4/^/4 Estimated Cost: $ , 14 Q Approx. Completion Date: _ 4 yute--C�S Proposed Driveway Width If New opening Is Desired: Ft. S R Width /+ 6' See Back Page DATE: 6-7-90 APPLICANT: ""k Tel. # Permit Fee $ S"61.00 State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] (612) 427-7330 T)�4 1✓ tol &CAd AVEC W. R I Ll M S S +3Z ADDITION & REMODELING SPECIALISTS, INC. ROGER HARJU CONSTRUCTION 10800 XAVIS ST. N.W. COON RAPIDS, MN 55433 SPECIALISTS IN REMODELING & ADDITIONS a 6 I KEMOVE EyTanCL.OcPF-T (� 4 �lam-' I� NEw � >a>��oo � ,i I � �t�� ExTh� oP�.►•rlNr�, _-tHaT+,�. ��4v eta, ��►J 1 '� 1 � ' ,.�i �l w 1Ew - , - -. 4SW -tw oz3 5 --cAm r. OVW,-- E�tTL-r _W *3M0V64 'Ta SUBJECT " City of Fridley =31 AT THE TOP OF THE TWINS BUILDING PERMIT Ir I PT NO. ` __��_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �5c),v " /"'S CITY HALL FRIDLEY 55432 �'J NUMBER REV DA TE PAGE OF APPROVED BY 612-571-3450 910-F15 2/22/95 JOB ADDRESS 1327 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 Dennis Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dr & Mrs Carl Christenson 1327 66 Avenue NE 633-5315 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 ❑ O NEW � ADDITION X ALTERATION 0 REPAIR O MOVE O REMOVE X 8 DESCRIBE WORK Construct a 2391 sf addition to dwelling and interior alterations 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. The northeast corner of the garage shall be staked and shall not encroach more than 6 inches into the required 5' setback area. Submit specifications on ridge beam to carry T.J.I.'s in vaulted ceiling area. Submit engineering specifications on steel beams/steel post connections for clear story. Submit specifications on wood foundation.'Submit deck and ramp specifications WARNING SEPARATE PERMITS REQUIRED FOR Before digging call for all utility locations WIRING, HEATING, PLUMBING AND SIGNS. 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $225,000 $112.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1,077.00 Fire SC $225.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $1,414.50 S1 A REOFCONTRACTORORAU N RiZEDAGENT (DATEi WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT S�&NATURE OF OVVNER0f OW RBUiLDERi i�TEI BL G WSP 0ATE NEW [] ADDN [ J CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ,/ 4'.t-- -;7r> d Effective I / 5 Legal Description: /, o f % n» s d J-1 Owner Name & Address: 6y. t, d Ab s . (2eii1 Tel. # 6 --3;3 - 5 3 /5" Contractor: &J :E )'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 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: / f Corner Lot [ ] Inside Lot [iq Ft. Yd Setback 3-b a q FE. Side Yard Setbacks �I.3 F 1- r� Type of Construction: Ilm m j�L Add 1 &-v, Estimated Cost: $ 2 L 5"100-0 Approx. Completion Date: i, (Cost on Back) Driveway Curb Cu Width Needed: Ft. *4/b Ft = Ft $ _ $ DATE: ! �`� 17� APPLICANT✓/�` „ �� Tel. # CITY USE ONLY 5&-Yh-0 7-0 Permit Fee $ lo 77, oo Fee Schedule on Reverse Side 7, �. Z� �•� IO v� Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ //Z. $.50/$1,00 Valuation SAC Charge $ $850 per SAC Unit j' �14iy�s'�SeG �aSi" License Surcharge $- $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above l J,/%a Erosion Control $ --- $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] -�i -7 TOTAL $All�L� je�/oF STIPULATIONS: ` /f S7VM t(o O,G t/ s QrAC._ t• -7 -.::' - _ -P c ya..dm S L/ . 9(37 rk � �. Y?i�yi AV vo (p F� 0 �0 v S ' G- o Y4 , 2—' /r. "LS v �¢ a P¢Rr-. APZ , AV Ti[,r-_ 1 )=ochvoA7<OA1 CSTAIL... CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 'Effective Ori January'1 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures 17 91 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 2. Gas Range Gas Dryer I Back Flow Preventer Required ( )Yes () No Type $ 7.00 / / ,LS("' $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 J0.00 $10.00 )0' oo $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 $ 1.5-9. SLS JOB ADDRESS I J The undersigned hereby makes application for a permit fcr the work herein specified agreeing to do all. work in strict accordance with the city codese and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true grid correct. ,1.995.. Owner C h 15 Tr io svn Building Used As_e-3r01P.wc� Estimated Cost PERMIT NO.. Z�r . PLUMBING COMPANY __�.TT� 4� . � l.�✓C,� SIGNED�.� TEL NO_.{Z 7 2.3 z Approved • . Rough—In Date . Final Date MINIMUM FEE FOR ANY PLUMBINGLGAS PERMIT- IS $1-5.0b PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES -7— 7—RATE JOB ADDRESS RATESCHEDULE 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 true and correct. (Side Vent - Fill Out Back) 6 - � _ ,1995 Gas Piping (Needed with new furnace) $ 10.00 $ l -7 OWNER 10_1 g, tZ6 Gas Range $ 10.00 BUILDING USED AS $10.00 r471C;W� $ �'� a ESTIMATED COSTS PERMIT NO. *Air Conditioning - All Sizes $ 25.00 $ 12gSCRIPTIQN OF FURNACg AN12 OR BUHNE All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work $ No. of Heating Units_ Circle One (Steam) (Hot Wate arm Air) Trade Name /�9--/J - Cn �_®_ Size No. 46 MO G �J � Commerclal/Industrial BTU 2-6, c4�,-o HP EDR 1.25% of Value of Appliance or Work $ Fuel /-4--rl Total Connected Load State Surcharge $ .60 Burner Trade Name Size No. ell BTU HP EDR TOTAL FEE -� HEATI REINSPECTION FEE $42.00/Hr Tel No. 4, -?f -_33 Rough -In Date Final Date z *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIMNEY 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: CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Cpl 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 State Surcharge $ .50 TOTAL FEE $&5-50 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. Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By I No. 14 3 Y 77c/ Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS UC, /lI The undersigned hereby makes application for a permit for the work herein Rate 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 $ 30.00 $__30o, representations stated. in this applicatipn are true and correct. a a ,1995 $ 10.00 $_±0 . 00 ' OWNER Ro o' �&P-L'Q15 crn $ 10.00 $ BUILDING USED AS re -5 c d_ $ 10.00 $ ESTIMATED COST PERMIT NO. $ 25.00 DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units / Circle One (Steam) (Hot Water)(Warm Air) Trade Name if?iIA s k-u-ro Size No. Ai Ca t4 Sic o BTU /00, o c 0 HP EDR $ Fuel /U G ca 5 Total Connected Load State Surcharge $ .50 TOTAL FEE $&5-50 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. Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By I No. 14 3 Y 77c/ Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. 3. 4. 5. 0 Is free from rust or deterioration Has no foreign objects lodged within Is securely supported Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of Yes () No ( ) Yes O No ( ) Yes () No ( ) Yes ( ) No ( ) 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: CIlYOF FftIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 1, 1999 Carl Christenson 1327 66th Avenue NE Fridley, MN 55432 Re: Final inspection at 1327 66th Avenue NE Contractor: Air Mechanical, Inc. Dear Mr. Christenson: A mechanical permit was issued on June 3, 1998 for the property located at 1327 660' Avenue NE for a new air conditioner. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical 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 (612) 572-3603. Sincerely, Barry Riesch Building Inspector U1 J LL c.} P1i L CITY OF FRIDLEY INSPECTION DIVISION EffedveOn January 1, 1997 6431 Universky Ave NE Fridley, MIN 55432 APPLICATION FOR POWER PLAN'T'S AND HEATING, CDOUNG, VENTILATION, 572-3504 REFPIGEPATIQN AND AIR CONDIITIOONWa SYSTEMS AND DEACES RAIE SCHEDULE Residential Rage TOTAL Furnace $halI and Duct Work, Burner — Also Replacement Fu mace $30.00 $ (Side Vent -- Fill Ore Back) Gas Piping (Needed with now fumace) $10.00 $ Cas Range $10.00 $ Gas Dryer $10.00 $ *AirCm n'vig — All Sizes $ 25.00 $ All 01111 s/'Repairs & Aftem im (UST ON t3". f'r'o of Vake ref Appliance or tiro COnWarciWndustrial 1.25% of Value of Applis-ce or Mik The undersigned hereby makes applicationfor a permft forth work herein dried agreeing to do off work in strict acccirdairoa wrihh the City Codes and rulings of the Building Division, and hereby dec laws that all the fads and representations dated in this appkailon are true and Correa. ,ism ESTIMA 7ED 003T f C� d. �1 PI:RwT NO. DESCRIPTION OF FURNAGF AND OR BURLIER $ Na of Heating Units Circle One (Staam) OV Mater) (Warm Airy Trade Name SizeNo. M HP EDR $ Fuel Total Connected Load State Stirotarge $ .50 TOTAL FEE &2&a M M M LnA FEE FOR ANYHEAT_W9& ;IO L. XQLG EN71LAT1ON REFIRIGERATIONIAIR CONDITIONING PERMIT IS $25.00 PLS THE X50 STATE SURCHARGE RE14VECTJON FEE $42,00IHr *AirCcndWners can not be placed in a side yard without Written permission from adjoining pmpedy owner. Bwer Trade Norm Size No. BTU HP EDR Approved By Rough --In Dat® Final pate FILLOUT BAMME STACK VERIFICATION ON RERLACEMT RJRNA E