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PRE 2010 DOCSCity of Fridley, Minn. BUELDING PERMIT Date: ....` ....i. ......... Owner ....................................... Address ...:................................... N° 3899 Builder..... ........... 4 Address ............................................. . •���I���CA,TIO�N�O�F�BUILDING No. .... Street .. .. /.....®.. f.�.^..' ? ...... Part o Lot ........ . .. .... Lot ......r�.... Block ................ dition or Sub -Division �....�. Corner Lot ............ Inside Lot ,n ......... Setback .. Sideyard %®.0.., ................. DESCRIPTION OF BUILDING To � Used ... .. • e Front . n6 Depth � W . Height . �.�. `� • Sq. F't. IIYY cu. Ft. � �jf�. � c .................... At b Front .."®Depth `Ar Sq. Ft. 4W� Cu Ft. .go Type of Construction ,�—H/eight ................... Fst. Cost. !. V.�. (�. �.z.... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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. ...... .....� ..... ........ 4sp In consideration of the payment of a fee of $n?7 . , 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ,4 Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Itema i t`o' b Application for Power Plants and Heating, Cooling., Ventilation. Rehigeratton and eAir ConditioningSystems and Devices. S Y PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER to 3 gaL per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ter, CM GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS f See Fee Schedule 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, Mir*+ ,I� 195— Owner G a' �� ��� e �'� 195— Kind of Building z / ' 195— Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air --No F Trade Namez 1-7—f Size No Capacity Sq. Ft. EM.RM-e H.P. Total Connected Load Kind of Fue BURNER — Trade Name - Size No Capacity Sq. Ft. E.D.R :� ' BTU H.P. s ined B7�� -olftoll. Posr i M-8-58 Business Phone No,, ForrffBD5 HEAT LOSS CALCULATIONS Weatherstrips A.S.H.V.E. Windo Door Guide Reference Yes—No I Yes—No 1 19 d FI 1 ii9.'r D,—Pnnm I I ana+h of & rh W. pe7 /:4 BUILDING DEPARTMENT 04 MINN. Construction No. Out. Wall 1 Int. Wall 1 Ceiling Width r -,. Flaiah+ Windows and Door s—Crackage and Area I I I Coef. Width Height No. of Lineal ft. Area Area ft. No. of pane of pane lights of crack 1 LI f- �e 7— 3 Izz '� Glass Coef. Btu Infiltration Infiltration J r- %iq7o Glass Glass °`" / Glass Exp. wall Exp. wall Floor 4 a Im V 'Y Net exp, wall Cell. ® s 3 Int. wall I® °F X Floor, Floor® �a / Ceil. Cell. Ceil. Floor Ceil. 0 Total Btu. &., / v- -a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area $ FI. 149•, rl Room I Length l Width Height ' Windows and Doors—Crackage and Area No. I I I I I Coef. Btu Infiltration 3 Izz '� Glass Coef. Exp. wall Infiltration J x Net exp. wall f, Glass °`" Int. wall Glass Exp. wall Floor 4 a Im 0 S & Cell. 176 gJy . 2-0 j Total Btu. I® ;x°70 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 124 9 -* v FI. I ��Aai,,6 Room I Length J-7- Width �5— Height j Windows and Door s—Cracka a and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 7B Izz Coef. Btu Infiltration J Infiltration / , %� Glass °`" 7 Glass Exp. wall V 6,10 0 Exp. wall Net exp. wall 176 gJy X X X Int. wall P 7,:i-6, Floor® Int. wall / n° Cell. Ceil. Floor Ceil. yv Total Btu. ® �� �! equired sq. ft. E.D.R. or sq. ins. W.A. Leader area h� Insulation Roof Floor Kind How Applied FI. I Jai A Room I Length /-2— Width Heieht S! Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Izz Coef. Coef. Btu Btu Infiltration / , c � °`" 6 Glass 6 V 6,10 0 Exp. wall 2 176 gJy X X X Net exp. wall P 7,:i-6, Floor Int. wall z 1191,6 Ceil. Floor Ceil. yv J //-;� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l FI. I % A Room I Length `A Width Height , Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. .. d Z a Izz Coef. Coef. Btu Infiltration -� c Glass a Glass Exp. wall 'u Y10 �L V y Net exp. wall l 2 gJy Int. wall Int. wall P y' Floor 1191,6 Ceil. yv 1 //-;� Total Btu., Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. 11qr Room I Length 1� Width �� Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v -c � 7X rJ� I Coef. Btu Infiltration, -� c Glass ®. Exp. wall % Net exp. wall Int. wall P V Floor Ceil. yv Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r ForelIDS HEAT LOSS CALCULATIONS BUILDING DEPARTMENT GOLDEN VALLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 a Fl. I A o , j7 - Room I Leneth - ^ Width Ja Heiaht � I Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ' h/ r Coef. Btu Infiltration Glass Exp. wall Coef. Btu Infiltration Int. wall Floor Cell. Glass Exp. wall ,2 •y x ar v Net exp. wall / c> Int. wall y Floor Cell. �- i` Total Btu.. lily Required sq. ft. ED.R. or sq. ins. W.A. Leader area FI. I Room I Length Width Height Windows and Doors—Crackage and Area Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Cell. Total Btu. j Required sq. ft. ED.R. or sq. ins. W.A. Leader area Windows and Doors—Crackaae and Area Coef. i Btu Infiltration 1 'r Glass Exp. wall I Net exp. wall Int. wall Floor Cell. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. f Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Cell. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length Width Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack I sq. ft. Coef. I • Btu Infiltration I Glass Exp. wall Net exp. wall Int. wall Floor Cell. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. f Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Cell. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing, and Gas Fitting Permit Dept. of Bldg&. Phone SII 4-7470 DESCRIPTION OF WORK L Number, Kind and Location of Fixturesze O z <0 zm s '^ Y `� a z z VQ� p= w H z WATER HTR. N 6�cpLL N N D oqa Q~ S� Q 3 �°q (J �QZ U' �a C� O F GAS ELMM0 Vl U m Q N Base ✓ t--,* ist 2nd 3rd 4th ` Future Connection Opening& Connected' With New Fixture, Old Openings Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 42 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 $--Z_ 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 arerJtru�ee and correct. Fridley,Mi �gnn- /'" v 19 Owner 19 Sind of Building 19— n _ Used as Anke-� To be completed about _ Estimated Cost, $ Old—New. Building Permit Connection Permit No . ....................................................... 11 IM -8-58 Water Sewer Meter Deposit City oFridley Fidl6 Application for Plumbing and Gas Fitting Porn* �^ Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location �aj I Lii i =ZyQ I �ZOJ?•ELMWATER P N HTR. GAS EL g O Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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. BATE 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 $ /o; V' 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 � 19 Owner Kind of Building Used as��j� ` To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. Zp�� 4!!� Signe' By1g ^- ✓ Business Phone No °'� #1 ROUGH MAR � 1960 FINAL da 2M 7-59 • U C City of Fridley, Minn. BUILDING PERMIT Date: Oct. 27, 1967 Owner: Richard Ranson N9 9526 Builder Address X 31 N. E. 70th Way Address Same—— — LOCATION OF BUILDING No...— 31 Street — 70th Way _ —_ Part of Lot Loth __ Block 2 _ _ Addition or Sub -Division ._ __ Os tman_' a 3rd Addn Corner Lot —_ Inside Lot — Setback —.—_ Sideyard --.- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Family Room Front 15 Depth 12' Height 8' — Sq. Ft. 180 Cn. Ft. Front Depth . _ Height ._ Sq. Ft. — Cu. Ft. Type of Construction — Frame Est. Cost 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 =4 In cornpliance th all provisions of ordinances of the city of Fridley. ' In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to— Richard Hasson 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 Fridley, � in, around Minnesota d upon said building, or any part thereof, shall conform in all respects to the ordinances of within ythe city limits�andtthis location, permiit y be revoked t any time upon violation n of any of theand �viosiio said ordinances. NOTICE: This permit don not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sss the Building hupmter for separate permits for thus hems. APPLICA`z'1 0:7 IVOR BUILDING FEPMI T CITY 0I9 I'RIDLEY, 14INNESOTA OW1NER ° S N&IE BUILDER ADDRESS .3 / 7-4 ADDRESS LOCATION OF BUILDING NO._ STREET TA � �PART OF LOT LU7C BL©cK ADDI'PIOid OR SUBDIVISION LI A.� CORNER LOT INSIDE LOT � SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: 0 0 Front th :2- Height Sq. Ft . --Z Cu. Ft. Front_ Depth Height Sq. Ft.Cu. Ft. Type of Construction �� Estimated Cost F-® To Be Completed 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 ®` a SIGNATURE. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley SUBJECT P , 15036 AT THE TOP OF THE TWINS P E R BUILDING RECEIPT NO. i.v COMMUNITY DEVELOPMENT DIV.® r PROTECTIVE INSPECTION SEC. , CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 12/1/78 / JOB ADDRESS 31 - 70th Way N.E. 1 LEGAL LOT NO. 7 BLOCK 2 TR ACT OR ADDITION SEE ATTACHED Ostman ' s, 'Third Addition DESCR. SHEET 2 PROPERTY OWNER MAILADDRESS Allan C. Rosendahl 31 - 70th_Way N. E. ZIP PHONE 571-3170 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS #VQU- )RED FOR WfFd NG, .. HEATING, PLUMBING A�ItI SlG�I4t. . W�� Before ft," ` 900 TELEIMNE - ;ERIC -Ga ft REQUIREV 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 l I HEREBY CERTIFY THAT 1 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 $1 8OQ $. �Q 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- $12. 0-11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $12.30 SIGN URE OF CONTRACTOR OR 4 THORIZED ENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT - /a BLDG. iNSP c ATE SGNATUREOFOW NERIIF OWNER BUILDER) IDATEI • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEE, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: ���� �j l' � ®,l��CC BUILDER: ) •P ; Address: 70 Address: Tel. No.: -Sv7/— �� 7 �%. •. No.: % Street: 70 —' LOT: BLOCK: `� ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form'Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 3 DESCRIPTION OF BUILDING To Be Used 'As: try?kra/-j r -id i'le Front: Depth: . Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: r Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: / I SIGNATURE: Stipulations: CITY OF FRIDLEY APPLICATION FOR POWER'PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AI CONDITIONING SYSTEMS AND DEVICES , RATE CrUr HILE Job Address --"31 / Effective Date Nay 1. 1988 RESIDENTIAL ` MTS Furnace Shell and Duct work, Burner (Also replacement furnace) $ 20.00 Gas Piping $A0-- 00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations It of Value of Appliance or Work• COMNERCIAL/INDUSTRIAL 1t of Value of Appliance cc Work State Surcharge xainspection Fee ($15.00) Rough Inap. Date Final Inap. Date Approval for Permit NINIMN PER FOR ANY HEATING PERNIT IS =15.00• PLUS $.50 STATE SURCHARGB e Air Conditioners can not be placed in side yard with=% written permission from adjoining noighbor. TOTAL $ Department of Building% 6431 University Ave. W.B., Fridley, MM 55432 City of Fridley Tel. 1571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accor ce with the City Codes and rulings of the Department of Buildings, and h eby declares that all the facts and representations stated in this applica an are a and correct. �� Fridley, Minn. OWNER 14— RQL, 61,2ri�4. KIND OP BUILDING ea,5 / USED As 5 / rn9/e '4' TO BE COMPLETED ABOUT v J ESTIMATED COST & -7 1100 0 OLD - NEN BUILDING PERMIT NO. PERMIT 80. DESCRIPTION OF PURNACE/BURNER KEATING or POWER PLANTS, Steam, Not Nater, Nares Air- No. Trade Name -rr ./i "e-, also No. Capacity Sq. Pt. EOR I t � O— up Total Connected Load Kind of rust G BURNER - Trade Nass Site No. Capacity Sq. Pt. EDR BTU up companys 6 9'�- d Signed By p • Tel. No.�..� O /� Fill out back side for stack verification an replacement furwrus CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. �4F Has been carefully examined Yes (, ). No 2:' Is free from rust or deterioration ( ) Yes O No ( ) 3. Has no foreign objects lodged within Yes: _ O No ( ) 4r Is securely supported Yes O NoO 5. Meets all current Code requirements for size and total BTU connected Yes () No ( ) 6. N.as Total heating BTUs of All other BTU s TOTAL Remarks Company Signed By Da to STATE OF MINNESOTA COUNTY OF HENNEPIN ALLEN ROSENDAHL 31 NE 70TH WAY FRIDLEY MN 55432 Plaintiff versus GRECO CONSTRUCTION INC. 4903 CEDAR LAKE ROAD MPLS MN SS416 Defendant RAPID HEATING AND AIR CONDITIONING INC 5514 „4TH AVE Int._ CRYSTAL MN �1 ane SState of 1Glinnesota to: ..4.e l �Q HC4323- Civil S `n Rev. (4/90) FOURTH JUDICIAL DISTRICT CONCILIATION COURT r SUBPOENA 930729069 GARY FORD, HEATING INSPECTOR CITY OF FRIDLEY 6431 UNIVERSITY AVE NE, FRIDLEY MN 55432 You are hereby required to appear before this court at Room 857C in the Hennepin County Government Center on OCTOBER 8, . 1993 at 9: 00 AM to give evidence on the part of the plaintiff I ALLEN ROSEND AHL Q'@�CX in the above entitled cause. e n•r • �• r -� ark -.r c-. 0 539 Building Job Report ADDRESS �r 7 OWNER BUILDER GATE — -r� PERMIT NO.i DESCRIPTION v INSPECTION RECORD REPORT - ---- OWNER cp PECTOR N_ 105393 Building Job Report ADDRESS OWNER BUILDER DATE J - 3 1 " ,FPERMIT NO. }��U DESCRIPTION INSPECTION RECORD neTF REPORT OWNER)1PI—ECTOR ig at carbon dioxide, and oxygen. :he NOTE: Furnace designs incorporating induced draft assemblies may require a flue gas sample to be taken anead of asure. the nducer fan. 1 The venting, safety, and operating controls of the z app Bance must be checked by the installer to ensure their of proper and safe operation. 3. A tercommon of the test of newly—installed gas or fuel burner equipment as provided in this section, the installer ae shall file with the building official, complete records --of- the e test on a form approved by the building official. A tag stating e ate o the test and the name of the tester must be attached to the appliance at the main valve. t a Subp. 8. SECTION 2508. Section 2508. (a) The concentration of oxygen in the �c a undiluted flue products of gas burners must in no case be less 7 � than four percent nor more than ten percent. The allowable limit of carbon monoxide must not exceed 0.04 percent.. t X The flue gas temperature of a gas designed appliance, as �\ taken on the appliance side of the draft hood, must not exceed ally 480 degrees Fahrenheit above the room temperature surrounding the appliance. The oxygen figures do not apply when there is an approved i oxygen trim system on the burner that is designed for that use, sed 0 including a combustion interlock. Performance standards for atmospheric burners must meet the \� following requirements: as 1. minimum of 74 percent efficiency as determitec by flue ing gas analysis method at appliance flue outlet; 2. carbon monoxide concentration in flue gas not greater than 0.04 percent; 3. stack temperature not greater than 480 degrees e to Fahrenheit, plus ambient; 4. carbon dioxide concentration between six and nine tel Y �� percent; and .Z 5. oxygen concentration between four and ten percent. )t \� ko (b) Gas or fuel burners over 1,000,000 Btu/h input :rust be :ull �� ��' tested in the presence of the building official in a manner set nimum CA forth by the administrative authority before the installation is approved. Testing must include safety and operating controls, input, flue gas analysis, and venting. Flue gas must be tested at high and low fires. Provisions must be made in the piping Ings \( system to allow firing test in warm weather. (c) Installation of oxygen trim systems, modu_at_nc k dampers, or other draft control or combustion devices must )e �® require a supervised startup as in (b). (d) Direct fired heaters must require a supervised startup acts draft as in (b). (e) The wiring diagram of the installation and suitable 9e, operating instructions must be supplied and posted rear the 41 S l� TERMS OF LISTING ARE MORE RESTRICTIVE THAN U.M.C. REQUIREMENTS TERMS OF LISTING REQUIRE 2' ABOVE HIGHEST PORTION OF BUILDING WITHIN 10' BY U.M.C. OKAY IF --�I 10'I MORE THAN 4' 2 ' 2 DO THIS NEVER DO THIS Figure 906 (d)-2 Figure 906 (d)-2 Related Code Section: 906 (d) The Uniform Mechanical Code vent termination requirements for Types B and BW vents on flat roofs [Section 906 (d)] are different from those of American National Standards Institute Standard Z223.1 (the National Fuel Gas Code). The Uniform Mechanical Code requirements will also be different in some cases from the terms of listing. Figure 906 (d)-1, a portion of Underwriters Laboratories' Gas and Oil Equipment Directory, requires gas vent caps to be installed at least 8 feet from a vertical wall, whereas the Uniform Mechanical Code would permit a cap to be installed within 4 feet of a wall. Figure 906 (d)-2 shows on the right-hand side an installation of a gas vent cap which would comply with the Uniform Mechanical Code but not with the terms of the listing. On the left, installations in accordance with the terms of listings are shown. The principal reasons for not locating a vent cap adjoining a vertical wall surface or in the lee of a parapet wall is the varying effect of wind on venting action and the problem of snow accumulations in cold climate areas. Also, a vent protruding from a flat wall surface is subject to increased static pressure as wind strikes the building wall. Conversely, in the lee of a parapet wall, an area of stagnation and reduced atmospheric pressure may be created which increases draft and may produce undesired effects on gas appliances. 60 I_U._ I -L1*(-, .y_ I r1! I 1.l: 1s 1 L'. 4 GAS VENTS — UL "I saPTssss$a 27, 1$91 $,.2 COMBUSTIBLE MATERIAL — Mate- rW made of or surfaced with wood, compressed paper, plant fibers, or other material that will ig- nite and burn, as applied to materials adjacent to or. in contact with heat -producing appliances, chimney connectors and vent connectyrs, steam and hot water pipes, and warm air ducts, Such material shall be considered as combustible even though flameproofed, fire -retardant treated, or pl"tered. 3.9 NONCOMBUSTIBLE MATERIAE, — A =terial that, in the form in which it Is used and Under the conditions anticipated, will not ignite, burn, support combustion, or release flammable vapors when subjected to fire or heat. r.P. 4. ImoWlation Instruetiens 4.1 Installation instructions shall be available from the manufacturer. 4.2 A copy of the installation instructions is to be furnished with the sample(s) submitted for Investigation as a guide in the examination and test of the product, and for this purpose, need not be a final printed form. 4.3 A copy of the instructions shall be packed with an essential part of the venting system. 4.4 The instructions shall be illustrated and shall include particular details concerning: A. Type of gas appliances that are intended to be connected to gas vents or gas vent roof jacks; B. The type of gas appliances required to be connected to chimneys; C. The parts required and the step-by-step process for installing the gas vent or roof jack, methods of support, and maintenance of clearances to wa 1, floor, ceiling, roof, and joist Construction; D. The methods and parts 1:o be employed for fire -stopping; E. The methods and parts to be employed for maintaining ventilation and air circulation where required; F. The methods and parts to be employed for preventing contact with building insulation; G. The use of rain caps, roof housings, or roof jacks; H. The methods and parts employed for roof flashing; 1. The posting of notices near the point where the connection 1s made to the gas vent or roof jack, concerning limitations to use with gas appliances only; J. The maximum rating in Btu per hour of a vented wall furnace to be connected to a specific Type BW gas vent or roof jack; K. Limitations with respect to installation and use, such as maximum height, the joining of two or more parts to constitute the in- tended assembly, and the like; and L. The termination of the gas vent above a roof and its proximity to adjacent walls or buildings, 4.5 Caps for direct attachment to as vent (ipe having an internal diameter of 1 inches 505 nim) or less are acceptable for installation On gas vents terminating a sufficient distance from the roof so that each discharge opening is not less than 2 feet (0.61 m) horizontally from the roof surface, and the lowest dischargge open- ing is no closer than the minimum hei011t.spect- fled In Table 4.1. These minimum heights may be used if the gas vent is no less than 8 feet (2.44 m) from any vertical wall.por other in tallatlons, the cap shall be not less than 2 eet iQ aboveth est t�oint w ere the gas vent passes through (5.05 m): or for .' 10 27, 1801 TABLE 4.1 IIIMUM DISCHARGE OPKNING HEIGHT AIROW Moor Reef Pitch Mhthnum Height from hoof Io Lowest Dlscharps oporlin0. Fest-Inches (m) to 7112 1-0 (0.91) 1112 to 4012 1-4 (0.34) r SM2 to 6/13 2-0(0,81) IQvsr 9J17 to 10/12 2-5(0.70) ;Over 10112 to 11112 3-3 (0.99) .Over 11J12 to 12/12 4-0(1.22) ow 12/15 to 14112 rl~-0 p.62) Ova 14012 to 16119 4-0 (1.03) Over 16112 to 19012 7-0 (2.18) Over 14112 to 20112 7--4 (2.29) Cvff 20012 to 21112 4--0 (2,44) 4.5 Gas vents and roof jacks shall not be desig- nated in the instructions as "chimneys" or "flues". 4.7 The instructions shall include the manufacturer's name and address and the model or type of gas vent or roof jack covered therein. CONSTRUCTION 5. Materials 5.1 A -vent anti a roof jack part shall be made of noncombustible corrosion -resistant materials. Metals shall not be used in combina- tions that may cause galvanic action at any loca- tion within the assembly. 5.2 The minimum thickness of sheet metal, in- cluding any coatingg,, shall be as referenced in Table 5.1 unless otherwise specified. 5.9 Aluminum alloys containing more than 1.0 percent magnesium shall not be used if the reflectivity of the material is utilized to reduce the risk of fire. GAS VENTS — UL 441 TABLE 5.1 MINIMUM METAL THICKNEBB Inch pun Aluminum alloys (1100, 3003) — Inner pipe 0.012 0.90 Aluminum alloys (1100, 3003) -- other then Mer pipe steel 0.016 0.41 0.014 0.41 Galvanized steel (090 coating class) 0.018 0.45 Alurninuln•eosted steel (0.40 ounces per square toot) U14 0.44 stainless st"I (Type 430) 0.012 0.90 5.4 A flue -has conveying conduit shall be of at material having durability and resistance to cor- rosion and heat equivalent to that of Type 1100 aluminum, Series 900 or Types 480 and 446 stainless steel, or porcelain -coated steel comply- ing with the requirements contained herein. Ex- cept as noted in paragraph 5.5, parts in contact with flue gases or flue gas -air mixtures, or subject to condensation, shall be of material having durability and resistance to corrosion and heat equivalent to Type 1100 aluminum or Se- ries 900 or Types 490 and 446 stainless steel. 5.5 An outer casing or other structural part (1) whose deterioration or corrosion would cause the venting system to collapse, or otherwise in- crease the risk of injury to persons, (2) that ad- joins firestop�ping material, or (8) that is sPva- nized 'ect to condensation shall be of stainless steel, steel, or aluminum -coated steel. Exception: This requirement does not apply to the flue -gas conveying conduit or other parts in contact with flue -gases or flue -gas air mmxtures. See paragraph 5.4. r r _-,* 41 96621 OWNER BUILDER DATE .� DESCRIPTION NO. INSPECTION RECORD DATE OWNER p � r I CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 b+ r Future Fixtures b 3.50 Old Opening, now Fixture $ 1.50 $ Water $ 4.00 � Blow Off Basin $ 5.00 $ -a � u�1 ee 5.00 $ w a w � Hydraulic Valve Heater •.ei e Sump or Receiving Tank $ C � Water Treating Appliance �o"w° 7.00 M .0 C � � 4g U Can Range O 10.00 $ Gas Dryer H 10.00 $ A g o U a� vi� in uo'�s 3 iy s iec let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (') - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 � $ "6 Future Fixtures $ 3.50 Old Opening, now Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Not Water Heater $ 5.00 $ Can Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No (X) Oj Type S 5.00 $01 ALL OTHAS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection P.►s $ State Surcharge S .50 ($15.00) TOTAL FEE $ Effective Date May 1, 1988 Job AddressZZ AI E, / O h Lr/ Department of Buildings City of Fridley Tel. 1571-3450 The undersigned hereby makes application for a perRit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated In this application are Ove and correct Fridley: Mn. _,di4fi . f . 1g 012 OWNER ,fi��Pa� C. /� CSS P �� KIND OF BUILDING USED AS "12 [ � /Gti' �� I i �-� � e s ! X . C-1 — TO BE COMPLETED ABOUT ✓ �G. ( %'� % ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date FINAL INSP. / I` Date APPROVAL FOR PERMIT _j2&) MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Effective Date May 1, 1988 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 5 $ m $ 1.50 D. m $ ro $ o $ 1E' 0 5.00 Water dl o m $ 5.00 $ W $ 10.00 0 A +gni p, W Heater H roro+ N N �•.OI C '4 .0 3 O U +Oi l5 .0 U v O m O rd U '•4 D PO 0 N 0 3 14 Q w O O w 0 uMA 17 N 9 0 � 0 '1�' 0 8 .0 O lec M F[n s 1st 2nd 1 IR 21 1 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 5 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 18.00 Job Address 31 70th Way Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. Sept. 15 19 89 OWNER GRECO CONSTRUCTION, INC. KIND OF BUILDING Residential USED AS TO BE COMPLETED ABOUT Oct. 6, 1989 ESTIMATED COST 2.000.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ` �J Company NEDAHL PLII BING, INC.. Signed By Tel. No. ( 612) 4V4602646 Job #4073 ROUGH INSP. Date s� FINAL INSP. 7-17— Date 6 7 Date APPROVAL FOR PERMIT MINIMU14! FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE suedEcr PE NO City of Fridley 20087 AT THE TOP OF THE TWINS BUILDING PERMIT _ ' ' RE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. '0 ."1 CITY HALL FRIDLEY 55432' �'j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 1 910-F15 8/28/89 JOB ADDRESS 31 - 70th Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Ostman ' s 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Rosendahl 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greco Construction Inc. 3307 No.. Fwy #100, Mpls 55422 535-9768 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 Cjj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 241 Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan., Submit roof framing plan prior to roof construction WARNING Before digging call for all utility locations 454-0002 REQUIRE® �Y LAW PERMITS REQU6R D F®R HEATING, PL�B��1INGUIR AND SIGNa 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA 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 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 $33,050 $16.53 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 1 S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 310.50 . TRUCTIO OR THE PERFORMANC F CONSTRUCTIONY,,4-es,� �klj% LAN CHECK FEE TOTAL FEE 2�lza"Ue, $327.03 S NATURE OF CO RA TOR OR AUTHORIZED AGENT (DAT I WHEN PROPERLY LI ATEXTIS IS YOUR PERMIT ` . BLDG INSP f1A T SIGNATURE OF OWNER IF OWNER BUILDER - (DATE)� or NEW [ ] Effective 5/1/88 ADCN ,(%� R-1 AND R-2 ALTS [ ] Building Permit Application Construction Address: 701,60 legal Description: 7 //G OS' Tv� Owner Name & Address: Tel. # Contractor: V 26Go fti. # 5 35 -?749 Amoss: 3 367 /t/6/ Attach to this application, a Certificate of Survey of the lot, with the proposed Construction drawn on it to scale. DESCRIPTION of IIMPMDVEMENr LTMM AREA: length Width ° Height Z Sr ° f " Sq. Ft. GARAGE AREA: length _ Width Height Sq. Ft. DECK AREA: length Wim Hgt/Ground Sq. Ft. OTHM: Corner Lot [ ] Inside lot [ Ft. Yd Setback Side Yard Setbacks 7Ype of Construction: �F. S7ca Estimated Cost: $_ Approx. Ccepletion Date: 331013.31 OL33, o 'W•oo Proposed Driveway Width If New Opening Is Desired: Ft. $ $. Width + 6' See Back Page DATE: f�q 6 APPLIC'AM: Tei. # S3S-976 Permit Fee $_ 2/0,SO State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Qzarge $ STIPUTATIMS: 5UQ" , r s '�.a3 IRuo F Fn.Armt-j' b C=Y USE o�aar Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Necessary [ ] Not Necessary [ ] P"AJ PN 'K 17i rZod� C.cwsSn.uc.?lOj 33,om-w 0610.06 — ISOLA 00 49X64 3io.-s-0 INDUSTRIAL BUSINESS CITY LOTS TOPOGRAPHIC MAPPING Tu.V,z Lin f71 A/ C. E. COULTER V PLATTING FARM SURVEYS LAND SURVEYOR LAKESHORE REGISTERED UNDER LAWS OF STATE OF MINNESOTA JUDICIAL LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4-0370 SURVEY FOR. MR. OSTM;IAN �wrnpq,ai n fQrrtifir�tr S��cdr '�' / -Q � I f I 2 1 � I us qq ';®x 8 G,Y 4 I1 s `2 � E !, IV, I hereby certify that the above is a true and correct plat of a survey of: Lot Seven (7), Block Two (2), OSTMANIS THIRD AMMON, Anoka County, �Ainne- sota. As surveyed by me this 15th day of October 1958 A. D. r, r ti`Pinneso aa istration Ilo. 2584 y SUBJECT PE City of Fridley 2 8 25 0 AT THE TOP OF THE TWINS BUILDING PERMIT r _% Iq 2o300 LAITY DEVELOPMENT DIV. �t.�------ r � � PROTECTIVE INSPECTION SEC. 6 NUMBER REV DATEPAGE Of APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910415 10/14/98 JOB ADDRESS 31 70th Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Ostman's 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Rosendahl 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stifter Bros Const Inc 3445 219th Ln NW Anoka MN 55303 753-5413 20064 02 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Jac REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (40 sq) Tear-off 9 CHANGEOFUSEFROM 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 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 3428 $1.71 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 $87.25 Fire/%C $3.43 PLAN CHECK FEE TOTA FEE Lice SC 5 .39 Sir, fU9i OF ON" CT ORAUTHORIZED AGENT IDATE, N P OP DAT IS IS/YOUR PER T G� 4TU OF OWN A FOWNER BUILDERS �DATE� BLD NSF' - f1A NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 4,1 Legal Description: Owner Name & Address: & j cAu V J Tel. # Contractor: f54, - le- O r,) s � --!51 �,L c _ MN LICENSE # 9006?'02 Address: 31/y,5- dot ti ,,,Q �. (.J �nv�4, $5 3v� Tel. # 753aS7/ l� 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: Construction Type: ���i �� �e ('oe;� Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft -4 Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: $ K7 -2r $ 3, G13 $ , 'CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) Tel. # 7s3- $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY PERMIT O.=2004-00990 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/24/2004 572-36U4 VAN: ( 763) 571-1287 ADDRESS : 3170 WAY NE PIN : 103024440045 LEGAL DESC : OSTMANS 3RD ADD : LOT 7 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 920.00 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. INSTALL GAS FIREPLACE (HEAT N GLO, 30,000 BTUS) # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT FIRESIDE HEARTH & HOME 2700 N FAIRVIEW AVE ROSEVILLE, MN 55113 4 .� ROSENDAHL ALLAN & MARJORIE 31 70TH 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 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 re o truction or the performance of construction. Avolicant Date ; i Bldg HEATING PERMIT MINIMUM FEE 15.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 607336 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Effective January 1, 2003 CITY OF, FRIDLEY INSPECTION DIViSION 6.431 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 ?04A % JOB ADDRESS RATE SCHEDULE d �'S�r, I OWNER Residential Rate TOTAL n l Furnace Shell and Duct Work, Burner - BUILDING USED AS BS�rdBn Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ��^ ESTIMATED COST %O�a®� PERMIT NO.�[� Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTI.ON OF FURNACE AND 0_8 BURNER Gas Range $ 10.00 $ ` Gas Dryer $ 10.00 $ No. of Heating Units / Circle One (Steam) (Hot Water (Warm Ai ) Trade Name 1f Ce Orf )/Gk Size No. S BTU '30,®0® HP EDR *Air Conditioning - All Sizes .$25.00 $ Fuel A16- Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% 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 representations stated in this application are true and correct. TOTAL FEE � DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO _ fta"''&M0'm eItFawkwAve. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed sPlosevft s ��i13 TEL # REINSPECTION FEE $47.00/Hr FAX # _ *Air Conditioners can not be placed in a side yard without Approved By Ji Rough -In Date' Final Date /� y written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED ,r QMmnN VFNZ VENT GnNNFGTOR AND GOMBI IRTUM AIR VERIFICAw-w When raIncing sin eYisNng uran , 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 (' i 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The each r`grnmh ictinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to Install a new rnmhi untinn air it will be sized and installed to most the current codes and manufacturer's specifications. Yes( No( ) When h1 tafta 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 -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 #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 HEATING CO: Signed By: e Date: From: unknown Page: 2/2 Date: 1/7/2010 3:19:52 PM Building MECHANICAL Permit No.i Inspections RESIDENTIAL APPLICATION Received By: 763-572-3904CITY OF FRIDLEY �eC' ►�f--- 763-502-4977 FAX EFFECTIVE 2-19-09 DA'I S 117/10 YOUR E-MA14 ADDRESS dave@davesheaHngandair.com SITE ADDRESS 31 70th WAY THIS APPLICANT 1S: O OWNER OCONTRACTOR PROPERTY NAME: AL ROSENDAHL OWNER/ ADDRESS: 31 70TH WAY CITY FRIDLEYPHONE: STATE M� zlP 32 TENANT 763-571-3170 CONTRACTOR COMPANY NAME: DAVE'S HEATING. AIR 8 ELECTRIC _— SUBMIT A COPY OF CONTACT PERSON: AMY MADVIG YOUR STATE STATE LICENSE /i EXP DATE LICENSE WITH ADDRESS: 1601 37TH AVE NE CITY COLUMBIA HEIGHTS STATE MN ZIP 55421 APPLICATION PHONE 763-761-5901 FAX 783-783-6805 PERMIT TYPE Z VGLE FAMILY R TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: O NEW REPLACEMENT O ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK REPLACE EXISTING FURNACE WITH LENNOX M#G81MP-36B-071.09 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: um= MODEL: 31ZWBTU mac MFG: MODEL: SIZWBTU MFO: MODEL: SIZE/BTU $44.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.0011C. TO AIR EXCHANGEER $IS IREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILF.R$35.00 RNACE$35.00 PAS UNIT HTR $10.00 =JASDRYERSIO.00 _POOL NEATER $35.00 CHIMNEY LINER $10.00 LZ 211CT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures @ $10.00 x $1000 = $_________ Number offixtures @ $15.00 x $13.00 $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35,00 1 x $3.5.00 $35� State Surcharge = $ _ .50 MUNJIMUM FEE $35.50 Total - $35.50 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a bu t permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the —in ccs and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only #n application for a permit and work is not to start witho t a permit; that the work will be in accordance with the approved plan in the e o : l r whit proval of pl s. ITW 7: SIGNATURE OFAPPLI NT NAME A`_�_. PLEASE NOTE: SEPARATE PE ARE RE IJlRED . R BUILDING ELECTRICAL AND MfteRANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977