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PRE 2010 DOCSCity of Fridley �pp�o��i®n Plumbing Ond Gtm Fipting permit DESCRIPTION OF WORK Dept. of Bldgs, phone SW -3450 Number, Kind and Location of Fixtures / 36o/ ,� T_!f ��{� n• Location � u 0 i 0 o 7 `� ` r Z ZJ!L VZG(j ? •EGA NTR. D' Z W LSm <3 a el tins �0 F ELEC. Base /F 2nd 4th Future Coazec:ion Opea:ags onnec w j '� New F'ix3nre, Old Ope ::aga Sewer Cesspool El PARTIAL RATE SCHEDULE PLVI.:BING F:Z; V'dE RA;^S: -xtures . ... ..... ND' RATE TOTAL 9 118 ®o x $2.00 �� F'U'U: Fix:ure 0:�-' ag ......: ..........sem x $1.50 Old Bening ...... . .... x $1.60 $ Cate ........ . ....... --- x $3.25 $---- Wa:e- -Carer (Up :_ 99,000 BTU) ......3. _ o x $3.00 $_00 — New C•: -:.":d Run CA Bldg. ...... IIectr:_ W3_er Heater —�' x $3.25 GAS PITTING FE:•S: --�-- _ $2.00 $ ` - '•st 3 F'.x•.•r^es '10' RATE TOTAL ............. x $2.00 -.0"0 Add ,t • '�ii FSxture_ ...........•........ x $ .75 p Gas Ar4e to 199-Y-' BTU. .............. x $5.00 $---_ REPAIRS & A:.7MTIORLReter to Code Desai;"cn .....................:. ............ � TOTAL FEE g CM 00 s City of Fridley; The undersigned hereby makes a specifieda AAlication fora permit for the work herei greeing 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 T? ;"Pv Minn 't`�—�oZ — Owner Kind of Building Used as , , n D , ,A To be completed about V drr/re i�J l� Estimated Cost, $�%�(�p Old New Building Permit No i 0 ROtYGH % FINAL „2 ev =I 'a Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR 5.00 / Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water . ................ 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TQTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept. of Bldgs. Phone M-3450 a City of Fridley: EA The undersigned hereby makes application for a permit for the work hereir. 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 nd correct. 1.17 Fridley, Minn------- /% d� e � 19� Owner �/!-iZWA� Kind of Building Y4�p 'e Used as ��✓�� ����C� To be completed about or ® ew Estimated Cost, $.4�eieol Old e' Building Permit No. /0/ Permit N..%� _ DESCRIPTION OF WORK HEATING or POWR ffPLANTS Steam, Hot Water, �No Trade Name— Ewa ALF' Size No ��Wlk� Capacity Sq. Ft. E.D.R �-�� ��� BTU H.P. Total Connected Loa - Kind of Fue1__�Cllf�1'_� BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. &61400� BTU H.P. (REMAR OVERT J RAY N.WELTER HEATING 00 Signed 4637 CHICAGO AVE. MINNFJ4P061A 7. MINN&$OTA By <$ Business Phone No Number Fixtures x $2.00 co$ O 0 Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 _ Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge .50 TOTAL FEE $ (9-60 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 declare that all'the facts and representations stated in this 0. SUBJECT PERM City of Fridley 12150 AT THE TOP OF THE TWINS BUILDING PERMIT i � • COMMUNITY DEVELOPMENT DIV. �y----'--� r � PROTECTIVE INSPECTION SEC. /t � � i 1 (fA NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �•--- ,�' 612-560-3450910-F15 I 5/30/73 I JOB ADDRESS 1361 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR, 8 3 Don's 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary H. Schulte 1361 75th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS gnme ZIP 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Remodel Basement 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. B THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S 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 500.00 .50 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- $5.00 STRUCTION.bR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $5}50 UTAH ¢E7GT TE)I W PROPERLY VALIDATED THIS IS YOUR PERMIT W1G,ATUREOFCONcr0RO ®DA SIGNATURE OWRIFOWNER B LDERI DATE Ah 'f APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: 1^ c y�(� BUILDER • &01 ADDRESS: 2k,? N ADDRESS: NO • . �� / STREET • / LOT • BLOCK- 2 ADDITION: AQl�%'S Ty�j 4AZ) Aj CORNER LOT: INSIDE LOT: SETBACK:_ SIDEYARD: 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 As: -� Front:—Depth: e —. Hfight.. Square Feet: Cubic Feet: -Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: &5-eu.. L ��' „ V'oolM EStimate d C t• f-00 O b To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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 ap ication are true and correct. DATE: _ ( �� / ! SIGNATURE : L., d��. ,; (See Reverse Side For Additional Information.) 0 0 City of Fridley, Mian.. BUILDING PERMIT Date: _ March 7, 1969 N° 10128 Cho~37 38, Owner: GAX3z Schulte Builder Clemron, Inc. Address Address 4411 1= Central Ave. N. E. LOCATION OF BUILDING No. 1361— Street 75th Ave. N. E. Part of Lot Lot 8 —__ Block 3 Addition or Sub -Division __..Don's 5th Addu . Corner Lot _ Inside Lot —. X Setback 35' — Sideyard — 10' 10' Sewer Elevation __ x4.43 887.73 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 2616" Height 20f Sq. Y, 1060 cu. Ft. r-grdga Front 23'6" Depth 23' Height 10' Sq. Ft. 529 Cu. Ft. Type of Construction _.._.. Frame $23,000.00 Est. Cost ._.. .._._...___.____.__ To be Completed SEWER LOCATION - 12.2' South of the Water WATER LOCATION 12.2 North of the Sewer I APPROX. CENTER OF THE LOT 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 $--AO— 00 , permit is hereby granted to Clemron, Inc. 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. Official Building AMPMW NOTICE: 'fids pomb don not cover the construcdon, insWb&n for whing, plumbing, gas headng, sewer or water. Be sure to we the Building Inspector for separate pormhs for than Baas. y Ql—N dZy� L..m r� UZ a cl ge � F r k a c n A a' ! �o 9 ey=e, I � 1 L x APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWMM 'S NAME Gary Schulte BUILDER Clemron* Inc* ADDRESS ADDRESS La411 Central Ave.N•E. LOCATION OF BUILDING NO. 1361 STREET 75th_ AVG* N,E. LOT 8 BLOCK 3 ADDITION OR SUBDIVISION Don ' s 5th Add, CORER LOT INSIDE LOT X SETBACK 45' SIMARD10_ 101 F SLWER ELEVATION TOP OF FOOTING Curb minus 51 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 As: Res-idence Front _4R Depth 26, 6" Height Square feet 1060 Cubic Feet _-�a Garage Front 231 6" Depth 23 Height ) a Square feet 529 Cubic Feet Type of Construction FrMW Estimated Cost 23,000,00 To Be Completed 7-1-69 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 iudresentations stated in this application are true and correct. DATE -3-1,.. 9 ; (Schedule of Fee Costs can be found on the ideo) da, %(ag- 08 N? Original Permit f®r PLUMBING AND GAS Fli$ING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee DFSCRWTION OF WORK Number, Kind and Location of Fixtures City of Fridley 0) m � W WATER HTR. I- Stories W W O Q J 3 U z 7 x .0 , F m Q 7 m F z m Q m Y ? m m d Q C 3 F i Z D m 0 C W m ; o S to rc o Z O J E O _ U z r m Q Q U m Z m !C Q O K J v y X X rZ J m a d a U d s m Z 4 d 0¢ 6A8 ELEC. Basement % 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Permission is hereby granted oc v `-0• 'A' "`" to do the plumbing and gas fitting in the building described in the statement here ttached, 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 IRA -6-65-v Owner �� Location s36 / - 71-5-z/ e�� • � Find of Building `� Used as To be Completed Estimated Cost $ / z'®` -e . -,o Old -New. Building Permit No. / 04 /.2.0" Date Inspector of Buildings. No. Mak Original PERMIT for Power Mants and Heating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK be tailed ltered—repaired Oil fared—, Coal fired ; Gas fCred Q��—� ;; Gas Authorization No. Remarks Lu- ���.t" Q `Y– U)6- -) %M Approved by Final Inspection Date , 19_ Inspector c�?QaZ� Permit 44'74 Fee $ r2, &o Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19 u` Owner Location Kind of Building How Occupied Atkllf Work to be Commenced—, 19 To be Completed ,19GI Estimated Cost, $ 6��• - Old -New, Building Permit No. �O Permission is hereby granted to t ° 1--/j ` to install—erect—use the material and devices described in the above statement. This permit is granted upon t7fe express condition that the tferson to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the gpproved application for this permit on file in the office j°ice o f the Inspector of Buildings. ,Inspector of Buildings ,42 2M 1147 V 11 ! i1w SUBJECT PE City of Fridley 13622 AT THE TOP OF THE TWINS BUILDING PERMIT • 9EQEE1_ND--- `v .......COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-580-3450 810-F15 7/6/76 JOB ADDRESS 1361 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Don's 5th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Gary Schulte 1361 - 75th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue, St. Paul 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW QA ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 31' x 17' Family Room Addition 9 CHANGE OF USE FROM TO STIPULATIONS Rafters D.F. #1 or equivalent, or 12" on center, or W/Bracing 32" on center with purlin. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 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 BECOMPLIED. $7,000 $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF APERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ANY OTHER STATE OR LOCAL LAW EGULATING CON- $26.85 ST=ONFHE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE / $30.35 SIG TUREO NTRACTOR ORAUTH IZ DAGE (DATE)_/ WHEN PPR�Pj�PERLY VALIDATED THIS IS YOUR PERMIT -* / ---1� BLDG IISP DATE SIGNATURE OF�WNER(I OWNERS IL)ERI MATE) 11 ! i1w OWNER'S APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS: ALDER: r I ADDRESS: �. • NO•./ � STREET: -7,rI4 LOT:_ L BLOCK:. • ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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 As: Front: Square Feet: Cubic Feet:�' Depth • 17 • Height • Z Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:- Estimated Cost: 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: 7K SIGNATURE: 4A_kj(V (See Reverse Side For Additional Information.) f "'I FIJ QQWWVs iL a 0.C-- n, ; EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 1 OPINE R SITE ADDRESS CONTRACTOR ' SO -S e_ C w. ��;� DATE 1. 2. 1-9-6. %(© PHONE &i/ z0:33 Determine working square footage of each. Total exposed wall area ....... ��s.o "7 sq. ft. x .17 = Total roof/ceiling area ...... 40 i sq. ft. x./ Total exposed'wall area above floor = 52. 0 a. Total wall window area ........................... b. Total door area........................... c. Total sliding glass door area ......... ........ 39. d. Total fireplace wall area.......... e• Total wall framing area'(average 10%)...'......... S'Z . o f• Total net wall area above floor ................. 3 g. Total rim joist area ............................ 3 , S— _ Total exposed foundation area = 1 /.1 Z. h. Total foundation window area. ........... /.S. a S i. Toal net foundation area above grade '7 S• s 7 Determine "U" value of each wall segment. a. 4 X 1111 11 b .;1 :I X 11 11 11 C.' 3/ I X 111111 , 5Al- d.. X 11u11 - . f. 3z . 7 X 11u11 , ow = Z o 3 g. 93,96' X1111 ,o!07= . h. X 1111 , S _ • i . ?r S'? x 1111 1 3 ................ ................... •.Total = •..5 If item #3 is the same as, or less than item #1, you have met the intent W1 SBC 6006(c)2. 1 1 1 ;i r I 11 .;1 :I Total exposed roof/ceiling area = 4(o V j. Total skylight area..... ....... ....... k. Total roof/ceiling framing area (averagel0%)... , 1. Total net insulated roof/ceiling area........... 1 ., Determine IIU11 value for.each roof/ceiling segment. X 11 u I I . • k•414# I X 11UH , //7 C V .3 . 1. 414.41 X 1111V11 , Q�fZ _ /? .42- As P 9 9 ................. Total = If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 5 �• 1. I t3 , o C� + 2.�.� 3. �°���� +4, M1 is Y 30 September, 1976 Fridley Building Inspections Department 6431 University Avenue N.E. Fridley Minnesota 55432 RE: Schulte Remodeling/Addition, 1361 75th Avenue N.E. Fridley, Minnesota Gentlemen: This letter is in response to your request for verification of structural detailing at the above project. Basically, the interior wall dividing the addition is load bearing, helping to support the mass of the roof in conjunction with the end walls. This wall is in turn supported by a steel I beam which is located directly below this wall. The I beam is supported by the foundations. By having this wall support the bulk of the roof load, the need for any type of horizontal bracing (collar beams) was eliminated. This provided the necessary open space required by the owners. I have suggested to Mr. Schulte that some type of lateral bracing be incorporated into the structure of the wall, thereby stabilizing the length of the studs, and minimising the chance of any internal movement of the wall's structure. This, of course, would have no relation to the wall's ability to support the roof - it will only minimize the possibility of problems developing with the sheetrock wall surface. I trust this data is sufficient. Codially, ee Meyer LM Lee Meyer, Consultant Designer 1696 East Shore Drive, St. Paul, Minnesota 55109 • 774-7801 r i � s fe ✓ / � �,� is � �- , 2 ec,v� 3� kRb+5—C,y h 3 p 3 o®u LS ®. J 1,J��� l'o�-e�e�d'o•ys f3A-LM J 3000 �.L u 0 " �Q lPc flow 1 �p, 000 for A c?e7Q /gin e3 7T 6 A- 3 x-4,�4/1 �- 3 (3`l,�Gvi �4f.r �, �aA, 2-1- % 7- 7 �o,✓ I2.� E:311e (L�,, IC( v�t,? T4.c 5 f—ye 7-14 6y �v tt(�- U 1 is rHA- PA f /j0- r for A c?e7Q /gin e3 7T 6 A- 3 x-4,�4/1 �- 3 (3`l,�Gvi �4f.r �, �aA, 2-1- % 7- 7 �o,✓ I2.� E:311e (L�,, IC( v�t,? T4.c 5 f—ye 7-14 6y �v tt(�- U 1 is rHA- PA f /j0- CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1257 ADDRESS : 1361 75TH AVE NE PIN : 123024120017 LEGAL DESC : DONS 5TH ADD LOT 8 BLOCK 3 PERMIT TYPE HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMITINO.: 2004-00462 •.,.% DATE ISSUED: 04/08/2004 VALUATION : $ 172.00 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 RANGE WITH 1/2" COPPER # A/C UNITS 1 VALUE OF APPL OR WORK # FURNACES APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- (763)757-6202 OWNER PETERSON PAUL A & CATHLEEN A 1361 75TH AVE NE FRIDLEY, MN 55432 0 # GAS DRYERS AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Avvlicx fl Date Bldg Insp (gym 11,1._. DateL Dy HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 1005367 ..� I �mT rnn T77 ALT MT70i+DiDL'Tl A13MI 7 Jr,rntw ► n r LAM" I i o new %J A, W. —.1 ...' .. . 0 0 0.00 0.00 0.00 25.00 0.00 0.50 25.50 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 MINIMUM FEE FOR' ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr HEATIN Signed A rovedC6 l✓ Rough—in Date pp y 9 *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 Final Date �JCD� 1'8/ N6, JOB ADDRESS f, RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes 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)S Gas Piping (Needed with new furnace) $ 10.00 $ /_ OWNERG= Gas Range $ 10.00 $ �,,, .BUILDING USED AS Gas Dryer $ 10.Q0 $ ESTIMATED COST 40 PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK I% of Value of Appliance or Work $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work z. $ Fuel _ Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE MINIMUM FEE FOR' ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr HEATIN Signed A rovedC6 l✓ Rough—in Date pp y 9 *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 Final Date Remarks: List ALTERATION -Being Done: HEATING CO: Signed By: Date: CHIMNEY AND SIACK 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 Dodged within Yes O 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 ALTERATION -Being Done: HEATING CO: Signed By: Date: