AF - 40777Caty of Fridley, Minn..
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��; Mav 25. 1972
Owner:
Viewcon, Inc. B�� Same
Adairess 5901 Brooklyn Blvd. Address Same
�l� 3 /
�1465
LOCATION OF BUILDIMG
No. .._._5589 sfr�t East Oberlin Circl� P� of ��
Lot ._.._ 2 Block ._..._.1 .�__._..._._.___ Addition or Sub-Division Innsbruck North Townhouses lst
Corner Lot ___._.._.�__ Inside Lot
Sewer Elevation
Seibaek �. Sideyard
.� Founclation IIevation
DESCRtPT10N OF BUILDING
To be Used as:
Townhous e _�nti 2 0' �p.� 31' Heiglnt 2�� gq, �-�, 1, 240 � k,� 12 , 400
GaXage +.._ Front .-2�i Depth 22�' Hei�t►t ��t Sq. Ft �`� Cw Fk 4,400
Type of Constructfon Wood Frame ��� � 19, 700.40 To be Completed 12/1/72
Stipulations:
1. They will see that fire protection is provided to the construction area, water
is available through the hydrants and good access provided to the construction site.
2. It is the responsibility of Suburban Engineering and Viewcon to see that the
grade elevations of the units is satisfactory to connect to the utilities.
3. Occupancy of these units will not be made until all utilities have been checked
am� acgi�cQe�r'a�on yof �tie i suat�ce to me of a perinit to construcf the building described above I agree tq do
� proposed work in accordance with the description abov orth and in compliance� a�1 prov3sion8 0�'
prdinanoes oE the city of Fridley. �
In consideration of the payment of a fee of $ 3 2. 00
.�, permit is hereby granted to Vi ewc on , nc .
to construct the building or addition as described above. Thia permit is granted upon
the express condition that the person to whom it is granted and 3�is agents, employees and worl�en, 9a aII Work
done in, around and upon said building, or any part thereo% shall conform in a]1 respects •to the orc33n�nces of
Fri�ley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of build4ap
vyitYain the city ]imits and thi.s permit may ix revoked a t any time upon violation oY any oE the pruvi�tons of said
oxdia�ances.
i �
�
CLARENCE BEL SLE
IdOTICE:
This permit does not eover the eonstruetion, installafioe for wPrfng, plumbing, gaa heatPng, �we� or watet. Be sore io sas
ths Building Inspeefer fo� aeparafe permits foe 4hese hems.
-_ � v
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AllvITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME :�� �M1+ �, 1V �1 BUILDER: C��� V �� �
4}�
ADDRESS:� ����� ��� ADDRESS:
NO•. STREET:
LOT: BL�K: . n..L���..... �
-.-,
CORNER I,OT: INSIDE LOT: SETBACK: SIDEYARD:
�
Applicaat attach to thia form Ztao Certificates of Survey of Lot and propose$
building location drawn on these Certificates. �
DESCRIPTION OF BUILDING
To Be Used As:
� � t �
/7 %6%-0�-�� • Front: �� Depth:� Aeight:
t
Square Feet: Cubic Feet: /�, ��Q
�
g, 2 � � , � ,
/, 99� � � 0 ° Front : Depth : ,�i� Height : t%
Square Feet; °�/�/� Cubic Feet; �%y0�
F
� . %DO.</O ,.
Type of Construction: ��p�_�/,�Q� Estimated Cost: $ y �
To Be Completed:
7.'he undersigned hereby makes applicatinn for a permit for the work hexein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and he�eby
declares that all the facts and representations stated in this application
are true and correct.
,.�
DATE : • S IGNAT[1RE : �-�
(See Reverse Side For Additiona.l Informa.tion.)
� ������
Q ��
• ���.
=�a .
BUILDING PERMIT FE� SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for �he
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require t�� p����� ��� �_;�c
applicant for such permit of fees to the amount he�ein be��� se� ����� ���� --
the manner herein provided to-wit:
UN�FOR�i BUILDING CODE: 1�pe 1, 2& 4-$2.15 for each one thousand cubic
£eet, or fraction thereof, in such cubical contentso Z`ype 3& 5�$le$5 �o�
��ch one thous�.aad cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
oz� the cellar to the averagg heights of the upper surface or to ttae average
h�ight of the x�oof surface of the main gable of � pitched roof.
For repairs or alterati�ns to 3n existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for a.ny permit as set forth in Section 2 be
less than $5.00.
VBRIFICATION OF FOUNDAI'ION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed structure and
of the cons�ruction site.
A Certifiad Survey of the lot, showiag the location of the foundation, once it
hae been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or eccupied until a Certificate
of�Occupancy has been issued.
3 � • e
�%�
a ` -
•n
---- ----- ^ i F - -- -- - — �
► !' /� r > „� ��.
e � �' % �-C�L�� --'___►-
. `� , , � � '' .
l; �► ��' . ,; � / � : ,.
� ' ��f �riN:,n �
�s ��, �L � N ,-�" ! .
r' f
�;t � '� � .��;3 �od ��;-� . � �� �� ���v�tr� '' � ,�
� ��
/ �,�, � (, '; ,
; / , , • t;>
� - � t� . ,
- ' ----- -- �.�» j:
� ---------- ----
, � � o.;� -------_ ----- =T—====____
; � � ,_, " � ,^:�.,t�'!',�'� " ,�,�f, -� f � � .;a r _ _
' !� r� . `�� ,., , . - •.: . ?.l�t �1 .ca
� � � ,� � . � _l�,f j� �ri� y �� � ) , w'� Cl
. ' � 1> �'^"y�
� � � ,
i' , �• j ' /
� �� �
--- - - - - - ' c V � ; 6�
, � 4J+�,,,�" �Tf� � - ---- '_ ` '
i \� `$�d '_�� f' " f.�� r_ 5�
�' � �� � l� � (1.. ► { rv .y��� j �� N � , ` t r�— �
�� v � . `;. ,�r�c ;d�:,2i,-jj , � � `` � _ �,' 7 .
' ,-' i�- r , � '�, 3 � `i �=�'� c � � �
r-� �: j.% ,, : i / �, �'' � : �-' , v
�: �� � ' -� 01^e ;'� � ` _
� ,:
__�-- , : � ,
� -- - ---� ,- , 41 v'r',
�, e .�-----�-,�=---_-- ---��-�-- --=-._---_�
� `� . ' � /, � � = - �,-7 �
}� � ." ; � / . �' %�;� , /� �` �:
�,. �
C� , \ C'T � > � .� F 1 I�1 ,' L�'t (?1 / / , A.� R� ` � .� � 4� �I � C\, . . J>
� � �"� �.l_.11?��'�'J.� ��I ��� t� u ' � �
I .' ,�� / / _. -' j J . �, (. 1. `, !� 77_ ,' i
,�' / .
� y, '%� �` 4' I c�.,%�� � �".
�
��
U
s�
I
l�
Ji
Cj
�
�
�
.,
��`i
r_ � ` \
,
/ -.
;�;
�
J�
�-=______ ,
r--
i
-. �
� � ' N
- - a
l)
� z1 O
�
���
�
r'�
_ _•,+
� _�
JL
r--
i-.
[ � -7
--- - _._ -f _ - , / ! i . � -
---- -----
___
, ___---
,. , �.', - - -_ _ -
I� ,�, �--_ _
S �a G.� / � ' V _ — .. _'___-' _.._.� _ _ .____-- _—.___
/s-"`�_l/ I� ,/.// ! 4 � �
m�d7 � ; � �
��t � •��c,^�iN!'�,Q1''��'"� �;' o'�* r.
� ,
�" C? /�,% 4�3 `^�� � � � r> � i,,`r r--
>� �%� � �7 /
/ .,] � . � •,1• �' ! ��
' i' /�%, i j �' !7� ','" //.; i _.
i�; "� , �' � � ; % `. '`: _
,,� % . ,' r•�: i' . �','� 3::�"f1;�".� o --,
� -�--���`------ �! %�I�•' / .�� -��/, ��.�
.a �' � . . �: -_-i"��„ -
� � � . - ii%,
��',;�'f /f • ------ -�- - 4i
� �� ' ' ��� ��"7Z ,:":
� � �.- jJ��'��noHN A,1C� i _� v � /�,'� '� ;��/' ' r--
r --. � y�,.� �,p�� " ,/ .
�T , ,,, i i ,� i ,
'�:' .' � 'J � S J'� J �6v Qs"� u �7 �., ��,.�,.' � � ' i _ /
i� /:�' i;� -/J. �' "/.�' 39U'it��/,:., N __�
%,rl i �; , . , ; , ,, ; ., �. ,
, "��, ; : �
�� � ,�i�; ---
. � � /�. � � � , ,;
t'' - , . �-' � %
-- ---- 0 I � ! ------ �/
�
r;�
.
��,r�s �rdcD� l4fotet�( 1a�, �a��ts �a�- �-d��
_y
• �1��} �1 � � y �
���` �,.J
J �� � v Y
����,��5
��
f
N
0
tO
�
�n
C�j
�
N
n
c:
I
r
�
c�
I
i
a
i
�� � �� �
������
�
�,� �., ,�
��
�
�
� �
�+ �
. ,�
�
`�
.�
�
.�
.
�
0
0
0 �
� 00
O�
o �
9
��
Q �
�
� •��• I
a�
d ^
��
a �,
��� Q'
�
�5�8 �
���3W
�A��
��� �
����
�� �
� ��
.Q��
����_ �
0
���� �
b�$ �
61 j�
6�0��
� ��o�
�� �� �
'� ����
� �� �
��
:�
u
�
b
�liWlNbdo
�
i9k�i�n
8�90
'10W
�
�AI
�v
��
��
iwavea
�av
�
.�
•iNrta
fnwa
M59�M
�b�
�
�
stweasn
�
�d�
�
� �
� �_ �a
� $ �
M
��� $ �
a u
oa
.� � �
�. � � �S E
����°�
�
������
��..:■ ;'' I
�t0��.���� �
������
�.
1;�;�:��' � ±
�'�•,•i■ ` i
��'',�;�'� - � i
�
�
�
�
�
t/1
L4J
�
�
�
�
�
�
I
� a
y
d�
o�
z
I � �
�, >zm
¢�a�o
.c �t
.� N
• I�J�
�.o
���
��z
� �
�m
o �
�G �
� � �.,.
0
0 0
�
"M I I NpM"�M �
I • �
� � w a i� � " � °� � w � •
•
i �
tt k K M� K M M N M 11 . �
Q � i
i.�
.
.
dl .
. . . . b0 •
. . . . . : k e
a . : . < a tlf �
a . . o . . . . .0
. o• e F+ . a . . . 6J
. • W o
• e R1 e . . . � $ o
o ` ' � . . ° .
° � . .�,��
. . m
e� e .9 � • �' � ' o . � c'''n :
�i e e � o ° � �■ e � '
� o �
(9� � � `� o °..� � i o � � o
� � � , � � .� �
� � � b ��,��� a � � o
v � � �
� � � � � � `�� � � �
�P° �� esw�� ��`
� � 9 � � � � � � � � � �
� z� z �� z ��� n
� � �
a'�. v � �
��
�
e
�
�
e
�
� �
��
�
�
�
�
c�
�
�
�
�
�
�'
�
0
�
.J
�
�
c.i
�
W
�
J
�
�
d
���
w
� d
S �
���
g��
w�
�3��
W $�
d
`Md ,c
, '� �
�"�°
� �
a
�� a�
� ��
�°°�
� �
���G
r3��
a M q
mCa+O
����
"� � � ° o�,
� �
�y
� ����
U �'��m
! �
� I i
~ I K
�
�888�
�o���
�
: : 8
. . g �
. � b
: � �
�
s � � a
��w�
��o��
�� �aa
� � � � .�
� a
,��aaa
�
�
m
.,
,
�
�o
�
0
�
'i
I
m
M ,
�
� I
o �
m
� �
�
.� » .� a
s�gss
�:�mm�
�
� : : �
S ' g M
� � � �
� � � W
� � � ' d
�� ��
(� d � � �o
q � � O °� «�+
����aa
� � � .� �
�
�� �a
�
3
�
a
0
E�
�i
�
�
I
�
�
�
W
M
a°
zl
�� I
`
� I
i
� �
�l
�
O
� I I
I I
i �
����
ss�s
° « a' `''
�
�
� �
� �
� a
~ � �
�
o � � B
����x
�����
�����
��� ��
N � � � M
x����
�����
��W�
�
a�
O
w
0
O
A
�
g
OaC
�
�P
� z
�� �
��
�
�
�
� �
�
�
��
W �
0
Zi�„ � «
d �
� � �
U
�
�
�
w
�
o '~
� o
��
� �
�
s `"
�
��
�
a
0
�
�
g
� x
��
�
� z
� �
�
� I
U
� �
�
F
F '
NI
�.�»»
o�c � � $
O � � �
OC
�' :
w . �
��
�� ��
��.. ��s
7 �y �y ,�% �a LO
#� a a
xM��
� � e �
�
�
��
�
�
t�i
�
�
�
t`�
a
�
�
O
o�
� �
w
�
-e..,�,
�
����
����
���o
� � a
�
�� �
0
�
f�
�
0
�ra
cfrl
�
�
�
¢
s
�
�
�
�
�
�_�
��
��
W
>
0
I
a
Y
t
<
�
�
�
�
�
�
�
�
��
�
�
�
F—
�
�
�
�
,, � -.,. �
�
� w
� ��
��
�� �
�
.� +� �
� 'a �
a � ��
� ��
.� � �
w
�o�
��« �
�b��
��
���"
�� ��
��
��-��
� ���� �'
a ���
� �
� ; i
� ri �i
� � � 8 8
: �
. g �
� �
�
� ��
�� ��
�� �
'� �
� � 6
� �
� �
� a
�
�
�
�
�
e
� �
O
Z
R
a'
!��!I
� . z i
� I �
� � '
' � i
; � � m '�
, � N � I�
.� � - ,�
I� ; a � � �
� E,��;�
o � � � z
������11
� ° q �
� E� w 3 11
�i
0����
�
SO � 8
R • � �
« � �
�� s
� �
s�
�� �
���
� �
�� a�
� � �
�
�
� �
� I I� ,
� , I
I '
' 1 �
h M N
R8$8
o� p ee ea
�
� �
x �
� �
� � �
� $a�
� ��x
� � °��
�
�����
��•� ��
�����
� ���
� � � �
�
O
�
�
1�
��
��
��
��
9 w
� �
�
�
�
�
�
�
�
� , �
� ,I
� I r► w
� g � �
N
� �
e
�
�
�1 �
i
w �
��
�� �
' �
�` �
~ � �
'� ��
� M
���
A �
� �
�
�
�
� � �
I
\
�
n
,
,
e
�
�w �-�
Sue�ECT .
City of Fridley 2 9 61 1
AT TME TOP Of TME TWINS g � I L D I N G P E R M I T
S � RECEIPT NO.
� � COMMUNITV DEVELOPMENT DIV.
, • ��
� ; L ••..�',
r � � PROTECTIVE INSPECTION SEC.
1 i �
� /��M � CITY MALL FRIOLEY ��i NUMBER 11EV OATB PA6E Oi �APPIIOVEO B�
�.--�� •: '•' 612—s7t-3a5o s�aF�s 6/3/99 / /
�oe �ooaess, ���X����.��� 5�73,5577 ,5581,5585 - 5589' 5593 E. Oberl i n Ci rcl e
t lEdAl ��T NO. BLOCK TRACT OR ADDITION SEE ATTACNED
DESCR. 5 1 Innsbruck North Townhouses lst SMEET
2 PAOPERTYOWNER MAILADORES$ 21P PMONE
Maxine�Dammen � 572,8241
3 CONTRACTOR MAII ADORESS . Z�P5511 Z PMONE LICENSE NO
RiCk's Roofing & Sidin Inc. 183 Clevel d - -
1 ARCNITECT OR OESiONER MAIL AOOIiE38 21P PMONE LICENSE N0.
� MAtI ADDilE33 ZIP ' PMONE IICENSE NO
-Residential °
7 - CLASS OF WORK
O NEW O ADDITION
Reroof Townhouse
9 CNANQE OF'USE FROAA
STIPULATIONS
O ALTERATION JCX REPAIR O MOVE O REMOVE
TO
Underlayment must comply with the State Building Code.
�. '
TYPE OF GONST, OCCUPi
� SEPARATE PERMITS ARE RECUIREO FOR EIECTf11CAL, PLUMBING, NEATINd,
VENTILATINO ON-AIR CONDITIONINd.
TNIS° PENMIT BECOMES NULL AND VOIO IF WORK OF CONSTRUCTION 20NING SO. FT.
AUTMORIZED IS`NOT COMMENCED WITHIN 80 DAVS. OR IF CONSTRUCTION
OR WORK'IS SUSPENOEO OR ABANOONED fOR A PER100 OF 1�0 DAYS AT
ANY TIME-.AFTER�WOAK I$ COMMENCED. NO. DWLCs. UNITS
I NEREBY. CEflTIfY TNAT I MAVE READ ANO EXAMINEO TMIS APPLICA710N 37AL15
ANO KNOW TME SAME TO 8E TRUE AND COq:iECT. ALl PROVISIONS OF LAWS yp�upT10N
ANO OROINANCES GOVERNIN(i TMIS TVPE OF WORK. WILL BE COMPLIED
WITN WMETMER SPECIFIED MEREIN Op NOT. TME ORANTIN(3 OF A PERMIT �%i9S
DOES NOT PFIESUME TO GIVE AUTNOfiITY TO VIOLATE OR CANCEL TME pEqMIT fEE
PROVISIONS Of -ANY OTMEF STATE OR LOCAI LAW .REQULATING CON•
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION $153. ZrJ
$�GqATUi1E0�CON'AACTOpOR�UfNOp1ZE0�6eNT �O�rE�
CU. FT.
GAqAGES
LOAD
d' �, .. 1"WY-26-1399
N�W l 1
ADDN � [ ]
�� � �
14�09 FROM CITY OF FRIDLEY TO 6516336491
E��� s�ioi�
G'�TY OF FRIDLEY
S�TGLE FANIILY AND DUPI,�7�,5 l.t X AND R-2
, BUILDINQ PERMTT' APPLICAT�ON �,
P.02i�3
��
a �,�
n�
� IF: A �+� � 1 ' � � :�' `_����II�� . � / �,
� =r. • • 1
� ` i. n�� ' • �i _ ,i. /� �L_�� y ' �i�: / �: � •�i
v �
� � � ; �t � l� � �il■ Li ` � _L I � r � /
�� � � � i
• , i
1 � � � ._.A �' �� . l� ��1« � �
Attach to this application, a Cerrtifificate o� Survey of the
lot, with the p�oposed Constntction drawn on it tA scale.
n�c�cuv oF nv�Rav�o�rr�c
LY'VIIVG A�REA:. Length VVidth Height Sq. Ft. c5�
GARA,GE AREA: Le� _�_ Width Height Sc�. Ft. ��
DECK�A�'�EA: Length Widt� Hgt/Crrouc�d Sq. Ft.
OT�R: , ._� . ... , _ _ � .._
_. ' ._. .__ _. _.._ _._ ..... _. . . . _ _ .... .. .. _. _.. �'
�'ofa� Sa •
r,�ti:iiFf ��.�. .,.���'� (��C.�' • �D _ , . � . . �..l�
, . _ :..
Co truction T . �. . _ _.__ _. . .
„ � • � YPe►' � ° _Utr .. .. .... F�StlIrlated COSt: $ .�' .� _�¢__ a !
.. _.�, —_ , . .,�
briveway Gtab C�t Widtb Needed: I?t. + 6�'t = Ft �$ .. _$ �
- ; -� , , .
uA�: �- �a�,� a,PPraca►v�r: � � �c�. � [p5l -1o3�-ln3�5
�
- �-�� -
F'ue S1u�charge
state Surcbarge
SA� Charge
Licen� Surcharge
Driveway Es�row
Erosion Comrol
Park Fe�
3ewer Main Cbacge
TOTAL
STIPUI.�tTIONS:
s 153�a5
$ �- a�
$ . 1.oO
$
$ •O�
$ �
�
$
$
$ • v✓
- ������ ,q
_ � .l.
,` � .
�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/1Qth°!o)
$.30/$1,000 Valuation
$id50 per SAC Unit
$5.0� (Sr�te Licensed Reside�ial Contractors)
Alt. °A" or Alt. "B" Above
$450.OQ Conserva6on Plaa Review
Fa Dotcrmiaod by fingiixxri�
Agrcemcr�t Necessary [ ] Not Nec�sary [ ]
�
J
,;
�
a
�
J
ti
�
�
a� �
�v
��!
� �,
9 p �'
Ci '� :
Z � �
� N �
S� � �
� � �
W � m
� O
=O
F-
��
�
��
�
aa
�z
.�g
z
, -� o
c� Q
��
Z C��3
O�
f= �
V�
�
..!
�
� �
O
�
>
�
�
�
il
L1J
d- � n
� � �
� � N �
M
�"Q� .a
pi�l�p �n
�, m
7
� j �� �
. y, .-, �' c s
� �e
<.3 ��p, Li � F�ie
.
Ba1
J
�
�
ii�
a
V
�
�
Q
�
O
1
�
I
�
�
¢
d
w
�
�
C3
�
�
J
�
m
��
t
���
�.l
1
O
Z
�-
�
l^s!
f.�
�
1—
�
O
U
Q
us
Q
�
�
�
w
J � I
� �
o �
� �! ��
�
� o � �
° `� �
� � c-�-s
s- ay
d' U
C �
�
� i ..
�
Y '~° �
i V
�vm��
� fII � � f�'i
c) � O ' a' �'.
� � _ � n�
. .� �, u.' e� o
c C ' � e_
� � C � 's''
� �jv�
� � Q -`��,y- � C°�.0
0.
� ����. �
O
�� � � � �
� v- Q c� c�
�
b
� � �
s..
�
� M
� 1 I
I
��o� �I
� ��
� CrJ '�
� j �
v ��
v
� �
� �
C �U
� ¢ ��
►�I0. �
2 ��
Z
G �
Q
�' k-- m !t
i
�
,�
I�
w
o�
�
�
N �
��
��
� ��
��
� ��
_
�I��
�
R
z 'i
� !
�
es
N �
�
m Cn
� ,
�, �. �
� o
� �
� �
�.'
�
�
�
c�
�
d)
N
�
�
CO
C
O
'i3
C
O
V
�
¢
�
C3
m
Z
�
�
�
u i
0
� �
L
� �
N U
y' G
Q .�
� Q
� �
� O
� �
� �
�
� �
� �
a �
��
� C
� f�
.� � �
� � N
'� O Ui
� � U
O � 4II
3 U �
s �.'� �
�-s_�
� � � L
� � �a� O
� � � U .
L� .b -o .
� v a�i � �
���� �J
� -� �
�,
o U "O N
O � � � � �
���'o �
c. „ � +-
cu
:]. N '� t3
� C �
N � � a
.�c a�,° o �+
� �N i
� � > ++
�oo.�
� � ��
� O C a''
� �� �
'� C � rn
a> � ap �'
C
� �s p �
sN. �" '°'' R
� � �
� � y N Z
� 'Q � � �---
� d �
F�- v�i i � �
Y
O
�
Gi
U
�
� �
� �
� �
i �
o�
�
•i �
d � .
��
N
�� �
�. �
a�
no
L
c�
s �
�
� �
�
.� �
� �
�
1
1 . .
�
J
w
�
�
�
�
_
O
O
^
. �..
W
W
. . �
Z
O
U
117
a.
�
Z
w
�
�
0
�
�
�
, R
. �
m
c
�
.::
tC
0
�
�
�
�
O
�
A
Ln
�
>
O
�
a
¢�
.►.
�
0
�
�-
.�, • ti �
a�
d �
;i3 ,�
� �ca
c �
� Q'
a► �
� .0
Q.-.� .
� 'O
.�, ta
C. E .
c °�
U C
i �
N
O �£
`C Q
U �
Q 3
.v
THE BELOV1l MUST �E F9LJLED IN ViI�iEN �EPLACINt� �9JEi. �11�t4111fV% Q►PPUANCES OR THE
�PPUCATIOiV 1MLL BE RE'�J�E�
� ti. r . ��`, � � '� � �i � � � 1 _ ' `/ ± / ��►�
�R�11411'll�l►`�'%.i\`1��.•�r►';ra'�'� �� � --_ _" __
�e� �r�i��t„y ar� e���tn� ��_p, �he �r�dersigned hereby verifies that the
venting has been sxamined and is free from rust, deterioration, obstructions,
and is securety supported ar�d fires4opped vvher� required. Yes l�i No ()
ih� ventir�g system is plasti�JPVC and meets al! curtent codes and manutaccurer
sp�ftcations including s'szzing, [�ngth, numbec �f elbows and �eraninatio�. Yes (v�No ()
►�e undersigned also verifes that th� replacement unit is a listed assembly
and meets the curteM codes and rrtanufacturers speaficatio�s. This does
include AGA-GAMA Categoey @�en�f Furt��� Venting Tabies for far�
assist�d and natural dcaft appii�nces.
The AY$cbna _e+,r,t�.��4�en �� is sized and installed to me�t the cunreni cod�s
and manufacturers specifications.
VV�en c+squired to i�+�t�lignpu�q„r_�mt��,efiora aiPa ;� y�l! be si�ed and ins�akl�d
tv meet th� currer�t cod�s and manufac�urer� specifications.
�� �po a�� �e�+ti�,� ���, 4h� undersigned hereby verifles that
it is a listed assembly ae�d meets the cu�ren# �odes and manufacturefs
speciflcadons. This clfles inGude AGA-GAi�AA Ca4egory 0 Central Fumace
Venting Tabtes ior fan assisted a�d natur�4 d�aft appliances.
Is the comrrion vent and �ent co�nedars siz�d and installed correctfy aftec
ac► �ppliance fias �een removed f�om 4h� common ver�t and ven#ed
separately as per cuRent codes.
i°es {�No ( )
Yes (XNo ( )
Y@S (r,�Na � �
Yes (r-�No ( }
Yes (�lo ( )
... . � .;. r�...:: _ .�„�.�. -,,, .... -. .,,�- �. . ..��. ..
Appliance #1 'Type l!� �11 � � �TU 9npu4 Fan �ssisted or Nat
Appliance #2 Type �iU Input Fan Assisted or Nat
APpliar��ce #3 Type �3TU lnput � Fan /�ssistec4 or Nat �
Tota! Rppliar�ces � T�tat F3t�a Inpu3,_, J_
(;otvtmon ifent Type Vet�t Height Diame4er� ir�ches
Applia�ce #1 Veni Conn�ctot Height �t �.ength ft D'+amet�r 6n Type ______.,
Appliance i#2 Vent Connector Fi�ight �t Length ft Deameter in Type
A�pliance #3 Vent Connsc4or Neight ��ength - ft Diarneter in Typ� �
. r :_?r,•► �- �i�:
� �' 1G � ■ 1� / I � � ' �� 1� � l = _ �
HEATINC'a CO:
. �:: .i
�
s - ��
�
_
C[1YOF
FR(DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
April 13, 2004
Mr. Hilmer Ferkingstad
5589 East Oberlin Circle NE
Fridley, MN 55432
Re: Final Inspection at 5589 East Oberlin Circle NE
Contractor: Dave's Appliance Heating & Air Inc
Dear Mr. Ferkingstad:
A mechanical pemut was issued on May 12, 2003 to install a furnace at your address.
According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on
the work authorized by this permit. As of this date the inspection has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this tune to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification and the permit will be expired.
To set up the inspection or to ha.ve any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh