AF - 45403!
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Caty of Fridley, Minn.
BUILDING PERMIT
Date: ....._..Feb . 26, 1968�,.�__.._......___....
�o
p�r; M__. Douglas Johnson ....�.._.__ Builder _.__C�Bldon Peterson Const.
961�
�� ° 9 %
Address _.__.__...._._..__.�_.._..____...._......__.........._..__.._....___......._.._ Address .r..2908 132nd Ave.
....__......._---.._ ............._......._......._.........._..._..__..__._.._
Anoka, Minnesota
LOCATION OF BUILDING
No. _..._..1495 ._.. Street .__.._.._.._Gardena._.._._...__....._...._.........-----._._..._...._._..... Part oi Lot -.-----.----._...___..._.__._._.._...
� Part of 1 gl k Addit' S b-Divisfon Meloland �ardens
_.__..__..�_._....._ oc .---_.._.._.........__..---..---._ .............. ion or u ....._......._._.._..____......._._._.__..._.__._.._.._...�_
Corner Lot ___...__...__.._ Inside Lot .._.._......_...........--•------.... Setback ._35.�..__......_........_.. SideY� •---.......__..._......_..._..........�..._......_...__...r..
SewerElevation .,...__ 965 . 05.._.._---._.----..._..._. _. ..._._....._......_9(x.l..a_Q5_._._....._..___._.._...._._._.._.
Ton of Footing
DESCRIPTION OF BUILDING
To � v�a �:
__... Dwellin.g....___.._ Front 42 �...._ Depth _.._.26 � Height .�20_�._.._.. Sq. F� 1092.N Cu. Ft _..21, 840
_.__Sz.a�Se ...._..._...._. Front �? �..____ Depth _.__._22. � Height 10 �•---.....__ Sq. F� _.. 484 _ Cu. Ft _.._4840
Type of Construction _.._......._Frame_..._...____. Es� Cost ......�16a�00 ............._........ To be Completed _.__._._.._.._._....._._........_._.
SEWSR LOCATION - 10' West of Water
47' West of Manhole at street
36' West of Manhole at property line.
WieITBR LOCATION - See Attached sheet.
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 se�f� attd '�ce yvixh ovisio of
ordinances of the dty of FrfdleY• �i _ ,C���.�_ ��
$100.00 Sewer Connection Charge
In cor�sideration of the payment of a fee of �...._ 40 . 00._.._., permit is hereby granted to_._C . Eldon �
Peterson ta ��� �e building or addition as described above. This permit is granted upon
the �express rnndition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part ttiereof, shall coffiorm in all respecta to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at a�y time upo� violatiott of any of the provisiana of said
ordinaacea
e
�I1$ TIl8�8C�OT
CIARENCE BELI E
NOTICE:
'Ihis p�rmif doa not eowr tlw eonsteuelion, inahll�ioe fer wiriny, plumbtn�, �a hNtin�, »w�r e� waMr. M wn to sN
1h� BuiWiny lntp�e�or for s�p�aT� p�emifs fo� 1b�a h�ms.
. .. _ .�
APPT,YCATION FOR BUILD�iG PERMIT
CITY OF FR.IDR.EY, MINNESOTA
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LOCATZON OF BUILDING�
NO.��� g 5. STRE�T ,��t,t„r.G�.� _. PART OF LOT
LOT BLOCR ADDITION OR SUBDIVISION �%%,e.��,o�( �I� -
CORNER LOT INSIDE LOT c�SETBACR 3�__��SIDE-YARD
SEWER ELEVATION FOOPDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDIIVG
To be used as;
— ,���_ Front_ � 2 iDepth � � Height �' a �..?
Sq. Ft. /d �� Cu. Ft. � /���
�1� =_ Front 2 z Depth zz � Height�L�
Sq. Ft. '��`f Cu. Ft. :„;�� �i/'��
Type of Construction ��i,,,��_ - Estimated Cost jC, 20 D
To be completed
S?.
The undersigned hexeby makea.appZication 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„ ' . ��
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naT�_ �,� � T G g' sxcxATUx� ,�,�-,, ..� � �Ci�-4-� .�-��
(Schedule of Fee Costs can be found on Che Reverse Side).
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COMPLAINT �. �/-� 9�
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Bus.
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��Eerrad �o.s eit 83dg, Insp. Dept.
� � Raalth Degartment
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�""� � k � Firs D�paxt�ent
Raf�r��„�yi Q Police Degartment
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Rsport �f �►cti�� Taken and Date . � � �� yR _ � _ _ _ �L�,_ _ ,� „1. t� uX��i�v
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�o�rr,� ,.o „r,. Diate: $/ p Fiaal Diaposit�on Checked Byt
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SuBJECT .
City of Fridley � � � �8
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T �.
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� � T NO.
� • COMMUNITY DEVELOPMENT OIV.
' j V ����• ,
r � � PFOTECTIYE INSPECTtON SEC. h/ 2
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, � ����I � CITY HALL FRIDLE� 55432 NUMBEH AEV DATE PAGE OF APPRO�ED BY
�"'"��� ,�' 612-571-3450 910-F15
3/27/95 / /
J08 ADDRESS
1495 Gardena Avenu
1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE AT7ACHED
DESCR. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wend Backer 1495 Gard
3 CONTRACTOR MAIL ADDRESS ZIP PHONE �ICENSE NO
Sela Roofin & Remo
4 ARCHITECT OR DESIGNEH MAIL ADDRESS Z�P H UCENSE NO.
823-8046
5 ENGINEER MAIL ADDRESS ZIP PHONE, LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOHK
O NEW ❑ ADDITION ❑ ALTERATtON ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WOf;K
Reroof House(28 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REOUtRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TlME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2� lOO �.O
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
ROVISIONS Of ANV OTHER STAT OR CAL LAW REGULATING CON-
S UCTION OR THE PE ORMA OF ONSTRUCTION. ��S�F.00 Fire SC �Z.lO
PLAN CHECK fEE TOTAI FEE
� License SC $5.Q0 $62.15
S�GNATU�7E CON'RACTO AUTH0�71ZEDAGENT � E� WHEN PqOP LY VALIDATED THIS IS YOUR PERMIT
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SiGNATUREOFOWNEAUfOWNEABU�LDEAi iDA�Ei "`� DG uv5o DaTE
NEW
ADDN
ALTER
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Construction Address:
Legal Description:
Owner Name & Address:
CITY OF FRIDLEY
SiNGLE FAMILY AND DUPLEXES R-I AND R-Z
Building Permit Application
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Te1. #
Effective 1 / 1 /94
�/013
Contractor: MN LICENSE # , f ��
SELA ROOFING & REMOD�LINQ, INC.
Address: �1AO EXrEIS,�R q�vo_ Tel, #��,..� f�D��o
ST, 10U4S PP�K �t�t�o�s app�ication, a Certificate of Swvey of the
lot, with the proposed consiruction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
DESCRIPTION OF IMPROVEMENT
Width Height _
Width Height �
Width Hpt/Grow
U c�
i Lt_�� 1" �G� �! � � i
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Tnside t[] Ft. Yd Setback Side Yard Setbacks
Type of Construcdon: � Estimated Cost: $�.�',s�: ��
J�
Appro�c. Completion Date: �/U�
(Cost on Backj
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: APP i,�/' G�.�� Tel. #�f Z„3 �%��
" ( / '!—
Permit Fee
Fire Surcharge
State Surch�rge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
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$
$ �. c��%
$
$
$
$
$���
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (l/lOth%)
$.50/$1,000 Valuation
$800 pec SAC Unit
$5.00 {State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Ptan Review
Fee Determined by Engineering
Agreement Necessary (] Not Necessary j]
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�HIl�IlVEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:.
1: Has been carefully examined Yes (�f ,No O
2.
3.
4.
S.
6
7.
8.
Is free from rust or deterioration
Has no foreign objects lodged within
Is securely supported
Yes (kj No ( )
Yes (� No ( )
Yes ( � No ( )
lyfeecis ail e�rr�nt £� r�irement� -�ar-��7e- _ __- --- �-
and total BTU's connected Yes (� No O
Has total' heating BTU's of 7 j-1JD U
All other BTU's '3 � , �OD
TOTAL BTU's _ 1� 7� j o O
Has a Iiner been provided for water heater
Has combustion air been provided for water heater
Remarks:
Yes� No()
Yes�jNoO
�. is_�_��_ :-.,_, ,.!
HEATING CO:
Signed By:
Date:
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CITYOE
FRtDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
August 9, 2000
Wendy Backer
1495 Gardena Ave NE
Fridley, MN 55432
Re: Final Inspection at 1495 Gardena Ave NE
Contractor: Dependable Indoor Air Quality, lnc.
Dear Ms Backer:
A mechanical permit was issued on May 27, 1999 for the property located at
1495 Gardena Ave NE for a furnace and an air conditioning unit. According to
Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be
performed on the mechanical system. As of this date no inspection has been
called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
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JA�1-16-?��? �g�32 FROht �ITY OF FRIfiLEY T� 7575?01 P.02i�2
THE BELOW MUST BE FtLLED tN WHEN REPLACING FUEL BURNiNG APPUANCES OR TNE
APPLICATION WILL BE RETURNED
C(LMMC]N VFIUT, VFNTS:f]NNEGTt7R AN[� (_,�Mg I�Tl�lt AIR VFRIF(CATI�IL
Wt�en rQOt,Ta_rina an Px�.:�cip f�ran _p, the undersigned hereby verifies that the
venting has been examined and is free from n�st, deterioration, obstructions,
and is securely supported and firestopped where required. Yes� h�o ( j
The venting syst�m is plastiGPVC and meets ali cutrent codes and manufacturer
specifications including sivng, length, number of elbows and fermina6on.
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacture�'s specifications. This does
inGude AGA-GAAriA Category 1 Central Fumace Venting Tabies for fan
assisted and natural draft appliances.
Th� PY�����;.st;nn air is s2ed ar1s�_installed to meet the cuRen3 codes _
and manufacturers specifications. . ,
When required to �n�taita nAw cemb �sti�n air;�itwill be sized and installed
to meet the current codes and manufacturers specifications.
Ye� No ( )
���
Yes� No ( ) .
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Yes� No ( )�
./
Y�/' No ( a
Vyhen iQSta!liaa.a n w v rtt� Tsv,,yt.pm, the undersigned hereby verifies that
it is a listed assarbly and meets the current codes and manufactu�e�s
specifications. This does indude AGA-GAtv1A Category I Centrai Fumace
Venting Tabfes f�or fan assisfed and natural draft appliances. Yes �f �o O
�� �
Is ti�e common vent and vent connectors sized and instatled r,orrect(y after
an appliance has been removed from the wmmon venf and vented
separiely as per current codes. Yes No O
s.. .� .- ... .�.�... -. ... -. ....-«. . ..... ..
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Appliance #1 Type T�G� BTU Input �I�il� Fan assisted or Nat� /!�-
Applianrz #2 Type BTU Inpwt Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Tofa( Appliances Totai E`.°_� input
Common Vent Type Ven� Height _� Qiatnet�r — ir�ck�es --
Appliance #'I Vent Cvnnedor Height ft Length ft Diameter in Type
Apptiance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connectar Heighi ft Lengih ft Diameter in Type N
• - •► �.- ..-
HEATING CO:
Signed By:
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TOTAL P.e?
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FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
January 31, 2003
Ms. Wendy Francis
1495 Gardena Avenue NE
Fridley, MN 55432
Re: Final Inspection at 1495 Gardena Avenue NE
Contractor: Blaine Heating Air Conditioning Electric Inc
Dear Ms. Francis:
A mechanical pernut was issued on January 22, 2002 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 inspecdon 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 time to set up the inspecdon, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
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.
HEATING
AIR CONDITIONING
AND ELECTRIC, INC.
ADDRESS GI C
OCCUPANT B t
HEAT LOSS DATE HTG. INST. � Z
SOLD BY 1 C
Elecvical Work By
TYPE OF HEAT GA FA HW STEAM SPACE HTR.
HOUSE HEATING TEST RECORD
APT. FLWR CITY �' SUBURB
OWNER �Czi'Yi�C
INSTALIED BY //� //�s9/4d. SGv
Gas Line By r /f?�
UNIT HTR. OTHER
GAS DESIGN CONYERSION
MAKE ��
Nbdel � Vent Size
Serial �.5� ��oL�3 Oj,3 (i� � KIND OF LINER � SIZE rf—� � NONE
INPUT _ '?SB'U� Draft Hood Regulator
Filters Size � Number
CONTROLS Chimney Location Inside k Outside
TFIERMOST�►T � Heat Plug Chimney ConsVUCtion
Limit SetUng i?SU —b'�
F�, s�m� �D st..� .
--.�
Pilot Ty ► G T
Pilot Make
Pilot Mo
PNot Timin
L.W. Cut Off
Pressure_ 3vS�� �.�%• Ci PeroentCOz
Input CFH_,� D( Perceni OZ �.�
Stack Temp. Percent CO �� �
Smoke Bomb Wiring !�
Drait Test Tag ✓
Door Pressure Lighting Inst.
Date Tested
Company Tesung
Name of Tester
Pressure Peroent COZ
Input CFH Percent OZ
Stack Temp. Percent CO