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AF - 47046City of Fridley, Minn.. n BUILDING PERII�IIT No _ 6933 �� -��/ Da�: �� .�._� owaer: �.`�������� su�laer _ ._ � �� Adaress Address �, LO ION QP B��NG No. �� Stceet .� �� � P f �Lot Lot " Sl�k � Addil3on or Sub-Divisio�n �ad���, � Corner Lot r Ina�d'e /Lot `�� Setback �:5 __._ Sideyard ���� Sewer IIevation � �" �° � °�� El�. •� � ,7 • 5. �. �7_" A .. � - � DESCRIPTION OF BUILDING T U . Front —� Depth _�� Hei�ht �� Sq. Ft � Cu. FL �'�%LLZ.� Front � Depth �.—fTefght � Sq. F't. �� Cu. F`t. _..5� � E� t� Zj►�e of ction Faat. Cosi�� �'�To be Completed In consideration oY the �sauance to me of a germit to construct the bwtlding descrit�d above, I agree to do the proposed work in accordance with the diescrlption above set Porth 9n carnplian th all provlsions of or�iinances oP the dty oP Fridley. q �* � • � . ���Z�z—� � e�. '�� In camafderat[on of the payment of a fee of $� , permit is hereby granted to _ to construct the building or addition as d�crYbed above. Thispe rmft ia granted upon the eupress condition that thepera�n to whom it fs granted and his ageuts, employees and worlanen, in all work done in, around and upon satd building, or anypart thereof, shall conform ia all reapects to the ordinance� of Fridley, Minnesoffi regardiag loc�tion� construction, alteration, maintenaace, Tepair and moving of bufldinga ��e dty limits and this permft may be revvlced at aqy� upon�tion of aay of the Arovisions of safd Building InsPector NOflCEa Thb permk dees eet eerer t6s constraaHoe, InstaWMen fo� rrGie6� P��+m9. 6as hadnA, snrar er wNsr. B� sms to w t6a Buildio� I�e� M� apar� parmt�a 1or 1k�a iifms. - �h �� n HARVEY A. CARTWRiGHT ��G� & a�O� �OMBiP11NG TNE wecoR�a oF J. E. HILL, GIYIL ENGINEER ANOlCA GOUNTY. 6ilRViYS esTaeLi6Neo �sae � HQNNffPIN GOUNTY SUIi VEY6 L A ND � UR VE YO R S. �e�NNewaoua SuavErs C. F. SANDHOFF 64f0 PALM STR�HT Rt. W. ' RQ018T[RtD UNDHR LA1Nd OF 6TATB OP MINN[BOTA ClVIL ENtdINEER 9UNBET d-78OS EBTABLIBXEG 1008 L1G6NYEQ SY ORDINANCR Qf CITII OF MINNEAPOLIS owNee • JAMES NEL.SOW . 326 PLYMbUTN BUILDING FEoERA� 9-B721 SuRVBYOR � INO1lBTRIAL- - JUDIGIAL H�NNEPIN AT .SIXTM � MINIVEAPOLIS 3. MINNESOTA eBrweuBweu �toas BUSINESS — TCPOQRAPNtCAL ���en OT'g Certi � atc METROPOLITAN LAN� G17Y LOT$ — PLATTIN(;, C SURYEYORS. EBTAB118NEG ies+ ; �]. ?�371.iams . , � "� ^ �'� • Invoice 21292 :. � �'� � . 7a2%2 5 . �� � � . � � � ` �i'� �� �e � .. ��`� _ ,. ���� ���`� �� tl 2� 2y . � � � r � ��� . . � . ��� Q� � � � � � � ' � � , 4 � � �,, � � y� ,,.�� � - ��"` � r. , p �' := ...r� � , y . 1 � .� � 1 � � � � � a � �,a, � E �{ , ��� 2,✓��1�i.Q ���� . ���� e • P�.�����4 ��'�� _ � .'"- �� ��`� �� T hereby carti:fy that �his is a true and correct representation of a survty of ' the 'boundaries of : ' Lots 1t8, !�9 and 50, Bl:ock R, Riverviet� H�i�hts � As surveyed by r�e th3s 25th day o� ��pril, 19�. - , � �:�� - . o� � �� J "� .� .�� , �,, �«. A _ � '. � ,r' � . ,� ,�:�,.E :.va �s � �� �� r��" �;� r _ ..r� . +�'���.. . {A ,. ..�' � . BIGNEi���'���r�^*'4 R �� , : CA %RIGhI'T" wNO OL90N z �^ � M C y � � � � o � p � . M : °x : � . � . m : M ' o . a 0 ' � : � • � � s N � � � r+ !"� � � W � � � � � � M o � w� � N • o • o � : o . o . 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VENT CONNECTOR AND COMBUSTION AIR VERIFICATION � - �� When replacina an existina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and fire�tQpped v�th�[e required. Yes () fVo (:)_ - The venting system is plastiGPVC 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 Fumace Venting Tables for fan assisted and natural draft appliances. The existinct combustion air is sized and installed to meet the cuRent codes and manufacturers specifications. Yes ( ) No ( ) Yes ( )� No ( ) When required to install a new com�ustion air, it will be sized a�d installed To meet the current codes and manufacturer's specfications. Yes () No () When installin4 a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specfications. This does include AGA-GAMA Category I Central Fumace 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 () A�pliance Tvae and SizelCommon Vent and Vent Connector Information �- Appliance #1 Type �VUC�r� �'i�i [�a �,�TU Input Fan Assisted o Na e� Appliance #2 Type BTU Input Fan Assisted or at Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliarr�e �1 Vent Connector F#ei�ht #t 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 ALTERATIONS: (Describe) �.l�.P�ld ) ��� �, , `��G�� �� �� � � �L.AIME HTO. A/C & EL�CT. li�l�e 1�62 C�N AL AVE. N.�. HEATING CO: AN �� 55304 Signed By: ' Date �: - ' � � — «�� � HEATING AIR CONDRIONING AND ELECTRIC, INC. ADDRESS � �� � OCCUPANT HEAT LOSS DATE � INST. SOLD BY / � r Electrical Work By t i ( � TYPE OF HEAT GA FA_� HW STEAM SPACE HTR. r � � � � r •� iv '��i�%�?.� .% .��` �_ i I �i�/ COMROLS Heat Plua Umit Fan; Pilot Make Pilot AAode� ? l _ Pilot Timino L� �' � q.!. L.W. Cut Off Pressure ° ' Peraent COz p Input CFH Peraent OZ ��• D Stack Temp. ���_ Peroent CO r� ��/y HOUSE HEATING TEST RECORD \ APT. FLOOR CITY � SUBURB OWNER n i INSTALLED BY � r e�,�r' , � Gas Une By ►Y 1 I UN�T HTR. OTHER CONVERSION �� Vent Slze KIND OF LINER SIZE NONE � H� Regulator Fliters Size —�i Number Chimriey Location Inside �q�de Chimney Conswction _�i °' �eis Smoke Bomb wring i� � � , Test Tag � Door Preasure Lighting Inst Date Teated � � — � Comparry Tesdng , Name of Tester � Pressure Percent COZ Input CFH Per�nt OZ Stack Temp. Percent CO