AF - 47610��
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City of Fridley, Mi.nn.
BUILDING PERMIT
Date: __.__ �� 1, 1966
Owner:
Builder �' �I'I'T AMS
._� � � / �
N° 8691
Addx�as _.._.���___. Address _..._ 8SFi2 East River Blvd,.
� MINNE�iPOLIS, MIftN. 55433
LOCATION OF BUILDING
No. .._._670 ._.__ Street .._._ JANESVILLE ST. N.E.._____...._._.._._. Pa.rt oi Lot ___..�__
� 435-.36-37, glock _ .�._..___..._...�... Additia� or Sub-Divisi� __._..��RVIEW HEIGHTS ADDIT Oft
Corner Lot �_.___.._...._ Inside Lot _._.__... ._.... Setback _._..�_._..._..__._._ Sideyard
Sewer Elevatiam _�_.�.. �_�.��� Foundstion Elevation _�_..._.
DESCRIPTION OF BUILDING
To �e vaea as: 1 ° �-° °2° ��-a �
DWELLING ...._....._ �t _ 26 _ Depth 40 Height ._?�.� Sq. Ft. l, 076 Cu. Ft _.._21,520
__.�._._._.._______._.�.._... Front .._.._.. Depth _._.�._.. Height ..�.._._..Y Sq. F't _ Cu. F't.
Type of Constructfoa _�.. Frame �� �__�16�000__�_.._._ To be Co�pleted �..
In co�nsideration oi the issitance to me of a permit to construct the buildi�►g descrlbed abave I agree to do
tha propoaed work in accordance with the deacriPtion above set forth and in compliance with afl pro�vlaions o[
c�dinances o! the dty of Fridley. � 1
..C)ir�.1/
In canaiderat[on oi the PsY�ent o! a!ee o! � 22 . 00 .., permit is hereby graated t�._.AL WILLIAMS
to c�struct the buildiag or additi� as d�scribed above. This permit is S�� �
the expre$s conditi� that theperson to whom it is granted and his agents, emPloyees and workmen, in all arork
done in, around aad upou said buildin�, or anypar� thereol, shall oontorm in all respects to the ordiaances o�
Fridley, Minneeota re�arding l�on,t � � ���ala�r�on, �te � �,��P�� � � aru ��
wlthin the dty limits and thia time
ordlnanoe�.
ALLEN G. JENSEN B�� �
NOTICE:
7Ms p�nnit doN net aewe Nw �en�eoallos, hahllMl�e hr wtrM�. Plu�bin�. N� h�M�. �wwr a wNw. i� wn �e �w
fM Wildieo Imp�aloe hr MpvaN p�N� fa fhw N�.
.., • , "
APPLICATION FOR BUILDING PERMIT
� CITY OF FRIDLEY, MINNESOTA
, � � /
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OWNER' S NAI� �-� _�!•'' s'-''� ?2 � i BUILDER
ADDRESS ADDRESS
:,f-�� (�_
LOCA OAi OF BUILDIII�
i �
N0. � SZ'REET .� /. �- PART OF LOT
t
LOT�r-. ��BLOCK ADDITION OR SUBDiVISION ,_.,C�^r ��
CORNER LOT INSiDE LOT SETBACK SIDE-YARD
SEWER ELEVATION FOUNDATION ELEVAI'IOP
Applicant attach to this form Two Certificates of Survey of Lot and propoaed
building location drawn on these Certificates.
DESCRIPTION OF BUILDIftG
To be s d as ;
_ Front_���Depth�_�7 L ' Height �'- �
.
Sq. Ft r��> y� � Cu. Ft ���C:�J �,�
._.____.__
Front Dept � Height`�_
Sq. Ft. ` Cu. Ft. `
� �
Type of Construction - Estimated Cost �.3 ��'�' �'-"-"�
To be comp2eted '
The undersigned hereby makea appZication #or 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 �tated in this application
are true and correct.
,v �. .
DATE� --�"` %'-- ��SIGNATtTRE
(Schedule of Fee Costs can be found on the Reversa Side).
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City of Fridley, Mi.nn.
BUILDING PERMIT
nate: _._._ March 22, 1966
11i'° 8722
���� 3 � �7s�
Owner: __ �. �._..L. Wi113ams Builder _.._�._..L. Wi.�.._.7�.a�.s _...�..._....._.._.._._..
Addresa ._.__._..__.�_._ ._.._._...__.� Ad�ress _.._ �6�.�'�_._�._Y.�t'...�S21L�l�.Y�*� ..._
LOCATION OF BUILDING
xo. __630_.__... street ._._.._�I.���...��.�L.__�.a...._.._.__. Part of Lot
Lot ....�:..�bw.�.�_ Block �.�.._._._..._._...___.__. Addition or Sub-Divisioa ._.B�.YSY"41.E�� R�'� gh�
Corner Lot ___..__...__.._ Inside Lot __. �.._..._.......—_ S.etback ___..��..� _.._._ Sideyard �_.�1—..
Sewer IIevatio� �...._._.._.._.._.__....._._.____..__..__.___._.____ Foundation IIevation
DESCRlPTION OF BUILDING
To be Ueed aa:
��.... �a�.� r�►t _.�!.0 nept� _.__.2,�.!_ Height __1L2.!._ Sq. Ft. ..1�2_-_ cu. Ft. -..l�20-
�.___.__........�..._..____._ Fxtimt _.�._ Depth _.._.._......._ iTeight ....._..___�_.. Sq. F't. _._ Cu. Ft.
Type of Construrtion _._...k�'..�T�...._.�... Es� Cost _..�1,.►.�? _______..._ To be ComPleted _
In consideration o! the isauance to me o! a permit to caa�struct the building described above I agt�ee to do
th� propo�ed work in accordance with the descriptian above set 4orth in complianoe with a'11 provisione o!
azdinsaces of the dty o! Fridley. �
In c�aosiderati� of fhe D�Y�t o! a fee o! a_.�.�.QS2_._._., permit is herebY S��
Williams to co�atruct the building or additio� as described above. This perinit is granted upon
the exprees conditlon that thepe reon to whom it is granted and his agenb, employees and warkmen, in all work
done i�►, around and upon said building� or anY thereof, ahall conform in all reapecb to the ordinancea od
Fridtey, Minteeeota ��this l�permit�may reva�ked�a t at�y time upou�o ation o! raay o! �ProvLia�s o� �d
witl�in the dty limits and
ordinaaces.
ALLEK G. JENS�T g� ��
NOTICE:
TMts � dea aa .ewr �. �arya�tee, t�.ean.N.� t.. wtrt�� r�aa �n �..�a�. »w.. .. w.+... �. wn a...
1h� iolWiso In�hr f�r apnaN MesNs hr t6� i�a.
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APPLICATION �'OR BUILD�NG PERMIT
CITY OF 1�I1�LEY MI�INESOTA
- . - � _
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OWNER'S NA1� BUILDER
ADARESS (�f G o2 � G' C.,�-...cr. �� ADDRESS
�LOC OF BII�I,DtNG �
N0. lQ � D STREET I ,(�_pART OF LOT -
LOT_i��-�_BLOCR ADDITION OR SUBnIVI3I0N��.� �• . 1, °�- s-�°'.�.,"
�
CORNER LOT INSYDE LOT�ETBA �,�� „�4� SIDE�'YARb �
S�WER ELEVATION FOUNDATIO�T ELSVATIOft �
Applicant aCtach to this form Two Certificates of Survey of Lot and propoaed
building location drawa on these Certificates.
DBSCRIPTIQA OF BUILDIPG
To be ed s: .
Front�_Depth__s�Height �
Sq. Ft. . Cu. Ft. `y!�
Front � Dept ��Height
Sq. Ft. Cu. Ft.
Type of Construction� Estimated Coat ?�.��
�
,
To be campleted �
The undersigned hereby malces application for a permit for the work herein
specified, agreeing to do all work in strict accordance with Ehe City of
Fridley Ordinancea and rulfngs of the Depsrtment of Buildinga, and hereby
declares that all the facts and representationa stated in this applicati,on
are true and correct.
DATE_,�,= b� �1�-��f�
(Schedule of Fee Coets can be found on the Reverse Side).
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sus�ecr R MIT .
City of Fridley ° 15006
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T,
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, � RE
� ; L __���_ COMMUi�IITY DEVELOPMENT DIV. � � �O �
r � � PROTECTIVE INSPECTION SEC.
1 � i
( � ����1 � CITY HALL FRIDIEV SS43Z NUMBER REV. DATE PAGE OF APPROVED BY
�•'-•� � ,'� 612-560-3450
910-F15 11/7/78 � /
JOB ADDRESS 670 Janesville Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
�escR. 34,35,36 Q Riverview Heights sHeer
2 PROPERTV OWNER MAIL ADDRESS 21P PHONf
Fred Andrea 67� Janesville Street N.E. 786-3016
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Res identti.al
7 CLASS OF WORK
❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a chimney
9 CHANGE pF USE FROM TO
STIPULATIONS
SFP�RATE PERMiTS REQUIRED FOR YVIR�NG,
HEATING, PLUMBING AND SICNS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIF CONDITIONING. MaSOIlij7
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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES
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 S�-50.0:0 $. SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S7. SO
p EE TOTALFEE
$8. 0
SIG ATUREOFC 'RACTORORAUTHORIZEDAGENT (DATEI WH PROP R A D IS YOUR PERMIT
4 ^
7 V
ATURE OF OW IIF OWNEF ERI 1 ATEI BLDG INSP �ATE
• • - GTl Y Ui 1 It 1 llLL- Y .
' APPLIG/1TI0(� C0�2 tt�S I1)t:t�1TIl1L BU I LDI r�1G i'E(tl�II T> .
" ' (��L"W, IILTL"R/1T1UtJS, �DllIT10tJS, OR REPAIRS)
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oZ,i��cr�: �� � I� � � ���'� r�urLUr�z: �� � �� �'
��az�s� : ,� 7 a J �� �'S naare�s : 5�►'�-�-�" '
` . Tel. No. � � +' � .� � � •�
.
No. tD / V 5treet: �/�,/� � �Lt �,►�.. I�.� � . - �
LOT: 3 BIACY.: ADDITIOi7: ��% �S V�'� (.� '���'T ��
�
COR}QER LrJ't': IIISIDE IAT: • S�TBIICY.: STDL•'YARDS:
1�ppla.ca'r,i: attach 't-o this iorm �•�o Certificatcs of Survey of Lot and proposed
• bui.ldinq l�cation dra�m on these Certificates. . •
.
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DESCRI PTIOfJ OF BUI LDI �G
. •,•
xb Be Used 11s: . • .
� ' - _
, � � Fxont: Depth: � ' Height: '
Square Feet: Cubic Feet: _ ___
0
Front: � Depth: � Height: �
� Square Feet: C'�ibic Feet: '
�rpe of Construction: m��(,��./1�� Estima�ed Cost: $ ���
7to Be Coinpleted: Alt. A A2t. 8
Proposed Dri�eway t9idi:h If Iyew Opening Is Desired $ $ •
(S�� l2�VERSE SIDE OF SH�ET)
The undersigned hereby makes application for a permit for the work herein
speci�fied, agreeing to da all c.ork in strict accordance with the City of
Fxidley Ordinances aitd ruluigs o£ the Denartment oi Euildings, and hereby
decl.ares th�t all the facts and ie��resentations st•ated i:i this applicaticn
are true and correct. Sec revcrse sic3e for aciciitional inforsnat�ion.
DAT�: � �� � /� SIGNATUJ2E: .Y •
Sti.pulations :
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CITY OF FRIDLEY
Effective Date May l, 1988
aPPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
FATE SCHEDULE
4ES IDEIGTIAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
RATE TOTAL
$ 20. 00
$ '10.00
$ 10.00
$ 10.00
* Air Conditioning (all sizes� $ 10.00
All Others/Repairs and Alterations
1$ of Value of Appliance or Wor}:
COMMERCIAL/INDUSTRTA3
18 of Value of Appliance or Work
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp. �"'�.�"`g�
Date
Approval for Permit ___��
�
$ .
Job Address 670 Janesvi 11 e ST.
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
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.
$lO.00 Fridley, r�nn. February 9, , 19 90
�R ArIPnP AndrPa
$
KIND OF BUILDING Frdllle'
USED AS Residential
$ .
$ .50
y.tc• .� v
$ /�--�'��
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MINIMUM FEE FOR ANY H TING PERMIT�I $15.00�
PLUS $.50 STATE SURC E
Attach atack verification foun with replacment furnace pevuits
*Air t7onditioners can not be placed in aide yard without
written pezmission frao adjoining r�eigI�bor.
TO BE COMPLETED ABOUT
ESTIMATED COST 30.00
OLD - NEW BUILDING PERMIT 2J0. PERMIT NO. /�� •�
DESCRIF'TI�N OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Capacity
Zbtal Connected Load
BURNER - Trade Name
Size No.
Sq. Ft. EDR BTU HP
_ Kind of Fuel
Size No.
Capacity Sq. Ft. EDR BTU HP
Company �De endab e Heatin A/
Signed By
Tel. No. 757-5040
sue�ecr PER1VYff
City of Fridley
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i� �����
� �___ __ _= --
; � RECEIPT NO.
� COMMUNITY DEVEIOPMENT OIV.
� �y-- r' �
r � � PROTECTIVE INSPECTtON SEC. 3 3�t-
� �
' ' ����1 � CITY HAIL FRIOLE� 55432 . NuMeea AEV DATE PAGE OF ADPpOVEO BY
�'""'�"� �'' 612-571-3450 9t0-Ft5 8/30/94 / /
JOB AODRESS 670 Janesville Street NE
1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
oescR. 35-37 Q Riverview Heights SHEET
2 PROPERTY OWNEF MAIL ADDRESS ZIP PHONE
Arlene Andrea 670 Janesville Street NW 786-3016
3 CONTRACTOR MAILADDRESS Z�P PHONE UCENSENO
Grussin Roofin 4305 Shad Oak Rd, Ho kins, MN 55343 935-0557 9212
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION _❑ REPAIR O MOVE O REMOVE
X
8 DESCRIBE WOFK
Reroof Hause (24 S ) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVlOAO
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIF CONDITIONING.
THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT.
AU7HORIZED 1S NOT COMMENCED WI7HIN 60 DAYS, OR !F CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFfSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION STA��S GAqAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �l �HOO �.90
DOES NOT PRESUME TO GiVE AUTHORITV TO VIOIATE OR CANCEL THE PERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON-
TRUCTION OR THE PERfO'-�fAfA1VCE' STRUCTION. ��►]..�0 Fire .SC, �1.80
PLAN CHECK FEE TOTAL FEE
�% License SC $5 0 $48.70
S�GNATUAEOFCON ACTOFlOPAUT FIZEDAGENT IDATEi WHEN PER�Y ALID D THIS IS YOUR PERMIT
�
SiGNATURE OF pyyNER iiF OWNER BULLOEf71 �DATE� DG �NSP �1�iE
NEW
ADDN
ALTER
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C[TY OF FRIDLEY �
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: FO ! ���
Legai Description:
Owner Name & Address:
Contractor:
Address:
�
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Effective 1 / l /94
-#����
Tel. # � �� �n— 3 � � i�o
MN LICENSE # �1 �- / �
Tel. # �t � S � �-�7
Attach to this application, a Certificate of Survey of the
tot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMFROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: I..ength Width Hgt/Ground Sq. Ft.
OTHER: 2� V-�r t� � �`"� SG . ''6'�f' o� f' ���
Cornex Lot [] Tnside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: 2.� IR �, e� Fstimat�ad Cost: $ d
Apprex. Completion Date: � fj�'(� �
(Cost on �ack)
Driveway Curb Cut WidLh Nceded: Ft. + 6 Ft � Ft x$ =$
DATE: � a - S � APPLICANT: �.� Tel. # �� � " �Ca (� q
c13S�� O��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Controt
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� /��
$ � f�' U
� �D
$
$ � UU
$
$
$
$
$ ��. �v
_�. `� _ � �1_
Fe� Schedule on Reverse Side
.0(?l of Permii Valuation (1/lOth%)
$.50/$1,000 Valuation
$800 per SAC Uait
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary j] Not Neces.sary []
�t
�:iTY OF FRIOLEY I(tilSPECTIC}N [}I�IiSfQN
,� 6431 University Ave �E
� Fridley, N!N 55432 A�PLiCATJ�L"1 FOR �'041FER PLIlHiS AND HEATING, CAdL(NG, itENTILATI�I�
�, {763) 572-36t)4 �EFRtGERATIO�!1 AfMi3 AIR CONW710NtNG SYSTEI�S ANd dFVICFS
a
m
�+
ao
N
v
0
�
C,, �� a ►
#tesitlential
Furr�ce Shel! �nd Ouct Work, B�arr�er -
Alsa Replacemen� Furnace
�Side Veni - Fi!i �ut Back)
�'xas Piping {Needad wi#h ,�w iurr�c�e.
but noi repiacem�r�!)
Gas Range
Gas Qryer
�Air Conditianing • All Sizes
A!! L'�therslRe��irs & Ritera�iorrs (i.lST ON BACK)
�1� �t Value oi llppliance or 1A+ork
} R
A �rcFatltndustrial
a I,� of Value of Apqtiar� or Wortc
� r
�L
0
a-
r
«
Rate
� 30.0{�
� 1�.OU
$ 10.00
g 10.40
; 29.04
Stat� 5urcharge
TOTAL FEE
++� MtN�Mti1 �� FOR ANY H�,ATING/�OOLIN�f11�NTlLA�DN
��ce�►��a���row�NC p�MiT is s2s�
�R PlUS THE S.so srA-r� �u��
N
� �EiNSPECTION F�E �47.L)0lMr
�•Air C,Qnditicx�ers. can not i>e placed in a side yard without
� Yritten permission fr�rrr adjoin'rr� praperiy orrr�er.
�
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E
� p� /j:S S �' .�°
�' � A
_
EfFectib� �n January l , 2000
xas ,anoR�ss�`? c7 _ (0.,�� s �� o (1e ��.,..._,.1�. __
{7W�`,1ER 1� i�-P �� J� � � ���_____l.�l a.' 3 �3 � ��`�/
TOT�L �
SUIl.�(NG USED A5 �� �.�1 �.�a c c�
� 3� � ' �
ESTI�uIATED COST .�� ��.°=� PERaA�T NCI. GS�..�
$
D�SCRlP'Tj,ON Of FURI+IACE ANDOR BUR�I�R
$ No. ot Heating Units r Cirde �r►e (Steamy (Hot Wat rrn Air
� _ Trade �lame _�a.�-t- Size No. ��.,c�c�
BTU '���1�7 HP . EDR
$ Fuel „� ���- � '�otal Connected Laad !•t�-�
$
�
E��
g 3� ,�
�
Burner Trade Name Size Na. _._
Bl'U HP EDR
The un�ersign� h�by makes applicatia� for a permit fvr the vrork herein
specified agr�ng ta do all work ir� strict accurdance with the City C�d�s ar�
rulirtigs crf tt� Buildir� Divisian, ar�d hereby dedares ttrat all the #acts and
representations stated in this application ar� tnie and cflrrec�
[?ATE 4����Q�_�
H�ATlNG GO_�� �a�lN _ �
-� ���-.�a�-�-�-�
5i�n _ TE�. #.�J�_:_�.��._�
�-�,�c �6 ��
/�//����
Appravecl By Rough�ln Date __ Final Oate S� U�
f"I(�2—�^-2F�00 i2�L� �'F�h1 �IT" 0�' FRIDLEI' TO 42485'iC_i P.a`�5.'�'��
..
,�1MilA�N VENT. YENi �C�DN3��CTQB A1Wi2 G�lViBU3Ti01� AI� VERIFlCAT9C�N
V1�e�r re�faaire� a� exiatina ' raa�a�, th� �andersi��ed h�reby er�fies t�at the
vse�ting� ha� beea� axamin�d �nd as ft�se %�n� na�t, d�:eria�ti�n, oE�vc�ons,
and �s se��+refy �uppcart� e�nd flregtopped where r�uire�d�. Y�s No ()
The v�ntit�g sy�tem is piasticJP1/C and mee� aii current c�de9 �nd risnui�a�turer
sp�ific�atbns Inolud'mg si�ing, I�ngth, number of el�nws end iermin#�tiot�. '�es () No �
'�e under�lg�ed atso var�las tha3 the rep►acement unft 1s a 1leted ase�embly
and meet� ttrte Lurr�nt �ode�e and mariuftf�cturer� specPfications. Thfs do�g
i�dude AGA-GAA+la4 Category I Centrat Fumac� v�ritfng Tables for fan
assisted and naturai drarR applianc�s.
The existi��,eom�ust% is �i�ed and mstall�d to meet fh� t,vrrent �odes
�nd m�nu�ctur�r�s �p�ci�catiana. �
UVhe� re�uired to �ns�i�tl a new corr�bua�tor� sir. it w�[ be aized and installed
To meet the curre�rr►t �s a;'td manufactur+er's spe 'cfiicatiar�s.
Yes ) No (
Ye� �o L i
Yes ) No i )
WE�en in� Ilin $ new venting �y�, Eh� uriders&yned {�neby r�erifie� that
it is � ti�ted �seemWy er�d meet� the r�rrsrit aodes and mantafaa#urer's
�8dfft.�tioF�s. '1�ti�6 doe� mcluds AC3A-C3A{sAA Category 1 CeC�t�a) �umaGe
Ven�ng Tables �or far� asstst�d ar�d natutal dwati a�p{ianoes. Yea f, ) No (�
�s the corrasr�on v�nt 8v�d v�rrt Cortr4rec�r� &iz�d �nd in�tled correctly an�r
an applianre has been removed from #he r,omrncm vent and wentsd
separately as p�r cument c�des, Yes Wo (}
�, , _ . � _t�.ri. �i �. • L.ii _ !�.i
Appiia��e #1 Type fi�,..�. iu� �So� S BTU Input cR,� Fan P►ssistad �r �lat �c�"a +✓
�App{ia�t� #2 Type �� �f(r,� .�a�,�.s BTU Input �� , ooD F�s� Assiated ar NaE ,�
�►PPdiance �3 Type � BTU Ir�put � Fan Assist�d or Mst
Tot�6 Applianoes „_,,�_ Total Btu Input t��. oe�p
C:omman Vent Tyt� ���ss � Vent Hei�ht �_ D�ear�et�er,�_ ina�es
�PPtiar�ce #'i Ve�tt C�►r�neCtor H�igi'� ��ft Le�gttl ��ft Diam�t�+r in "!'Yl�e [�.cs .d
AaRi9ance #2 Ue�# Conn�ctor Height s ft Length ,�_ft Di�meter in Type �� ,•
Appli�r�ce �;3 V�nt Ccnnectmr H+el�ht ___,_ft Lengtl� R Dl�tn�ter (n Tyt�E
ALTFRA'TiON3: tDescrfbe)
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CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 •�AX (612) 571-1287
August 9, 2000
Arlene Andrea
670 Janesville St. NE
Fridley, MN 55432
Re: Final Inspection at 670 Janesville St. NE
Contractor: MN Heating and Air Cond. Inc.
Dear Ms. Andrea:
A mechanical permit was issued on March 29, 2000 for the property located at
670 Janesville St. NE for a furnace. 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,
DA"�IE��qSEN
Buildi Inspector