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PRE 2010 DOCS,_5A % 7°3 City of Fridley, Minn. N° 8699 BUILDING PERMIT Date: march 10, 1966 Owner: David Dalberg Builder Dalberg Builders, Inc. Address Address 1.1.21 – 8= Avenue Northeast LOCATION OF BUILDING No. 7129 Street McKinley Street N.E. Part of Lot Lot _ 31 __ Block - 2 Addition or Sub -Division _ DAlbPrg Tarrajea Corner Lot _ Inside Lot — x Setback 35' __._ Sideyard 10' Sewer Elevation ___ _ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Single Dwe 1_]int 2 Depth 26 Height 201 Sq. Ft. lel' 484 cu. Cu. Ft 21 , p Garage Front 221 Depth 221 Height 101 Sq. Ft. 4� cu. Ft. 4.48 Type of Construction - Frame Est. Cost _M6 j 20A To be completed T 1,-,966 In consideration of the issuance to me of a permit to th�big escri e I agree to do theprposedwork in accordance with the description above set fopHan th ail p l of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 27 •QQ - , permit is hereby granted to Dalberg, Builders, 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 sad workmen, in all work done ia, around asci upon said building, or any p thereof, shall conform is aII respects to the ordinances of Fridley, Minnesota ardlag location, c:onatru� alteration, maintenance, repair asci moving of buildings wiordlnanc:es. city limits and tYds permit may be revoked at any tiaae upas violation of any of the provisions of esaait�d TSG. j LNSER Building Inspector NOTICE M permit does mm corer dw comteodW, hatallatiem for wMh& phmbla j, yes heath, ower w water. Be sun to see the Bundhis MqM for for separate PMON for thea how APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS ADDRESSl/zl TV LOCATION OF BUILDING NO.�STREET 9' �� PART OF LOT LOT �' l BLOCK ADDITION OR SUBDIVISION J, ' 7 CORNER LOT INSIDE LOT SETBACK �g SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION 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; J_ �y FrontDepth_2k Height� Sq. Ft. fGs Cu. Ft. JJ ,. Front 2 Depth_ �?_ Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated 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 S (Schedule of Fee Costs can be found on the Reverse Side).. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type - $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ a p 'Sll JOB ADDRESS 1&41q Mc f6 n /4,, ST 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. f /011 /11 , 1997 Owner FIRST 7 -RUST ( VJAA.D 120BKE/L-bte-tA5,ED) Building Used As REs I veN('F Estimated Cost y 50 '0 d PERMIT NO. PLUMBING COMPANY I—F kR-4 O V1,AAG/c 62 PL u rn 8i a SIGNED BY TEL N0. Approved By Rough—In Date Final Date 16-6717 sat PLUS THE $.50 STATE. SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/ Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Effective On January 1, 2002 $ 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 an $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signed TEL # FAX # *Air Conditioners can not be placed in a side yard without Approved B Rough -In Date Final Il p adjoining property owner. written permission from ad'oinin y g �� JOB ADDRES�St� 9t/% /�� ti/� ti S� /�� OWNER TOTAL BUILDING USED AS / o ESTIMATED COST OD °PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units / Circle One (Steam) (Hot Water)Warm Air) $ Trade Name 6.5 8',J Size No. BTU h19M °J HP EDR $ Fuel wwlux,*/g,g.g Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signed TEL # FAX # *Air Conditioners can not be placed in a side yard without Approved B Rough -In Date Final Il p adjoining property owner. written permission from ad'oinin y g �� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When ra la .inrl an exic ina furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (''No The venting system is plastic/PVC 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes (-<No ( ) The pxistina combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes( -No ( ) When required to install a new comb action amt will be sized and installed to meet the current codes and manufacturers specifications. Yes (-� No ( ) When installing a new ventingyystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (-j'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 (-�`N o ( ) Appliance Type and Ri7elCommon Ven and Vent .nnn actor Information P^MAC E- /Ve" '*re vQNT Appliance #1 Type 2 D. 01)0 "" BTU Input ° Fan Assisted or Nat Appliance #2 Type Isla lei Aegg ie r BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances a Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft 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 Date �- %G - �/- ��