PRE 2010 DOCSV age of Wrildley,
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473
Office of UTSIPECT®R OF ISUMDINGS
Owner
Architect Frid'_ey, Minn.,
Builder c$r 4 s
LOCATION OF BITILDgl°a7G
No. Street L&JILI Part of Lot
Lot Block Addition or Sub -Division`
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DES.CItiLIP'TILON OF BUILDING
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Front .,L— . Depth Height rz. Stories "I t Manner of Construction 1
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To be used as To be completed Estimated Cost
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Permit is hereby grnted to r _k�'r' - to
the building } described in the above statement. This permit is granted
upon the express eon it%on that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon,.said building, or any part thereof, shall conforms in all respects to the ordi-
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limits, 1, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
`F r
1,.�nspector of Buildings.
IAGREEMENT AND SWORN STATEMENT
In consideration�l of the issue and delivery to ane by the Tntpector of Buildings of Fridley of
the above permit, I'�ereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinance- of Fridley, and, being, first duly,
sworn, I hereby stat4� and say that the facts stated by me and contained in the above permit are
true as therein statedfl
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Subscribed and sworn to before me at Fridley, Minnesota, this
day o r itA.D. 9 t _
City of Fridley, Minn..
BUILDING PERMIT
Date: May 22, 1967
Owner: Harry J. Hendricks Builder
Address — 75 0 Ygn Buren St. N. E. Address
Same
'T9 9268
LOCATION OF BUILDING
NO. — 7590 Street Van Buren --,Part of Lot
Lot 9 _ Block 2 Addition or Sub -Division -- Shaffers Subd. #1
Corner Lot ._ Inside Lot Setback --- Sideyard
Sewer Elevation ___ ___ __ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 20' Dept 24' Height 10' Sq. Ft. 480 Cu. Ft 4,800
Front Depth Height Sq. Ft. ._ _ Cu. Ft.
Type of Construction game Est. Cost $ 15 00.00 To be Completed
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 set forth and in COMPliance v�ith all provisions of
ordinances of the city of Fridley. „ ,f / A
In consideration of the payment of a fee of $ 7 ' 00 ., permit is hereby granted to Harry
Hendricks 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 and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects 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 any time upon violation of any of the provisions of said
ordinances.
CLAREN'CE BELISLE Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sore to see
the Building Inspector for separate permits for than items.
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APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
F
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OWNER'S NAME_"'/ BUILDER
ADDRESS �� s ��" -��✓ `� ADDRESS
CATION OF BUILDING
N0. STREET � %moi s�'�'�' �� C,)PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK
SEWER ELEVATION.
TOP OF FOOTING
SIDE -YARD
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
DESCRIPTION OF BUILDING
To be Used as:
-
€` Front o -
,.. Depth Height
Sq. Ft. Cu. Ft.
Front Depth
Sq. Ft.
Type of Construction
To Be Completed
Height
Cu. Ft.
Estimated Cost I / 51�
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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE �`` z/G 7 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
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;CITY OF FRIDLEY INSPECTION Dl\nSION j
6431 University Ave NE -3 s bS11-U �
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATIE SCHEDU
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
aCommercial/industrial
1.2510 of Value of Appliance or Work
Effective On January 1, 200(
State Surcharge
TOTAL FEE
LL MINIMUM FEE F!R ANY HEA INC QLINS/VENTr1,�T
3EFRIGERAT(ON/AIR GONDITIONINQ PFR tM
® 11LUS THE $ 50 STarE SUR TARGE
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3EINSPECTION FEE $47.00/Hr
'Air Conditioners can not be placed in a side yard without
vritten permission from adjoining property owner.
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lot
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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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
/ DATE a 1, ZZ210Z / (Y- )
Rough -in Date Final Date t c� 4C1
JOB ADDRESS / ✓ -/(J U If I
OWNER
Y0
Rate
TOTAL
BUILDING USEDAS—
$ 30.00
$2L.
ESTIMATED
00
COST
PERMIT NO.
$ 10.00
$ooF
DESCRIPTION
Off' FURNACE MR OR GURNER
$10.00
$
No. of Heating Units
Circle One (Steam) (Hot Water) (Warm Air)
$ 10.04
$
Trade Name
Size No,
BTU
HP EDR
$ 25.00
$ V�
Fuel
Total Connected Load
Burner Trade Name
Size No.
$
BTU
HP EDR
State Surcharge
TOTAL FEE
LL MINIMUM FEE F!R ANY HEA INC QLINS/VENTr1,�T
3EFRIGERAT(ON/AIR GONDITIONINQ PFR tM
® 11LUS THE $ 50 STarE SUR TARGE
�i
3EINSPECTION FEE $47.00/Hr
'Air Conditioners can not be placed in a side yard without
vritten permission from adjoining property owner.
Z
lot
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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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
/ DATE a 1, ZZ210Z / (Y- )
Rough -in Date Final Date t c� 4C1
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furanee 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 plastiQWC 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 manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes) No(
The existina combustion air is sized and Installed to meet the current codes J�'
and manufacturer's specifications. Yes 06 No { )
When required to install a na combustion air it will be sized and installed
To meet ti'te current codes and manufacturer's specifications. Yes No { )
When installing a new venting MEILeM, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA -LAMA Category I Central Furnace
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 (�JNo { )
ARgIllance T e and Common Vent and Vent Con for Info on
Appliance #1 Type ITU Input(� an Assist or Nat
Appliance #2 Type BTU Input an ed or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type.. c/l.- � ® �•
YP —�[.� _Vent Height Diameter inches
Appliance #9 Vent Connector Height ? ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Lengthft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By:
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4 Date: Lpwko
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