PRE 2010 DOCS�3
City of Fridley, Minn. No- 10720
BUILDING PERMIT
Date: _ June 25, 1970
Owner: Anthony DeForger. Builder Exterior Design Sgrvirg
Address 51 - 70yh Way N.E. Address 6391 Monroe N E
LOCATION OF BUILDING
No. 51 _Street 70th Way N.E. Part of Lot
Lot E...Block Addition or Sub -Division . Revised Auditor's Su' -division 77
23
Corner Lot — Inside Lot % Setback — Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Remodelin g Front __ _ Depth Height Sq. Ft. Cu. Ft.
...... Front Depth _ _ Height Sq. Ft. Cu. Ft.
Type of Construction Metal Covering Est, Cost 50 00 _ To be Completed 7115L70
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 a in compliance with all provisions of
ordinances of the city of Fridley. /j
In consideration of the payment of a fee of $-L- —00 , permit is hereby granted to Exterior Design
Service to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted sad his agents, employees an workmen, in all work
done in, around and upon said building, or any Bart thereof, shall cronform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
city limits and this permit may be revoked at any tune upon violation of any of the provisions of saidcm
���n
Building Inspector
Hank Muhich
NOTICE:
" permit does not cevar tbs construction, insulbaloe for wiring, plumbing, gas boding, savor or water. Be ams to we
the Building bmgmtor for separate pormhs for these items.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:_" V0V 4j 00X F61V (-R.—BUILDER:
�T1�
i /� L�� �'>
chijJ (A
ADDRESS :,&-/ -7 d El L")A � /Z ADDRESS:
/e-1
NO:. TJ STREET: R% 6
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: 401 t
7" erL za 97 Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: `G'�c� � �c� t✓P�'� �1 y Estimated Cost:_$ 2
To Be Completed: JL12, — /9 �G
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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:' _ �/2 j -7, SIGNATURE •_,,,�
(See Reverse Side For Additional nformation.)
10 0
f//
SUBJECT
PRM
PERM
City of Fridley
AT THE TOP OF THE TWINS
PERMIT
RECEIPT NO.
`______ COMMUNITY DEVELOPMENT DIV.
L
� PROTECTIVE INSPECTION
r � SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-560-3450
910-F15
6/19/75
/
JOB ADDRESS 51 70th Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCRE
115' L. 2
Rev. Auditor's Sub. #77 SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Anthony DeForge 51 70th Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
J & K Construction Fridley
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential
7 CLASS OF WORK
❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
add 12' x 18' dining room
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PER REQUIRED
FAR WIRING
HEATING, PLUMBING AND SIGNS; '
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
wood
frame
VENTILATING OR AIR CONDITIONING.
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 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
STALLS GARAGES
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
$2900.00
1.45
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
18.00
PLAN CHECK FEE
TOTAL -FEE
19.45
IGNATURE ON TRA T ROA AUTH DAGEN (DATE)
PROPERLY VALID TED THIS IS YOUR P MIT
�INSP DATE
SIG A RE F 0 IIF OWNER BUILDR) ATE)
f//
w
.APPLICATION FOR RESIDL'NTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF-FRIDLEY, MINNESOTA
B
OWNER'S NAME. BUILDER
e � A
�j
ADDRESS • �, t t ADDRESS :
STREET: �% f
LOT: I� '� BLOCK: ADD ION:�/l�.•r
CORNER LOT: INSIDE LOT: SETBACK:: SIMARD:
Applicant attach 'Co this form Two Certificates of Survev.of Lot. and_propose'
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: y Depth: % �� Height:
Square Feet: Cubic.Feet:
Front: Depth: height:
Square Feet; Cubic Feet:
Type of Construction: no, Estimated Estimated Cost:
To Be Completed: z„
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 SIGNATURE:UVI 'M
(See Reverse Side For Additional Information.)*
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CITY OF FRIDLEY R 5 6 PERM NO.. 2004-01999
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 10/26/2004
572-3604 FAX: (763) 571-1287
ADDRESS : 5170 WAY NE
PIN : 103024440009
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT TYPE : HEATING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
VALUATION
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL A FURNACE (WARM AIR, RUUD, 92%).
# A/C UNITS 0 VALUE OF APPL OR WORK 0
# FURNACES 1 # GAS DRYERS 0
# GAS RANGES 0 VALUE (FOR MINIMUM CALC) 1800
APPLICANT
RIVER CITY SHEET METAL INC
9929 BLUEBIRD ST NW
COON RAPIDS, MN 55433
(763) 754-2199
OWNER
DE FORGE ANTHONY F & IRENE
51 70TH WAY NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cane the provisions of any other state or local law
regulatin& cons#uction or the performance of const action.
Bldg Insp L �Date
HEATING PERMIT MINIMUM FEE
0.00
FURNACE SHELL/DUCT WORK
35.00
GAS RANGE FEE
0.00
GAS DRYER FEE
0.00
AIR CONDITIONING FEE
0.00
HEATING REPAIRS/ALTERATIONS
0.00
STATE SURCHARGE, MECH FLAT
0.50
TOTAL
35.50
PAID WITH CHECK # 13871
SEPARATE PERMITS REWIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
1.
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572.3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace. Insert)
Gas Range
Gas Dryer
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOBADDRESS Sl '70"' l ift Imi
Tom. Total
Owner_ /i'1V T!'t0 IU t� �(9,ILL •�
$35.00 $ $-dd Building Used As bly 19JdiLI Q
$10.00 $ ESTIMATED COST �d • D PERMIT NO
$10.00 $
$10.00 $
*Air Conditioning - All Sizes $25.00 $
All Other Repairs or Alterations (Ust on Back)
1% of Value of Appliance or Work $
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater on work fess than $500.00
DESCRIPTION OF FURNACE AND BURNER
# of Heating is Circle One (Steam) (Hot Water) {Warm Air)
Trade Name J_ 'qX°lv Size No/J&RA M-tS
BTU HP MR
Fuel Total Connected Load
Sumer Trade Name
BTU
Size No.
HP EDR
The undersigned hereby makes application for a permit for the work herein
Coma'lemlaVlndustrtal/lnsUtuUonai specified agreeing to do all work in strict accordance with the City Codes
1.25% of Value of Appliance or Work (Liston Back) $ and rulings of the Building Division, and hereby declares that all the facts
Minimum Fee $35.00 for CommerciaVindustriall/Institutional and representati
ons, stated In this application are true and correct.
State Surcharge $ r HEATING CO !l,//il.�/1 &41
TOTAL FEE $ Signed&14' A.1:4"e Tel #743 75-V -a ! 9 S
REINSPECTION FEE $50.001HOUR FAX #7103 —7SI/ —a'Y19 Y Date M 12- 1-44
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by Rough -in Date Final Date
JUL-09--2604 12:31 FROM CITY OF FRIDLEY TO 7542908 P.03iO3
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMIi3USTION AIR VERIFICATI.O
When replacing an Ws#m furnace, 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 (4 No ( )
��
The undersigned also verifies that the replacement unit is a Hated 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 ( )
The exWbrw combustion air is sized and installed to meet the current codes
and manufacturers specifications.
Yes QQ No( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it 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.
Yes (Y.1 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 ( )
Appliance Type and SIWCornmon Vent and Vent Connector Information
Appliance #1 Type ��''�► BTU Input Assisted or Not
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type 100C Vent Height Diameter 71- inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter n Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed W.
Date: /a- &'° Y
t�AA'd� TOTAL P.03