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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.)* x x;� k u rI y rtbt.. dns .d"T'--,.1 n +a s m �s ' NtS,,,2• `� S' ':F '�' - i�c' Y ---"+ t. 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'7,r +M :. �` A, ,f': M^,x ,my+ :',m{ 8'`.c - m y, n'.- �s a i,'° �+ �, .r, y. a rr. t W �� •% y, s 1 '+ $ ` -f - 7 . s -s;"'. a 2 rrt,; «`.'; ck ^i} a : 4 of X r - �r.mo - - f, _ 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