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AF - 44856❑ r� �J � City of Fridley, Minn. • BUILDING PERMIT � �3� N° 652� Date: _..._.�(!1 `..._ �_ �_�� .___..._._..___._.�_.__..._...._ _.. , � Owner: ...�� _ .___ .. /� e . •• ' ._.. Builder _. _ ,6�"`�. .:_ .. .._._._.__--• •_•_ .....:..................._............._.......__._......._...._.._. Address....._......_:..._......._...__._...__.._._.....__.._..._._........_...._.._.._.._...----....._.._. Address _.---_..._..__.__....._....._._.___._.._..----._..__..-.---......._..___.._.r....____.__ LOC ION UI DING No. _ __. ...i.%�. Street ....._....� .: .. . ��f'Part t ..--------_...._..._._... ._....._.._......._...._.._.__.._�. .. - -•----........ . ._- -•--. .. . . Lot l ._��,�...�...__ Blo�k ..__.._..._..._�--------------- Addition or Sub-Di�sia�....._ .�.: ..�� ..__. ..:: . � .._ .____._.._ Corner Lot ...__....._�� Inside Lot ....._.._.._ .............._.......... Setback .......,�5�1..----......._..... Sideyard _._....__....�Q._.._..,�%......_._..._.._ Sewer Elevatiari _.__......._._._..._.._.--•-•..._._..._.._.._.__..___._ .............--....._ Foundation Elevation DESCRIPTION OF BUILDING To sed � _ . .:. ._.. � .....___ Front �._��. Depth �,.'�l._. Height .. ..,.�..,�.�....._.. Sq. Ft. .' _y�..�� Cu. F't. �....��� � , __._. _._._........_......_......_.._...._ Fro __.___..._.__ Depth � -- ight ....._.....�.� Sq. Ft. _. . Cu. F� _._._._� . _...__......... ._...___. _. Type of Construction���� �:�''��.. Est. Cost� - l�.'.L.�!,�1....--.. To be Completed •-•_-......__._.._:._..v___— In consideration of the issuance to me of a pernut to construct the building described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. � 1 � Q ��� In ca�sfderatfon of the payment of a fee of $�,/__._.._......._......._.., pexmit is hereby granted ..,__.._,........__....._._......_...._.._..__...__. 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 a�f Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings o��� city limits and this permit may be revoked a t any � pon� ol� of any of the provisions of said / I Buildin8 �P�� � NOTICE: This p�emN doa not eowr t6s eonrnueHoe, inshllNion for wiriny. Plumbina. Aas h�atin�, �rK or waMr. 6� wn to sN fh� BuiWieg Insp�efoe fo� aparaN p�rmhs for ffiu� it�ms. � • ; APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � OWN�P.' S r7A�: BUILDER C�� ADDRESS ADDRESS LOCATION OF B DING No._ � r} /�j � Street . Part of Lot � Lotr��Block�_ Addition or Subdivision �L�L Corner Lot `�Inside Lot Setback Side Yard � L�'��� r � SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTIOPT OF BUILDING To b �ised as : � � � �. Front__��� Depth�_��/ Height ��% Sq. Ft. Cu.: Ft. ,���Q ----�— Front Depth Height Sq. Ft . Cu . Ft . . ✓ Type of Construction , r,.'�_��,,�/� Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, a�reeing 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 appl3cation are true and correct. DATE�__���� �_`StGNATt1RE � 1'�� ` �� (schPdule of Fee Gosts can be found on the Reverse Side). s � � A , A • � �. r .. I` u �� � � ��� •s �� i: � � (' � ��� ; i�; � ,� i� i i� � r� I , J�ne 25, i963 N!� . J'oe �ac ias zeic 435� Washf��.gton St . 1�. E. lMi�eneffip�lis 21, Minatesc,ta �e: fs5�1 �.�.¢�lc� �t���t 1�. E. ��,-s;:,� '�:�:�°; � ��.�: c�u:� �r� �c��u.� �a�: �i�� �� �.�-u� �Lt��� �����t �.�. �s�et cr���ic��: �I,��t��f.e���, ���. i� z°������.�� �e� ��Ee �.ci�e���.�.� �+�f:�e€f.�s . ��fctze �a� ���°� �y gr�c�is�� or �.��e���f�a� c�orae, t�� sesr� tF��.t ycsa� cr��t�.ct me �,s tl�e�°a �s �. d��i��.�� y��a�s�.e� oat �our �ac�rth �ic�e and Y do know how to ce��ensffite for ft. AGJ:eks Yrszsrs v�ry truly. AiL�I� G. JEN�� I�uiZc£�reg Imffipector 8 0 ...- _ _� .... , Appticc�ion for Po�we� Ptants and He�ing. Coding. Ventilation, .Refric�rrc�i�ion �nd Air Conditianing Systems and Device�s PARTIAL RATE S�HEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. � Repairs & Alterations—up to $50Q.00 . . . . . . . . . . . . . . . . . . � • Repairs & Alterations each add. $500.00 ............... t MECH. WARM AIR Furnace Shell & Duct Work io 1?A,OOQ BTIT . . . . . . . . . . . . /each add. 60,000 BTLJ ....z .................. Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . .. . . . . . . . . . . . . Repairs & Alterations each add. $50Q.00 . .. . . . .: . . . . . . RATE TOTAL. 8.00 $ 5.00 � 5.00 $ 2.50 $ $.on $ � � 2.00 ��,�--- �.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WA1'ER SYSTEM , Furnace Shell & Lines—ta 400 sq. ft. EDR Steam, .... . 8.00 $ Furnace Shell & L,ine--to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURI3ER—to 3 gal. per hour . . . . . . . . . . . . . . . . .. . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule ` GAS BURNER (up to 400,000 BTV) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ GAS FITTING FEES: NO FiATE TOTAL lst 3 Fixtures ...................... x $1.5d $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR CONDITIONING FAN HEATING SY3TEM VENTILATING SYSTEM ALTERATIONS & REPAIR3 ROUGH FINAL $ See Fee Schedule $ p�� TOTAL F�E �__ n • �`�'� Dept. of Bldgs. Phone SU 4-7470 �� // � Lxation � ���' / � L -C -r•C, �'c i�.� -�- �- � City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da all wark in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatioryar� true and correct. F�idley, Minn. r� � - / Owner � - -N - ` , Kind of Building --� Used as --s�L s.�. To be completed about � Estimated Cost, $ �Q-v � �"� Ol New uilding Perxnit No. ��� 1c Permit No. 19 �� DFSCRIPT�ON OF WORK IiEATING or POWER PI.ANTS-�team, Hot Water, Wazm Air—No.� Trade Name��--PC_-v ` `'�'�-�t.�c_d-st.��.; Size No%���C� �� Capacity��'�� Sq. Ft. E.D.R. BTU H.P. Total Connected Load�� � J � Q� Kind of Fue BURNER — Trade Name Size No. � Capacity S . . . BTLJ H.P. . Sign � sy (REMARKS—OVER) �; �:�.4 z 2M 7-59 Business Phone No , ���.� _ �'��,�. � ��, �gs" ��� � +. HEAT LOSS CALCULATION � DEPARTMENT OF INSPECTIONS M1l�V�APOLiS, NH�+1 ' Weatherstrips A.S. .V. . Construction Na Insulation Cuide Windows Doors Referenca Out. Wall Int. Wall C,eiling Roof Floor Kind I�t+w Applied Yes--No Yes—No 19_ Room ( Length ' Width �'— Height Fl.� ,�.,� Room Length '1�iidth Hei�t Windows Doors—Crackage and Area Windows and Doora—Crackage aad Area � � �Vidt � Height No. ot Llneal ft. � Area Wldth Hetg4t No. ot -L1t�a1�-tt ArN . . �. . No. ot pan of Dane � lighta o[ crack , eq. ft. � � � No. of Dsne ot Dane � li6hts of crtek sp.��lG �� .. � .;2 '7 �� 2 ! �i � '� �-JP' /G , / ; f / .3' ° !� J Coef. $tu Irthltration p � �? 6�-0 Glass J' S•j s--c F.�cp. wall Net exp. wall Q � �. o Int. wall , Ceiling Floar � � � Total Btu. p s Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.� Room ( Length Width f Height � Windows and Doors--Crackage and Area W1dth Helght No. of Ltneal ft. Area No. ot oane o[ oane lighte o[ crack ea. ft. Coef.l Btu Infiltration t?/p Glaaa : Esp. wall � Net exp. waD �,! io Int. wafl Ceiling Floor e Total Btu. �2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room � Length ''!" Width '^�' Hei �' Windows and Doors—Crackage and Area Width Aelght No. ot Ltneal [t. Area No. of yane ot pane lfghts ot crack eq, tt. ! i �t � i'/ h �1 � 7 / Coef. $tu Infiltration � �!p � �o I Glaas o..� Exp. wall '` � Net exp. wall - v /o / Int, wall Ceiling Floor /'r� f f�'G�--a Tota! Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area 1 In6ltration Glaaa Exp. wall Net exp. wal Int. wall Ceiling Floor Total Btu. N� � In6ltration ..:.�.._ ; _....��:�.> - �ef. Btu ; : �: �- � ' 1 �, Zg ' � � :' ft. E.D.R. or aq. ins.'W.A: Le�i�er atrea . Room ( Le�th VClidth /,� e�t$' ,' and Doorr—Crackage aad Area oi L1n�a!' k AreR �t;� ot crqck aQc !R. �-.: /�a ,/ b � ��� /6 �' e�d Glaaa /d Exp. wall Net exp. wall � � f� Q'. Int. wall Ceiling Floar 4 r'� " a Total &u. t� Required aq. ft. E.D.R. or aq. ins: W.A: l.eader ar+e�t FI.( Room I [..engch �� V�i�h %#eight�'. . ` V Windows and Doora--Crac$age and Ares Wldth Hefght � . o.�of� Ltneal tt. A�e� - � - � �� � � No. ot pane ot pane llghta ot craek .'M• t4 �6 Z � o � g � ° �0 2.� Cae#. Stu � Infiltration Glaaa ,�` �d ' Exp. wall d"' Nec exp. wall / o Int. wall Ceiling Floor �^'- �"' _; Total Bm. ,f"; " Required sq. ft. E.D.R. or sq, ins. W.A. L�� , a . _ _.__� . . ;. .. Permit �'ee �`.. .. ..�. ' , APPLICATI4N FOR MECHANICAL WARM AIR HEATING P'�RM�#` � I�. P.. Dczte of issuan<se---•----------------•-- •-•--, 196------ Locatian-•-•------•----•-•-- .Minneapolis, Minn .........:... ......... .................:.`196:..... • Inspector o f BuLldings The undersi�ned hereby mczkes applicatior� for c� permit for the insi�zLlation, altertztion rnr �ptt,�r af �, heatin�, air cascclitioni-ng or ventilatin�s s�stem, device or equipment, as herein spsoyfed, Q�rFre�n� �p do all• such xt�ork in strict uceordc�nce with .the Citz� Ord inancea aru� rulings of t�,e �lepart�raent of I�p�'ion�s ancl tlze �pec.i�'icuti�ns set fcrth in this applicaiion as approved and j°iled irc the Departirzeatt of r�pect�atts..' + � Owner....---•-...•---•••-•---------------•---•-••----••--•--•-•----.....-----••--••-•-..._...�Iddresx of Ow»,�r---------••--••••-------... Kind of Buildin�------------•--•------------------•------...---•------•----•------How occuni.ed.._._.......; _...---•--- Work to be $tarted------------------------•---•-----------•---------, 196------ Work to be completeaL..._. ._..♦---- ......---- ......_..,: 1�6:._... Estimated Cost s�-�----------------------•---...------•-------....----•--------Old — New BuiZdin� Perrnit No..:... _...._--• .......: .ti. ....... DESCRIPTION OF WORK . Note: Insert th� word iostall, add, alter, or repnir, aaordiny to whkh is to bs done. Under "Reaarkt," itemize �emo�rvls, !f p�y, ond alterations to eqvipm�nt. -•-• ........................................•---Mechanical Warm Air Meatinq Plants--F�rnaces _.........------- •---•-•-- --.._._:. ...:.:. , . .....:. .�Ylake----------------•---------- •--•-•------------•----•-----..�-•-----•--_....--• ------......---._.._...Size -------•----._.....__.. _... ConnectecZload-----•---••-------------------------------•-----••------•-------••----•--•-•-----•----•--•-.Cccpczciiy ...._.._._.... . ...._ -- Air Conditioning Systsm: Summer — TW i�zter —.flll Y'ear,•------------••-•---.._�....--•---•-•-----------------•----.. _..._.._. _......... .Ma.ke----------• .................................•-•-•--•..........--•--••---..........--••••-- --�'a7��J-•-------....__.... .._........--•---.Cj'rra....---. ..,._,.:. ...._._.:. Venfilatin S stem: rYlcike.-• ...............................................................Ca aci _.._._..__ .._._._. C rn.---� -•------ ... 9 Y A tJ•---•------- . f Remarks:............•-----------.._.......---..........-----.._............_:...-•-•-----• --•----......--------------------•.__....._..---•---- . ,-•�..... ----- ....:.._, .....,.: . . , . ..--•---•--•----•--------------------•--------------•--..._._..._._..._._.._......._..................------------------------....-----...-------......•---....._... ._..-•-•- ---•-•-•- ----••-•-• � . Si�ned • --------------•-----•------.... ... . .---• •-------- �� By- -•---• ............................•- --- - -----• � .qpproLed-------------------•-----------•--.....-•---...--------------•-----•, 196.----_ �ddress...._..------------._... .---•---- ` ..-----.. ...__.._. '.....---- .-----..._--•-------------------•-•----------------------•--------------------------.._...-------..._ Tetephone---------..__.....------ -..-- .._._---- --••----- --•------- Inapector. �---•-------•------------•------------------------------ --------- ----•------•---...-•------......----------•---••---•-----•----.._._._..__.._ :.._.._..--- •---._._... ...._.... •--., ......... ............................•--.....----••-•---•-•--•_...--•---.........--•-••---........----- � -•�-----......----•-•--.....---- . _. ...... ......... o_zo •�■ ���! 0 Appiication �or Power Plants and Hecrting, Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRIRVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 $ Replacement of Furnace . ....... . ..... .. ... . ...... .. . 5.00 � Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . . . 5.00 $ Aepairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,OOQ BTLT . . . . . . . . . . . . each add. 6U,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alteratioas each add. $500.00 . . . . . . . . . . . . . . 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2,50 $ OIL BURIvER—to 3 gal, per hour . . . . . . . . . . . . . . . .. .. . . . . 5,00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ - �� GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures �� � r .......... x $1.50 $ Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2,OU $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS 8� REPAIRS TOTAL FEE � ���� ROUGH FINAL Depi. of Bldgs. Phoae SU 4-7470 Location (n 3�' I +°'-_ L . - L �'� � `�� �-- �f� . � City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application �true and correct. 19� Owner -� Kind of uilding Used as -----��� To be compieted about "l Estimated Cost, $—r� �t' � d— ew. 'lding Permit No. �� Permit N � DE8CRIPTION OF WORK HEATING or POWER PI.ANTS�team, Hot Wa , Warm Air�1�To.�/ Trade Name��-E-t' [—rv�s�e-�c.Q-..t-.c t�- Size No�i��co'-s '} Z� � Capacity � Sq. Ft. E.D.R. BTLJ H,p, Total Connected Load Y�f � Q'r Kind of Fue BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BT[J H,p, (REMARKS-OVER) ��<z sM Signe ~ "'-�' � ` By Business Phone No- ` � � � � � /� ' City of Fridley Application for Plumbing and Gas Fitting Permit Depi. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK • / �^�/ Number, Kiad and Locaiioa of Fixtures Locafion fl� v� U' WATER HTR. � � G' �j � y1 u�! X V- R6' Z = N W W Z � / < N � ~ m Zy<� X t� s� ; " ot ~<y`? O c `°q �Z z�(�Z a f N GAS ELEC. ;� � �� m N 3 4- O LL N W O u ab � 3 U' S U a' C� O Base ist 2nd 3rd 4th • FuiurO Conaec3fon Openings * New Fixture, Old Opeaings PARTIAL RATE SCHEDULE 3ewez '(� Cesspool j'� PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number F`ixtures . . . . . . . . . . . . . . . . . . . . . . —5.2— x $1.50 $ 9 � U v Future Fixture Opening . . . . . . . . . . . . . . . . x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin . . . . . x 3.25 $ Water Heater (Up ta 200,000 BTU) . . . . . .� x 2.00 $ °Z � � `J New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL �� lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . . . . . . . � x $1.50 $ � � S Additional Fixtures .................... x .5Q $ Gas Range to 200,000 BTU . ... .......... x 2.00 � REPAIRS 8c ALTERATIONS--Refer fo Code Description ................................................$ TOTAL FEE $�� _� City of Fridley: The undersigned hereby makes application for a permit for the work herei. specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the I3epartment of Buildings, and hereby declares that all the facl and representations stated in this applica�i are true and correct. Fridley, Minn. '' `� ` /� 3 19� Owner � Kind of Building Used as To be completed about Estimated Cost, $ Old—ATew. Building Permit No. �``�- Permit No. ��°L' � Signe By i�'� � Business Phane No. ROUGH "/ � u � �3 FINAL az SM � , , Appiication for P�awer Plants and He�ing, Cooting, Ven#ilation, .Refrigeree�ion and Air Conditioning Systems and Device�s PARTIAL RATE S�HEDULE GRAVITY WARM AIR: RATE TOTAL . Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace . . . . . . . . . . . .. . . . . . . . . .. . . . . . . 5.00 � Repairs & Alterations—up to $506.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . .. . . . . . . .. 2.5� $ MECH. WARM AIR Furnace Shell & Duct Work to 124,000 BT[J . . . . . . . . . . . . each add. 60,Q00 BTiJ ........................ Replacement of Furnace ............................. Repairs & Alterations—up to $500.Q0 . . . .... . . . . . . . . . . . . Repairs & Alterations each add. $500.00 .......:-...... 8.00 $ 2.00 � ��___ �.00 $ 5.00 $ 2.50 $ STEAM ar HOT WATER SY3TEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam. .... . 8.00 $ Furnace Shell & Line—to 640 sq. ft. EI?R Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURD'sER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal, per hour--See Fee Schedule GAS BURNER (up ta 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BT`U . .. . . . . . . . , x 2.00 $ AIR CONDITIONING � ' FAN HEATI QG SYSTEM See Fee Schedule YENTILATING SYSTE $ �, d"'� ALTERATIONS & REPAIRS TOTAL F$E � �-'� ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 .SC? /— City of Fridiey: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do ali work in strict accordance with the City 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. Fridley, Minn. L�-� •� 7`'z-- , 19 G� Owner _ / �-r v-�' ��e :� Kind n (Jsed as To be completed about ! / .�/ v . Estimated Cost, $ � �\ Olc�— ew. uilding Permit No. �`S °Z`� Permit No. � °��� D�SCRIPTION OF WORK HEATING or POWER, PLANTS�team, Hot Water, Warm Air—No. Trade Nam ' � ��✓" Size No. -� � � �� Capacity Sq. Ft. E.D.ft. BTLJ H.P. Total Connected BURNER — Trade Capacity. (REMARKS—OVER) �;?'�� 4 z 4M 7-59 Kind of Fuel Size No. Sq. E`t. E.D.R. BTLT H.P. Sign By � ERFECTION HEATlNG COMMNY, iNt. Z136 1'OtJRTy AN6� SO. • T�. 3•5257 Business ��\ � �..� �€ i° � �% �;^l `t ,' ; I � �(�; i �� �� �� � 1 ;i �/ . �� ,� � � Ocea�er �1, 1963 �Pr. ,3o�ep� L. t��.ci�sz�k ��s� �����.���e� ��. �. �. ?�f,�tnea�rc�l�.s ?�, i�inn�sata �".e� ���i�. ��c�� ���°��r t��. �. s -'�. r��F' :`, i.'&: � :y`i � C iJ.:r�. `��'..� f� s < �: E'"_'i: .� . "v2a ;? �� �°. �, G4 � GS��.% �`� 'i�`'4L�S � � S� ejy' ��E`��G 4 �."Yi: �:�;c� c,x� 1�� �; a�"�`�c�� �.�a ��i:«:�-�rr,�.� �e �:�Zi.s� ��,•:�,����. �.s Z*��, � ��:�re �n�� �e�.�°� fr�u �o�a. �Qwa, ���,�t te�� yo�s. I caant ycx�.. to eith�r ��t in� � re��ini� e�a1L or s� t�e ed�� of �our Iot ta the nor�t� �cr ��tei� the �and from �Iar�r�ng a�nd wastting� or�ta eh� ad�oining grca�erty. T�fs i.� a�a a�ZSCaiute �t �ad it cdcc�t be done this �ali wit�ain the aext �*e��, aar twa, I�+rLlZ rec�eck t�r.t� grer�sty� ����n an ��s:ember i��th ard h�pe t��?� th� ja� i� cio�e by ti�a�t, t��se. �hou�d th�re �e any qe�eet�.on, g�2,e��e coegtac� me. A�s:aks s�������.a�, AI.�.EN G. JE�'�E�i __._. _ Buildf.ng Inspect�r C� � • City of Fridley, Minn. �i���G PERMIT Date: _.._..._..JULY 22, 1966 �M_��� � ��� � �' N° 8936 Owner: _._. ALVIN E•_FLANDERS ......_.._ Builder _.___.__._._SUSSEL_ COMPANY_..------.._.._.._.___._..._� Address ...._...65 Ol... AI30KA_STREET N.,�E,,..._...._..._...____ Address _.___.__ 185 0__CO1K0 _A�.._.__.�..._..__....._.__.._. FRIULEY. MINIIESOTA 55432 ST. PAUL,__MtNNESOTA LOCATION OF BUILDING No. .._._6501--.--_.._ Street ._._.._..ANOKA_STREET N. E.,..T.---._ ............._.._..._.._. Part of Lot .---_..___..._.._.._.._.__...._.._._. Lot _�.�....�x__�.�._.__ Block ._._.___......_ 5._._._..._�._. Addition or Sub-Division ....._...__Q�...S�.�.Q���.��I.�I..._._._ Corner Lot _.__..X.....__.__ Inside Lot ._.._..._.....__.___........ Setback .__.._----_--_....__._._... Sideyard Sewer Elevatio� ..�......_..._.._.._..___._.._._._.._........._.._......_..----.._._ Foundation Elevation DESCRIPTION OF BUILDING To be v�a as: ATT,,�,ti GARAGE ..._......_ Front __24__.�. DePth _.._..2? .__ Height ._.1 �........_.. Sq. F'� 5 2 8._ Cu. Ft 5.s? $ � .__....._..______......_.___.._....._ Frottt ....._.._...�. Depth _.___...__..._.. Height ...__......._.__ Sq. Ft. _..__..._._._.. Cu. F'� ._.. • 2 000 00 Type of Construchon _.___.ERAME...._._._..�._....__.. Est. Cost ._..._-----._�.....�_._...___.x�........ 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 d�scription above set forth az►d in compliance with all pro�visions of ordinances of the city of �`ridley. J'.c.�� o� l� �/�l !`TI-d,d� ��ft��.-� In consideratfon of the payment of a fee of �_ 5• 00 _.__.._.., permit is hereby granted to._.� SU5SELL GARAGE COMPANY to constxuct the building or addition as described above. Thispe xnsit is grauted upon the express cbndition that the person to whom it is granted and his agents, employees and worl�nen, in all work 8one in, around and upon said building, or any �art thereof, shall conform in all respects to the ordinancea o� FridleY, Minnesota regarding lacation, construch�, alteration, maintenance, repair and moving oE buil�nga within the dty liaiits and this peraut xnay be revoked a t any time upoa� violation of any of the provisians of sedd ordinanc�s. (:T.ARRNCE BELISLE BuildinBInspecta� NOTICE: Thi� p�rmt� dea not eowe th� eonmualloe. tnMdlNion hr wir6�o. PlumbtnY. oas hN1M�a. s�w�e er w�t�r. d� wn to s� th� WlWiao In�p�ele� fer a�puaN p�naid fe� fha� it«m. � APP'LICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNLSOTA OWNER' S NAME ��v� �.. � F/dic„�4�c BUI"1�DER ��' S S�C � ADDRESS (a S� / r�nL ��. �# _ ADDRESS � 7��C � � e �P. LOCATION OF BU7.�,DING N0. STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LQT SETBACK SIDE YARD SEWER ELEVATION FOUNDATYON ELEVATION Applicant attach to this foxm Two Certificates of Survey of Lot and propoaed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: �F -f �n, r..��Q �� Front�_Depth -ZZ Height � � .� � � �' Ci Sq, Ft,�� .�- ('/ Cu. Ft. ` � ---, Front Depth� Height Sq. Ft. Cu. Ft. Type of Construction �v�.-.� Estimated Cost �oc�o �-= To be completed 9'a c� g The undersigned hereby makes application for a permit for the work herein specified, agreeing to do alX work in strict accordance with the City of Fridley Ordir►ar�c�s �nd ruliiags Of the D�partment of Buildings, and hereby declares that all the facts and reprasentations stated in this appliCatidn are true and correct� DATL� �� �- z ° �gC� � SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). , f p �` � � ' . �• . � ��^r . 1 �..+ LOT BLOCK ADD'N. NAME .L� �.v � i..� ADDRESS toSC� I AREA �2tpL - -W _ 1 i� � � � H � � F � Q � 7 8to - 234.' E . ��.,o,►� c� ..L�tJ p�� 5-r . .Y ,ZL ,Z � SIZE 2l.� x 22 VALUE 2�J�J 0..�. TVPE � ��� � ��� r��� d`=� �rr— ac�—�� W ��'�7 � �JJ? � � �i J� � � �! SQtJA2E W �Tt-1 l-1o1.1SE.. _ ' � _ Q rZ.EA2 Q� C�Af'L1�.C.��. TO l,,...1►JE.. WIT1-1 CZE.�� O� ��lTlLEll�.f�.. .�S 5�0��� g3_LNEG.tc_ C...OI�E VEZY GA2C.FU�+�`l '� 5,�' ��8 „_, ` „ 2�nn Ou c. E x� s�- � ti..t C� 5'T�o P �-T C��! T► Lrc.v r�.iZ _.____ s�' SP��►.o. �,,. "� r�os -r _� oo� � N c� s, g � oc �s , # S c..,c� F3 -ro �z.t.M1 UtJDE2 G.o�.t..1TtLE�/E.2 t�.5' _S�,lcaw�.! _ _ _ !� I�„! 5`r n►.. �,,.. 42 " � 20 5 T F �OT i �.J C� 5 A3 . 5+-1C� w►�l n.ww,.- "� M ES � � t..,► 5 t,... A C3 � AP �A �►.1 8 I t�.� ST,c� E.,. � 8" .B �,..o cic.s O�l 3-� t DE.S .�.�, .� �-+o w r..� -rc> _ _ MA-r G#-! E. X I ST I�.J G� FOU 1.10.�.T I D IJ O�! t-1C3tJ:�+E. Q laJS`rALt_ 4' W tfJE. 5TEP5 �5 tilE.GESSt\2�( tl�l G�A2ACaE. ,�l'� S�.-tOw �.J _ � " ' _ _ _ � � � � , ._ � ` -,._._.. � �O �..1 T __.,_ � .' �o� 3 City of Fridley, Minn.. � 3 g� 6431. University Ave. N. E., Minneapolis, Minn. 55432 BITILDING PERMIT � Date: ._.__..A�zx.i7...2..�.,.__].�.72._.._..W..._._..._.._...__._.�.._.._...... Owner: _------Alua..n._El�nslsr.s_._..__._._.__.......__...._.------...__..:_ Builder _._Sv.s.s.aL.._.�. _....__...�... Address --.--...:6.5.Q1...Anoka._..5.�,.r_ae.t_..I�I..E...-----.___.-----...------- Address .._...185.Q_.Ca�.ma_..5.�...�..aul.._..._.. LOCATION OF BUILDING No. .....�_5..4..1---------------- Street •--..E�'l:�4k.�...S.t.]�.��t...N...�._._.__...._-•---_.__� Fart of Lot -----:Qalt�_Gxsz.�r � dsl i fi_i � Lot .--•-•--6-'-----Z ................ Biock _._..:...,$...5...------.----------.---.--...--- Addition or Sub-Division A n Corner Lot -.--.----.--_---._--------- Inside Lot ----.----•----•-.-----•--•--•--••---• Setbaek ___..__._....____._.__._ Sideyard � _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dining & Living Addition ___----•-.-------------_......---•-•----------. F'ront _.�.._5._�_. Depth __25�_�--.._. Height ._._8..�.._.._ Sq. Ft. �.8$..� Cu. F� _].�.�� _._--------------.._------.......----_------- Front .---•-----_.� Depth ___._____ Height ---�__--•---_ Sq. Ft. _.._ Cu. F� Type of Construction _._.__.Frame_...____.._._..___.__.. Est. Cost ..._._..�3y200.�.QQ..�.._..... To be Completed �.. ?„1•T 1479 In consideration of the issuance to me of a permit to construct the building described above, I agree to d0 the proposed work in accordance with the description above set forth and in compliance all provisions oE Ordinances of the city of Fridley. ����� h,c���,,� 1.60 State Surcharge In consideration of the payment of a fee of $_._ 12�00 _�__� permit is hereby granted ta Sussel _____..__.._._...._..._ ..............................._ to construct the building or addition as described above. This permit is granted upori the express condition that the person to whom it is granted and his agents, employees and workmen, in all woTk done in, around and upon said building, or any part t�ereof, shall conform in all respects •to the ordinanCeB Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiligs yyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said oz'dinances. i� �...Q/,�._� -� �t�ilding Inspector — - CLARF.NGR 3F.T.T. T. . NOTICE: � This permit doea nof eover the eonstwetion, installation for wiring, plumbing, gas heating, sewe� or wafer. Ba sud fo sN +fhs Building Inspector fo� separafe permits fo� fheae items. �- APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING P,ERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :�L'�1 l Y� '�' �-'� �'a S BUILDER :� gS �_ ADDRESS : � �� � 7���`� ST • ADARES S : � 1 C��� C� .QW`�C7; � � 'L ww �1 c N0: .I STREET: O �L� tI�C�Z�;' ( �� LOT : �� � I, BLOCK : � ADDITION : C'7 �K C� Q�b�3� � YV ,� , CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: ----�--,�.R ,, Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As :��ri'V 4�" ��'� ���'� . ' �►�� Front: 2 c� Depth: � Height: Square Feet: •�J Cubic Feet: � Sd � Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: �'(2,'GaCY1/\.t.; Estimated Cost: $��� � To Be Completed: �L�-/ ��- The undersigned hereby makes applicativn for a permit for the work hexein specified, agreeing to do all work in stfict accordance with the City of Fxidley Ordinances and rulings of the Department of Buildings, and hexeby declares that all the facts and representations stated in this application are true and correct. DATE :�1 � �, 5. ��� Z SIGNATiJRE : (See Reverse Side For Additional Information.) � . l ; , a , � � , . '_"`. � r -�- ` ^ , t . 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BRADLEY CIVII.�NGINEER AND SURVEVOq �`"� 3(120 � 2Air1 AVFNVF �n��TH MIryNRI�Y(�I.i�,M�NN �nu�A'�'��UE 7'.`.4 -^ 189 J ♦ 1 ° ,'.,,...' � ��� 1r..• ,� �. � �+ U r ✓ � �o r %��t �. �v � � .� � �,. �.� �. � 1 � , � .a Q � r r�'1 a �' �" �: . ��s�s rss ��r � r. f `Yl� i�""' � � f f u F�i � h e rc b t� c�rti �c� t�� �?" �' � I,� � s�' �� r r� a:.�' r�pre Ser� �t�fis on c�-� �a survEY Ci � LvT l� ��t c� L o�' I"1 � i. �J �l'C� 5 f.�"�'1� (� k4VL' A�l7L'. �"�:` f�,i �. �' ij ��elu d 1 k��"l� ���s7' C,�vy� lr�l� o t'� d V���C-;c� �fi f J r:- �, � S S�� v��I e cf �� t'�1 C �t" h E�. � `j r�4Y :�� �}�Yl � !? °J' 2 7�� �-��.�.� Sur•vayot- , � SUBJECT City of Fridley AT THE TOP DF THE TWINS g U I L D I N G P E R M i T � i � � � • COMMUNITY DEVELOPMENT OIV. ' j L ""' � r � � PROTECTIVE INSPECTION SEC. i � l----� ��"'1,.� CITY HALL FRIDLE� 55432 NUMBER i 612-571-3450 910-F15 J08 ADDRESS 6501 Anoka St. NE 1 LEGAI LOT NO. BLOCK TRACt OR ADDITION oesca. 16 & 17 5 Oak Grove 2 PFOPERTY OWNER MAIL ADDRESS Kevin A. Skalberg 6501 Anoka St. NE 3 CONTRACTOR MAIL ADDRESS Owner d ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CIASS OF WORK REV OATE 7/16/98 ZIP ZIP ZiP ZIP •..1 ��q PAGE OF APPfiOVED BY � � PHONE PHONE PHONE SEE ATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Rer�of nouse and �ara�?e (30 Sq) Tear-off; Basement egress window 9 CHANGEOFUSEFROM TO STIPULATIONS � Underlayment must comply with StateBuilding Code. Window must meet state egress code. TYPE Of CON SEPARATE PERMITS ARE REQU�RED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NU�I AND VOID IF WORK OR CONSTRUCTION ZONING AUTMORI2ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi A PERIOD Of 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICAT{ON 1 AND KNOW THE SAME TO BE TFiUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE COMPLIEO WITH WHETHEfi SPECIFIED HEAEIN OR NOT. TNE GRANTING OF A PERMIT �3000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $]�}. ]S /6F CON' ACT OR R1TM AGENT IOATEi � ` e OF OWNEFliiF OWNEABUILD �DATE� I SO.FT UNITS I Of STALIS OCCUPANCVIOAD CU. FT. GARAGES Fire SC 3.00 / T AL FEE 79.25 VAL ED THIS IS VOUR PER � � � •� f>pTF rrEw ADDN ALTER [l Ll [l ConstructionAddre; Legal Description: Effective 1/1/98 CITY OF FRIDLEY G-� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ��(� � �� BUILDING PERMIT APPLICATION � ��� Owner Name & Address: � vfr�/ ,� R s,�� � ,�.�.�r-� Tel. # .� �% �— 7 � J �'J Contractor: � c� ✓V t. (� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Tei. # LNING AREA: I.ength Width Height Sq. Ft. GARAGE �AREA: � Length Width Height Sq. Ft. DECK AREA: .�eng Wi th H round Sq. Ft. �OTHER: � ��� C�C>t�.�.S � �� ���1� �n�' �C�S ., U�F , �=�.S�yi��=�� ���Z�SS �..,/ti�F��-�� . Construction Type: S(�.�`�vv� �,� � Estimated Cost: $ -� (Fee Schedule on Back) � � '��`) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �C�.� _ DATE: �%l � '� APPLICANT: ! ��� Tel. # .S\'� � � � g� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: , $ L . �� $ �.a� �� $ l. SZ? ` $ . $ $ $ $ $ r%� -� $ _ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering • Agreement Necessary [ ] Not Necessary [ ] � � � �.� �� � - �% � ���< �; � 1�-� �� �--;� ��� (.( S i � �, f � �� ``.��,� � l �-�- i � . � , - ����� C1TY OF FR1DlEY INSPECTION DIViSION 6431 University Ave NE rsj�, a ��sVS �I � Effectiva On January 1, 2001 Fndley, MN 55432 APPUCATIOW FOR POWER PLANTS AND WEATiNG, COOIiNG, VENTIL�ATION, 763•572•3604 REFRIC,ERATION AND AIR CONDITI�NING SYSTEMS AND DEVi�ES RATE SCHEDULE Residentiai Furnace Shell and Duct Work, Burner - Also Repiacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning • All Sizes o��� �ll Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work . � ' Commercial/Indusirial 1.25 j'o of Value of Appliance or Work Rate TOTAL $ 30.00 $ G . � � � 1a.oa � $ 10.00 $ � 10.00 $ $ 25.00 $�s. U� � $ State Surcharge TOTAL FEE MINtMUM FEE FQR ANY NEATiNG/COOLING/VEN�'ILATION REFRfGERAtIONIAIR CONDITIONING PERMIT lS �25.Q0 PIUS THE $.50 5TATE SURCHARGE REINSPECTION FEE $47.00/Hr #Air Conditioners can not be placed in a side yard v�ithout writfien permission from adjoining property owner. $ .50 ��5. �SD JOB AD OWNE v BUILDING USED AS � �,.��G ESTI MATED COST �� � � � ✓ PERMIT N0. .� DESCRIPTION nF FURNACE AND OR BURNER No, of Heating U its�_ Circle One (Steam) (Hot W�ter} { arm Air Trade Nam � Size Na�7/�7.� - � STU 7S .l"�l� HP EDR Fuel 'i'otal Connected Load Burner �rade Name Size Na. 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 rulings of the Building Division, and hereby declares that ail the facts and representations stated in this application are true and correct. DATE �-o�� � / ���'��:'►�I�t� E-E��;�I��� r. ��� C " �d1#a�� HEATING CO �:�:=��w�F��,n,, .r..,. � .__ e � �� ��l'�� G'� . • COMMON YENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existin�i furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioratian, obstructions, and is secure(y supported and firestopped where required. Yes �f No (} The venting system is plastic/PVC and meets all current codes and manufacturer specificatians inciuding sizing, length, number af elbows and termination. Yes (} No (� The undersigned also verifies that the repiacement unit is a listed assembly and meets the cu�rent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Whert required to install a new cambustion air, it will be sized and insiaiied to mest the current codes and manufacturer's specifications. Yes (�Q No { } Yes � No ( ) Yes � No ( ) When instailinq a new ventinq system, the undersigned he�eby 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 far fan assisted and naturai draft appliances. Yes � No O is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented se��rat�!� as ner current codes. Yes � No () Appliance Tvpe and Size/Common vent and 1r'ent �onnector Information Appliance #1 Type ��r+� � 5,00(� BTU Input 7 5,��� an Assiste or N Appliance #2 Type in� �.k� l�.c�.�►' BTU Input �37�5�' O Fan ssisted or � Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances _,�_ Total Btu Input � 1 a,S�(7 �� Common Vent Type L��-% 5 i} Vent Height 1(� _ Diameter _�_ inches c S•. i/....t n i-�P�/11'i� r_. r,��,iid�c� � � v �� �. ��; �r.,ct�r � .. � , �ft �.�ng�h � _� Dia�i"iei2i �_,i� TY�e C �`�SS /j A pliance #2 Vent Connector Height ,�Z--ft Length _,Z_ft Diameter �7 m Type C 1�s � p _'T_ Appliance #3 Vent Connectar Height ft Length ft Diame ter m Type � AL'TERATI4NS• (Describe) E _ ry �� ,�.,�,: s.�P� . HEATING �O: s�g►,e� B�: D�t� : D I -- � . .r �` SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO. �� � S'� 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS �� � � V� 1� � OCCUPANT 'e��� t SOLD BY 1 C MAKE � y�pp � SERIAL NO. �+� v � �,�{�� ��,J"Y� THERMOSTAT��y �-I�� ��o� VALVE � � � � LIMIT '+ `{,�� LIMIT SETTIP FAN SETTWi PILOT TYPE IGNITION M( PILOTTIMING � �' PRESSURE �u� ��C PERCENT COz _�_v INPUT CFH �� PERCENT 02 _ � � STACK TEMP. ��W� PERCENT CO O+' FORM 235 (REV. 11/89) Q\ CITY �r�ti I`P 1! OWNER � INSTALLED BY ,�' � MODEL �� � y �'' �_ �� INPUT L/ � v VENT SIZE TYPE OF LWER ' �`'� LINER SIZE �� FILTERS: SIZE �d7��� �� NUMBER WIRING C �` � ---� TEST TAG r— LIGHTING INST. DATE TESTED � _�!O � COMPANY TESTING +' � NAME OF TESTER FORMDISTRIBUTION: WHITECOPY-JOBFILE Y OPY-CITY _ _ CITYOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 23, 2002 Mr. Kevin Skalberg 6501 Anoka St NE Fridley, MN 55432 Re: Final Inspection at 6501 Anoka Street NE Contractor: Sedgwick Heating & Air Conditioning Co. Dear Mr. Skalberg: A mechanical permit was issued on August 15, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanicat Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pernlit open for another 30 days and if we do noC hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604.