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AF - 42551� � + City of Fridley, Minn. 6431 University .Ave. I�. E., Minneapolis, Minn. 55432 BUILDING PERMIT ��: _ December 26, 1972 �� ,_1185 p��; _ Darrel A. Farr Development Co. g�der __.._Same �AddT�ss 5Af11 $r�L�k13Ln Rnii 1 p�,3rfL.. �... Address _._.�.,3111�________._.__.._._______.____.__----.._...— LOCATION OF BUILDING Na 5563 S�t � East Bavarian Pass N.E. y P� af �t � Lot 3 Biock ____ � �_._..__....__ Addition or Sub-Division _.._Innsbruck North_T.H._ 3rd Addition Cozner Lot .� .___ Inside Lot _._._..X._._..__._.._ Setback _...___.._.__...._.__._._ Sideyard _...._...�__W__ _._ Sewer Elevatian "....,.__...__.` ._.� _. Foundation Elevation _...____._._..------•-_-_-- ,_..._.._ DESCRIPTION OF BUILDING To be Used as: 1200' T.LiSn�?�h�1�GP Front _.:..2.4_`_ Depth ._2.4' _ �Ieight _.._2_.6_.'_.�_. Sq. Ft. __600!, �, �, 15 600.' . _._�,_, - Garage _,._._ Front 10. 5' Depth 22 � Height •--_ 10 �_._.. Sq. Ft ._231' A�. F� 2, 310' Type of Construction _.Tds�.SL...ES.�l.�...__._..._., Es� Cost .._.�0�.��:0 __..._..._:.__.. To be Completed __..�.1_�.'ear Stipulations ; � S�r% ( � � �� ' In consideration of the issuance to me of a permit to construct the building described t�he proposed work in accordance with the description above forth and in compliance � Ordi�nances of the city of Fridley. _ 10.01 I agree ta do provisiona oP In consideration of the payment of a fee of $....�• 00_.._.._.__, permit is hereby granted to Darrel A. Farr Devel. to construct the building or addition as described above. This pernlit 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 vyithin the city limits and this permit may be revoked time upo iol tion of any of the provisions oE said ot�diiiances. _ ____ BuiIding InspectoP D C NOTICE: This pecmit does not cover the eonstruefion, insfallation for wiring, plumbing, gas heafing, sewer or watar. Be sur� fo sw ths Building Inspecto� for separafe permits for these items. , '# �LPPLICATION FOR RESIDENTIAL, �L'�'rRA'I'I0�', OR AllllI�'I0�' BUILDING P�RMIT CITY OF FRIDLEY, ��IIi�NESOT� O��ZF�' S NA.� :,�%t�rr�/ �9 �-rre-� �rNr/�;s. C'o. BU�LDLR : SQrse e r�.DD�SS : 5�01 .��"ook0yo� �'/t��i• AD�RF.SS • S a�n � �o:. SS�o3 s�.EE�: �"a.s� ,�3�v�r:�r� /�azss 7,�'�i: .3 BLOCK: Z ADZ7ITZ0?�t:.,�I�.�s.tbr++t� id/oo-%�i T, si% .,?r,��e�i'�►��? CO�,� L�: ZNSID:. LO'i: � SE�.C�: SID�,`LA�Lp:�,_r__�__' Ap?licant attach �o �his so� 'z`��ro ��rtificate� of Surv� of LflL and pro��se� bu;ldi.na loc��tion drawn on gh�� Certificat�s. � . '�o Ba i3s�d A� : ��3r.�3 .�r °J �is i9. �ESCRIPTIOiV OF BUILDING :�ont: �� 'Qpth: .�'�' #�ai.�ht; .��a� ��OD Sr�uay� �°et: Gt�� Cubic x��. /�.lo�� . �� '��=fi�: ' x"ron�.: ��i.�"� �ep�h: .�.� � H�i�; t: /4 � S�uax2 ��e�; .�•�! Cubic b��: �.Z�/�3 �.�P� o.� �onst:.-uc�ion: ��Js�� s-'.�� ss�i�a��r3 �na�: � ��g✓/G�.�4 7 . �o �� p�.��: 7-♦ — 73 �� un{1?r��.�a.�� hax-�by r:=�.'�c�s a�p1�=t3'-i�zs fo� � p��zai.� �ox awhY �roi?� ;�er�:�� sv�c�fi�d, :�o�=v�3.ng �:o do ��.1 x�o:-�: in a�,�i:.�. r��cox�i:a:�c� �ri:z3 �..�: �i.°�y c�.i i'�� i:::j �:'�{Tl?'rSC.°.:3 �i:C�. w':1�=�'>^..�� O.i ii�� :`8�'si�'�^�A� O'� iL;��t�:�:l�:S� d:.�:7tj 'i'°''%=�tJ� �ivc1;��^ia t�.��. all �n� f4c�� :��d r�pze��nL�tions n�:a��d �.-:� ��3 ?�; �li�a�'�.�n �� uv �;:�d cox��c�. ..': �� : 1 1q �T �: ii :. . /� � /� � � I /fi ;i l,nx'�t.r,.+,.i'+J'_'tu ��] �'? .7i?:;^�1%£'_x's3'.''. .3'! il'� i Ox' �:lil /'� i O�l:d� �i�0.!ii:�L.�.l'?il r� 0 r r i 0 � � �� Number Fixtures /U x $2.00 �O.00 Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU _� x $3.00 �.G'U Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: lst 3 Fixtures _� x$2.00 ��1 U Additional Fixtures x $ .75 Gas Range-199,000 BTU x $5.00 Repairs & Alterations See Description; Code State Surchar�e .50 TOTAL FEE $ a?.�.,571 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 rulin of the Department of �iuildinga, and hereby declare that a11'the tacts and representationa atated in this application are true and correct. � 'Signature . `��"Gvc�Irf G' � �`-' �"�—%� ► k I�ppRcatioe I�Or �ow�r � and �aN�g. Cooline�. Y�nh'lation. R�t��+alloe a�d A� Condhioniag S�st�s a�d D�rie�s P/�RTi�1i. R�4TE SCHEDULE l#lt14P*'!'� �l►Jllll�[ AIR: MTE TO?1lL. �raace S�e^i't dr E)hiei We�i� .. fI0.0i1 � xec�en�,t or �� s.00 t Repairs de Alterations---up to =5Q0.00 6.00 S._ _. _ _� Repairs & AlteraUons each add. f500.Od . 3 W =—__ . ___ 1lZQI. W1Ulyt 11ilt � sbeu a� n�t w�� te i�o,000 �v e.� aaa. eo,000 B'rtT . . . . . Repi�cement of F1�rnace Repairs de Alterationa--up to S5r00.00 Aepairs & Alteratioat each add. :500.00 .aiooa �� `� 3.W i 6.00 t 6.04 ;-- 3.00 � __ _ aTEA�[ or HOT WATER 8YSi'EN Furnnce Shetl dc Lines—to 400 sq. !t. F.DR Steam �10.�J0 �_—__ F�rnace Shc�tl dc Line--to 640 sq, it. EDR Fiot Water 20.00 s_ __ _ Each add. 200 aq. tt. EDR Steam 3.(Nl i- Each add. 320 sq. !t. EDR Hot Water 3.00 $_- _ Q1L DIIRKER—to 3 gaL per hour 6.00 S._---- — over 3 gat. per hour—See Tee 5chedule _ G1t� sUR1fEA lup to 199;OOQ BTU) 6.00 j�� o+�er 19S,OQQ B'f(T SK F» 8cladul� GAS �I1"TII�iG FEi�: I�O RATE T07AL 1st 3 Fixtures __ x: 200 S� •-�''�— Add'etioaai ?'ixt�tres _ x .76 i_-- --- Gas Ran�e 10 198.00� :; 6.OP : — uu co�a�a�a ruf ssx�� sYS�r�e ��Tll.i'!l�fi sii,TEit �x.rce�►rra� s u�sxn� � �„�,� ��-�'��-��y � a« FM ie�M �, ,,l'�is� 1v�'o',,�r,a,. � � � � ��1 TEYT�t. �'Sf �_2��i`U .� � o n.�z. � H�a9.. �►«�. �eo.�eo �.�� ( � f? , � _� �. � � � � ��- � � �� i� U� ctcr o� i�iatp•: '1'he undersignec3 hereby makes application for a permit for the work Aerd�: specified, agreeing to do atl work in strict accordance with the City Ordiaancer and n�ling ot the Departm�nt of BuildinQs, and hereby declares that aIl tbt fac!€ and reNresrntatiuns stated in this application are true a� cOrtect. Fridley, Mian__.�— - -- 14 � owoer .___�_�iv_,.r,�� _ �-ct•v, � r4 �e.v-- Kind ot Building .___ __ __ �Jsed as ___ _ c��_� _ � Ta be completed about . _ _ .----.- - � � Estima?ed Cact. E _ %.�o`d ----- - ---- Utd—New. Building Permit No. ___ P�rmit No. �d 8�/ D�CAIPTtOIf OF ilIO1lE HEATING or PpWLH p(,ANTg._8teara, Aot Water. Warm Air—No_ � Trade Name �—� � �� g� �_�/e �P i� 3 % /d . Capacily---�1�-- S9. �'t. E.D.R BTtT H.P Total Connected I,o�d 1Cind pZ !!u BURNER — Trade Na�•+p gise Np GD,�itY s�!- it. a.D R H'rci s� _ � f„.. �� _� � �'- __ ,� r : __ �, sue�ecT PfR • City of Fridley 2 2 0 6 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � R . � � � • COMMUNITY DEVELOPMENT DIV. r � L � PqOTEC7IVE INSPECTION SEC. p�q�� '�'\ � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.---'�"• •�� 612-571-3450 910-F15 8/26/93 / � J08 ADDRESS 5563 East Bavarian Pass NE t IEGAL ��T NO. BLOCK THACT OR ADDITION SEE ATTACHED DESCR. 3 2 Innsbruck North Zbwnhouse 3rd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peter Kovach 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Dicks Fire & 5tarm 864 19 Ave SE Minnea olis MN 55414 781-6170 2481 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Re ro o� G ra e Te a 0 � 9 CHANGE OF USE FROM T� STIPULATIONS ��yi.de smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE AEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO r480 $, .rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �' DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING coN- Fire SC $.4H STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. ].S . OO PLAN CHECK FEE TOTAL FEE License SC $5.00 $20.98 SIGNATUAEOFCONTPACTOAOAAUTHOAIZEDAGENT IDATEI WHEN E � LIDATED THIS IS YOU PER IT C � � SiGNATUF7E OF OWNERUF OWNER BUILDERI �DATEi BLOG �NS 1AT � NEW ADDN AI.TER [� �l il Const�vction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPL�XES R-1 AND R-2 Building Permit Application East Bavarian Pass NE Effective 5/26/93 �c�l � � Owner Name & Address: Tel. # Contractor: Dicks Fire & storm (Richard J. wiiiiams) MN LICENSE # 24s1 A��S; 864 19 Ave SE, Minneapolis, MN 55414 Tel. # 781--6170 Attach to this application, a Certificate of Survey of the 3 � s- a s so lot, with tt�e proposed construction drawn on it to scaie. LIVING AREA: Leng�th � GARAGE AREA: Length _ DECK AREA: Length � OTHER: Re roof DESCRIPTION OF IMPROYEMENT Width Height Sq. Ft. Width Aeight Sq. Ft. Width Hgt/Ground Sq. Ft. �,� �1 ,� . ;, r,= I Corner Lot (] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $'� � d �` Approx. Completion Date: � � {Cost on Back) Driveway Curb Cut VVidth Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 8/26/93 APPLICANT: �� %--� Tel. # �81-61�0 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $ $ $ $ $ $ $ $ � t .� Fee Schedule on Reverse Side .001 of Permit Valuation (1 / ldth � ) $.50/$1,0(� Valuafion $750 per SAC Unit $5.00 (State Licenseci Residential Contractors) Alt. "A" or Alt_ "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary ( ] Not Necessary ( ) STIPULATIONS: �., CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 . Effective On January 1.;�19.95.� , , APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR� 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 Appiiance 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge TOTAL FEE .50 $ /�� -�----- JOB ADDRESS �� //�-/✓. ��:. .:, . ,, .:. . The undersigned hereby makes �pplication for a permit for�the work herein .� specified agreeing to�do all war}: ;n strict accordance with the•E'it.y. codes ,� and rulings of the Building Divisian, and hereby declares thaf all the facts : � and representations siated in this appiication are true and��orrect: . � : . � � �� /. ' , 1995 ` :� � � Owner ,�c? : r4� . � \. � �� a.c.: �. . . � Building Used As � , �' ` d �- . � . ' � . , , . Estimated Cost i�.� PERMIT N0. '%� �,��_ �P ,4�'t' . ' � \� � �w�r� . , . SIGNED BY �f + � �. TEL NO :S �Y �' �•�Y� ` . Approved � Rough--In Date � Fir�al Dafe � .: �"� MINIMUM FEE FOR ANY F'L�:9BINQ/CAS PERMIT IS �i5:0�: :: PLUS THE $.�0 .STaTE SUF" CHARGE ' � . � ' sus�ctT � P c;ty of Fridley 3068 �T T�E T°P °F THE �,�NS g U I L D I N G P E R M I T ; � RECEIPT NO. � �• COMMUNITY DEVEIOPMENT OIV. : �� ------. `�a� l � � PROTECTIVE INSPECTION SEC. � _ �"'1 � CITY MAIL FRIOIE� SS�J2 NUM9EN nEV O�TE P�GE Of �ovnOVED !r �""� � �'' 612-571-3450 9t0-Ft5 2/24/00 / / JOB ADDRESS SS61 565-5567 East Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT Oii AODITION SEE ATTACMED DESCii. 1, 2, 3, 4 2 Innsbruck North Townhouse 3rd Addn SNEET Z PROPEfiTYOWNEp MAlL A�OR�S$ 21p PHONE Various J CONTRACTOR MAIL ADORESS ZIP VHONE IICENSE NO North Central Builders Inc 7401 42 Ave N, New Hope, MN 55427 533-6168 3763 a ARCHITECTORDESIGNER MAILAOORESS ZIP PHONE UCENSENO. � S ENGINEER MAIL AOORESS ZIP pHONE IICENSE NO B USE OF BUILDING Townhouse Building 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C� REPAIR p MOVE O REMOVE 9 DESCRIBE WOpK Reside 4 Unit Townhouse Building 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap before covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCr �pAO SEPARATE PEiiMITS AiiE REOUIRED FOp ELECTRICAL, PLUMBING. MEATING. VEN7ILATING OR AIR CONOITIONING. THIS PEFMIT BECOMES NULI ANO VOID If WORK OR CONSTFiUCTION 20NING S�. fT CU FT. AUTHOR12E0 tS NOT COMMENCED WITHIN 80 OArS, OR li CONS7RUCTION OR WORK IS SUSPENOEO OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKiNG 1 HEREBY CERTIfY THAT I MAVE READ AND EXAMINEO TMIS APPLICATION �F STALIS GARAGES AND KNOW TME SAME TO BE TRUE ANO CORREGT. All PROVISIONS OF �AWS yA�UATION SUiiTA% ANO OpDINANCES GOVERNING TNIS TYPE OF WORK WIIL BE COMPLIED @ r WITM WHE7HER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT W iH f 797 ��I .�FO DOES NOT PFESUME TO GIVE AUTMORI7V TO VIOIATE OR CANCEI TNE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON• STRUCTION OR TNE PERFOfiMANCE OF CONSTFUCTION �307.25 Fir SC �L8.8O P�AN GHECK FEE TOT L, EE Z/zylen Lice C $5 $340.45 S�GNAtUpEO�CO • ACTOpOp� 1�OpiZEO�GENt —� IOATE� HE P P VALIOA TMIS IS VOUp PERMIT/�� I��V�� $�GN�TVAEO�OWNEp��Owr+EpBU�IDEA� iO�TE� Bl �N$0 - ��t ;17Y OF FRIpLEY INSPECTION DIViSION Effective,On January 1, 2002 �431 University Ave NE ridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING� COOLING, VENTILATION, 763) 572•3604 REFRIGERATION AND A1R CONDITIONING SYSTEMS AND pEVICES � JOB ADDRESS �J� Cp � �• .�Gl i�Q rla � �GCSS RATE SCHEDULE; bWNER. �Du� I�G�j'lg. _ 'esidential Furnace Shell and Duct HUork, Burner • Aiso Replacement Furnace (Side Vent • Fili Out Back) Gas Piping (Needed with new furnace, but not repiacement) Gas Range Gas Dryer � 'Air Conditioni'ng • All Sizes Ail Others/Repairs & A�terations (LIST ON BACK) 1 J, of Value of Appliance or Work ommercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 34.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE � ►� ►t __ �; �► ._� ► _ •• ► _ _► .: �►. ► i � • ' i • � • \ \ _. i l/ . 1 1 . , , . , , ■ � � - - i ■ � ► . • '� � 1 1 '�ir Conditioners can not be placed in a side yard without ritten permission from adjoining property owner. $ $ $�� $ $ $ .50 $ �� U : BUILDING USEDAS ' ��/C%.�1�� .^ � ESTIMATED COST "� °� �"g.3 � � PERMIT NO.��` ,.� DESCRIPTION OF �URNACE AND �OR BURNER No. of Heating Units Circle One (Steam) (Mo# Water) (Warm Air) Trade Name Size No: ~ � ' BTU HP EDR ' Fuel ' Total Connected Load - Burner Trade Name Size No. B7U HP EQR• 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 �P %I -� ' • SL'!!./'��lr"%� � ' i /I�i � % � i � - • �.�a.t ��.� � ► �/LJ � Id� �� i ' � /1 � / � r/� / � � / � � Approved By Rough•In Date Fina.l Da#e �� A/�1! \IC�tclnnT�n�� nw�� nrn�>n.nr-��r��r 1-� �n��wnr Building Inspections 763-572-3604 763-502-4977 FAX MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECT'IVE 1-1-2010 Permit No. � - -� : t� � . �. ; !: � ' ► s /1► r DATE ,�j �- � � l (, YOURE-MAILADDRESS �!J'�. j�T ��i�1 �'✓%r'-Z /� �v��/'./,�C%1.S I- %�i��, _ � �0—�1' . `� SITEADDRESS �, `� �, " ./L��l"�(U`� ��P.i THIS APPLICANT IS: ❑ OWNER �iCONTRACTOR � 1_ PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ADDRESS: COMPANY NAME:_ CONTACT PERSON: � CITY �� STATE ZIP, STATE LICENSE # ' EXP DATE �� ✓� � F-' �'Y' rC .� ��L� 6� _�'I/� � c + � ✓YV STATE�'LIP �J v , ADDRESS: , Yr4 �' vl ' �' ��TY �"��i1✓�� % PHONE FAX_ ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK j�TOWNHOUSE �� ❑ ALTERA?ION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBE� OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL 2006 ASHRAE HANDBOOK. / v /5�/ C I''�/J Equipment Installed MFG: � MODEL: (S' ` Q 1 cr SIZEBTU __�!6�� MFG: MODEL: SIZEBTU A/C $25.00 AIR TO AIR EXCHANGEER $15 BOILER $35.00 CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: FIREPLACE (GAS) $15.00 �FIREPLACE (WOOD) $35.00 FURNACE $35.00 �GAS DRYER $10.00 GAS PIPING $10.00 SIZE/BTU GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the aaaroved plan in the case of all work whict�t-eq�yyt�s rey�Iew and approval of plans. /_�i SIGNATURE OF APPLICANT AL PRINT DA' City of Fridley �Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� I�