Loading...
AF - 36471� � • City of Fridley, Minn. BUILDING PERMIT Date: June 24, 1968 N� ��O�l Owner: Rodney----Billman...I,�3�.a--��---�---�---�------.._..._._....__ Builder ....__.......___Same- ............._....................._--�------.........._......-----_.._...__.._..__ Address _l51 .Silver _Lake__Road _ _ _ Address Same LOCATION OF BUILDING No. ..----1616----�-----... Street ---�--�--�--�-Berne _Road-------..._...---�------ �------...--� �� -��---..... Part of Lot .._...._..--�-----�--- .............._.._. _._._. __. ___ Lot ....._.._1.�.--••--•--...._ Block .--.---....--.--....---•_1-.---•---.--.....----._. Addition or Sub-Division ....._........_Innsbruck__5th.. Addn,-..-- CornerLot ------------------_........ Inside Lot ._..._...----X--.•--.--•---•-.--.--.-- Setback .-----......._...._35. �.--....... Sideyard _.........__..._...._._�.._.._...__._..____._._ SewerElevation .--�--....-----�--...._96.2_._92.---�-�-�--�--�---�--�-----�-�-��----�---��--��- ....._ ............._.._.._969..68_.-�------..�A�.�rox.� Elevation at Property --968.18 Top of Footing To be Used as: _._Dwe 11 ing.----�-��---...---- __Cz�.x:a$� -----_....----�-••----- Type of Construction DESCRIPTION OF BUILDING �ont _..._..----.85.' Depth ....._....32. �. Front __._...,2�..�.. Depth -----2_2�---. . Frame------.---. --..._--.---.. Est. Cost ------ Height ..._._..._2 � �.. Sq. Ft. ..--_l95 � Height .--_.-•---.�..�. � Sq. Ft. ._...�.Q�?.._.. _$31,.000 To be Completed _. Cu. F't _..._39�$0 Cu. F� _.._.�5.Q7 2 Oct. 15, 1968 SEWER LOCATION = M�hole WATER LOCATION - 10' South of the Sewer location ot property. 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 fo and in compliance with all provisions of ordinanoes of the city of Fridley. �) �/ v✓ /G�GGt $100.00 Sewer Connection C rge In consideration of the payment of a fee of $....._..._68 .00 � permit is hereby granted to...Rodney Billman, Inc . ....._._.......---.._.........- .............--_--..---......... 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 ordinancea of Fridley, Minnesota regarding location, construction, alteration, maintenance, repa.ir and moving of buildings within the city limits and this permit may be revoiced at a�y time upon violation of any of the provisiona of said ordinances. �-. � Breher � Official Building � NOTICE: • This psnnit doa not tover fhs eonmueHon, insfallNien fo� widn�, plumbing, qas h�din�, snw�� or wat��. M wn to � fho Building Insp�cfor for s�parah p�rmits fo� tha� (Nms. �c�. �/a, r�3o s(� � l�-c1� �-� �'`.� ,t,a �/ 3 a q� � , AFPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESQTA OW�R�S NAMF�/�/. Bi'T.L:DER L�tc'c � n� -R.w- -c,- ADDRESS — . . ------- -- -- -�-- . _,�:1�DRESS��_ �11.�'�'-'2��/�c- �� �-�r� �3-� � � �!, w �. � LOCA.TION OF bU7,LDING.. : � N0. �� � �` � STFEET : . f" ____—_i T `'=�--_ /� �'i �C LOT��`Y BZO�K / ADDITIQ�I OR SIIBD�VISI0N,�2%`??'�d �vt -) � . _ / . � �4-�-G�� CORPiER LOT ' IhSIDE LOT � Sy�BA�K _ SIDEYARD � SE[�R ELEVATION TOP OF FOOTING ApFlicant attach to this form Two Certi.fic�,tes of Survey of Lot.aad proposed building location drawn on these Certificates. . -DESCRIPTION OF BUILDING To Be Used As t , ... . �o , /� , .-[_�r�-zLL-� < <-,� Fror�t � D. pth� , Heigh� � �vL� .. . . . � ' • p . � ' � - ' y � Square feet �. �/� Cubic Feet � ci 1 b_ Type of Construct To Be Completed Front �. � Depth `L.�?. �_Height J z Square feet_ '�� (v Cubic Feet L"� Z Estimated Cost i �' The undersigned hereby makes applicati� for a permit for the work hereia 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 represe tione stated in r s app�.ication are true and correct. � ���c� .�:�'2�c.�_-at_� � l' DATE zl z.� �� �Cj _SIGNATURE_, �-�-�, !� _ _ �.� : i edule of Fee Costs can be foun� � the Reverse Side). �` `'�'� �t�' ,� - � <� + �. ., � „ �,,�,,,�yF}t. �°f ' • � . _ � _ . �� • + . .. : BUILDING PERMIT FEE SCHEDUI,E SECTION 2. The Inspector of Buildings shall, before�issuing permits for the �rection of �ny buildfng o� structure, or for any additi�n to any existing structure or building, or for �ny aLr.��ation or rep�irs to any existing building or structure, upon applicatiuu therefore, require the the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herin provided to-wit: Uaiform Buildin� Code: Type 1, 2, & 4- $1.75 for each one thousand cubic feet, or fractiom thereof, in such cubical contents. Type 3� 5- $1.50 for each one thousand cubic feet. For the purpose of cnmputing fees for building permits, the cubical contents of any building or addition to a uniform height thrbughout by multiplying the ground area covered from a point six (6) inches below the floc line of the basement or the celZar to the average height of the upper surface or t� the average height of the roof surface of the main gable of a pitched roo£. F�r repairs or alterations ro an existing structure, the fee shaZl be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost �f all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on locat3gn- Area 1 or 2. .. , �• + . • � oj' �� . Appiication for Power Plants and Heerting. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . $10.00 S Replacement of Furnace ............................. 6.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 1Z0,000 BT[J . . . . . . . . . . . ,$10.00 $ � L"L� each add. 60,000 BTU . . . . . . . . . . . . . . . . . . . . . . 3.00 � Replacement of F�rnace . . . . . . . . . . . . . . . . . . . . . .. . . .. . . 6.00 $ Repairs & Alterations—up to $50�.00 . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam .. . $10.00 $ Fizrnace Shell & Line—to 640 sq. ft. EDR Hot ater 10.00 $ Each add. 200 sq. ft. EDR Steam .. .. 3.00 $ Each add. 320 sq. ft. EDR Hot Water ..... .. 3.00 $ OIL BUANER—to 3 gal. per hour .. 6.00 $ over 3 gal. per hour—See Fee Schedul GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . 5.00 $ �`�_ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . x$ 2.00 $ Z' o° Additional Fixtures x .75 $ Gas Range to 199,000 x$ 5.00 $ AIR CONDITIONING FAN HEATING SY3TEM See Fee VENTILATING SYSTEM ALTERATIONS & REPAIRS �ROUGH ) FINAL � i ('1 �' � TOTAL FEE � z-'�i � 00 Dept. of Bldgs. Phone 560-3450 Location � � � �^ � � 2i 1J w �; :"�2, C, � �.— 1, ( � City of �idley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that all the fact: and representations stated in this application are true and correct. Fridley, Minn. � '� �C{, , 19� Owner �d`� � ���M �N � Kind of Building �"ZA�f�'1,�= Used as � QM 1:`��, _ To be completed about Estimated Cost, $ 2d��' ~ Old—New. Building Permit No. D� Permit No. ���� DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No. Trade N ame��, pA.i.l �rc+ Size No.- ��v �� 3� ����� Capacity Sq. Ft. E.D.R. d BTLJ H,p, Total Connected Load �� ��� Kind oi Fuel � A� �-TAS BURNER — Trade Name �A�� Size No. Capacity Sq. Ft. E.D.R. BTLT H,p, ax . � (REMARKS—OVER) •► . � ��� �� �1 � _ . � � ' . . _��!,J�"� � ..� � � \ � � ,�`'� City of Fridley Application for Plumbing and Gas Fitting Permit J Dept. of Bldga. Phone 560.3450 DESCRIPTION OF WORK /G �` �� i'Ji��� Number, Kind and Lxation of Fixlures Location_� ',�F'„ �� � x� � ei x> zz �p� tZ uz ox � i� z O < � rc < m � Z �� � 3 O at �� j 7<°a 7 Z� a �-' 3 t� � o� m in 3 F- �� H LL � t� m < 3 f9 < C9 Sa C9 0 � Base }' .i" �, lst � 2nd 3rd 4th • Fuluze Conasction Openings I Connected wi3h * New Fixfure, Old Openinga PARTfAL RATE SCHEDULE WATER HTR. • t F N GAS ELEC. / Sewer � Cesspool � PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number F`ixtures . . . . . . �— x $2.00 $ , O G Future Fixture Opening . . . . . . . . x $1.50 $ New Fixture Old Opening .............. x$1.50 $ Catch Basin . . . x $3.25 $ Water Heater (Up to 99,000 BTin . . . . . . � x $3.00 $ • � G New Ground Run Old Bldg. . . . . . . x $3.25 $ Electric Water Heater s$2.00 S GAS FITTING FEE3: NO. RATE TOTAL lst 3 Fixtures . . . . . . 2 ' Q � ....... x �2.00 $ Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199,000 BTU . . . . . . . . . . . . . . x $5.00 � REPAIRS & ALTERATIONS—Refer 2o Code Description .... ..................................$ TOTAL FEE S�Q 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 Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn. , 19— Owner �' :ri��, ���'�Y��� ' � ' Kind of Building �+c�,�{j�_ �/ Used as To be completed about �Z'a"� � F (° � — Estimated Cost, $ Ol 1�Tew Buiiding Permit ROUGH FINAL �.2 No. C����� Pezmit No. / �'�1� Signe � L'"L --,� By c Business Phone No. ` �' �i4y of Fridiey - v APP�icdion � Plu�g and Ga� Fhii�q hn� Dapt. of Bldqs. Phon� 580-3450 DESCRIPTION OF WOAB Numb�r, Kiad at�d Locatfoa oi Fixtur�s �I � IS�I i I� li ►lO�l � I� �IV �I<�I�U' �IU`' ai (V OI � I N IG STE� MEC. i:: ������� .■■■■.I ' �����■� ' ■�■.■■I ������� . . . . PARTIAL RATE SCHEOULE _ �►•= o ��� n FLQMBI27G FIXTURE RATES: NO. R11T£ TOTAL Number Fixtures . . . . . . . . . . . . . . . . x 32.00 E Flature Fixture Opening . . . . . . . . . . . x a1.50 s--.- New Fixture Old Opening.. . . . . . . . . . x E1.50 a___ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 S Water Heater ;Up to 99,000 BTU> .••• x a3.00 = New Ground Run Old Bldg. . . . . . . . . x a3.25 $ El�ctric Watu ii�at�r . . . . . . . . . . . . . . s =2.00 = GAS FITTING FEEB: NO. Rl►?E TOTAL lst 3 Fixtures • • . . . • • • . • • . • . . . 2 x S2•00 ; 2.00 Additioaal Fixtures . . . . . . ..... . . . . . x = .7b ; Gas Ran�e to 199.000 BTU ...... ...... x a5.00 � install �l� gas grill &(1) lite 6.00 REP11IR8 � 11LTER1ITIOIfb—R�i�s to Cod� Descriptlon . . . . . . . . . . . .. . . . . . .... . ... . . ...... ..... _ TO'PAI.. �'EE _�_ Loea� _161b Berne Circle NE, City oi F�idley: 53-8l�-s 915. 51 The undersigned hereby makes application for a permit tor the v�ork herei specified, agreeing to do all work in strict accordance with the Cit,�r CZrdinance and ruling oi the Department of Buildinga, and hereby declares that a1I the fact and representations stated in this application are true and correct FridleY� Minn �lay 10, 1972 19_ Owner David Lakatua Kind of Building frRAU"- used as residence To be compieted about May 16, 1972 Estimated Cost, a 20.00 OIdX New. Building Permit No. Psrmit No. •/� _ Signed /� By --.. Business Phune No ROUGH FINlIL [/ " fi;`s:=_� �.�,. ' t City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: ....___June--- 2, .._ 19 7 2_._.__ Owner: _...Dauid...I.aka.tua___.___.._.._...__............__.._�..._._._��. Builder Custc�m Po.ol� Inc _�... �1477 Address .---16.16._._B.erne....C.ir.cl.e-----------....-----------------------_ Address _71)_L.Ex�Pl Gi nr A�rannPT Hagki.,,G LOCATION OF BUILDING No. .-.---16_16-------------- Street ....._.._Berne._Circle_,_N..E.. -----i Part of Lot Lot ......-----12.......------._._ Block .------.....---1--.------------.---.---------. Addition or Sub-Division .------Innchr�ick _5.th_ALldit112n__� Corner Lot ..................._.-.---- Inside Lot -.--.----X-----------•----.------ Setback -----•----------___ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ----P.2(?.�...-----...._----.._--.-----... Front _---1$ �.._.. Depth _._._.�4 �.._.. Height _...�.�......._... Sq. Fk Cti. Ft -------�--- ------- ---��-- --..._._... - Front -------•- ----_._.. Depth -----�._._..__ Height ------------. Sq. Ft. _.Y Cu. Ft Type of Construction ..._St��1�V_inyl._.____...___ Est. Cost .....$6.s_000_,_00_________ To be Completed ? months Stipulations; Subject to Health Inspectors notations on plans. In consideration of the issuance to me of a permit to construct b'lding descxibed above, I agree to do the proposed work in accordance with the description above set fo in compliance with all provisions oE Ordinances of the city of Fridley. 3.00 State Surcharge In consideration of the payment of a fee of $.__ _36 . 00 ��_� pe�t is hereby granted to C» G t nm Pnn ] c Tnc . __....__..._..__..._......._ ...............................__. 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 woriflnen, 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, repai�c and moving of buildings }yithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of ssaid ordinances. ��.�s�� Building Inspector CLARENCE BELISLE � NOTICE: This permit does not cover the construction, instaltation for wiring, plum6ing, gas hoafing, aewer or water. Bs sur� fo sN ths Building Inspecfor for separate parmifs for these items. �PPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 933' o�a��� ,�'%J � OWNER' S NAME :,�fJJ(%l(� �/! A BUILDER : lr L�s /�f'� ���, j �e(/ �^ ADDRESS : ��o �i� , /�C/'N°L �,�f'ld.G�� ADDRESS : , , � o�kra�•'s N0: � STREET:�,��%ZOVG (i/%��(� LOT:��- BLOCK: � ADDITION: � �'`� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: --�-,.,.. Applicant attach to this form 1�ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIUN OF BUILDING To Be Used As: i �% , �D � Front • / � Depth : � ''`- Height : � � Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: �pe of Construction: /i/�� / Estimated Cost: $ �Q�Q � aR / N To Be Completed: The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley 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: � � 7� SIGNATU (See Reverse Side For Additional Info�nation.) ��-�' ' �' , A-��`���•----,� �-�% �-�- �z , � �� �� � , , � BUILDING PERMIT FE� SCHEllULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alzeration or repairs to any existing building or structure, upon application thereforeA rsquire ��� p��?��� �� ��� applicant for such permit of fees to the amoun� herei� below ��� ����� a�� �� the manner herein provided to-wit: UNIFORM BUILDING CODE: Zj�pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.$5 for ��ch one thousa�d cubic feet. ADDITIONAI. INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor linc of the basemr_nt �x the cellar to the av�xa�� heights ?f the upper surface or to the average �����t of the xoQf auxf�ce of the main gable of � gitehed roof. For repairs or alteratiuns to an ��icting st�ucture, the Lee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any pennit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDAI'ION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. t� 1►- -- '��-_-� -. ��. �� _��'�--�—� - C l.1 S t. O I�Y'1 P O O � S �,� €;�; C", r- � ,� s Y . Ir_ 7�1 EAST EXCE�5IQR Av'k��il�_ NOI'lC►NS. MiNNFS^''4. f� 55:i43 � �� �,ir;. J �� � � `__'� wW �4�'^t t .. �__7� � � i. . s*. _ / !.. :... ,� a �__ �t �y. 1 �___�� . i ,fy�~ P _ .. ,_ " . �` _—�/ # . f �fi ,� . --{ _.__ � . )I � _ '�,\ 'Y ._�5..�/ ---�,— - -- 7! -- �'—r -- _� � ... ; , � ; ; y 1 - J/�-— , _ . _ ' " ._ _ _ -- . ..— .. . " " ___--d/U /y, �. _'"i__._' 4e.i;5. n. T �4 . � 4yL . " �..?y°'�=���ssi'±F?;��P� 4,�? . � . i. . . ' _. ' ,. , rt Tr,,.;, ,r ; ! r>r;.; ;{;>Tr� .::«' `'C`���W;T'.�'' S�`pC`�fira+irTpS =iT'F ;SS'�P': jr• C'OTr'.�';saCi('P b'lf.}� a�_ "'ri7.1e,.= hPalth ar.d c�r �*,r;�c' '�c ��n�3es s�i nu] �{ P� . Al l�cr�.;in�Pr± �-t��i fiec; Ylf�rPin i ., ;.y"� �.n^n�vF�. ';'rF ��rpnnSP� F?;';��'l1 e swimm.i.na �OC�1 �S t0 };c- <`C�T";°y?'"]t'.±P'j "t 1-; �b �. r�erne �i^�le 1 o��±�Pr, in �r' �1P•., r�' nnes�±� �i'?,P followin� ���ec:if� ���tic�ns �r.�lu�P on��� t-hF installa` f c�r, of �r.P lf� X?�.� Vinvl L.i.?��e" pool, �r.�i shai� n�t. i�P ��nstrua� �� i Tl C: l 1� � E? 31'l V a�� i t i o r. a i 9 t T''.: "' t ll ?'' P. O?'' 9ll �' I t P" �"; E_. 7' P.9 f' t. P�" ?' P f' �' C' ,-, p r ''n O•?'' imn��P�. �''P','l^P r?�,�irPm�nLs �I'P tf� rP G�fpp r`t' C�4TT�P" �G s1�;�wn on drawir.�. �n« an� A„ �;,ar,-.�e t� t.�PS� �.,F;.i �i,.., ;,..,� T''.�� �P flUtlT'OVP(i ', l't`9t r.� ;-,r,C � S, IT'l!` , al^r? T'T'ir?1 Pv fiP f�?T'±mr-.,+ .,f F„Y�lir i�ea�th, rr'�.�. to cc�'79t'�U('t1C�1^,. "'�'1P9P sp��i.�'i�a�irns �'�• C:t:`± ircli.l(jP C?NOrAti.O?�t�� C)r'np)�±, fPpS C�?' 11'?fi��C!'j:;(�C: rPP:i. : <-� , �; � k� f � 1i�. ;� .,� r R:�, t .. _r F � S ±� .�h �, \ lt ��' �. � . t ijs: „ h 3 "" a�'�5...� � �,: t' y s� y,,k+ _ .�:� +�3y ��: � �r>c'1 . . `�.3� i ��y . �.. . _ .. . . ° ^ . � ,_,.�, ig �r�cati.on: ` The pool is to h� located �s sho�an on det�i? prirt, The filtPr - �n:: heater are to be on th� �rade �f the �ool in rY;P Io�A�io.r. indicated. The existir,? buil�lir.�* and tE�rrace a�al.l be ±hp determi.nin�; source of .plac�in� �nd el �v.s�t i �n . Pool: The �onstruction �f �he pool wall is of ]I; �auFe copdPr bearin� steel with 2 oz. of copper bearin? ��lvanize�l per sq. ft. as mAnu- faCtured b,y Imperial Pools with a�" mason send bott�m. ThP stPP] wall erection shall be accomplished �s dire�ted bv Installatior Msnual, issued bv Imperial Pools. ThP ��cl desi�n shall follow specifically the coni'i�urstion Rs shoWn on drawi.r,R. Main drAir to be 2" deeper for proper flow of water whi1P filterin�. The transition as shown on plan. Grounding and Hook-Up: The steel panPls, the steel concrete reinf�rcinp, the dPck :s reinforcing, ladders and an,q other miscellaneous met�l fixturP wjthin 10 feet of the pool perimeter will be vrotmc�ed t.o conform �ith ctate Fle�trical Code. �ee prirt cross sP�.*.ion for connecti on c3Ptails . mhe filtr�tion �ump shall he wired toa minimum of 100 AN�P circuit, 230 volts utilizin�* a circuit breaker an�i nne pull switch. Al1 mechani�ul electric com�onents arP to be installe� to I�innesota State Code. Trese specificQtions are nat t� inclt:de any 9eT'ViC'P to filter area. :k'. 6 � ���ciprocal Plumbin�: � lt pir�inc� sha11 '.,� icc��F-j as t� meet state r.oc�P. `"re skimmPr and return lire:= ar� t� he ].�" hln�•k r,,?s�=.`ic �� lr. +;es` pipe. The main drai.n is t�� bF� 7'" �;` ih. fest �l�ck r'�P. Q11 inir.ts that �re burjed �rP .+,� h� r.vl�n Rr ��`.'^ �o:ablP c1am��Pr� Anc� rAla?kP�. �xtPrnal ms�r�j.�'nids o�' ',1" �alvani�.e�? s�ee' �nd �ap{��r rate v�]vPs shRll make the crn±r�l marifold �s �hown �r. �rint. ThP oo�l tAr.k fittin�;s arP to �e �vco�ac. ThP rPt>>rns are ��*^�?a� �:�;eb�71 +��nP restrict�rs 1�' inside �?;.men9ion. The rAturr.s sha11 be cenn��te�3 i.n ,�a�.r�s to the return mYr,ifo]d es shown in print. "'hF m�ir�. drain shell he �',yc��lac 7-3�1; inches roixnd, �?�okPd *.�> a �1" ��nmmon manifold by a 11n li.n�. �i�in� anh dr�ir ]ocAti�n +o he 1�'.��? r�ccording to State Code. Automatic sk�.mmers ?���F apnrc�ve�3, with Pqua7,izP^ 1;nPS Sh�Il ?�P ��cated as tc> ?ive proper circu]ation. "lrimmers ar� t� r:c jnstRllP�l Rs indicat�d. cllCtiO[1 linPS insic)e skimMer arP to �c�F�t `•e�utam h�sP for bottom clPanin��,. Filt�r and P�.am�: C�ne pum� and filte�r comminAti��n srall be A9 m�ntafa�tu^P�i h�* Swimrite Co., F'ach tank shall be ?i�" ir, diameter. an�? shAil hace � ?.11i� sq. ft, of f;lter mP?ia. ���h pump motor is 11 FP Qr�' capable of 6?.Rli G?M which will facilitate �?,50� �allors c�' treated water each 6 hours. 18 X 3li ;?001 contairs approx.imatel,y ?2,OQf' �allons of treAtPr w9fPr. and will be t�rnPd over At lefist everv E� h�urs , t"om�letc� ��t�� ; s �f r;�arrin mot�r, filter valves :�nd details are inclu�led in t;}�o�hures. � �. s � �:�infPCtant: ^hlorinator, ��rosior. "�dditional �fi?P.}�7 FquipmPnt: mhP por�l equipmPr, * sra11 in�li�de +}�e fc�ll�wi_n�° i�Prr!5 : �nP test ki+. conta�nir? acct.rat� t�sts f<�r �hl.orinP r�sic��aal. PP test, alkalinitv content qn�] ��i�3 demar.�'. 'I'.:e vacuum s,ystem shall c�r.sist �f one vA�uum hosP, �nF vacuum swee�, and one collapsable pole. The cleanin� equip�ent shail be one wall �rush and �ne 1P��' and debri rake. Tne pool shal7 be eauippPd with one, two }re?d stainless steel laddPr and sha11 b? pla�e� A9 �?'l'�i('AtP!j c�n l�eation print. '?'he lac�ders shall be removable to facilitate cleanin�-. The safetv rope shall be placed at the transition point fr�m shallow to deep and consist of 1/2" nvlon rope ar.d 1� floats. A schema*.jc showin� operetion, backwASh, rAls�n^P s�r.d �rimir.�- shall bP posted nes�r �'ilter ereA. The s^hPmat.ic shall hP labeled as to each �ate velve �nd show sequencP of opPrP�ion for normal backwash and cleanin� use. � � • - � _, i'� F_, ;�,�-,�1F±P�i �,,,01 �.h:al} '. c� 'r.aE�prtP�? t� s!�;.:,i�, P t.har �1-,F �P.tjT'E `'ilter .+V"�n�.� � "T,pp nf' �F'f;tii_� `tilr' i'ai-11{ 1S ^�PAt1 ^C�f� �j: �?1�'PC'''Q�': 81'1;; Ei"C1��f'T' S%3�'°'" !�T'PC%3i1+�OT?S A"E i',?1^�P�iPYI�f'C: �n�� tr? oT•rner. TreSF sE�ec'��'�.!'Ati0YI3 c;:> ro+ e��•c�r ,?F�kS, h����,�:PV�r, stzf,^rvisirr. to ass��re �rcper ins*.al�r�t.ior �'' 7aaryAr� � :, provi;3Fd . Tl�ese s�er.ii'i.cations ��.�it sar�i±�?^,� sA�c�r, rq+h an�? wr��?i.r��- •�:�as. Tt shr�ll be the owners T'PSf`Ot'l�ir{1 i�� to F�2-.1-,��r nP�FS4ar�,y �RfPt� Pq�ai �mer.t . T�_Pre arP not p���t��'1P wa'-er s��ur'ces i.�clude� ir. thPS� sr.F�cific�±'o-�s �r in ��.�P �0^7 �r�^, T}-ese speci�'ic�t i��T�s .�ha]? supPr�P�P an�r �n�? �l' °crmc,,, spec9_°icafions publishF�? �,it?� r��ard t�� ��,js rr'C+' ?�,;, tt�i:, � c,m.�r n�, .. CUcT�M POOL� , iTjr , _ _ _ __ _ _—._.�� __ _ � _ , ,, , ' _.. . __ .. _ ,...F_ . � , j!*�'I'• Ji^Y'(�.• ". ,AY. ��. J^YY.y� .. t} . . __._.... . . .....� . . . ''�. . � . , r,�� �.....�. Sr• 1�• , �; :=� M. �3, C!' �'�!rc . :D .M 1.rr r rr� . r, r�,,.e. • � n� , -f ;,Y• ,� .+C' � • : i..1:s�, {..^- ; � ,�.: �:' t �. r,. . , ; � . � 1l:,t,�'r^5+� p,�.a�..1lLY` d! Y'r /I c � ..,'.'1-.,:.�'+a/�,. ,r., '�,. ", . ,�-� � . rr?r ff, ^;,�t� �'a: . .. � ` � �r �` ti' '� ' ' ��X' �.. . .r . t; ): . . � F , ) f � `i '�w Y \ -. .. �� .. • � � , . . i � _ � "^ . , � � ., ♦ 1 . . .. . . , S . _ ' ' . '. . . i'�.L'R+� C',c�? � er''i!'i' �a a�/, s ` t�4 �9 t .�...1 �;;r C'•. '�' f4 ,5,. �;'. ".A `; � !'1 � �4 � p� �"� � ` � � ",� *� � �e — , .P. c "1 � � ' '� , ,� � �:+ � � . , � . ' '!��'7s - ` • . , . � ( . ' - ; , . ) � e � �;_ ; ��, ��:`��`� �� � t ; , , �. . t '�° ' � � e � 0 � • ;' _ .:•.�ili - �..____ ___ --- �5 5��� �` . � T' i i + -, o - " .�� 11 ! � , � � ! , °'� % � � ` rl ` — -- — � - . '. . ' � `;f � ' � -.._ i ' � ' _�-��' • - _ r � • I �' '7 `v - _, - - � * �' �' • , { p I i , ; ,. 1 "` `1 ' ^ �, � � '`i � � � : �; � # I ;`_"" . � � _..____-- r' � _ , ; � , i i • 1 ^ N � 1 � l � �� < ' � ( t : �Z �....,s. _�.-_..�i. t � . .�t•. ' ,� F ' . � ( S— . �i �• 1 . . . � , � � � , � . .. � � ' ; I ; � , i'! • ; . , r. . � ' . ' ;~ t . � � ^/ / It/�1�a �r y � .s+e �r� nr...� .e. � . _. .. ����-' - - � � li��R � P 1 F ' �� V i;,i^J �� 4Yi i�,� ` • �;.��.� }�.'�a'� N.. a �:i��•�'+ �� 1+..= � � � �..r� � 4�,� 'c• :. �, fT,,:-� � � . . � {/ � i � • � ii;'" �y `FJ 4 . 1 t / . � t ) �(" .l ti y-� � "�"'� � .fl.,/ .��.�.'1.a�-i`�f �� �' �: a�L � j�! /� f .j �.�...� - - . . �... ,. . ` � '.. ` , � CA�:tA�l;:""`li` .��. . F` � t U �p ; j �� � �� /� � 11 d '� : "'�'"7 ► 3 t�."�e 1 "�., k ,. � ( : .. � �� �) 1 � , � #w �. t ' ""g t+ �' S � . Y . , . � - �i � �.w�/- 3 't.,,.s .a.: ...1 . ew+ ..r% i � � f ��: t-i'✓ :'��� � � � �... - . _.. , . },� ...'�1 �{ �1 . "i�,i .� .� . . �� . , ., . � � - - . � . . . f �. fw* r Zy�f,[A,,. � ,�'�.� . . . . , ,�' � _ fF •� �k. �w �� � "i �y � y� j� �� � i . � -- � .� . \ . .. •�. ' .,�: �'rF � ' � . . , � .-.,.�.,�.�.��--�...�.��.�.... ._.....,_ ......- .. ._.. «. ..,.. ....«._' . . . _ .. . _ . . � . ... . . �._ .. �_ _ ._,.�' ...s., , . _.... _ Y ' . ' . . . . . . . ' _ '' _ L— _ _— — . � � �ity o� Fridley ApPGcation for Ple�a�binq aad C�a� i�tttii�q Patt�t D�pR. oE Bldq�. Phon� 9�0-3450 DESCAIP'['ION OF WORE ��� //�'/�" fj��� ��°�j� P ���� _ Iiumb�r, Kiad u+d Locatfon ot flxtu�rs ' � +� � �j � i �s� S i� i��-« I�� ��. �,�0�3� �; c�� �� o� Base ltt 2nd 3rd 4th � � � � � � I • Fatur� Co�oa Op�niaqs • Now Ff�du�s. O10 Ap��inqs w�tt� �. • • � N WS [IEC. Siw�r ❑ �P� ❑ PARTIAL RA7E SCHEDULE PLOMSING FIXTUR� AJ►TES: IfO. RATE TOYAL Number Flxtures e . . . . . . . . . . . . . . . x i2.00 i Ptiture Fixtuae O��cning . . . . : . . . . . . x E1.50 t . New Fixture Old Opening . . . . . . . . . . . x =1.50 t__ Catch Basln . . e . . . . . . . . . . . . . . . . . x �3.25 = Water Heater 'Up to 99,000 BTU1 •••• x t3.00 : New Ground Run Old Hldg. ........ x i3.25 S �.�c� w.t� x..� . . . . . . . . . . . . . . . s2.00 s GA3 FITTING FEE8: NO. RATE TOTI►L lat3Fixtures ••••••••••••••• • xS200 i Additioaal 1�'t�cturia . . . . . . . ... . . . . . x : .76 i Gar Ran�e to 198.000 BTU ..... ...... x i5.00 i State Surcharge $ .50 nEp�►taa � �►LZEn�►noxd—n.t.: � caa. _ Deacrlptlon . . . . . . . . . . . . . . . . . . .... . . . ... . . ... . . . ... . � . � �f � !�i J/ Cit� 01 Fridley: The uadersigned hereby makes appllcation tor a permit for the asark herei• specificd� agreeing to do all work in strlct accordance with the Cat,� Ordinance and nxling of the Department of Buildings. and hereby declares that ali the tact and rrpresentatlons atated in thls application are true and correct PYid1eY. Hina �— , ��� owner �i� ��r�� ���� T�'o Kind of Buildiag .,�"'"A��� Used as ��iJ�/'�//%'�'�j' To be completed about Estimated Cost, S �T d� Old New. Buitding Permit No. P�*mit No. *� �� Signe ' '�'1 By �(j//� -piL.li'�'L �'E�r��r-,7 C �' ' Business Phune No._,:! � '������� � ' , . �� � � �� �� ��- .�� � xouax t�crru. .+�i —�� � z � � ` /� `� / . , _-.l.�l . .S J ,Y sus�ecr PERM� . City of Fridley 13011 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � REC . � ' COMMUNITY DEVELOPMENT DIV. , �,; ------ ��� r � � PROTECTIVE INSPECTION SEC. 1 � , � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ` ��_.�.i �.J 6�2-56o-3a5o 910-F15 � � 6-11-75 JOB ADDRESS 1 LEGAL LOT NO. BLOCK TR CT OR ADDITIO SEE ATTACHED DESCR. 12 1 INNSBRUCK 5Tfi ADDITION SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE DAVID LAKATUA 1616 BERNE ROAD FRIDLEY MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. .SAi� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING GARDEN ROOM DECK. 10 x 12 7 CLASS OF WORK C NEW C� ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK CONSTRU T DECK 9 CHANGEQFUSEFROM TO STIPULATIONS ��jE �E�I�IIt7S REQUIRED FOR WIRfNG, �R���G �� ��,�� �,#�D S1GNS. � � Before digg�ng� call local uts �tc. �ELEPHONE' E�-EC�ftIC - �� REQUIRE� 8Y TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY�OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOD THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 R-1 ZZO ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION S7ALLS 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 OF NOT. THE GRANTING OF A PERMIT 2 OOO Z.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ZZ.00 PLAN CHECKFEE TOTALFEE 1 � ,SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT �DntEi HEN PROPERLY VA�IDATED THIS IS YOUR PERMIT � �-J,�£. t: ,�-�, �- � ""_�� `' `` � .- �� - 7 5 , ai>f.�� f ��-,��� JuNE 11, 197 "�—SiGNATUREOFOWNERiIFOWNERBUILDERI IDATEI BLDG iNSP � �A7E � �APFLIC/1'I'ION FOR R�SIDL':VTI/1L., ALT�:R�'1TION, ' OR AllllITI0,1 13UILDI-'�'G PrRAIIT CITY OF FRTllLEY, I�IINNESO"I'A OidNER' S N!1�:E •,� � G�. V�f C�I �� K-�T�C �BUILDEF.:�_ s�� — �'G,��7� - �-���e_-s�:�e�'' ADDP.ESS : I���� �` n e C i'f C ���2S�ABDRESS : , ___� � p �' � �o : . I o f (o sTr.�z�T : � � Y n �_ --- - LOT : ( Z-- BLOCK :_�_ ADDITION :��'���''L`'�'� S� CQRIv�R LOT : II�dS IDE LOT : � c� S�`TBACf:: SIDLYEII.D : tipplicant_ attach to this forir 7`cao Certificates of Suxvev of Lot and _pxopose ' buildin� location dratm on these Certificates. a � DESCRIPTION OF BUILDING To Be Used As : � ,�, ,/�..� ���'�•v� Uz, � Front : � �-!�D�pth : �2 -c�� Heigh t : �--- Square Feet •,/�1 �l ___Cubic . Feet : � I'xont ; L�epth : %Ieight : Square I'eet; Cubic Feet: Type of Construction: �Q�.d:� Estzmated Cost: $ 15�� �� �'�--� To Be Comp ieted : � � y? � � The undersi�ned hereby malces application fox a permit for the work herein specif ied, a�reein� to do all worlc in strict accordance ��aith the City of Fri.dlcy Ordinances and xuli.ifis of tlie Department of Buiidin�s, and hereby declares tliat all the facts and representations stated in this application are true and correct� . DATE : L,� �/� / � �% s SIGNATtIi.� :, /%i�� � '�_ (See Feverse Side For Additional Information.) / G�,' 6 � ���/ . ``y� ��i L� � '7 � � /� � _ ,' ,�=' _� � � � . . ' . . - r L� � sue�Ett NO. City of Fridley 29682 AT THE TOP OF THE TWINS g � I L D i N G P E R M I T r ; � RECEIP . � • COMMUNITY DEVEIOPMENT DIV. �� � ♦V������', r � � PROTECTIVE INSPECTION SEC. � i i---.�'��"' �'� CITY HALL fRIOIE� 55�J2 NUMBEp pEV D�iE P�GE Oi �vvqOVED Br L 612-571-3450 s�o-F�s 6/14/99 / / ,oe Aooaess 1616 Berne �zx��e Road t LEGAL �OT N0. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 12 1 Innsbr 5 h SHEET 2 PROPERTV OWNER MAIL ADORESS ZIP PMONE Marlene Streichen 3 CONTqACTOR MAIL ADDRESS Z�P PMONE LICENSE NO New Haven Construction 42 - 4 AFCHITECT OR DESIGNER MAIL ADOFESS ZIP PHONE LICENSE NO 5 ENGINEER MAII ADORESS ZIP PHONE IICENSE NO 6 USE OF BUILOING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION �X REPAIR p MOVE O REMOVE 8 DESCRIBE WOFK Reroof (4 S ) Tear-off 9 CHANGEOfUSEFROM TO STIPUTATIONS Underlayment must comply with the State Building Code. TYPEOFCONST OCCUPANCVGROUP OCCUPANCV�OAO SEPARATE PERMITS AqE REOUIRED fOF ELECTiiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING TMIS PEf;M1T BECOMES NULL AND VOID If WORK OA CONSTRUCTION 20NING SO fT CU FT AUTHORiZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONED fOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEFIEBY CERTIFV THAT I HAVE REAO ANO El(AMINEO THIS APPLICATION STA�LS GAiiAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF W(�RK WILL BE COMPLIED �349 �.�JO WITM WHETMER SPECIFIEO MEREIN OR NOT. TH GR NTING OF A PERMIT DOES NOT P SUME TO GIVE AUTHOR V T VIOL TE OR CANCEL THE pEiiMtT f EE SAC CNARGE PFOVISIONS ANV OTHER STATE l0 AL l REGUTATING CON• ���. CO Fi r �C �. 3J STRUCTION O ME PERFOAMAN C $TRU TION � PLAN CHECK FE TOT L FEE ` � - /y— � Li S $5 0 .35 S�Gti Orv'QnCrOQOaa Oai •GENT iO�rE� HE PR P VALID E'iH15 IS VOUR PER T � S�GHSTUAE O� OwtiEp ��� OwtiEp Bui�DEQi �O�TE� B G�hSD r�ett Jun 14 99 01:18p Kerri 566-7183 pa2 APR-14-1999 11�34 FROM CITY � FRIDLEY TO 56671B3 P.01i02 NEW � 1 ADDN [ J CITY OF kRYDLEY ALTER C] SINGLE FAMI�.Y ANU DUPLEXES R-� AND R-2 ��i ��� BUILDIIVG PERMIT APPLICATION � /�/� e�,�- �%-�-� � s � ConstructionAddress: � Legal pescription: Owncr Name 8t Address: %� Contraccor;.�°Gt/ �� Aaaress: ��0 � �3 LIVING AREA: GARA.GE AREA: DECK AREA: THER• �/"e /�L�/�17 Tel. R .�7�� .��`t� �'UG d MN LiCENSE l� �" d p7 ���G � � B PK . .5 .5 4'� y _Tcl. � �=s� ��r Attach to this application, a CeRificate of Survey of thc lot, with the proposed constzuction drawn on it to scale. DE5CRIYI'ION OF IMPROYEMENT �ng� . Width Height � Sq. Ft. ��� . W�d� Height Sq. Ft. �ng� _ _ Wid� IIgVGtound Sq. Ft. O • � �S� e. ��-r G� i��'� Esttmated Cost: _ Construct�on 'Ijfp �`�9 (Fee ScheduIe on Back) Driv�eway Curb Cut Width Needcd: Ft. + 6 Ft = t X�_ �$ � )A�: I �C% APPL�CANT: G�� Tel. � � � " S � �" � Petmit Fee Fire Surcharge State Surcharge SAC Charge License Surchargc Diiveway Escrow Ecosion Control Park Fe.e Sewer Main Chacge TOTAL STIPULATIONS: CITY U � NLY $ �,3_ S� Fee Schedule on Re�erse Side $ .S .001 of Permit V aluacion (1/ l Oth q) $ (� �.50J$1,000 Valuation � $1050 per SAC Unit g �j ��( � $5.00 (Srate Liccnsed Residential Contractors) $ Att. "A" or Alt. "B" Above $ 5450.00 Conservauon Plan Review $ Fee Deterniined by Engineering $ Agrecm�nt Necessary ( ] Not Necessary [ ) $ �9�.5- sua�ec* MIT NO. City of Fridley 126 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � ` _��� COMMUNITY DEVELOPMENT DIV. / //%,/ r � V � PROTECTIVE INSPECTION SEC /.��" �F 3 � � [ % i i---- A,��"';•j CITY NALL fR10lE� 55132 NuMBER NEV D�TE P�GE O� APnaOVEO Br 1 '� 612-571-3450 9t0-Ft5 7/28/00 / / 10B AD�RESS 1616 �� Berne Rd E t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED oesca. 12 1 Innsbruck 5th SHEET 2 PROPERTY OWNER MAII AOORESS ZIP PNONE John Steicher 1016 Berne Rd E 3 CONTRACTOR MAI� A DREsSS 21P PHONE LICENSE NO New Haven Construction �$��tj 83rd Ave No Brookl Park I�W 55443 566-5225 � ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO 20077950 5 ENGINEER MAII AODiiESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK , ❑ NEW O ADOITION ❑ ALTERATION pX REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remove and replace cat walk (43' x 4' Deck) 9 CHANGE OF USE fROM TO STIPUTATIONS For stipulations, see attached plan. WARNING Before digging call fof a�� utility locations 454-0002 REQUIRED �Y �,��r TYPEOFCONST OCCUPANCVGROUP OCCUPANCVlOAO SEPARATE PERMITS ARE iiEOUIRED FOR EIECTRICAL. PLUMBING. MEATING, VENTI�ATING OR AIR CONOITIONING THIS PEAMIT BECOMES NULL ANO VOIO IF WOFK OR CONSTRUCTION ZONING SO fT CU FT AUTHORIZED IS NOT COMMENCED WITNIN 60 OAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED NO OWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I MAVE READ AND EXAMINED TMIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECi ALL PqOVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED MEREIN Ofi NOT. THE GRANTING OF A PERMIT �1,616. HO �. HO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEI THE pEqM1T fEE SAC CNARGE PROVISIONS OF ANY OTMEF STATE OR LOCAL lAW REGULATING CON- STRUCTION OR THE PERFO NCE OF CONSTqUCT10N 6O.IO F1T SC �1.6Z PLAN CMECK FEE TOT L FEE � � 2 - Lice SC $5 00 $67.52 YGNAT E OF C 'P ,TOQ OA AUTM iZEO �GEtii i0• � yyH PRO R VAU T�THIS IS R PERMIT i S�GNO7UAE O� OWNEp��� OWNEp BU�IOEp� �OATE� � - B OG� �NSD f�r.fE rvEw [ l ADDN [J ALTER [ ] Construction Address Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��,� .C�'.� . � Effective 1 /1 /2000 (763) 572-3604 Bldg Insp b�Q �� �I��O Owner Name 8� Address: ��,o �°� f/Vlc�.{ lt�. �fiec�c.�lk Tel. # , r --- -- _. Contractor: � C l,J Vic�,J « �� �- ��,�. c, �� wl MN LICENSE #` ��JO � "� `f .� � Address: L(20� �53`2 �c �� ��`I T�I.# ��(o �5225 : LIVING AREA: GARAGE AREA DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length � � � Width Li � HgUGround �c� �Sq. Ft. ( � 2 Construction Type:��-�w�L`� ����-`� Estimated Cost: $�DICP� � GA� w�. l I.� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � ' 2 � ��APPLICANT: Tel. # �2 I ' /%�`j CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ l� Fee Schedule on Reverse Side Fire Surcharge $ ���D.2 .001 of Permit Valuation (1/10th%) State Surcharge $ � $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ S, Q� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agree��i�nt Necessary [] Not Necessary [] TOTAL $ /. S02 STIPULATIONS: �{ . BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any eJtisting building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3 .OS for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each addidonal $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) • Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ���,�,�. ,� la�iS�yN,� So i � � ��-- � r.�:�r � �s �%q�„� •cs ,vf �4�i►,�rv�z/is 3?. ,�s kS'��, E N G I N E E R I N G ������ - r�� b.�kv,K{�o� , ' , � 1 ,i `i. . ' SUr�xf 4�U�ti E�"'�"'"� ---- En9ineer ,� � Sur vecJors � . , cerrti�scafe o,� s�tve �'AZ �od � � �__.__ ._ �e _�.Bi%imq2 Consf: Y . /� �� BEt�NE C� RCL E EAS�' . � 0 � � � � n 7 � + - , - �. . . • , � . � . � ��LoT 12, B�octc I � . > �NNt1QUGK STN AOOITION � °�`�►v��"' w5 i�;� �r! ANOKA COU1yTY -�---- �`' G E f+l O 7' E 5 [� ti A; � i A f-r � A t�� L� ',.� � T 1_ t T Y E A �� F.t E: N'T S • � aF��+d�r6r� csrfi�'tf. �l'�at Ihis n a J►-r,� and cvrircf rr�.unfot�ari o�'a s�wrt� �"�lbr bev,den�r ���iir �6eNr o(��brd lar�d,ond �1�iC larv�i �'al9' daad�s ,lhrrar� , aadd� ►rs�Jdc hKf�aocbn�rnfs , �! o�xf. {,n„� 4r an.nad /w�! As' w�-►eycd (.tJ rn� fj+es�� _' ---- �Y ----.�._. A-O !9� . p � ' SUB URBAIV EN6/NEElZING , INC. ' � r.,,qY� � Er sy� •►rUo� s , . . , � � i:. c'S S .a , � � � ll �'� `}' . _ . • ' ------'�._� � A � , , �, ,a : _:. ..�:;�,..: � �'ONSTRUCTION CO�VIPANY INC � .�.�:: _ �.:....:�_...w�_. .� .._..:�_ A, ::....� .�:...y. :..�,_� ��.:. ��W.� . �._.:�:._ �: 4208 83`d AVENUE NORTH, BROOKLYN PARK, MN 55443 Phone(763)566-5225 Fax(763)566-7183 STATE OF MINNESOTA DEPARTMEN7 OF COMMERCE . 133 East 8eventh 3t- 9t Paul, MN 55101 (S51) 296-6319 BUILI)ING CONT1tf�,CTOR ID#Z0077950 BL7II�ER IlIDIVIDUAL PROPRLEf OR CARDINAL DAN�L. J F�cgires: 3l31l2001 DBA; NE'W HA�TEN CON�'R 4208 83RD AVE N BROOKLYN PARK MN 55443-0000 QP: DANIEL J CARDINAL c:n�-nnsaa 7 Hrs (;E duc hy 3/31/2001 STATE OF MN DEPT: OF COMMERCE. BDILD7NGCONTAACTOR �o�,.�°�..ESrq �4'v..;•ao,�. � ;.., ID#20077930 ��3';�� ��''•.�, . BUILDER �� � �,; ,�: INDI9IDUAL PROPRIETOR �., _� , :�� CARDINlaL DANIEL J ��i"s�.�,+,'��� .:: DBA:'NEW F�AVEN CONS'CR 42D8 83RD AVEN BROOKI.YN PARIC MI� S54A3-0000 QP: DA2iIEL 7 CARDINAL STATE OF MN dEPT. OF COMMERC�. 133 Eiec 5eirsrd.hSt. St. Pnil, MN 3.3101 (b31) i96�4319 DBA: NEW HA�fiN GONSTR Ezpinc 3f31f3001 7 HisCE dus by3f31/1001 �� WE SPECIALIZE IN SERVICE AND QUALITY _ µr_._ ,^,^,: '�/� ,���� ��1� --.- �� �� �h ��2 S�f �� ys y - �'Z , - �� ��s-� /1�a ,�S � �� ,� v� � �i°�°�'�� �tx,� � �v�rls_ �d�/ �!/ �b/ o�s ��y�,� �U ✓ JOHN , MARLENE STEICHEN `- %�j OU�� �` � ������ �� ���5 1616 BERNE CIR E I FRIDLEY, MN 554421 �� TING SP��L ST, i��V �• PORCH �_/!� S Z` / v� � � � 'v � 2-3/8"X 5" LAGS 16" O.C. & PROPER FLASHING I�. f �40 �(�S � JOIST 2X10-16" O.C. 2"/14" BELLED FOOTINGS 42". 43' 10 FLUSH (`7' OF HOUSE �-�cx� �bS a K ON ALL JOIST CEDAR `�Q ��94d l!�' NEW HAVEN CONSTRUCTION COMPANY, INC. 566-5225 'v � 0 0 CONSTRUCTION COMPANY 1NC 4208 83`d AVENUE NORTH, BROOKLYN PARK, MN 55443 Phone (763) 566-5225 Fax (763) 566-7183 ! � -- - - I � �. : ` � r � WE SPECIALIZE IN SERVICE AND QUALITY I� � w�I Av E iv EQP'tS'FIEUCTION COMPANY� INC. 'WE SPEGII�UZEIN $g$W��.��h7V' 3`X�� aK 5f1 HMIp�� �. X4. 3�`� ���r s��� e�• o.� xL- c� 4�4 aE�t�its �` X t�' ..�OtS.T k • x tZ- �ASU� � � '` @' �t . r�c. T ♦ , - CONSTRUCTION�COMPANY,.INC 4208 83`d AVENtTE NORTH, BROOKLYN PARIC, MN 55443 Phone (763)Sb6-5225 Fax (763)566-7183 ,� ,, : �,�..�'� � .�-��� ������,.. � ��.� � � � ��� �� ��,,�,�� � ���� .;� �4,�.�`-�"�`r-�-� ��-t`. , �;� �,,,� . - �� . ��� -� �,�, �� ��� � ���F�- sue�ecT P City of Fridley 3 i 9� 5 AT TME TOP OF TME TWINS g U I L D I N G P E R M I T r ' ` RECEIPT NO. � � � ` COMMUNITY OEVELOPWIENT OIV. ��� ��� q; ` � � �� % � � � PROTECTIVE INSPECTION SEC. � 4 � , � � �"'1 � CITY HALI FNIDLE� SS�32 NUMBER NEV O�TE vAGE Of AVVROVED B� �___.11.• ••, 612-571-3450 9t0-Ft5 �/9/�1 / / J08 ADDRESS 1616 Berne Circle NE � t LEGAL �OT NO. BIOCK TiiACT Op ADOITION SEE ATTACNED oesca. 12 1 Innsbruck 5th Addition SHEET 2 PfiOPERTY OWNEF MAII ADORES$ ZIP PMONE John/Marlene Steicher 1616 Berne Circle NE 763-571-5844 3 CONTRACTOR MAII ADORESS ZIP PHONE IICENSE NO Kitchens By Design 201 Silver Lake Rd, New Brighton, MN 55112 651-636-5266 � ARCHITECT OR DESIGNER MAI� ApORESS ZIP PNONE LICENSE NO 20006514 5 ENGINEER hAAll ADDRESS ZIP PNONE IICENSE NO 6 USE OF BUI�DING Residertial 7 CLASS OF WOFK O NEW ❑ AODITION C� ALTERATION ❑ REPAIR p MOVE O REMOVE B DESCRIBE WORK Kitchen alterations to remove soffits and widen doorway 9 CHANGEOFUSEFROM TO STIPUTATIONS See notations on plan. ���qRATE PE,� �� EQU�RE� !�'j/a�3 ���o F�R. �r���� ��, � n�G � $�G�:� TYPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTiiICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONS7RUCTION ZpNING SO. fT CU FT AUTHORIZEO IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PER100 OF 120 DAYS A7 ANV TIME AfTER WORK IS COMMENCED NO OWLG. UNITS OFFSTREET PARK�NG I MEAEBY CERTIFV THAT I HAVE READ ANO EXAMINEO THIS APPLICAiION 1 STA�LS GAfiAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT ALl PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WOFK WILL BE COMPLIED �SOO �. SO WITM WHETMEA SPECIFIED HEfiEIN Ofi NOT. THE GAANTING OF A pERMIT OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTHEF STATE OR LOCAI LAW REGUTATING CON• STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ��.3 . SO Fire SC �. SO P�AN CHECK FEE TpTA FEE Lice $S. $29.50 S�GNATUQE OF CON7PA(;TQF OQ AUTriORiIED OGEN1 �pATE� N ROP ALIOAT THIS IS VOUR PEqMIT —. �A "l "l Ol �• � S�Gaa7UAE O� O Ep��c rvEABU4DEfi� �D�TEi BL �ti5o � � r�t,tE NEW [ ] Effective 1/1/2001 ADDN [] , CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1 C� I(o a�-R- �� �-� ��� Legal Description: Owner Name & Address: JQ�cJ -� ev� �ZL°uv�.�- �[' �c,�}4,,,�. Tei. #'7 �3 - S� i- 5�-<} Contractor: ��rc�lt�vlS �Y 1��=,.,��Y� MN LICENSE# gG - Z6O� �Sl�- Address: ZOi �,; cWGa�_L�1-vs� R.,� (��.�,_; (3�(�dfio�v� �Tel. # �o� ( - �3(9 -5 Z (o� �51tZ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DESCRIPTION OF IMPROVEMENT Length Width Length Width DECK AREA: Length OTHER: Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � ��� o��.��y Construction Type: �--�v�� �� s�, j-�_ Estimated Cost: $ J��, � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 'l O APPLICANT: �ic��`CL�C �� P�¢ /�7G z �S�r`i Tel. #� 5 I-�3� - 538q G���. - 6jl—ZZ�,-7zIZ CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ a�3, ✓``b Fee Schedule on Reverse Side $ •Sv .001 of Permit Valuation (1/10th%) $ . S6 $.50/$1,000 Valuation $ �' $1150 per SAC Unit $ �"Q° $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 [ ] $ .s � BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to _$50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for iirst $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the iirst $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the %rst $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv . � i- � 101 �s � 4! 30 30 30 6�a � KM/Poplar/Walden Door — � Soffit Crown Molding � - .� 1 B8 BH B 3 BD27.3 B8.BH .9 �� � , � �J � J � �� � � ' Plate Rack _ ; W� ••• . Q ;3'� W ' 308 Dp � B30 30 �� 30 � 42 `� -}� ' , B p ' \'0 , p�/ �- B.Waste � . �t ; gP 3� ' i pS 30 j 15" Cutting Center .__.. gW �, 27 BU I�, 615I _-�:� :,;��,_ BFP, � w ,�' ,�, (2) Sink Tip-outs _ 30 160 101 SB 24 �� C L 78" _ 36 '' RS W BFP PS 30 � er pulls DIS 2� BU te rose over 24„ � � � � 33„ �23624� 28b q� B30 p 48 � 35b 30�6 35� 101 a6 Pocket door 25 37 �6 Spice Racks(2) in W3030 221 I� CL 82" 159� 3/4" Frig Panel/24"Deep Frig cab has 3" Ext Stile/CTF (2) Tray divs. Install Right Dwg no. steicfnl Scale : 1/4 "- �� Design : 04/07/01 All dimensions & size designations This is an original design and must Date . 06/11/01 given are subject to verification on Kitchens by not be released or copied unless Marlene 8 John Steichen 4 job site and adjustment to fit job Design applicable tee has been paid or job conditions order placed Designer New Brighton, MN Michelene Miner � v�"��� ' ; ;���.. �yt`O�� y � �:� St�te c�f Minnesota �..: . ;� pepartmAnt bf Commerce ��:; 85 -'7th Piace East, Suite 600 �u�,_` �,�'' St. Paul, MN'S5101-3165 Telephane; (651}'296»6319 or {$OQ),6.57-39 E-mail address: licensing.commerce@state Webslte address: commerce.state.mn.us Division f nn.us � Residential Buildin` Contractor License �egalName; BRYNGELSON.BEATRICE ausinessStructure; �eA: KITCHENS BY DESIGN INDIVIDUAL PROPRIETOR , Address; 201 SILVER LAKE RD ,: , , -;:.: , _ .; NEW BRIGHTON, MN 55112 Livense Identificcatipn (Vumber: BC.� 20D06514 Qualifying Person: BEATRIGE S BRYNGELSON ticer�se Expiration �ate: 3(3�/2002 Continuing Education: 7 Hrs �E duB by 3/31/200z ;. Minnesota Department of Commerce Licensing Division 85 - 7th Place East, Suite 600 St. Paul, MN 55101-3165 -..._ _. .. .. ._.. , �. __,.,.::��---�..._._-r . �:, � . .._,. • � __.----...__ _ _ _ _ . " y; ; � � '. �: ; "_ '1� _-�,�'- ,tr;� -;,: ._ . _. `; V.J, l}Jj��i�i. �« .,. �G"� t4�, P J I 1 - i: ,<��- `i -,� ,., "`� � � .. iF ,R :�• -r: � - , . ,. . _ _ ___ ----_._i: KITCHENS BY DESIGN 201 SILVER LAKE RD NEW BRIGHTON, MN 55112 ,u � � t••1 F= I�I�I��(,I����II���II►�I�{��fl����lI�I��I��I�II�I��I�I��I��I,I a C1TY OF FRIDLEY INSPECTfON DIViSION .� 6431 Ur�iversity Ave NE m fridley, MN 55432 APPLICATION FOR POWER RLANTS AND HEATING, COOl.ING, VENTILATION, m 763•572•3604 REFRIGERATIO[�i AN� AIR CONDITIBNIf�iG SYSTEMS AND DEVICES � o�, RArE SCFL�DULE � � Residential Furnace Shell and Dirct l�lark, Burner - AEso Replacement Furnace (Side Vent • Fill Out Back} Gas Piping (Needed with new furnace, but not re�lacement) Gas Range 0 � Gas Dryer �'�Air Candition�ng - All Sizes AIE Others/Repairs 8� Altera#ions (LIST ON BACK) 1% of Value of Appliance vr Work } A�ornmercial/Industrial � 1.25%Q of Value of Appliance or Work � � 0 r �- � Rate TOTAL $ 30.00 $ $ 10.t3Q $ $ i o.oa $ 10.00 $ 25.00 State Surcharge TOTAL FEE � 0 � � VIINIMUM FEE f4R ANY HEAT1f�iG/COflLINGlVEN7lLATION �EFRIGERATION/AIR CONDITtOPEING PERfYIIi la $2�.OU M �LUS THE $.54 S'FATE SURCHARGE � � �EINSPECTION FEE $47.00/Hr � m �'Air Conditioners can not be placed ir� a side yard without m Kritte� permission from acfjoining property owner, i � � � Efife�ti�e On Ja nua ry 1, 2001 JOB ADDRESS1� �n�LQ, �,�11 _ (.Qi�� OWNER �,�A �/ f ,�,��,A : L«/:'�� BUILDING USED AS f_ C i�l c.,e- i nQ 2 w� i` � ESTIMATED COST �s,�,�� v� PERMIT NO. �"y � D�SCRIPi'I�N OF FURNACE AND OR BURNER � No. of Heaiing Units Circle One (Steam) {Hot Water) {Warrrt Air) $ Trade �larne Size fVo. �p BTU HP EDR $�.� Fuel T�tal Connected Load $ $ $ .50 �� Burner Trade Name SEZe Na. BTI� _ HP EDR �he �ndersigned hereby rnakes application for a permit #or the work herein specified agreeing to da al� work in stricf accordance with the City Codes an rulings of #he B�ilding Division, and hereby declares that all the facts ancf representations stated in this application are true and correct. DATE � �_q �� Expert Sheet Metal, Inc. HEATI NG CO 30 West RAai� St, Rp �?,x gEl Bethel, MN 55005 Signed � TEL # � � U Approved By Rough-{n Date Final Date 7�J'G'� ACK SIDE MUST BE FILLED IN ON V ND C4MBUSTION AIR VER[F€CATION