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AF - 46963�`� 1 sueeecT PE O. City of Fridley �-16 6 4 7 AT THE TOP OF THE TW INS g U I L D i N G P E R M I T ' ' RECEIPT N , �, � 5�-� � COMMUNITY DEVELOPMENT DIV. � � a: ------� r � � PROTECTIVE INSPECTION SEC. ( _ \O ' �l� r���l � CITY HALL FRIDLEV 55432 NUMBER REV. .DATE PAGE OF APPROVED BY ` ����J ��I �•J 612-571-3450 9�0-F15 6/21/82 � � JOB ADDRESS 6187 Heather Circle N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 �iX�i Heather H11�.5 W@St SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Virgil Brenny 3 CONTRACTOR MAtL ADDRESS Z�P PHONE UCENSE NO. Brickner Builders Inc. 6249 Ben More Drive N.E. 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENG�NEER MAILADDRESS SEP��� Q�R��TS�IPREQUti��E ��� r,'���• 6 USE OF BU{LDING ��qT1�NG, PL l�sidential 7 CLASS OF WORK 6� NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct an approx. 42' x 42� Dwelling and an approx. 38' x 24' Garage 9 CHANGEQFUSEFROM TO STIPULATiONS provide a hard surface driveway. Provide City with copy of verifying survey hefore capping. Provide sod in the front and side yards. "Y" Elev: 908.48 Minimum Elev. Top of Footi:ng: 911.48 WATER SERVICE: 10' South of Sewer. Water & Sewer Laterals being put in by developer. ������� Park Fee of $1,OOQ.00 paid. ;�e ur�r of F+�at�rr eoFS r+ot Giu►w�,�� ��t� Befae digging cai! iac�} �tiiitt�s �� � �m �,,,f� ,� E�y�r�� . ,. TElEPHOIVE - ELECTRiC - GA5 EtC. �� �►s� � � ,��,� � oN�Y :.�,: : R�avrREO gY ���iv PEIIi�ONS USIMG w ip011W VI� iHE Ii�iFO�MAi10N t�N tf1E SttE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. �� Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 2831 +•�S2 OR WOfiK IS SUSPENDED OR ABANDONED FOR A PER�OD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION 1 S7ALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROViSfONS OF �AWS ypLUAT10N SURTRX AND ORDINANCES GOVERNiNG THIS TYPE OF WORK WILL BE COMPLfED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRAN7lNG OF A PERMIT S2OH r ZSO $I.O4.OS - DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE R LOCAL LAW REGULATING CON- $TRUCTIO THE PERFORMAN CONSTRU ON. $%ZS. rJO ` y�42S.00 `� y�_� PLAN CHECK FEE TOTAI FEE lFi L $178.88 $1,423.46 SIGNATUflEOFCONTiiACT UTHORIZE AGENT iDATEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � -� � _ (o e�-- ^-SiGNATUREOFOWNERiIfOWNERBUILDER� iDAkE� BLDG WSP 0!. ,� ¢,;�a,e�,,,_: .._ _ _ �',,� r',X - CITY 0% FRIOLCY Effective Auq. 1, 1981 APPLICII7I�J FOft RESIDLi�TIl1i_ BU1LDIiiG PLi2fiITS �t1�►�, Alterations, /lddiLions, or Repairs) �kJiiER: � � t31iILD�R•, -����a � , • �, ADDRESS: ` ADDRCSS: � z y��.�- i�� ��� TEL N0: -- TEL t20: J''�_ �j' ,� "�% �� g � Construction Location - ST1tI�T NO: STItEET: � IAT: �� � BLOtX: � ADDITION: � � Corner Lot: Insicie Lot: ✓ Setback: �-� Sideyards: �� � S� Ap�2icant attach to tliis form two Certificates of S1�rvey of lot and p=eposed building locatio�s drawn on certificates to scale. DESCRIPTIOid OF COFJSTP.UCTIO�� �Jj�.- Front: Depth: Heiqht: Square.Feet: � Qibic Feet: . �Ni�'� � Front: Depth: Height: Squar.e FePt: Z/ Wbic Teet: � - � °�`d � ��� � Rype of Cor,structian: "� 'Q5 �� Estimated Cost: $ i Rb Be d�r.�pleted: Prvposed Drivea�ay kiath If New Openinq Is Desired: Alt. A Alt. B $� S SEE REVER�E SIDE OF SHEET �S�e undersigned hereb}► mal:e� application for a permit fcr the �aork herein specified, agreeing to do ,all work ir� strict accordancc with the City af I'ridle}• Ordinances and ruling� of tlie Departmel�t. of BuilBings, and hereby declares that all tl�e facts and represenGations stated in this application are tr and correct. /� � �"' r'.�'��� �i D.ZTL: 6� J Z SIGNnTUFi�: �� � Stipulations: p�� ��� � s�e,� � ► �,S'o ���� 8� 1 v'�, �' ���.�� � ��8,�� P�. � � o�. �� �� � i�'�,�U � �J a� �. �� �� ' � ^ _ _ � � �__ ,� �= . �- - � _ _ _ _ __ _ _ _ __ _ � ��i-- ---�t ._ ��..�.�,J _ _ ���- _ __ _ _ _3�x_ay = �1"L , _ l,� t p_�' � Cfl Z I tod _ _._ � 2� 4 0� �8a _ _ __ ��.�� -- _---- - � -- - - - -- -- - 2, Y i 3 � ,._ Z G., _ _ _ _ __ _ - -- __ �__ ��' G _ . _ • ----- -� - - __ � g"���.bC11'�.. - - — , . ( � �t�b � _-- - i t� 0 _ __ _. _ _ _ 3v� 4�0= ��Z.oA _ o?�'X S�t,, 1',�12� � _ . - __ --- -- _ ►�u �2, � �-.,,,�..� _ _ _ _ _ - -��� � � �ss �. a �3 � �-oL. _ �. - _ _ -- - _ Co.,rs �' � - _ - _ ,� � �: - _ �+.�,c_ _ ?� _ ___ _ _ __ _ t =.-�..� � � . � �_ �___.� _ - - _ --- --- __ __ C��� �s�� ����� = ���o � _ _ t �g�1_ �'�i x 3�.?,� = iD���'2.,,� -�-� � _ _9-0�� �G- 3G_,� _ __ _ __���, �Ib,3� � i -- � _ � � 71 � _ � , � _ _ __ _ � �{_ �,o. �i3 _ _ __ _ �t7�� l G �, �� - _ _ _ --- ---- _ _ ,f _ � _ � � .. Y i ______. .. ,� __ � �. _ _ _ _ _� _ ���� t� �. � ��o tjY1. ____ __ _--__ 1 S'.SX �2� ig� . _ _ _ _ � , � �� 33, � Z � �, �OZ� s x � �. y� _ _ _ _ ��.� �� = ���s _. __ _ ! y �� = i$ _ _ � � �, �� o��, %J 1 L"�Lt'7� `� _ _ __ _ __ _ v? �aq � _ _ _ _ _ . _ =..:-. - _ _ __ _ _ _ 2� � l- _ , l- c�- o _ _ _ _ �% � _- _ 2� _ � _ �. � __ � � fr�.r„ x � p i�r ��- � k :.. � -,� �'�...-. : � �: �:--- . _ r -. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION e - T` r;. � OWNER �� '°" �� � �//C � C- f � ; � � � f1%�/' _ S ZTE A DDRESS �/� �� � �-f`� � j /���- �; � f ���, `c.,`.:.;r . � �� ��.��� �l '� '' ' � '' '�i r���.1 <'L � -- �' f t� -�,� c'� �`` FHONE `� / CONTRACTOR �'"f ,�. �" .�" �= t° /4 � C, . � DATE � Determine working,square footage of each. , 1. Total exposed wall� area ... 2. Total roof/ceiiing area . . . r . 3'�,b� Sq. ft. x • � _ ��"�•��- . �� � ,� sq. ft. x ' �`� _ �'�� � �� • Total exposed wall area above floor = - •`' `l� ��% a. Total wall window area .......................... � a� ' b. Tctal_ door area ................................ 1 2.�.. o� c. Total sliding glass door area ................... i3 3• � d. Total fireplace wa11 area..� ..................... e. Total �wall framing area (average 1096) . . . . . . . . .. . �✓ � • �`' f. Total net wall area above f Ioor ................ 1 3 SS• g. Total rim joist area ........................... , � Total exposed foundation area = � � h. Total foundation window area.. .. . . . . . . . � � "�� ...... ... i. Total net foundation area above grade........... - Determine "U" value of each wall segment. �i��e� �� �,,,�'�. { "'�� - � _ a • � iJ . a �`'��_ � X ��U„ � a % . b ��'� � � x u ' �� - fi�G' �"� . 11 p � _ . G. � �.� -�� X ..U�, . 3 � _ � � • ��� . . . a. x "U,� e. ��/. �L X ��U�� f . � �� �, f� � � X ,.U„ �� � g . �� X ��U �� h � � . � � X "U'► . j� ,. �. � �- � i -� � X "U " . � , � � _� �. -n . � 3 . , .� . i� �; _ • � �. � �. . fi� - � � • �� • � b = � •�� .��`� _� ��.�.� 3 ... ... ......Total = ���R � . .. ........ ........ . � _ � -:� � ; � '� �,. � � ,: . � �, _ .�.�. . .:... . ,:. , , - � _ ; _.. � - - — � � °`=��' ���. -� ;���- � _ _ �. _ �,,,�.v°°- � �.� -+�. .-. _�_� �� �� ;�:, k,� ..r .:_ .�;: , . �,,,.�,. - �< , _ - - � �: ��:. � p� ; � � ,. -�.-� • � a � ,,. , �2- �---, 3 If item #3 on previcaus page is the same as, or less than item #1, �� you have met the intent of SBC 6006(c)2. �*��-�'',�r,�: Total exposed roof/ceiling area = �� �' � + j. Total skylight area............1 ............. � � _ k. � �' � �` 1. Total net insulated roof/ceiling area. ....... � t a�" -: - Detennine "U" value far each roof/ceiling segment.. �� X uU rt �� a ���► w � • � k. �' � �` X ��U.. . t�` �= _ _��► � ��� 1. � 1 � �'� X . ��U n . � � _ � . ��. 4 ..................................Tota1 _ � � �• � � If total of #4 above is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. . A Iternate Buildinq EnveZope De�icm To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum af items #1 and #2. 1. 3. , +2. +4. t , . ,. _ - � - -.�.,:._,,... - - ..� _ � .___ .- � ____m_____ r� � ��� r: �.- .�� ��� _�.� - --=- � � -.� . :� . � � ��� .�'�.` _ � -� _ . � _ _ _ _ ;� - — _�:�. � ;�� �. ; - �.� •::.�-;�, .-�; , �N � , . ; �_-� ! ,.� �w'4 -� �r �' .H' " k 4 _ .- �+. � _ " : S^ ,� �i' y »W$e �� �� yr�' . $ *x.r �, t�� ro � � v �� o �,---` � .:� : . K +�i� : ,y�, � � "�a . ' . .. ' �L. '. �, ���.� �� � �' , � ,- � :-��� ,� ,��. 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C W ►+ w..�i�°n .�wo�o � � � ��+�i N�'1 ►1 �0 W RI H � a��''i cw":+ �o"� e� � .� o a�e ��� w p� o a a .+ .y+ h �UE � m�� � a J � a d� � �� � sa�o �' � �� abuett se� � � x ��8 '�Bjy1 'I�1i �`J 1 � i sausely � 't �o �F;smo�trii j $ su�sYg � u�a�� c� t4s� soojg � sse�g � � itiFBatMO3 [ � buF�'f3Q q�i e eeT�sy q:IIM g, � C ffi�iS o b � o �8� � � M �1L V�4B y �i � �� o � gj�=n � w s �eso�, � z � � Y q y �o �o � :a « sazaoas ..°; N � a °aq O � � U � � � � w � M � a � � a Z H a N � � i 0 � N � V �'' C '$ Z � �+ ri t'ii� E � M a � u � y � � � � � y z M Z N w � E � W a � a a � 0 0 0 .i � � H E H � aW M Q, �g U a� a cn �+ w � a�,' O� w� W N W W a E H a �a Q a v� g ° -� ao M " QO ' � o ". '— F H� f? tl� N N N N N tp tll �? t? V� f? N i - O O O O O O O p O O O O O w O IA �t1 O O O O O O O O O O Q- 1fl M r� tF It1 U1 1ff u"1 11'1 1� U1 � O kl °c .a 'a o+ � N t? N N N N N N N t? try N N M N � 4 W O s+ O � z° H � � E A = E � ��.+ � a w n � W o� a � m o 0 M U N � v a a ►� H W +�+ E+ ."'�+ p"�, a�+ $ E� � � w rn a aW4 .•�, - i m R it M W � a o Z N e a p a b+ a�+ O w a a ►� d,a o.r .� a e �. o a o+�+ ea a a e`� >° o+ m° � d n x w k a e� a,� w o a a a ° ��,, �-� •+ a w o n a a� M n s, .., � ++ a a a w a�+ .+ w d o� � v� o I z � o a a o 1° s� o E a a s�+ w� �q a s+ o .c e ►+ s a a x w � � a�+ 4f o o aU+ .Ci O � a�+ �+ m ao ° c �I �.-1 O r1 �0 �0 � J �t O i0 4 �• 6 ,a � w o a� m v a m m s x c� � a.� a a a a � G��� �� ����� � BA31 U�1lYEASItY AYENUE N.�., FRipC.�Y. M!lNNESOTA 55433 T+�i,EPMCltdE � 51"s�5: `-345+3 November 29, 1982 Mr. T�a Brickner Brickner Builders Inc. 6249 Ben More Drive N.E. Fridley, MN 55432 Re: Final Inspec tion at,6187 Hea ther Circle N.E, Dear rir. Brickner: A final inspection was made on November 22, 1982 of the above noted address and the following items were noted which must be eompleted before the structure can be finaled out; 1. Install joist hangers on deck joist. 2, Post address on s tructure. We will expect these. it�ms to be canpleted as soon as possible and a reinspection called for to note ccmpliance. If you have any questions on these it�ns, please feel free to contact me at 571-3450, Sincerely, pARREL G. CLARK Ghief Building Official DGC/� � _ C� 1 I �F FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UN[VERSITY AVE. N.E. FR[DLEY, MN 55432 •(6121571-3450 • FAX (bl2) 571-1287 June 14, 1995 V'ugil Brenny 6187 Heather Circle Fridley, MN 55432 Dear Mr. Brenny: It was a pleasure to meet you on Monday, June 12, 1995, and to review your landscaping. This letter will serve to recap the items we discussed at our meeting. . For the area to the rear of your property, I suggested that you consider a change in plant materials from the existing 7unipers to any number of the following plant materials: Fleece Flower, Periwinkle, Ajuga, Native Daisies or native plant materials such as Columbine, Lead Plant, Purple Cone Flower, etc. I have included a list of ground covers for rough sites for your review. As you can see, the pamphlet was developed by the University of 1V�innesota's Agricultural Eutension Service. You will note that there are a number of plant: materials wluch would be salt tolerant, however, I do recommend planting sod in the first 18" adjacent to the curb. 2. We discussed selectively replacing a number of existing evergreens at the intersection of your driveway and Heather Circle with either Azaeleas or , Rhododendrons. Both plant materials are tolerant of acidic soils, and shauld do very well in that location. They will provide a variety of colors during the growing season as they flower during the last weeks of May and the beginning of June prior to leafing out. 3. I also suggested collecting a variety of soil samples from your property, and submitting them to the University's soil testing service on the University of Minnesota St. Paul campus. I believe that they do testing for a minimal fee. Specifically, the soil should be tested for its pH level, as evergreen plant materials prefer slightly acidic soils. If necessary, a soil conditioner to lower the soil pH should be applied to improve the growing environment for the evergreens. sus�ECT PERM City of Fridley �`� AT TNE �OP OF TME TWINS g � I L D I N� P E R M I T 2 8 9 2 5 i• � � � `L _ _ COMMUNITY OEVELOPMENT DIV. ��� r � � � PROTEC7IVE INSPEC710N SEC. � i �"'1 � CITY MALL fR10LEY SS�32 NuM6ER AEV DAiE v�GE Oi +►MqOVEO Br 1'._'_�: �.' 612-571-3450 9t0-Ft5 2118/99 / / JOB AODRESS 6187 Heather Circle NE . t LEGA� LO7 N0. BLOCK 1RACT OR ADDITION SEE ATTACNED oescR. 6 1 Heather Hills West SMEET 2 PiiOPERTY OWNEq MAIL ADDfiESS ZIP PHONE Virgil Brenny 6187 Heather Circle NE 574-1234 3 CONTqACTOR MAIL AODRESS ZIP PHONE LICENSE NO Gopher Co 445 Malcolm Ave SE, Mpls., MN 55414 (612) 331-1555 a ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 8617 5 ENGINEER MAIL ADOfiESS ZIP PHONE LICENSE NO 6 USE OF BUILDtNG Residential 7 CIASS Of WORK ❑ NEW O ADOITION O ALTERATION �I REPAIR � MOVE O REMOYE 8 OESCRIBE WOfiK Reroof House & Gara e(50 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATtONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARA7E P�RMITS ARE REQUIREO FOR EIECTRICA�, P�UMBING, MEATING. VEN71lATING OR AIR CONDITIONING THIS QERMIT 9ECOMES NULL ANO VOID IF WORK OR CONSTRUCTtON 20NING SO. FT CU FT AUTHORIZEO IS NOT COMMENCED WITMIN 60 DAYS, Ofi IF CONSTpUCT10N OR WORK IS SUSPENOED OR ABANDONEO FOFi A PER100 Of 1T0 pAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UN17S OfFSTREE7 PARKING I HEREBY CERTIFY 7MAT I MAVE REAO ANO EXAMINEO TMIS APP�ICATION 1 STAIIS GAiiAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. A�L PROVISIONS Of �AWS yA�UATION SURTAX WI M WRMENMER SPECIf EO EREIN'Ofi NOTOfME GRANi1NG Of AOPERM T 'P4 � 28S �2 . 14 DOES NOT PRESUME TO GIYE AUTMOAITY TO VIOIAT� Oi1 CANCEL TME pEqM17 fEE SAC CHARGE ViiOV1510NS OF ANY OTMER STA7E Op LOCAL LAW i:EGULATING CON- STR TION OR TME PERfOp�p�p-111f�f�f-�����-�����-111NCE Of CONSTRUCTION �9g.75 Fire SC ��F.28 �� PtAN CMEGK PEE TpTa� cEE -��'� License SC $5.00 $111.17 $�GN�TUpE OF CON'iiA(;TOp OA AUTHOAiZED �GEN1 iO�rE� WMEN PpOO � VALIOATED TH�S IS VOUR PERM�T , � 1� S�GN4TUFE O� OWNEQi�f OWNEpBU�IOEp� �D�►E� OG �h5� ���t � �+ _ ✓' , NEW ADDN ALTER [l �] �� ConstructionAddress: � I.egal Description: � Owner Name & Address: Contractor: Address: �t'yC'7 �'i� LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: CITY OF FRIDLEY SINGLE FAMILY AND DUP'LEXE.S R-1 AND R-2 BUILDING PERMIT APPLICATION t �fl �' ��M�a� �t��-� � r l.. � f Effective lll/97 n � V1� 1� '� G� � �� ;F.�1-y`� �Q� D � %����- GI�� Tel. # ��- � � � MN LICENSE # � �p I � S. �� I`Ml� � ���`c Tel. # �Q�7i'�j3 �• �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'I'ION OF Il1�IPROVEMENT �ng� Width Height Length Width Height �nb� ____,__� Width� Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � v� , �,Q � Construction Type�K;1��F-� �,1u5G ; � F��ated Cost: $ '"}� D�� ,� (Fee Schedule on Back) Driveway C�,irb Cut Width Needed: Ft. + 6 Ft = Ft;x $ —$ DATE: � " � � `� � d A,PPLICANT• OOV Y� W�� Tel. # • �� � l �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPUL��"I'IONS: CITY USE ONLY $ .!� Fee Schedule on Reverse Side $ , �j .001 of Permit Valuation (1/lOth%) $ � $.50/$1,000 Valuation $ $950 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 [ ] -� Il. .��. . � � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CON5TRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 618? HEATHER CIR NE : 133024430079 : HEATHER HILLS WEST : LOT 6 BLOCK 1 : HEATING : RESIDENTIAL : ADDITION/ALTERATION �,�..,..._ --. , 1 ,_� PERMIT O.: 200401972 �__._..._...__.______� DATE ISSUED: 10/25/2004 ;` VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL GAS PIPING FOR FIREPLACE. # A/C iJNITS 0 VALUE OF APPL OR WORK 200 #FURNACES # GAS RANGES APPLICANT PRACTICAL SY5TEMS 4342B SHADY OAK RD HOPKINS, MN 55343 OWNER BRENNY VIRGIL L & BOIVITA 6187 HEATI�R CIR NE FRIDLEY, MN 55432 0 # GAS DRYERS 0 VALUE (FOR NIINIMUM CALC) AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances governing this type of worli will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions f any oth state or local law regulating construction or the erforman of construcrion. Applicant Date � Bldg SEPARATE PERMITS HEATING PERMIT 1��IINIMUM FEE FURNACE SHELUDUCT WORK GAS RANGE FEE GAS DRYER FEE AIIt CONDITIONII�IG FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WIT'H CHECK # 1882 WORK OTHER THAN DESCRIBED ABOVE. 0 0 15.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50 � 0 0 N � a� > U � w �� � Z � '� J __ . � W W `� � U � Q ;, - Z � `. �_Z,, _ O 'a � v U � ., Z W , EQ" �i '� LLi � : = C� j Oo � ._ C Z. Q-Z.`-''�' � 0 � � ~ ~ � �. z o o ; Z o . � �� �o ¢ � � a. m • p�, V ° o m W '� 3 Q : '. O � a Z _,: � Q -:_ _ OZ� ,.� - ti p,; . O Q.. _ - � � � � Q� • W ._ 1 � .. .. • � � .� r1 � . ,,,� � � • � 7 �/, .. �j ,`� � � � � a � � O � Z � N � 3 N w o � = co J � � c6 � � U v C C � a U o � _ � � � � U � � C � �� „Z _ �, '� �° � m °�m� � � J`� : _g: 8, 8 S o `,� m o 0 0 � a � a w �, �, � � �, a � ;_ Z :;�,�� : _ � U • L1J a z � ti Z 00 0 � � �. m cMp , � � ti W Z � ',: J � _ �- - 0 a "" m . �'� � �. LL j Z M p 'c � cr �� ti, .. � a� ;�:. � . 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Q C C u Y o > '' 3 � � _ � � � � a � o � � v � � � u L tip � � a� a�i � � a N v- + � O Q ��°�� _�� ��� ���� .c a c c F- m m m � � 0 � � N Y c \ fV0 f6 m •... �� O 7 N C � � Y � O � 3 °' o � c V ca �O Q � O M � � � � � W o � � eR�. � N C �� � 1� � (/� 'a � �° 0 +-���M �` Y M � �� u � z � Q���� Va� ccm m . a, � m M O tn YD �20� �� vl \,� � � � 00 c� � W � � � � J � Q � O �� . � �� � � � 0 2 0 O O � � W w � z O U w a � Z W � a� 0 (0 C � s�-� f0 0 � m 3 O � � � a a '¢ w ,Q z � � � F- ; w o � w: a g � � W .� . � . F,, Z ' o � � � �3 � � Q � U � � � � N U ;C � >. Y � o . U f0 V � a � cr1 � � � 0 oj= � C � 0 U Q i/� � a U 0o Q � c m ^ 'c o � _ V , m,.,. O � � � � . .' J � ,� LL r'+� �i �.C3i��c� � i vr"� ticr'�.Eai.� � �`a i�i,. �i�r�€�i� �r'�'�� r'���' � GQAlt�lt�t 1lE�'#'.1/��tT Ct3N[+�EC'FC3R Ail#� C4�MlBt�Tifl� AiR 11��t1Ftf:ATit3A� v'�ri�ii �:�s �u'i �t's�`i f,'E�i�a:a, #�`'�c 'sa�i2.�►'�2 s, 1:� �n,c� s� w� 1teFt�llil � �Kl @X�ililtl� �iC� � ff6e �1"O€11 Tii$t. f�t3t�Ti. �a'�ti.t�ttOFiS, atxi is �s,tr�ly �aOrted 8t�d t�ta�d a+�here rec}t�ed. Y� �� �Q (� 3'� ;r�z;� �y��r � �.�1�'� a,� rrt� �" �� ..^�� �rx.+ m�;,.�f�� � specific,a#ia�s indudi� �, #e�t�rtl'►, rwmber c�f � a�t tarm�s►a#ion. Yes {) Na �) l�e ur�er�igr�ed atso ver�i�s t�i me n:pfaoem� e� is �� a�emi�y � :� � t�.'ii � � «€�: #.3�^•tlf�rt'...,l.r�'� cr�ri�e�atinnc, i't};ie r�g r— InctUd@ AGA-�AM� �#e�Dty i Cer�'ai Flsc"nace V� Taitfi�s �C�' fa� as�#ed �d �ai+� draft �nces. ,T,� �7c�i.''� �-��'.`.��!�; ��N � � �,.�n,,,.ri u,� tn rn�t t� rl,rr�-�i �S and mantiiacF�e�'s �i+ons. W#ten t�8qt�eti fio �t�t�ii a tt�w �s�sx: �. ii wiri i3e� sizev �� s� :i:°A � �.,.�.'T� r��e �ra�i e*!�n'..lf3r�i're�!'� -�[`��-g- Y�s { } Nv { ) Y� ( ) NQ ( } Ye� ( 1 No { } �Ilt►en t�1it� a�ev�t Yentinst s3►s�em. �he t�ersigned i�efeby v�erfies th�t 1t 1S a lt8t� 8�tii� �i ft'i6EiS i�ie � i.v ��.� �i'�u iirriiii3`'�.s'''iii"'w a ��,�,�-, ,.,.�„�+.�v. ��c inrs� ,4�A�'�At�Bt� �a�eaav i Cerfi�i Fum��e Vec�ting Tables ��t �ss�ted attd reatt.�rat �it �ia�, Yes f j �io 4) "ts the common r+�t� � v� c��� s� ae� �� �-� � �: �t� 4� h�� r?�� fr� t� cnmmon rrent and ven%ci separaieiy a� �r ceut�t r�. Yes () No {} s�i�u'i� �?� ai`a'� c:.�••u+ �+ �� �e'd 11°nt �-w:'.!':�e-i-.:�r infn�rr'-�'� �7iiJGSVSSS�'�s' s �+r w �v�.� '- Apptiat� �1 Type �d B3U t Fan Ass+sted or Nat A�p� � Ty�e � � {+� r;�n � c�r �iai �u"',ues �, : n-r� t�,,.�,.,t F�n Q�,qi�tt� nc id� Yi�`S L: V zts��ss J1�� Tc� 1�an�an�s Tai� 8tu i�ut Comm� ileni Type � �g� �- �,��' At�'iance #1 Ve►�t Cannectar Heighi ft Le�gih ft[]iameter in Typs A�iiar�ce #2 Va�i ��^�edar 1-�eight _,__ #� Length ft Otameter ir� �'ype �i�13L� � V� COl'1T1Et�Ot' �i1i f[ L�iii ii i'~J1"d-i�t�tCl 'Hi i ii� i4�.'�����`' �d�iGlt�� � _ � � i . n �-�+►Tiiv�; s�� �r: `: + �. •- // _ ..�% 158092 �V' INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 `� �/ DATE C / � If no corrections are listed above, � violation of the ordinance if you do corrections as called for. REPORT REPORT �val is hereby given to proceeds. You will be in call for the proper inspections and make