AF - 47695CJ
City of Fridley, Minn.
BUII,DING PERMIT
Date: ..�0.. �. � ..J�............
Ownez' .......................................
Address......................................
•
N° 3494
Builder . �. . . . . . ��, ,'f!.�,LX� .. . . . . . . . . . . .
Address....� ..............................
LO�CATIO�N OF BUILDING
No. . � y�. . . s�t . . � . . . . . . . . . . . . . . . . � . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . .
Lot . .�Q . . . . . . B2ock . . . . �. . . . . . . . . . . . Addition or Sub-Division .IGl. . . . . . . . . � . .
Corner Lot . . . . . . . . . . . . Inside Lot . �. . . . . . . . . Setback ��. SQ. . �. Sideyard . /. . Q . �. .Q y . . . . . . . . . . . .
DESCR[PTION OF BUILDING
To be Used as:
�` / a � �
,t� . . . Front ���'! tDepth .~"�..' .5.�.!� Height ! .�� �c Sq. Ft. �W.� G�Z. Fk .A�. .�o ��
............. .. ..... Front ........ Depth .. Height .... ... Sq. Ft. ... ..... C�. F't. .......
Type of Construction . . . . . . . . . . . . . . . . . . . �st. � . .� :� . . . To be Completed . . . . . . . . . . . . . . . . . . .
,�
In consideration of L1ie issuance to me oi a permit to
the prnposed work in accordance with the descrlption ab�
ortlinances of the city of Fridley.
desribed above, I agree to do
�mpliance with all provisi�s o!
...............................
In consideratiom of the payment of a fee of $. `!. .� ., permit is hereby granted to ..... .. .. .... .
. .. .. . . .. .. .. .. . . . .. . . .. . to construct the building or addition as described above. This permit is granted upon
the express condition that the person to wh�n it is gisnted and his agents, employees and worlunen, 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 regaxding location, construction, alteration, maintenance, repair and moving of buffdings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions oE said
ordinances. l
•��j� � � � •/• •v�%a •Y • • • • • • . �g. Brl]��Ilg Z21Sj)QCtOT
NOTICE:
This permit does not cover the construction, inatallation or alteration fo� wi�inp, plumbinp, gas heatinp,
sewer or water. Be sure to aee the Buildinp Inspector ter~�eparate permits for these items.
,.
•
•
•
City of Fridley, Minn.
BUILDING PERMIT
Date: _._..._._._S?Btember 12 , 1966
�r. _� 8onald Pearson �� B��r �` Same
741 Kennaston Drive
Address..___�.._._..__..._____.__........._.._..._..._...._._..___._....___�__. Address _..._..__._____._._---
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�()1�
LOCATION OF BUILDING
No. ..__..I.�.L_.__ St�reet ...._..�tinas�x3....I?�.7L3i.�__._.._.._.....•_•---•-•--....._..._.---... Part of Lot �._._.._.. .
Lot ___...._..10........_._ Block _. 1_..___.._._.._....._._. Addition or Sub-Division ..._._.._� Brookview 1�ersace
Corner Lot .__._.._.v:..__ Inside Lot _---• X •----------_.. Setback ..__._._8 ~ _.__ Sideyard --•- � •
Sewer Elevatiari
Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
,�..._.Double Garage�t _ 22' �p� _?� * Height ._1�.� .__ sq. b-t, 528 _ � � 528�
_�_.______.�..._._._.__ Front ._._.. Depth _.�_�.� Height __.._.._.___ Sq. Ft. --- Cu. FL
Frame $1;,�.�0
Type of Construction _._._.._..._...�._.._.__..._._.. F�s� Cost _.._..._...._.....__.____.._.----....._ To be�Pleted .._._...
In consideration of the issuance to me of a permit to cons the building descrfibed aba�ve, I agree to do
the prop�ed work in accordance with the description above rth and in pliance with all proroisions o!
ordinances of the city of Fridley.
� �?Q(/1G�'C_/
In cansideration of the payment of a fee of �.�6.00 �� ���t � hereby graated to� ��nald
Pearson .
_�_.,...._.__.._.._._......._...._.._. to construct the building or addition as described above. This permit is granted upoa�
the express condition that the person to whom it fs granted and his agents, employees and workmen, in all wark
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea o�
Fridley, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of buil�
withixi the city limits and this permit 1�►ay be revoked at ar�y time upon violation of aay of the provisions of sa�d
ordinancea
� L7+�8�+IS�E BSLISLS BuildinBInsPecto�
NOTICE:
ih& p�rmit doa no1 eowr th� eons�rueNon, inshllNien fer' wir�y. Plumbins. Ya h�aNe�, aM►�e or wNrr. d� a� h s»
fh� BuiWina lasp�cro� for s�parah p�nnils for fh�a I►�as.
w ....�►
APPT.ICATIQN FOR BViLDING PERMIT
' CITY OF FRID�LEY., MINNSSOTA �
OWNER' S NAML �N ,c, � ��1 � BUILDLR , ,v �9--�p �� _ . ,
, I A- �
. . ..
ADDRE S S '�/�� �r �1,?�� �JrJ �7 ADDRE5 S
LOCATION OF BIIILDII� - .
N0.- %�i� STREET !f �/U fb�''7'O �1 ��, PART pF LDT ��C.t�� :�l lf� i�.�
LOT %O BLOCK_� ADDITION OR SUBDIVISION �Ro o K V/�u> /�j2 fz N9C �
CORNER LOT INSIDE LO't ,X SBTSACK �/ SIDE-YARD 6 . ��
SEWER ELEVATION �'OONDATI�J ELEDATIOP , - .
Applicant attach to this form Two Certificates of Survey of Lot and propos:ed` �
building location drawn on these Certificates. - ��;�
DBSC1tIP�ION OF BUILDIPG
�b
� . � � . ..\4�,� ti�
To be used as:
r
�'U u�3� � �'% �� 6Gr Front ,�a D�pth �y Height_ l d
Sq.�Ft. So2� Cu. Ft. �- d...
Fron� • • . Dept �_,Aeight .
Sq. Ft. Cu. Ft.
Type of ConsCruction l,voo � �iQrrrx � Estimated Coet �`S-v0 �
, _...�_ - .
To be completed �
The undersigned hereby makes application f'or a permit for the`work herein
specified, agreeing to do al1 work in strict accordance with the City of
Fridley Ordinances and rulings of the Departmeat of Buildings, and hereby �;
declares that all the facts and representations sCated in this appXication �
are true and correct.,
DATE .%l, � ._ �v � SIGNATITRE C :
(Schedule of Fee Costs can be found on the Reverse Side).
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M. : •
sue�ecr PERMIT NO.
City of Fridley o 0�,
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
r
� � CEIPT NO.
� ; L _ COMMUiVITY DEVELOPMENT DIV. �
r � • � PROTECTIVE INSPECTION SEC. 7
1 �
i
�� � /"'1 � CITY HALL FRIDLEY 55432 NUMBER �REV. DATE PAGE Of - APPqOVED BY
""� � ,�� 612-560-3450
910-F15 5/26/77 / /
JOB ADDRESS 741 IGennaston Drive N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �-� 1 Brookview Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP ' PHONE
Ronald Pearson 741 Kennaston Drive N.E.
3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW G� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
�iI� Construct a 18' x 20' Addition to Dwelling
9 CHANGE QF USE FROM O
��J�T�I�iCs. PLlll��lNG ANQ Si�NS.
STIPULATIONS provide �" diameter anchor bolts 6' on center. Provide 18" minimimn
crawl space and ventilation to crawl spa.ce. Insulate floor joists in new
addition. Increase center bea.ring heam dimension to 6" x].�" minimum.�
<
Firewall of 5/8" sheetrock (Type X) and solid door with closer to be
installed.
����
��fOf! d��ft� Cai) �OGB� �eS
TEEEPNOn� - �IECi'RiC - c�S Etc.
R�Q�!lF:;i� 8Y LAW
SEPARATE PERMITS ARE REQUIRED FOA ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC� FZ'd�R@
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 WOfiK IS SUSPENDED OR ABANDONED FOR A PERIOD QF 12U OAYS� AT R-1 36O 3600
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAiWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ 13Fj 4.O%
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 1HE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �.$.00 ZZ.O%
PLAN CHECK FEE TOTAL FEE
�IGNATUREOFCONiRA�C�T O ORIZEDAGENT iDnTE� � � HEN PR�O, ERLY VALIDATED THIS IS YOUFi PERMIT
..��' a�. �,�c.h.�,✓' 3� �- 7 7 o N �, ( dt.e,.� �'' a�-�7 �
SiGNATUREOFOWNERIIFOWNERBU�LDER1 IDATEI BLDG INSP nATE
CITY OT FkIULEY �
RPPLTCATIO� FOR R�SIDE�TIAL BUILDING PERMITS
�NE�', A�TCRATIONS, ADDITIONS, OR REPAIRS)
OinI�1ER: �%� �� � �UILDER: �
Address : t,�u�i�/ polfc/ . Address :
Tel. No. :.5�/ — 7�� �
No.: ��� Street:
�
LOT: 1C! BIACK: � 1�DDITION:
CORNER LOT: INSIDE LOT: �_ SLTBACK: SIDEYARD5:
Applicant attach to this form �fiao Cer�ificates o£ Survey of Lot and proposed
building location drawn on these Certilficates. �
DESCRIPTION,OF BUILDING
To Be Used As:
� � � � , .. �
Front: 'lS Depth: ad ' Height: �b
Square Feet: �+� Cubic Feet: �.�p�
Front: Depth: � Height:
Square Feet: Cubic Feet:
�
�
Type of Gonstruction: ��, Es�timated Cost: $�
6 °—b
To Be Completed: ' �.% �'3
Alt. A Alt. B
Proposed Driveway Width If New Opening', Is Desired $ $
• (SEE REVERSE SIDE QF SHEET)
The undersigned hereby makes applicatibn for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and repres�ntations stated in this application
are true and correct. See reverse sidie or additional information.
DATE: � or2�- % � SIGNATURE: ��
Stipulations: �'> �� �� � 7� a s�?� �T�'rE �x s- ^�"
� .alas� t� e r� C;Qe�- �G. L�a- _
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Final lnspect�ons ot au trades
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CITY OF FRIDLEY IIJSP�CTInN DIV,
6431 University Ave NC
Fridley, MN 55432
572-3604
RATE SCHE(�ULE:
�4PPLICATION F17F1 �OWEFi PLANTS, AND Ht:A'TI��G, COO�I�JG, VEN't'ILAI't��N,
REFRIG�RATION AND AIR CC)NDITION!NC S`(S'fEk�15 ANfl UEVICES
JOB ADDFIES� %��i���!%r°=i � �
Residentlal
Furnace Shell and Duct VJork, Burner -
Also ReplacemEnt Furnace
(Slde Vent - FIII Out BacF;)
C�as Piping (Need�d with new turn�+ce)
Gas Range
Gas Dryer
*Air Conditionin� - All Size�
, __
Ail Others/Repairs & Alterations (LIST 01� BACK)
1% ot Value oi Applianc� or Work
Commorcial/industrial
1,25% of Value of Appliance or Work
Rate TOTAL
$ J0,00
$ ti o,00
$ 10,00
$ 10,00
$
$` .
$
$�
� 25,00 _ �_- --- ' 1
State Surcharg�
TOTALFEE
Effective On March 1, 1996
The undersic�n�d hereby makes applic�tion for a pErmit for th� work herein
� spacified agr3�in� t� do all work In strict accordance with the City Codes and
rulinc�s of th�e Buliding Division, Fincl hdreby cleclares that all the facts and
• rapressntations stat�d in this �pplieation are true and correct,
UWNE
7� •••
7Y - �YSt
/
EIUILf�I�JG UaED A5 ��
ESTIMATED CdST ���d �-PERMIT NO,� ,�L ��
1��SCFiIPTION �OF FUFiNA�^�F ANL� OFl BURNER
$ � � No, of Fieat•ing Units Circle On� (Stoam) (Hnt Water) (Warm Air)
, ?rad� Name Size No.
, ESTU__ � HP EQR
$ Fuel Total Cnnnected l.oad
�, ,�0
�����
HC'A71�1G CCIMPAN iUP.- ,�J.� ,g-.. � �
..y�/ ��
SignEd By _ Tel No. �5� y�`„�'s/
� Appruv�d �y Nouc�h-In Date Final Date
FILL OUT EiACK SIDE ON STACK VERIFICATION ON
R�PLACEMENT FUF?NACE
M(NIMUt�v FEE FOR AN�' WEl�T(IVG/Cn�I.I�JGLV�NI'ILATI(�N
REFRIGERA710N/AIR CONDITIONIIVG PEFtMl7 I:i 25.00
PLUS THE $,50 STATE SURCHARGE
REINSPECTION FEE �42.00/Hr
•A,ir Conditioners can not be placed in a side yard withc,ut
�vritten permission irom adjoining property owner,
:�.:=�-s�.�.....s�� �—
Burner'frade (Vame Size No,
. B7U _ HF' EnR' ,
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully exatnined Yes O No O
2. Is free from rust or deterioration Yes O No O
3. Has no foreign objects lodged within Yes O No O
4• Is secureiy supported Yes O No O
5• Meets all current Code requirements for size
and total BTU's connected Yes O No O
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's �
7• Has a liner been provided for water heater ITes () No ()
8. Has combustion air been provided for water heater � Yes () No (�) .
Remarks: —�� j
� i� � � �
List ALTERATIONS Bein Done•
HEATING CO:
Signed By:
Date:
f� �-�5�=- y'-�'
�T�-r
sue�¢cr P .
City of Fridley 2 9 2 3 3
AT THE TOP OF THE TWINS g� l L D I N G P E R M I T
r
� �
� �
� ; y _���� COMMUNITV OEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. Q�� 7D
� � �"'1 � CITY NAIL FRIOIE� 55�32 NUMBEN pEV O�TE PAGE OF �VVnOVEO Br
�----�: �.' 612-571-3450 910-kif� 6/ 9 4/ 16 / 99 / /
108 ADDRESS �41 Kennaston Drive NE '
t LEGA� �OT NO. 9LOCK tRACT OR ADOITIdN SEE ATTACNEO
�ESCR. jO 1 Brookvie Terrace SNEET
2 PROPEfiTY OWNER MAIL ApOR�S$ Z�P PMONE
Randy Ludke 741 Kennaston Drive NE 574-1451
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE Np
Quality Contractin 11380 West River R Cham lin MN 55316 427-7733 7035
4 ARCHITECT OR DESIGNER MAIt AOORESS ZIP PHONE LICENSE NO.
S ENGINEER MAII AOORESS tIP PMONE IICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK '
O NEW O ADDITION O NLTERATION Q REPAIR O MOVE O REMOVE
%
8 DESCR19E WORK
Reroof House & Garage (26 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply wittu the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:OOI pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TvPEOfCONST. OCCUPANCVGROUP OCCUPANCrLOAD
SEPARATE PERMITS ARE RE�UIRED fOR ELECTRICAL. PLUMBING, MEATIN('i,
VENTILATING OF AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOIO IF WORK Oii CONSTRUCTIdN ZONING SO. iT CU FT.
AUTHOAl2E0 IS NOT COMMENCED YyITNIN 60 OAYS, OR IF CONS7qUCTIdN
OR WORK IS SUSPENOED Oii A9ANOONEO fOp A PER100 OF 120 OAYS /li
ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTpEET PARKING
1 HEREBY CERTIFY TMAT f HAVE REAO ANO EXAMINEO �MIS APP�ICA710N 1 STA�LS GARAGES
AND KNOW THE SAME TO BE THUE ANO CORRECT. ALL PROVISIONS OF LAWIS VALUATION SURTAX
AND OROINANCES GOVERNING TMIS TYPE Of WpiiK WILL dE GOMPUEp
WITN WMETMER SPECIFIED HEiiE�N Oii NOT. THE GRANTING OF A PERMIR �2s228 �1.11
DOES NOT PRESUME TO GIVE AUTMOAITV TO VIOIATE OR CANCEL THIE pEqMIT FEE SAC CMARGE
PROVISIONS OF ANV OTMER STATE OR LOCA� lAW REGUUTING CON- $7G.75 Fire S �Z..Z3
STRUCTION OR THE P RF RMANCE OF ONST1aUCTION
/I . PLAN CMECK FEE TOTAL F
�s��� �� Q License $5.00 3.09
S�GN�TUpEOFCON•FACTOAOQAUTHOQ�ZED�GENT �O�rf� � EN ROP l AUDAT D iS IS VOU PERMiT
�� �
i S�GNn7�AE OF OWtiEA,�t OWNEA BU0.DEA� �O�TE� �. ... g� �qSo � � qarE
NEW [ ]
ADDN [ ]
AI.Z'Eit [ l
.._ �i . �.'.'*. `. . . �
ConstructionAddress:
Legal Description: ______
Owner Name & Address: �
Contractor• � �-- � � �
Address: 3 ��
, ;�;
CITY OF FRIDLEY
SINGLE FAMILY AND DUI'LEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
• ?
�� �.c v< � S'�� 1�-- _
�-- �
L o�-��a
� � < ,� �c v�
Effective 1/1/99
��
1Ua ��0
U~ �
(« Tel. # � � �% " � �{ S� �
� MN LICENSE # 7 d � �
� ��33
� Tel. # `.� Z� �.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
� `� �' ` � ' DESCRIPTION OF IMPROVEMENT ,
��ng� Width Height Sq. Ft.
LIVING �AREA: , �
"' '� ` Width Height Sq. Ft.
GARAGE AREA: � Length
DECK AREA: Length _ Width Hgt/Ground Sq. Ft:
01'HER: � . � � ° � s ts �
Construction Type:
Estimated Cost: $ ��� v
� `� ` • (Fee Schedule on Back)
Driveway Curb Cut Width Needed: � Ft. + 6 Ft = Ft x$ =$
DA7'E: , � t� .,: � Tel. #��7'' 7� 3 3
� g, ,. APPLICANT:
<{; � �1; : � �;� CITY USE ONLY
Permit Fee $ �. � J Fee Schedule on Reverse Side
Fire Surcharge $ � „% � .3 � .001 of Permit Valuation (1/lOth%)
State Surcharge $ /, l � $.50/$1,000 Valuation
SAC Charge' ' ' ` ' ` $ $1050 per SAC Unit
License Surcharge $` $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Pazk Fee., $ Fee Determined by Engineering
Sewer Main Charge $� Agreement Necessary [] Not Necessary []
.<'rTOTAL ,: $,��Shc��
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATtNG, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEdICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1�Jo ofValue of Appliance or Work
Commercial/Industrial
1.25 Jo of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
�
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
TOTAL '.
$
$
$ � :
$
$
� 84
$
$
$ .50
$��
Effective On January 1, 2002
J.OB ADDRESS %�� �G����S�� � �2,-
OWN ER H��.4� �C U�� T"!� ��
BUILDING USED AS ��C`�-L-���
ESTIMATED COST o��!
PERMiT N0. ~/, C �
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hof Water) (Warm Air)
Trade Name Size No. �
BTU HP EDR � �
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
G'/�-RR.�G�' 3�T�C/�o3c� o?��ti �
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.
8!lP�Rl�R'.�OM'RAGi'OR8.1!�G.
8121 �3�'L�AVENUE N0. DATE � �3 �' �
CR1(STAL. MN 6612Z
HEATING
Signed
FAX #
TEL # �I� ���'� ��/
*Air Conditioners can not be placed in a side yard without Approved By � Rough•In Date Final D
written permission from adjoining property owner.