Loading...
P - 46508From: City of FridleV To: 7633237595 Paqe: 4/5 Date: 3/4/2010 3:29:26 PM Building MECHANICAL Permit No.: �.b 3` ��. Inspections RESIDENTIAL APPLICATION Receivecl By �_ 763-572-3604 CITY OF FRIDLEY ' 763-502-4977 FAX D��c�j�: �rr•�c-riv�: i-i-2oio UAT� � I — � — � ( YOUR E-MAIL AUURESS ( ,/, SITE Allll]ZESS 19' �� �('iY`I'�"1 �GC_Yl �i �l,l� l�[�'� THIS APPLICANT 1S: ❑ OWNt1Z �CONTRACTOIZ PROPERTY NAME: � � -� OWNER/ AUDR�:SS: �''� I� NC1�("-�(--� �ti.1(�l,l� CITY � �- STATFI /1,%±'L1P �� TENANT PHONE: �I�Z- �Q�� 2� I) CONTRACTOR �qMPANY NAMt: v�'%�'(ll�r;I��S O�f?� f�1(,,L � SUBMIT A COPY OF LnNTACT PEItSON:�QC Ci� lj�,j'L YOUR STATE STATE LICtNSti tt tXP DAT� LICENSE W[TH AUURtSS: �L{-�j� �I DIY�� I�fi V`� CITY {�YI,�GL�j STATt�LIP� APPL[CAT[ON PHON�: `7Cn3��23-- �'1� r�Ax (Q��ly-��J PERMIT TYPE �SINGL� NAMILY ❑ TWO NAMILY ❑ T04VNHOUS� TYPE OF WORK• � NEW �ZEPLACEMENT ❑ ALTERATIONiREMODEL DETAILED DESCRIPT[ON OF WORK I�VICCC FEES ARE BASN:D UV SI0.00 P�R FtXTU1tE, �XC�;P'1' WHERE VU"fED. FIXTUliE5: (IVDICA"fE'fU'1'AL VU�iBER OF EACH BELOW') PRUYIUE H�AT LUSS CALC'S PN:R VIAV UAL J 2Q06 ASHRA�. HAVDBUOK. (� �.quipment lnstalled MNG: (�e 1��( MODEL: �� 7 ���' S1Gti/BTU (f� MFG: MOUEL: Sl'LEiBTU MPG: MODEL: SI'GElBTU A/C $25.00 NIREPLACE (GAS) $15.00 GAS ItANGEiOVEN $10.00 AIK TO A1R EXCHANGEER $15 REPLACE ('WO011) $35.00 NEW GAS GRILL $10.00 BOl LER $35.00 �U RNACE $35.QQ GAS UN IT HTIt $] 0.00 _CHIMNEY LINER $10.00 GAS llRY ER $10.00 POOL H�ATER $35.00 DUCT WOIZK $10.00 GAS PIPING $]0.00 VENTILATOR $15.00 =:�i��11iI��Cf:::CQ�:�EX�IY�:.'Sii G��i� -i :Qz�.:;:::;::3;;;;%;>";•';::: :.i- : � _ �s- -';::i;::�;C;::;:::;:i;:2i;i;i;;'iiii;;' � i;;:;;;c:i:;;;;;;::;::;;::;=:;=:=:;;;;;=:;;<::;=i;;::;;%;:`3`s;;;;`i::c: :;;;::::?':;;;G:�;;;':;:;::::i`::;:i;::;;;;;;;=:;:`::`>::;c�;:�:3';:�;;;:;;;5::;>;=:_i:; :;=i ... ..........:.......: ..::..: i �.�1...:.0.. x $:1t�.f1Q.::-:�---:....:........ ..::: :�:��:ii�(3�s�:r::ti��:�:3EiL1re3�_:«:::.::-�::1::�:0�::�>::>::::�:::::::::.:��:::��:;`:::;;:;:::�_:<::_::�:: �=:<=:;=:;::;=:<=:<:�:: �:::: �>:::�:�:::::::>::::�::;::::;::>::>::=:=>�:::::>::>::»::�::::;:::;::>::>::":';::>:<�:;::"::::::;::'_:��<�:�:z:::;�: �=:;��=:«<=:<::<'=:<�>�::�:>:::::>��::»::':::::>::<.:<�:::�:`::<=�=:<�:���:<=:<::=:=:<::::::;::>:�>:�:::::::;�: .�.;$. .. .. ..... ?���5 6�..::�... . :>��iir�:cr:`o���i"'>.::>::>:<:;;_?'':_: "> :':; : :':::::::::::;:<.s:_;:.;<;.a.;ss>:;� -= -____ __-_ - -- - -= =- -- - - ------ �irc.,�,. 2�,i�0... x. 2�.fTQ '�:.��:::::::::'.:�r=::;:;>::::;;;:'::'.`::::: �:::;::`::�:�::::?':::?::::;;:::.::`:<:>:::;:;;: =;� :::::::::::::::::`:�»;>;;:`..::;::;::::;;-,::::::;:: ::;:; :::»:::>;::::�:=:::::::;::::::?::;:: ..........................- i �. -� - ..$...............�::,::::::::::::::: .:::::::::::::,:::::::::::::::::::::::::: :.,::::::::::::: :.,:: ::.::::: : _.,:::;::::::::::::::::::::::::::::::::::::::::.:...:.: ... ::::.:::::::::::::::::::::::::::::::::�.:.::: ::.._ _. ::::::.::::::::::::.........- --..-.--...: :._...:..:..:::.:::.:::::::::::::.::::.::::::::.:::::::::::::::::::::::::,:::::...::::::::::::::::::::::::::::::::::::::::::.: :.:-: -.----.::::: - _----_ _ _ __ ___ - - - __ -- _- _ - __ '_:;::::<:L%J-'::::::i::i::i::;:;>:::::i::::;:::>>i»i>i::i::::::i::�i:'i;i:i>:i�:i:;:ii ::.:::::::::::::::::�:��::�::::::'�:�:��::::;`:i::::::::::::;:�::z::c:i=:�:::::ii:::::;:::;::i::i=:;=::::>;:!::i=::::i:::::;::;:::::::-�::::::: .. . . ...... ::::::.... .:... � .. .. -... ......:......� : ::::..:.: ;:� , .........:.::....:' ''-';:'....:: ..;:::.:: . -:;��.::i:::::.: ':-:.:::::::"`:':.: �::;:::: .`. ::: :;:`.:::�' : . ....... ._ ` . . :.... .:. ..... . ...::.:....:::....;: . �:::: . . ...... .... ... ..... :.: _. ' ,:::� ::�ur�t:s,c..��:f�xtr�r.cS:- : " 3 :OQ:::::: �.::: . r. . ::::::::;:: �.�* .� . ...... ....x.���.4�5):..-.� _ ��3 ...:::........._;;;::.. ._:.;;;:,................:.....:::;::::..::,:::::.:::..:::.:::,::;; - �::. ...:. :..,.. ::::::::::::::::.::::::::::,,..::.::::- '::_::::::,,:::: ::::,::::::::::::::::::...... .... . .::::::::.:-.:::_:,.,..,.:.::::::,:.,.....,.............................................::::..:....::: ::::.: :.: ::..:,..:,::..::::::::::::::::::: _-- -- __- :�:�<=:=Gv:::<�;�=:::<::::;<::;;>;:�:�:;:;:;:;::=«:;;:;::�::;=:';_:;:=:;::;�:;;_:;::r:;_:_;;:�:::s:�s::>::::;r:;_:»:::>;:;:>�>:>s::�>::;::;::>:�=�>:�>:�>:�:�;:�>:�:�:�:�s:::>:�:>:�:�::�;s:�:=�;:�>:�:::::;=:;�:�:=:r:;;_5 ::::::::.:.::::�:�::�:�::�>:>::;:�:�>:�:�;:�:�;:�::>:�:::::::;::;::;::::;.;.:; �:� .: :�::::::::� :::::::::::::':'.�.::::...... ..., �::�:..::::'::::::�:::::�:::::::::-" : :..::::.:.:.....:.. :� ::::::::::::::::.,'.;':::::�::�::::::::: :::-:�..:;: � . ....: . ..�.:....: . . . . .-"-'-...>�---......-' : :... .. . ., . , . ._... .... ..-'-::: c'c''':" :::::::::::.:::::': :::: :.:::::::::.::::::::::::::: ..—. :.::,;::.::::,;:,t:.. ::::::::;:;;;;:..... �,-: -�,,.: �� :.:.....:..:::.....� .:.: :.......: :.:::::...._. -..,,.::-.....: :::::::::..: ::.: -.::::::.:::::::::::�:::...::.:...................................................:.....;:.:.: .. . t: . . . .� . .: tT >-.�.... ,t, .... :... . . ... ,. .:. . . �t`��- . f�-.." "'........ .. . ��rc.�az . . _... .. _... ........�';::.:::;;;:::::<: ;>:;;;;;;;>;;,;,;;;;;;;;;;.;;;;;:;:.;;;;;:;;;;;;;;:.;;;;:;;;:;:;;:;;;:.;;;;;;;:.:.;;:.;;;;:>;;;;;;:.;;:;;:::;;>; ;;:_;:.;_.;:<.;:::;;:::;:.;;;:;:.;;:;;:_;:.;;;;;:_:.:_:_;:;:;;:::::.;:::»_;;:;;;;;;;;;;::_ � :::::::::-.:: .:::: :...:� ::::..............:.... ......... ::,;,;<:;;;:,:::::.;:,:.-::::- :..::::::::::::::::::::::::::::::::::::::::::::::::::::::::,::::::::::::.::,,:,:::::: :.:,»::::::.:. ::.:::::::::::::::::::::::::::::::::::::,:..:::: ::.: :._::::::::::::::: - :.:::r:�i;;;;;;::;;;:::_;:::_:::<::;=:=:::=>«<=:=::=:::::<=:«<= ::<-<=::>:::<>::::::;:::;>:;;::;::;;;;;;::>::::«:::;::>;;;::;::;::>::;;;;::»:_?>;::::_::::>;::::_:<';::<:<::;;;;;;<=:;«::«<;:«;<_>:;::::<::<::;;:::<><>::::;;:::>;;:::;;::::;::;::::;::«::<;:<;;:«::_:;_:::<:::::::;;<;::::<:: -.::.. ..... .. . : . . . . . . . . :; :;::;:> :; :: .;: : : : :: : : :: ::: : : .. :>:::::: : : � :::'::=::'�:':=:. �:::;:::::::. . . ... . .. .. :. ...... .: . >:: : :::.::::::;-,. ,....---.;;: � . :::. .: :.::.:::.:.:.:..: ::::::,.. :: :::.: :.::.:.,::::::,,.::,,,,,.,,,:----:,,.,.•.,••,:,.. ,: ;:.::;,,:,...::.. ..........--�- ,, .....:..:�..:}...:.... j�.:.:....:..::..:.. �..:::;::��.:::::::::: ::::.: .. . ��-- � : '�:Y�" "'. �ii�:-� :.':: .. �. .-:;:::<.' . ::.;:> ':�:�.::; "��:a .:-.;;;;;;;;;;::;;'.'.,,':;::;::;,".,,,;::;;;;,,,,;;;;;;;;;;;::;;;:::;;:;;::;;;;,,,;::;;::;;;';::;::;_.'".,".._.,..;;::;:::;::;:::;::;:;::_..'>''>'',"'s:;;:;;;;:;;;;::>;::;::::::;::::::::;;;;::::>::::;::::::,,:. ::,�� .. r1M. . . . ..��.��..r�f�.....�:.. ... . ...�'� .. ........... ,,,,. .;.... : : ;;;;:.........................; TH1S 1S AN APPLICATION FOItA PE1tMIT-NOT VALID UNTIL P]ZOCESStll L hcrcby apply for a building permit and I acknowlcdgc that thc information abovc is compictc and accuratc; that thc work will bc in conformancc with thc ordinanccs and codcs of thc City of Fridlcy and with thc Minncsota Construction Codcs; that I undcrstand thi�ti i.5 not a permit but only an applicati or a p mi and work is not to start without a permit; that thc work will c in accordancc with thc approvc:d plan in thc casc of all rk 'c rc ii •cs rcvicw and approval of plan. SIGNATUIZEOFAPPLICANT � PIZWTNAME ,� VW ��- UAT�'�� /� �/Q I' APPROVAL WSPECTORS SIGNATURE DATE ::::::- ...............,....,........ . ......:,,,..::.:- � - - , .,-..,..,._...,..,.:..:.... -.:.,.: -......_.:,.:.......:.: --.�:::< :.: :::: _ :: ..- : .::-•. ::;::.,. . --- - _ . .. ;::;::;<::::::<PI:>��:�=�0`['�:>>: : � .: < .�:::: <.p - ; :::�.: :. � : ::: : :::;= :: :: : .: : : :: ::: :: :;:: -:> :. �: :: <:: : : : . ... :; : . :.. . .::;.; -. _..;: -. ;-.; . . : :: ;::� : :: <:; :::> _.::: : : <::: :: ==» : .:: _:; �.:;::;=:::;::;�:s: ................ ,:: S� :A�s.T�.:.:. Z:.: . ... � E�Et�.U�.R D,�'(J�.B�ILDfl'd!�, �L.�C:`i'I�(� ..�-.... . . EH�.NL�A�,1�flR�. . . City of Fridley ding Inspections Department niversity Avenue NE, Fridley, MN 55432 7b3-572-3604 FAX: 763-502-4977