PRE 2010 DOCS5 2 2J'
City of Fridley, Minn.. jqo�"0883''
BUILDING PERMIT
15 1: *. T- t
Owner: Ward Stienstrom Builder Amber Cconstruction Inc.
Address 6035 McKinley Address 6070 Stinson Boulevard N.E.
LOCATION OF BUILDING
No. 6035 Street McKinley Street N.E. Part of Lot
Lot 1.0 - Block 1 Addition or Sub -Division _ Amber KEW= Oaks
Corner Lot. Inside Lot —X Setback —_ Sideyard
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 28' Depth 25' Height 20' Sq, FL 728' Cu. Ft. 211112+2496
r °'e Front 241 Depth Height 101 Ft. �$28 Cu. Ft. 82801
Type of Construction Frame Est. Cost #31, 200 To be Completed March 1, 1971
Verify Basement Location by Survey. Provide Hard Surface Driveway. Minimum 18"
elevation -Garage slab over centerline of finished street.
SEWER LOCATION: 28' North of Manhole WATER LOCATION: 18' North of Manhole
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 forth andcompliance with 21 provisions of
ordinances of the city of Fridley. nIV
In consideration of the payment of a fee of
permit is hereby granted to Amber Constraution
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 ordinances of
Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and the permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
10 '! Building Inspector
HANK MUHICH
NOTICE
'fids permh does not ewer the constrsedon, hutaMen for whing, phrmbh►g, gas heating, "war or water. Be euro to see
the Building hupector for apmate pennhs for thus hems.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: 2LBUILDER:
ADDRESS: 0 B ADDRESS: 60-70 STli1hs
NO:. Q STRUT:
LOT:-- BLOCK: I ADDITION:. - d2 m A ,E_& ` o Af s T
CORNER LOT: INSIDE LOT: SETBACK: T 5;-- SIDEYARD: /S" f2,'IVY /I' --
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
.4� Front: Depth: S Heightom
Square Feet: c Cubic Feet,;__
-Front: �� Depth: Height:
Square Feet; !� Cubic Feet:_ �-
Type of Construction:
�.�.G.�- Estimated Cost. ZQo
To Be Completed: _,.A l,7 7.
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
� TE : �' 1170 SIGNATURE:
'(See Reverse Side For Additional Information.)
� 1�
GERALD T. COYNE
300 BRUNSWICK AVE. S
GOLCEN VALLEY, MINN
INDUSTRIAL juMOAL
COMMERCIAL TOPOGRAPHICAL
CITY LOTS - PLATTING
LOT SURVEYS COMPANY 869117 IDAHO AVRE. N"
LAND SURVEYORS BROOKLYN PARK, MINN
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
6917 Idaho .Ave. N. 533.9722
Minneepalis, Minnesota 55428
arbeparg �ertifitate COMBINING MORE THAN JO YEARS OF
LAN[) 4URVEYING EXPERIENCE IN THE.
METROPOLITAN .AREA
ANBER CONSTRUCTION COMPANY
0
/ 3 5. 'z
� !r
1k
I
�
�
2S
e - e -T
j I.
Invoice # 3093
F.B. 121-63
o Denotes Iron
Scale a„ = 30'
0 '
Lot 10, Block 1, '7"`
AMBER OAKS
P
We hereby certify that this is a true and correct representa-
tion of a survey of the boundaries of the above described Signed
land and the location of all buildings and visible encroach- IAT SURVEYS COMPANY
megl~, if an* from or on said land. /� ,
Surveyed by as this . 2 Taday of 9-r 196LV
y
Original
PERMIT for Power Tants and Pleating, Cool-
ing, Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed—altered—repaired
Make Size—L,_/Q_-
Oil
C_
Oil fired.; Coal fired ,
Remarks
Approved
Final Inspection
fired L1 ; Gas Authorization
19_
Inspector
s-L/L/,S—I
Permit N° 4876
Fee $
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. Z-:2/ s"�'L-2 � //, 192�)
Owner ( -? M �"� d 4 1)
Location ��� - � }"7 elLlzz"
Kind of Builth
How Occupied
Work to be Commenced—, 19—
To be Completed ,19
Estimated Cost, $ / 4 CSG) - J c)
Old ew, uilding Permit No.
Permission is hereby granted to , LA JL�aXA .YJ 61 12)e ) G �Uto install—erect—use the material and devices described in the
above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specificatio 71set Orth in the approved application for this
permit on file in the office of the Inspector of Buildings. j , j /�
��.r Inspector of Buildings
42 aM 11-67 v
City ®f Fridley
I
Dept. of Bldgs. I%One W -3m
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
ua
i
'51S
9 x $2.00
rn
F
=ri
O
New Fixture Old Opening
r z
Ui
S<
S 37
J�
Z
$
w
Z
O
6
/
N
WATER HTR.
GAS
EIEC.
Base--
1se
= $2.00
$.
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .... .... ........
/
x $2.00
$ d
Additional Fixtures ..... ..............
x $ .75
$
Gas Range to 198,000 BTU ..............
x $5.00
$
4th---
9'alure Connection Open3ng8 IBower w""VUAWQ wua
New Fixture. Old Openings
Cesspool
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
9 x $2.00
Future Fixture Opening
x $1.50
$
New Fixture Old Opening
x $1.50
$
Catch Basin
x $3.25
$
Water Heater (Up to 99,000 BTU)
�— x $3.00
$ B
New Ground Run Old Bldg.
x $3,25
$
Electric Water Heater
= $2.00
$.
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .... .... ........
/
x $2.00
$ d
Additional Fixtures ..... ..............
x $ .75
$
Gas Range to 198,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .............
TOTAL FEE
0
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- 1-4-1 19
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ / (:^;L ba
O1d�Building Permit No.— _ _. --Permit No.
Signed
By-
Business Phone No- tt5_ S - 3r 0
ROUGH
FINAL
Application for Power Pkmft and !°ice. Coding. Veoffluffon. Refilgerolon and�
' Ai! CondRio1ing S"tents and Devices
PARTIAL RATE SCHEDULE Dept. of Bldya. Pion M -3M
GEMVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................ 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
TECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ........................... 6.00 $
Repairs & Alterations --up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EMR Steam .. .$10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 1000 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00-$
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNER—to 3 gal. per hour . ..... ... .. ..... 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ........................ WO $
over 189,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ..... ............... x$ 100. $
Additional Fixtures ............... x .78 $
Gas Range to 189,000 ii$ 800 $
AIR CONDITIONING
FADS HEATING SYSTEM
VENMATING SYSTEM
ALTERATIONS & REPAIRS
FINAL l —1 S' " 7/
See Fee Schedule
TOTAL FEB
City of Fridley: '
The undersigned hereby makes application for a permit for the work hereic
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley. Minn Zy a la -
Owner
Kind of
Used as
To be completed about
Estimated Cost, $��` / / (�
Old—AewJBuilding Permit No. Permit No. `� CCS 9A
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
Trade Name- Size Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected I dS`Z ` Kind of Fuel
BURNER — Trade Name Size No -
Capacity Sq. Ft. E.D.R BTU H.P:
(REMARKS -OVER)
-SL'BURBAN
Signed—
g AIR CO
IWINNEORIVt;
APOLISBY—
•
Budness Phone No
`HEAT LOSS CALCULATIONS DEPARTMia,/CfF LrLDINGS
Weatherstrips A.S. Guidee. Construction No.
Windows Doors Reference Out. Waq Int. Wall Ceiling Roof Floor Kind
Yes—No Yes—No 19_
F1.1 m-1 Length Width `'Height Fl.l Room 1
W' down and oors—Crackage and Area II Windows and Doors --Cr
of
r
I I I I Coef. Btu
Infiltration /.-)-00
Glass �j 0
Exp. wall
Net exp. wall 2 2-Q
D
Int. wall
Ceiling 1 9 70
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Ar, -J14 Room I L.enath / 2Width % . !:( Heiaht
Windows and Doors--Crackage and Area
Jam'
Width Height No. of Lineal ft. Area
Nos of pane of pane lights sq. It.
vof�f /crack
d[ILA
� P
Coef.1 Btu
Infiltration
Re I?�
Glass
Exp. wall
Net exp. wall
s
Int. wall
4 %
Ceiling
Floor
-fatal Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
) F1.1.. 7, t Room I Length -) P-'aNidth /2, Height
Windows and Doors—Crackage and Area
--7
Width Height No. of Lineal ft. Ares
No. of pans of pane lights of crack eq. ft.
1, 8 o
� P
Coef.1 Btu
Infiltration
Re I?�
Glass
Exp. wall 414
Net exp. wall
Int. wall
s
Ceiling
4 %
Floor
Tbtal Btu. .
sq. ft. E.D.R. or sq. ins. WA. Leader area
Insulation
How Applied
Width Height
and Area
meal ft. Aran
,crank sq. ft. Z
I I I I I ICoef.1 Btu
Infiltration
Glass V4, 2
Exp. wall
Net exp. waU =Ito
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FU Room I L.enath Width / Height
Windows and Doors---Crackage and Asea
--7
Width Height No. of Lineal ft. Area
No. of pane of pane lights of track sq. ft
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
4 %
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ilia. W.A. Leader area
FI.I Room I L.enath Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. or pane of pane Ilghte of crack Area
ft.
Coef. Btu
Infiltration
Glass
Elcp. wall
Net exp. wall
Int. wall
Ceiling
Floor
-1 otal Btu.
Required sq. t. E.D.R. or sq. ins. W.A. Leader area
BROOKLYN PRINTING & ADV. CO.
V.
MEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.
H.V. Construction No.
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof
4
YeFloor
s—No Yes—No 19_
0 Fl.l Rooml Length / Z— Width /_ Height II _:I FLI 10
Windows and Doors—Crackage and Area
n
Width Height No. of Lineal ft. Area
No* of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack sq. ft.
{
Glass
Coef.1 Btu
Infiltration .
lCoef.1
Btu
Infiltration
V 7,
Q
Net exp. wall
Glass
Int. wall
Ceiling
Exp. wall
Floor
Int. wall
/ F1.1 .ov . Room I Lenfrtlt /-=( Width /?
Net exp. waU
Ceiling
q / G
Int. wall
Ceiling
S
p
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
;L Fl.l AeoO Room I Leneth / Width /-S Heiaht
Windows and Doors—Crackage and Area
n
Width Height No. of Lineal ft. Area
No* of pane of pane lights of crack sq. ft.
o e
Infiltration
Glass
Coef.1 Btu
Infiltration .
Infiltration
Glass
C7dJ
Exp. wall
Net exp. wall
D
Int. wall
Ceiling
jars-
Floor
Int. wall
Total Btu. f
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
F1.1 Rnem I L.enath Width weight
Windows and Doors—Crackage and Area
n
Width Height No. of Lineal ft. Area
Noa of pane of pane lig6ts of crack sq. ft.
Btu
Infiltration
Glass
Coef.1 Btu
Infiltration
Infiltration
Glass
-'O® 90
Exp. wall
Net exp. wall
j 9S -V
Int. wall
Ceiling
jars-
Floor .,
Int. wall
Total Btu. -
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Windows
Insulation
Kind How Applied
om I Length /.S' Width H
—Crackaste and Area
no. or pane o[.pan0 I 156ocm �vic...rs/s}•c.a ry. aa.
n
Coef.
Btu
Infiltration
Glass
Coef. Btu
Exp. wall 3
Infiltration
Net exp. wall 9 >e
-'O® 90
Int. waU
Ceding
j 9S -V
Floor
Total Btu.
jars-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Int. wall
/ F1.1 .ov . Room I Lenfrtlt /-=( Width /?
Heiaht
Windows and Doors.-Crackage and Ana
Width I Height No. of Lineal ft. Area
No. of pane of pane lights of amok eq. tt�y
Coef. Btu
Coef. Btu
Infiltration
d .
Glass
7
Exp. waU
Int, wall
Net exp. wall
Floor
Int. wall
Ceiling
Floor
Total Btu. F? 770
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
Fl.I Room I L.enath Width Heiaht
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. waU
Net exp. wall
Int, wall
Ceiling
Floor
Total utu.
Required sq. k. E.D.R. or sq. ins. W.A. Leader area
BROOKLYN PRINTING 6 ADV. CO.
SUBJECT
City of Fridley
212 5 2 I
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
-
COMMUNITY DEVELOPMENT DIV.
______
PROTECTIVE INSPECTION SEC.
��^^
CITY HALL FRIDLEY 55432
NUMBER
REV,
GATE
PAGE OF
APPROVED BY
612-571-3450
910415
4/1/92
JOB ADDRESS 6035 McKinley Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10
1
Amber.Oaks. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ward Stienstra 6035 McKinley Street NE 571-0253
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement Inc. 7401 .Central Alre NE, Fridley 55432 784-7543
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (20 Squares) 2nd Layer
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$l%060•
$.53
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
ROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$27.00
Fire SC $1.06.
S R CTI N R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
"'L'Aoc�
License SC $5.00,
$33,59
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
IT
H P OP R VALIDATED THIS IS YOUR PE"IT
_
CIBLDG INSP DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [) Effective 3/1/92
ADDN [) CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:�%AkI �/
Legal Description:
Owner Name & Address: �� �j�%.�A�� Tel. # C.
Contractor: D & D Home Improvement, Inc. MN LICENSE # 4840
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ) Inside Lot [ ) Ft. Yd Setback Side Yard Setbacks
Type of Construction: ?e--r4A,"/e A- e co Esdmated Cost: $ /0(00
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary j ] Note Necessary [ ]
Y
r CITY OF FRID'Y INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner –
tlso Replacement Furnace $30.00 $ 3000
(Side Vent –Fill Out Back)
Gas Piping (Needed with new furnace) S10.00 S
Gas Range
Gas Dryer
-Air Conditioning – All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
$10.00 S
S10.00 S
$25.00
JOB ADDRESS —
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 and
rulings of the Building Division, and hereby declares that ail the facts and
representations stated in this application are true and correct.
OWNER
BUILDIN
ESTIMATED COST 3C�/�(% v PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) (Hot Water) armAir
Trade NameSize No.gll?/' /00 0%
BTU ZULo U HP EDR
S Fuel WAI4. Total Connected Load
State Surcharge S .50
TOTAL FEE 50, SU
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE S42.00/Hr
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name
BTU HP
Size No.
EDR
SUBURBAN AIR
HEATING COMPANY 5419 CENTER DRIVE
J v
Approved By Rough–In Date Final Date 42/_:f
FILL OUT BACK SIDE F R STACK VERIFICATION ON
REPLACEMENT FURNACE
SUBURBAN AIR
6127644694 P.01
PwWI' brand
OAT mittal Memo 7672 No. ��� Tie
To From...._......
FaKs6 r�/ �2d Telephone$ Fax$ �0^ s �,Jp� Telephaie/��
`ovw
DlepoBWon: y❑o-ow ^s❑Rehun❑CaAPorPWwD
1/22/97 SUBURBAN AIR WORK ORDER JOB #4045
8419 CENTER DR., SPRING LAKE PARK, MN 55432 PHONE - 784-6100
------------------------------------------------------ --- -------------------
Builder Name: System chap Bout Lock box:
Customer: Ward stra ey 571-0253
Job Add 6035 McK nlFridley
Job Descrip c ox G26Q3/4-100
JOB SPECIFICATIONS
SYSTEM 1 SYSTEM 2 Complete
------------------------------------------------------------
Furnace: LENNOX G26Qq/_F -100--1 92%
Air cleaner: F35 (20X25) HONEYWELL MEDIA
Zone system desc: ---
Flues: 2 PVC PIPES WATER HTR TO CHIMNEY
Supplies first: NEW LOWER PLENUM
Gas pipe; CONNECT NEW FURNACE
Electrical: CONNECT NEW FURNACE
Other: REMOVE OLD SYSTEM `
Other 2: CHIMNEY LINER
**************** ORSAT TEST AND SERIAL NUMBER INFORMATION *******************a*
** SEE EQUIPMENT MAKE AND MODELS ABOVE **
Furnace Serial Number: 5j'°!(0 e' Ipl V y
Air Conditioner Serial Number:
ORSAT Information: CO2 _ 7 02
CO _ Ala- 'T*aCO CFH INPUT �a0
PRESS 3iS STACK TEMP ilD
Gas valve e W i1 Ignition Make -o n5oh Ignition type �i ro ti iC r
Filter size A�- Vent size J Heat anticipator setting n/A
Limit setting - fixed Fan on setting - timed
VERIFIED BY: DATE: /a)0 -G7