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PRE 2010 DOCSCity of Fridley, Minn. No 10028 BUILDING PERMIT Date: Nov. 19, 1968 Owner: Raymond Ramey Builder King; umbpr Fy- Ssnpply Co, Inc Address 4715 Main St. N. E. Address 1427 Lowry Ave. N. No. 4715 Street Lot r 21 __ Block LOCATION OF BUILDING Main S t . N. E. — part of Lot 5 Addition or Sub.Division Plymouth Addn, Corner Lot Inside Lot Sewer Elevation Setback — Sideyard -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Residing Front Depth Height — Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _ Res iding Est. Cost _—. 2,0% _ To be Completed 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 and in comp li with all provisions of ordinances of the city of Fridley. k-7 ii /7 ,— / In consideration of the payment of a fee of $ 12.00 , pelt is herby granted ,e, King Lumber & Supply Co., Inc. to construct the building or addition as described above. This permit is grantedupon the express condition that the person to whom it is granted and his agents, employees and worlo�en, in all work done in, around and upon said building, or any part thereof, shall cenform in all respects to the ordinances of Fridley, Minnesota reg � location, construction, alteration, maintenance, repair and. moving of buildings W1 thin the d1y limits and tla permit may be revoked at any tune upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas boating, sewer or water. Be sure to we the Building Inspector for separate permits for them item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER QS NAME J4� BUILDER ADDRESS % ADDRESS %�'2 a,_6lV_o, LOCATION OF BUILDING NO.—,V71 STREET -2-,�, 7 a-.-, LOT BLOCK •; ADDITION OR SUBDIVISIOZ� ��YY(�t9I , COR -NM LOT INSIDE LOT SETBACK SIDEY.ARD SEWER ELEVATION TOP OF FOCTING Applicant attach to this form. T-wo Certificates of Survey of Lot and proposed building location drawn on these Certificates To Be Used As: DESCRIPTION OF BUILDING Front Depth Height Square feet Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction. Estimated Costo 'Oe"o � To Be Completed te _ 15-qof y The undersigned hereby makes application 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 representations stated in this application are true and correct. DATE // / S_ SIGNATURE AI: V �. (Schedule of Fee Costs can be found on the Reverse Side.) 14" /d 0-1 SUBJECT City of Fridley jPERMIT 13052 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 1�.6/26/75.1 JOB ADDRESS 4715 Main Street 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 5 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ZRjZZBMj1Z Ray Ramby 4715 Main Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Western Construction 6950 Wayzata Blvd. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING detached garage 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X❑ 8 DESCRIBE WORK construct 24 x 24 garage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide a hard surface drive. SEPERATE PERMITS REQUIRED FOR W RIN(lo HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood fram THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 576 5,760 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS 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 4,262,40 2.13 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL W REGULATING CON- 11.00 STRUCTION OR THE PERFOR NCE OF CONST TION. PLAN CHECK FEE TOTAL FEE A 'dAA4? $13.13 SIGNATURE OF CONTRACT OR AUTHORIZED AGENT (DATE) HEN PROPERLY ALIDATETHIS IS Yfdi U PERMIT BLDG IN SP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) �----� APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.LUILDING.PERMIT CITY OF'FRIDLEY,.NIINNESOTA 1'0:f 74 STREET: LOT: �� BLOCK' CORIM LOT: INSIDE LOT: ADDITION: az 6,4'� -- 1/ SETBACK: V SIDE'YARD • Applicant attach to this forn, ?`eTo Certificates of Survey .of Lot. an3.propose ' building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be spA-As �� Front :^ Depth Height: Square Feet: /_Cubic.Feet: % '6 O 0 Front: Depth: Height: Square F et; Cubic Feet: Type of Construction: Estimated Cost: $ , To Be Completed:✓_�, 7 j a'T . The undersigned hereby makes applicati-on fox 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 representations stated in this application_ are true and correct. DATE: �� L( �� SIGNATURE: , (See Peverse Side For Addi Informaton.)' dr d 3 f �...� / a AGREEMENT the construction of a GL K`oL !j to be located at,� yy�� T (1 O-A4U Al, without the required certificate of survey that the City ordinarily requires for all new construction. Address AA �L/ 19 s� e Wit ss owner of the property located at X 7 0 9 M A I�AJ S fi /y have no objection to the City allowing the construction of a GL K`oL !j to be located at,� yy�� T (1 O-A4U Al, without the required certificate of survey that the City ordinarily requires for all new construction. Address AA �L/ 19 s� e Wit ss CEMENT tICKET C M A Inu Lo I r, 1,11 %_ FTJ IM U %� 1 6 i . Date City - Address Name Telephone ffice Permit Obtained By tfes!% ,� Date Promisedrf — Salesmai Cement 7 Cement From Y_Z- Fill From Garage Side2?Z-X�X -;Z--Apron Detached 0 Attached IrWiremesh 0 1/2' Rods /'Y"Conduit Pipe Overhead Door Size Offset �j2A_o Service Door Location _5 Old Garage Removal By Old Cement Removal By Driveway Size- Blox Size and Location Waterproof Ba Excavation By ,,- 1,.-- Gradual Steep Grade — Flat(l,.� Slope— Slope PLOT PLAN DETAIL pq1 I 01 2 (D -I al. GIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 23, 1993 James Stager 4715 Main Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 4715 Main Street N.E. Dear Mr. Stager: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 4715 Main Street N.E. revealed that not all Code requirements are presently being met. Listed below are items which do not comply with the City Code: 1. Fridley City Code requires that all vehicles must be currently licensed/street operable and kept on a hard surface parking area if they are stored outside. I observed a vehicle (156- BDR) located in the rear yard which does not fully meet these requirements. 2. Discontinue outside storage of topper leaning against boat in the side yard and assorted materials by the garage door at the rear of the property. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about May 10, 1993, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -93-186 CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 29, 1993 James Stager 4715 Main Street N.E. Fridley, MN 55421 RE: Property at 4715 Main Street N.E. Dear Mr. Stager: This letter is to confirm the information which we discussed in our recent telephone conversation. At that time, I agreed to grant. you additional time to comply with the terms of my April 23, 1993, letter. I will reinspect your property on or shortly after June 15, 1993, at which time full compliance is expected. Should this deficiency still exist, legal action will be approved. Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation. Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -93-197 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57L -36U4 YAN: (763)571-1257 PERMIT NO.: 2004-01764 DATE ISSUED: 10/06/2004 ADDRESS 4715 MAIN ST NE PIN 263024320071 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. RECONNECT FURNACE. # INSPECTIONS 1 APPLICANT DEPENDABLE ELECTRIC INC 2619 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 OWNER STAGER JAMES M 4715 MAIN ST NE FRIDLEY, MN 55421 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 28814 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 know the same to be true and correct. All provisions of laws and ordinances governing this type of wort 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 of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date JKFAKAIK FKKMII N F bQU1KFD PUK WUKK Ul HKK THAN 1JESUKWED Al3UVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-IZ87 ADDRESS : 4715 MAIN ST NE PIN : 263024320071 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT .:004-01711 DATE ISSUED: 10/05/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, RUUD, 70,000 BTUS) AND AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 0 APPLICANT RIVER CITY SHEET METAL INC 9929 BLUEBIRD ST NW COON RAPIDS, MN 55433 (763) 754-2199 OWNER STAGER JAMES M 4715 MAIN ST NE FRIDLEY, MN 55421 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 know the same to be true and correct. All provisions of laws and ordinances governing this type of worl 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 of any other state or local law regu ami g.Eonstruction or the performance of constructipn. Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 13773 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 g 6431 University Ave NE m Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3644 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOBADDRESS 41715' /hfti>v S1 -0; - PQ RATE SCHEDULE Em IQ Bj Residential Owner_ J /gXA-CS �r}'li2JGi A- St�G•e�t Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 Building Used As J)W 4LL LyV,!;., / Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST PERMIT NO 0 t - Gas Range Gas pryer *Air Conditioning - All Sizes $25.00 $ AO Other Repairs or Alterations (Ust on Back) 1% of Value of Appliance or Work $ S Lq Minimum Fee $15.00 for Residential or 5% of cost of 0 Irhprovement whichever is Beater on work less than $500.00 LL Co m merclal/industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/IndustriaVinstitutional U I M REINSPECTION FEE $50.00jHOUR N State Surcharge $ TOTAL FEE $ 3S^ S D aq *Air Conditioners can not be placed In side yard without written approval 0 from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE DESCRIPTION OF FURNACE AND BURNER # of Heating Units f Circle One (Steam) (Hot Water) (Warm Air) Trade NamaL A""-49Size No. "d- ¢-07C4V40-- BTU %D}ezi-y, HP FDR Fuel I Total Connected Load Burner Trade Name BTU Size No. HP EDR The undersigned hereby makes application fbr a permit for the work herein specified agreeingto do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Signed &i t �% i FAX # Date Approved by ARough-in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existilng furnacethe undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (} No( } The venting system is plastic/PVC and meets ail current codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes {) No( } The undersigned also verifies that the replacement unit is a fisted assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace venting Tables for fan assisted and natural draft appliances. Yes () No The exilstino combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting systemthe undersigned hereby verifies that I is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current odes. Yes () No( ) Appliance Type and Siza/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Not Appliance #2 Type BTU Input Fan Assisted or Not Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Trial Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft length ft Diameter In Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date TOTAL P.03 Building BUILDING (USINC& THE 1997 U.B.0 FEE SCHEDULE) Permit No.: 6 Inspections $ RESIDENTIAL APPLICATION Plan Review Received 11 763-572-36c04 Fire Surcharge CITY OF FRIDLEY a. / �_ .001 times the total job valuation Date Rec, DATE /4 �y J�YOUR E-MAIL ADDRESS License Surcharge SITE ADDRESS `7 7 (IT h'T -h F SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow THIS APPLICANT IS: w ❑ OWNER ONTRACTOR Erosion Control PROPERTY OWNER/ NAME: Park Fee TENANT Fee Determined by Engineering Sewer Main Charge $ ADDRESS. CI STNA ZIP4 $ PHONE: ID - 571 CONTRACTOR NAME: 11 STATE LICENSE # Y V 4 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 47 CITYJIM&AjAj,STA4JqlPO JjF WITH APPLICATION PHONE 51 ! ,I frL11 A I& qb FAX 6 5 —7M- To r"D PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED aegiNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEMPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: W SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT• GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim�AW 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia 6 and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS Yes ❑No LOCATION OF WIN S 3. Energy Calculations OR FOR NEW OPENINGSXESCRIBE SIZE OF .••uuu OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED OF NUMBER WINDOWS ALL TEES ARE BASEll uN VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINC& THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a I 10 01 OCCUPANCY TYPE Permit Fee $ 'j See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ a. / �_ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ "T' $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w requir=reviewandrovalof plans.�4`/ }�[�SIGNATURE OF APPLICANT PRINT NAME � o — Air C1 � �v.,aAl 9 - N 0 7 '.001 Building NIECHANICAL Permit No.:20 Inspections RESIDENTIAL APPLICATION Received By: �= 763-572-3604 CITY OF FRIDLEY Da M'NAIR 01 763-5502-4977 FAX EFFECTIVE 2-19-09 02 DATE t • \ 0-f . , Q ;z 6 1 YOUR E-MAIL ADDRESS SITE ADDRESS —I 1 S fie, i n S. THIS APPLICANT IS: ❑ OWNER NCONTRACTOR PROPERTY NAME: Lk O r e -e r1 OWNER/ ! I ADDRESS: '111 S rn0.i ,ry S Jr CITY r I -P e.I STATE MAZIP 5514 ,1A TENANT PHONE: LoS 1 ' aaCo ' S CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEN YOUR STATE STATE LICENSE # BOND 22013346 EXP DATE 08/1912009 LICENSE WITH ADDRESS:9320 EVERGREEN BLVD NW SUITE B cITYC00N RAPIDS STATE MN ZIP 55433 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 PERMIT TYPE kSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ),REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK `� 5 w�� o Chi Co ✓1c� �-�-i o'r� eJ� FEES ARE BASED ON $10.00 PER FIXTUR CEPT WHERE NOTED. FIXTURES: (IN.�DJ CA�TE� TOTAL NUMBER OF EACH BELO Equipment Installed MFG: MODEL: m 00L( 2 ovy I SSe1e u-rkP SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEIBTU V A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _GAS PIPING $10.00 VENTILATOR $15.00 DUCT WORK $10.00�y gM �� +�£ � Ys'L�� "k "kA A I"�.fs� � � �., �'i0 d'i' ;W✓�>s' '�`>'4n. 3 y' W i -' �. .�.'I°`ir^T' '•c'a'3'4'1� y��' 4 �. +�+ � �`'R�r� Y ..F � ,x' >v':':. 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L^i.. ::�-i ,x. • f4'�' �-�> iti �C. ^> +-:ti.. >�'c'' �3a�, �`'a THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case gfAll work whi h r uire review and approval of plans. e ROGER HOFFHEIN 3-11-10 SIGNATURE OF APPLICAN c --a PRINT NAME DATE � ^d%��i,^i�� ?� .�" L.+' , :fiy��„` „�E ' ;�� , '*'� i„�..1 Y � Y �.�� jai R3�•, y a. TF R� ♦[.Sy City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977