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PRE 2010 DOCS3® ,)-7i City of Fridley, Minn- N° 8181 B R DING PERMIT Date: LU& 13. 1965 oar: BILL OLSM Builder CMWN INC. Address 7340 Memory Adm 701 Columbia Blvd, Fridley 21, Minnesota Minneapoliss Minnesota LOCATION OF BUILDING No. 7340 Street Memory Part of Lot ,at 4 _ Block Addition or Sub_DivisionMelody Manor 2nd. Addn. Corner Lot _ Inside Lot I Setback 351 '0 Sideyard 101 —0 & 51 -0 Sewer Elevation Foundation IIevation DESCRIPTION OF BUILDING To be Used as: Single Dwelling Front 42! -0 Depth 261-0 Height 20 Sq. Ft. 1092Ca Ft. 2118 0 kttached Garage Front 201'0 Depth 241-0 Height 10 Sq. Ft. _80 Cu. Ft. _ M Type of Construction Frame Est. Cost C12 s,000a00 __ To be Completed Six Months In consideration of the issuance to me of a permit to ct 9 buildin, cribed a I agree to do the proposed work in accordance with the description ab a set f and in all provisions of ordinances of the city of Fridley. / In cm dderation of the payment of a fee of $ 27.00 ,permit is hereby granted to B311 EMM 07.eoII 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits a� permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE Thin pan * don not corer t6 condnx0on, holatitltm for rrtdn& phanhing, as hoating, away or water. as arra to ase the Building Mqm ter for aparate pandit for thea Bei. . . N OWNER'S ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING Street Part of Lot LOT=,,_.g ADDITION OR SU9DIi1SIWJ,1% Corner Lot Inside LOT Setback 05--z.') Side -Yard_ /% jam' SEWER ELEVATTOAj FOUNDATION ELEVATION. Applicant attach to this form Two Certificates of Survey of Lot and proposed _. building location drawn on these Certificates. DESCRIPTION OF BUILDING q. Ft. Cu. Ft.2Z R Depth Height � �r Sq. Ft._ �Cu. Ft. Type of Construction Estimated Cost1 To be completed 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 true and corn_eef7 �K (Schedule of Fee Costs can be found on the Reverse Side). 10 f SUBJECT PERMI City of Fridley 18600 AT THE TOP OF THE TWINS BUILDING PERMIT r � CEIPT • _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. g r � � PROTECTIVE 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/15/86 JOB ADDRESS 7340 Memory Lane N.E. 1 LEGAL LOT NO. BLOCK ACT OR ADDITION SEE ATTACHED DESCR. 4 2 Melody Manor 2nd Addition SHEET r 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. & Mrs. Cramble 7340 Memory Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE No. Covenant Construction Co. 7716 - 67th Avenue North, Br. Pk 55428 535-5101 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12'x36' plux 10' x 20' Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Variance approved for 7 foot setback from side property line with stipulation that no windows can be placed in north wall. Roof framing plan with details must be approved before starting construction above g rade . WARNING '*We digging call loyal utilities SEPARATE PERMITS REQUIRED ""fPHONE -ELECTRIC - G+�S�t�. Fop REQUIRED 8Y LAMS' VIRING, HEATINGo PLUMBING AND slat4&. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $14.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $28,050 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISION F NY OTHER STATE OR LOCAL LAW REGULATING CON- None STRUCTI R E PERFORMA E OF CONSTRUCTION. $188.50 PLAN CHECK FEE TOTALFEE 47.13et 1 $249.66 *ZQLNAT,U0 OFACONTRACTOR OR AUTHORIZED AGENT iDATEI 4 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT III, 7 //iESIGNATURE BLDG INSP -DATE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [�j �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 7340 Memory Lane Legal Description: Lot 4 Block 2 Melody Manor ind addition owner - Owner Name & Address: Mr & Mrs Cramble 7340 Memory Lane Tel. # Contractor: Covenant Construction Co. Tel. # Address: 7716 - 67th Av. N. LIVING AREA: r.ARAr.R ARRA! Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length 12 + 21' .9kdth 36' 3" Height 8' Sq. Ft. 6'19J _— Length DECK AREA: Length OTHER: 12x 34,x- Corn r Lot [ ] Inside Lot [x] Width __ Height Sq. Ft. Width ,_ Hgt/Ground Sq. Ft. _- rA z 2J0%(I•01 Ft. Yd.. Setback Side Yard Setback 6' Type of Construction: Wood frame Approx. Completion Date: 9/31/86 Estimated Cost: $ 3.' aga 00, Coo Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 7/2/86 APPLICANT: Tel. #_L35-5101 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: c*c1.1 4AkA CITY USE ONLY $ 1&S,0 Fee Schedule on Reverse Side $ . 25$ of Building Permit Fee $ $.50/$1,000 Valuation $ $475 per SAC Unit $ ®+ Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] $ � 00h.w r �� Ski o u �TwJ ,u. ROo FtLP� �► i�G �c.�� r tai IRS' 0 MIA tLS. ouF ala S�Aaz�N6 0243,095 -LS #o. U.► 170. %5u x 14- SO R bovc ron•hm CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $, GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS _� $ State Surcharge $ 50 TOTAL FEE 4R: ROUGH INSP. REINSPECTION FEE Date (.$10.00) FINAL INSP. c,5-- 7- Date APPROVAL FOR PERMIT '/L- MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 7 -2 Job Address Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. '1977 OWNER 94 Z/�/� -17/ e g. e 7 r KIND OF BUILDING �'0d USED AS , do, z_ / TO BE COMPLETED ABOUT — L 1 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. 9 33 4X DESCRIPTION OF FURNACE/BURNER H ,Stegtlr IMC r No. ® �i Trade Name fin® �F i� Size No. dj L Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP DDd» Air Qanl Ht& N .Refrl. IM Company Signed By r PlfO� Tel. No. -/�j �0 ¢fi Z /Z Z SUBJECT PERMI City of Fridley 18600 AT THE TOP OF THE TWINS BUILDING PERMIT _ _ CEIPT COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. P CITY HALL FRIDLEY 55432 IP/ NUMBERDATE REV. 18/15/867 GE OF APPROVED BY 612-571-3450 910-F18 JOB ADDRESS 7340 Memory Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. & Mrs. Cramble 7340 Memory Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Covenant Construction Co. 7716 - 67th Avenue North, Br. Pk 55428 535-5101 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121x36' plux 10' x 20' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved for 7 foot setback from side property line with stipulation that no windows can be placed in north wallRoof framing plan with details must be approved before starting construction above grade. WARNING °»re digging call local utilities SEPARATE PERMITS RE UIR I`tEPNONE - ELECTRIC - GAtj:tc. LD F()R REQUIRED BY LAW WIRING, HEATING, PLUMBING AND SION ,. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $28,050 $14.03 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION"F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI R PERFORMA E OF CONSTRUCTION. $188.50 None PLAN CHECK FEE TOTAL FEE Ir 47.13 $249.66 'ZQLNATUA OFACONTRACTORORAUTHORI2EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSp pATf SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI SUBJECT City of Fridley ( 1'22681 AT THE TOP OF THE TWINS BUILDING PERMIT - -- r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ L r � �; PROTECTIVE INSPECTION SEC. S- _ , i � '�'1,•� CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY -_-.� l 612-571-3450 910415 7/12/94 JOB ADDRESS 7340 MEMORY LANE NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Cramble 7340 Memory Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All American Roofing/Remodeling Roofing/Remodeling4112 97 Ln NE7RA-6676 9160 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 � REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (26 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,950 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $45.00 Fire SC $1.95 STRUC OR THE PERFORMA CONSTRUCTION. PLAN CHECK FEE TOTAL FEE / License SC $5.00 $52.93 ---'61-G- RE REOFCONTRACTOROR AUTHORIZEDAGENT IDATEI W ROPER VA TED THIS IS YOUR_PERMIT pFN, BLDG INSp PATE SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI NEW [ ADDN [ J CITY OF FRIDLEY ALTER , SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Gram. b Se '734 D M e m o ry LQ Legal Description: Owner Name &. Address: Tel. # Effective 1/1/94 Ne Contractor: P LL (� j%Ae�r tc f v_� YCx0fkr`C4 -- y,,ew,o8e( ,y\ C -I MN LICENSEW— "; 1 G O Address: L j , Tel. # 7 T(. _4 .174 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: Lent Width Hgt/Ground .. Sq. Ft. OTHER: , � I C, S � ' Q e'G Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: F . 6 Ft = Ft x $ _ $ DATE: 7 qAPPLICANT: Tel. # / CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%a) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $$00 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �� STIPULATIONS: SUBJECT P City of Fridley 9472 AT THE TOP OF THE TWINS BUILDING PERMIT r RECTI -PT NO. V ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE � 1, CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY •.-_�,��"' L 612-571-3450 910-FlS 5/17/99 JOB ADDRESS 7340 Memory Lane 1 LEGAL LOT BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. JNO. Lj 2 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Cramble 786-7303 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eagleview Const. Inc. 2937 174th Lane NW Andover MN 55304 753-5469 20076043 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (32 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underl ayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2797 $1.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 83.25 Fire 2.80 PLAN CHECK FEE TOT A ALicens <-A7 5 9 .45 GNAT u E OF CON'RACTOP OR AUTHORIZED AGENT ID EI EN RO VALIDAT IS IS YOU IT Ike S-GNATURE OF OWNER IIF OWNER BUILDER, IOATEI BL G ,NSP FIATt NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ATALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT' APPLICATION ��,,vd Construction Address: %3 L{D `l/( Elm L, Legal Description: Owner Name & Address: 4y ox" --t d Ic Tel. # 79z,--l-;3o-z., Contractor: L% N�%.^c, MN LICENSE # ----)007( 0'(3 Address: Pq3 7 Tel. # 75-3 –S -Y67 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type:–Lq t &A 02rehy Q Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ 0 DATE: 3 f—IlZhZ APPLICANT: -- Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ •o?.� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /, VO $.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 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: a ,ITY OF FRIDLEY INSPECTION DIViSiON Effective On January 1, 2000 5431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLIN% VENTILATK3Itl, � 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEWC£S J J08 ADDRESS RATI: SCMmULE EA i.%�M 0 ��1�1� � OWN ER tesid"tiat Furnace Shelf and Duct Work, Burner Also Replacement Furnace (Side Vent . Fig Out Back) Gas Piping (Needed m th new furnace, but not replacement) Cas Range Gas Dryer *Air Conditioning - All Sizes d All Others/Repairs & Alterations (LIST ON BACK) a-% of Value of Appliance or Work .omm&rc1aI/1nd> WbI 1.257o of Value of Appliance or Work Rate TOTAL BUILDING USED A$ $ 30.017 $ J ESTIMATED COST PERMIT NO. $ IO.t10 D RIPTIO 1 FURNACE_ AND OR PUR�NER $10.00 No. of Heating Units Circle One (Steam) {Hot Water) (Warm Air) $10.40 $ Trade Name —_ __— Size No. BTU HIP — EDR_ $ 25.40 Fuel-- Total Connected Load Burner Trade Name _ Size No., $ BT(J _- HP _ EDR State Surcharge TOTAL FEE 1INSPECTION FEE $4.7.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. N FD n $ The undersigned hereby ;napes application for a perrnit for the work herein specified agreeing to do all work in strict accordance with the City Codes an 3--.50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are two and correct, o DATE TELo l kUGZ01 T r N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION 1MLL BE RETURNED When �.� lar�tr+i an ®Yytinn furanna, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, yes( i No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer No ► specifications including sizing, length, number of elbows and termination. Yes( ( The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan yes( No( ) assisted and natural draft appliances. The is sized and installed to meet the current codes Yes (? No { ) and manufacturers specifications. When required to ingt2j, A naw ".L, h,aatign air_ a will be sited and installed to meet the current codes and manufacturer's specifications. Yes {) Na { } When in4allinn a nom=' venting is em, the undersigned hereby verifies that it is'a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Yes Venting Tables,for fan assisted and natural draft appliances. {� No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes( )No( ) separately as per current codes. AgIgIlisint-a Ty nd Sizes/Gen�men ��e C and Vnnt en ' BTU input Fan Assisted or Nat Appliance #1 Type `�— Appliance #2 Type BTU Input BTU Input _ ._ Fan Assisted or Nat Fan Assisted or Nat Appliance #3 Type __ Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter __.in Type In Type Appliance #2 Vent Connector Height, ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter Y, HEATING Signed By. Date: CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 18, 2004 Mr. Raymond Cramble 7340 Memory Lane NE Fridley, MN 55432 Re: Final Inspection at 7340 Memory Lane NE Contractor: Dave's Appliance Heating & AC Dear Mr. Cramble: A mechanical permit was issued on September 5, 2003 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh