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PRE 2010 DOCS<,.40.w * BUILDING PERMIT Village of Fridley, Mina. N� 2 9 Date ��i►�". v . �. ............ ........... . Owner a/. .1 ............... Builder Address 1.7. Address......................................... LOCATION OF BUILDING No. ..,7. of ....... Street 'Ei� ! a. •,!l!m!.......... Part of Lot ....................... Lot ..... # ....... Block ................ Addition or Sub -Division eO�--!. .AIC�• . s � L � Corner Lot ............ Inside Lot ..F�...... Setback '!r� SideyardApe'- e............ . DESCRIPTION OF BUILDING To be Used as: U110. .1 1 .... Front #f ... Depth;Z4.7....I1eight Sq. Ft.%SI-5�. Cu. Ft. ........ .................... Front ........ Depth ........ Height Sq. Ft......... Cu. Ft......... Type of Constructio�/lO"s%??41G ... Est. Cost �. ®�f! .-110 ......... To- be Completed -or/ �r In consideration of the issuance to me of a permit to construct the building desd above, I agree to do the proposed work in accordance with the description above set forth and Nin com ance with all provisions of ordinances of the village of Fridley. A= Irl nsi ration of the payment of a fee of $,/j.`-. , permit is hereby granted to(y ......... to construct the building or addition as described above. This permit is . � anted 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 regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. A Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn. N° 8338 BUILDING PERMIT -S e j v 9 Date: August lo, 1965 Owner: TOM DEAN Builder CHAS. JOHANSON Address 729 Hississippi St. N. E. Address 160 Hartman Circle Fridley, Nihnesota Ninneapol-is, Minnesota LOCATION OF BUILDING Na -729' Street MISSISSIPPI STREET N. E. Part %/f Lot / Lot _ Block Addition or Sub -Division LL- A r Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height ' Sq. Ft. Cu. FL Type of Construction Est. Cost $17, 000.00 To be Completed Repairs – Due to storm damage In consideration of the issuance to me of a permit to construct the building described I agree to do the proposed work in accordance with the description above set f ao in cor Dann provisions of ordinances of the city of Fridley. /� / / �/ �J In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to CHAS.. JOH NSON 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 paw thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, cronstruction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN NOTICE: lots pem+tt des Be osvw die osmftsdm, hufamot for wWn& phmd&& an hafts, sewer or water. as Wn to see tla •ending itspWw for separaN pwmifs for thea hum. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS , /55 y; ADDRESS ��/f% . / f(/S� [ v �/q e LOCATION OF BUILDING NO, STREET, PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION 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; Front Depth Height Sq. Ft. Cu. Ft. Front . Depth Height Sq. Ft. Cu. Ft,.,.-, &C,) .. Type of Construction Estimated Cost 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 11of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in thi application are true and correct. 114 DATE ✓ iG SIGNATURE (Schedule f Fee Costs can be found on the Reverse Sj�w. C s 't c, CITY OF FRIDLEY INSPECTION DIVISION_ 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 Effective On January 1, 1999 JOB ADDRESS ---(� All Others/Repairs $ Alterations (LIST ON BACK) 11% of Value of Appliance or Work $ Commercial/industrial 1.25% of Value of Appliance or Work $ �d QC,- StateLcharge $ .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING COOLINGN 4TILAT11ION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 0 No. of Heating Units 1 Circle One (Steam) (Hot Water arm Ai Trade Name r a rVr e \�(' Size No. BTU W, GG> , HP EDR 7VA Fuel JZ6 60S Total Connected Load Bumer Trade Name Size No. BTU HP EDR HEATING CO Signed B Approved By The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Bumer — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Fumace $ 30.00 $ ° 4 representations stated in this application are true and correct. (Side Vent — FII Out Back) ,1998 Gas Piping (Needed with new fumace, $10.00 $ but not replacement) OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST 0-(2 PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (LIST ON BACK) 11% of Value of Appliance or Work $ Commercial/industrial 1.25% of Value of Appliance or Work $ �d QC,- StateLcharge $ .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING COOLINGN 4TILAT11ION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 0 No. of Heating Units 1 Circle One (Steam) (Hot Water arm Ai Trade Name r a rVr e \�(' Size No. BTU W, GG> , HP EDR 7VA Fuel JZ6 60S Total Connected Load Bumer Trade Name Size No. BTU HP EDR HEATING CO Signed B Approved By C y .. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes/;40 ( ) 2. Is free from rust or deterioration Yes ) No ( ) 3. Has no foreign objects lodged within Yes No 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected((jj Yes ) No ( ) 6 Has total heating BTU's of 29,00 All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ) No ( ) 8. Has combustion air been provided for water heater Yes ) No ( ) Remarks: v CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 23, 2001 Avis Soderstrom 739 Mississippi Street NE Fridley, MN 55432 Re: Final Inspection at 739 Mississippi Street NE Contractor: Pierce Refrigeration Dear Mr. Soderstorm: A mechanical permit was issued on August 13, 1999 for the installation of a furnace at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the appliance was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. - — If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspection were called for. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE) NSEN Buildo Inspector DJ/mh .1 / 01 SUBJECT P ' City of Fridley 32234 AT THE TOP OF THE TWINS BUILDING PERMIT (� Ir? T NO. � tV _ COMMUNITY DEVELOPMENT DIV. -___ � PROTECTIVE INSPECTION SEC. 572-3S® r � '5771 E "'1 CITY HALL FRIDLEY 55432 11L"""� NUMOER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/10/01 JOB ADDRESS 739 MISSISSIPPI STREET NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Avis Soderstrom 739 Mississippi Street NE 763-586-8086 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RMA Home Services Inc (Home Depot) 3200 Cobb Galleria Pkwy STE 200, Atlanta, GA 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-542-8826 20268257 30339 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace 5 Windows Within Existing Openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will Be Wailed To Homeowner To Post 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 BO 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 $4,920 $2.46 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE ALFEE Lice SC $ .00 7$123.63 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HE PR0'01VLY VALjDArED THIS IS YOUR PERMIT � r 8 G IN MATE S,GNATURE OF OWNERdF OWNER BUILDER. IDATEI .1 / 01 NEW[ ] Effective 5/10/99 ADDN [ l CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUP.S R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:?j Legal Description: Owner Name & Address: IRy*1S Tel. # ;k*3=tea Inc RMA HOME��1j SERVICES INC. ` ( Contractor:, Home Depot Installed Sales MN LICENSE # � / Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 At 763-542-8826 arvey.ofthe lot, ...— ,.,_ r,_..i..._� _.._.. r..._..,,......... .,il it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: rsumawa t-osc: -�` i o&.j Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ = $ DATE: 506-Ok APPLICANT:j, Tel. #%a7= _ �004� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ =9 .001 of Permit Valuation (1/10th%) State Surcharge $ 0.4(9 $.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 $ I a3= tv STIPULATIONS: 5*-Ploxwe- Ar-72—V�x--,47— oWle- 3/d• /. isjo� R7�Building Permit Service, Inc. -o�l�iP„ (aid 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concern: We at Elder -Jones Building Permit Service, Inc. are acting as an agent for RMA Home Services, Inc. If there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Kara Benson ext. 147 Elder -Jones Building Permit Service, Inc. 1120 East 80th Street " Bloomington, Minnesota 55420-1498 952-854-2854 1 FAX: 952-854-4909 ` )de. SUBJECT Efl33667 City of Fridley AT THE TOP OF THE TWINS I' I L D I� I G PERMI BUILDING � ` Dv 'v RECEIPT NO. `COMMUNITY DEVELOPMENT DIV. y______ PROTECTIVE INSPECTION SEC. (� r - I . NUMBER REV DATE PAGE OF I APPROVED BY i CITY HALL FRIDLEY 55432 j 763-571-3450 1 910-F15 7/3/03 JOB ADDRESS 739 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Avis Soderstrom 739 Mississippi Street NE 763-586-8086 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 ❑� O NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (27 Sq) Tear-off; Reside House; soffit/fascia 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. Underlayment must comply with the State Building Soffit ventilation must meet the State Building Code. 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 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 @ $5,526 @ $2.76 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 LAW REGULATING CON- $125.25 Fire SC $5.53 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $133.54 TURE OR AUTH aiZED AGENT ATEA PROPERLY VALIDATED THIS IS YOUR PERMIT aNA VCOTRACTOR A�T_ )WIN BNSR MATE S-GNATURE Of OWNE )de. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Ac Contractor: -A ""739 5-.ie- Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 5714287 Fax SteTel. # -N 3 �-15�j�o -fo �% MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT EA- _ Length Width Height Sq. Ft. 5e`a Length Width Height Sq. Ft. DECK AREA: OTHER: Construction Type: Hgt/Ground I Sq. Ft. FF Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ r E APPLICANT: l t%'�)k66Tel. # DAT��'���'84�� Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ „c. $.50/$1,000 Valuation $ $1275 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ j Building PLUMBING Permit No. 1 Inspections - RESIDENTIAL APPLICATION Received By; 763-572-3604 DX 'P C 0 CITY OF FRIDLEY DATE O 1 YOUR E-MAIL ADDRESS SITE ADDRESS Snw.�L s s �ww,w THIS APPLICANT IS: 0 OWNER NT Avis Soderstrolll 739 A4.* -ssi PROPERTY NAME: Fridle P i Street OWNER/ ADDRESS: y MN 55432 STATE ZIP TENANT 6124180594 PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # C% EXP DATE YOUR STATE ADDRESS i CITY _' /S STATEAfAIP Sf'47Y — LICENSE WITH . PHONE &I Z 427— *033 FAX Z. APPLICATION - PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This-should_milect only, the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = = FGRXROJECTS WHERE LABOR EXCEMSUft FEES ARE BASED ON $10.00 PER FDMME,-IXCEix-WHEAENGx'L£H;.: F.bMWS:-_. DMICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINKII AV _FLOOR DRAINS _ SHOWER WATER PIPING _ _ BATHTUB _ GAS PIPING p+remSWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($1S) _DISHWASHER -LAUNDRY TRAY WATER HEATER (S3S) FOR IRRIGATION OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures ® $I5.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 _: x $35.00 = $ 35.00 State Surcharge = $ .50 Total = $ 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 which requires review and approval of plans. % % SIGNATURE OF APPLICANT PRINT NAME �e.[[' 1164 ON1 DATE RN City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 Building MECHANICAL Permit No.. J ' Inspections RESIDENTIAL APPLICATION Received By: VW I 763-572-3604 CITY OF FRIDLEY X01® 763-502-49777 FAX EFFECTIVE 7-1-2010 1 DATEv YOUR E-MAIL ADDRESS SITE ADDRESS %% efJ/ J'I- THIS APPLICANT IS: WNER AONTRACTOR PROPERTY NAME: U J oN1 OWNER/ s� ADDRESS: 729 Mij',r, I/ , f7, CITY ici%dIPV STATE l r"rt?2 TENANT PHONE: CONTRACTOR COMPANY NAME: Netirle SUBMIT A COPY OF CONTACT PERSON: (jojA OnAK YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH q �y� ADDRESS: 1 � Z� J�i/P,f CITY hd�CQ STATE w" ZIP°U�M.7 APPLICATION PHONE X63 ` 5°Z�—��t1 FAX %��— �/2%�3204 PERNUT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAL 2006 ASHRAE HANDBOOK. Equipment Installed MFG: %Pr— 4,C MODEL: ZW r WO SIZE/BTU CGU _?19 MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU /A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $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 _ LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 E�$i s` IN h%dSte'= rY 'Y - U 0",? uX � i'f �� t✓ M y � � S THIS IS AN APPLICATION FOR A PERMITNOT 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 w 1 w ' h requires review and approval of plans.. --�� SIGNATURE OF APPLICANT PRINT NAME V ® U DATE�� G APPROVAL INSPECTORS SIGNA DATE y F City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977