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PRE 2010 DOCSCity of Fridley, MHnn.. BUIILDING PERMIT N° 5362 Date: __- Owner: Builder _ Address Addresses x TIO 00: U DING No. Street_ _ Part _ Lot d r Lot _ Block Adclition or Sub -Division Corner Lot �'"Inside Lot Setback ... Sideyard _ r, Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth Height Sq. Ft. CU. Ftav- Fron DepthHeight A Sq. Ft.� Cu. Ft. '00 Type o Construction Est. Cost` _ """fCo 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 compliance with all provisions of ordinances of the city of Fridley. X In consideration of the payment of a fee of $.Z16 , permit is hereby granted to 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 regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time uponviolation �f any of the provisions of said ordinances. ,,�I A ,i NOTICE: This permit does not cover the construction, Installation for whine, plumbing, gas heating, sewer or water. Be sure to we the Building hupecior for separate permits for these Mann. 4 APPLICATION FOR BUILDING PROM CITY OF FR.IDIEY, MINNESOTA Owner's Name Builder Address Address LOCATION OF BUILDING No.� Street �` Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback ..35Side-Yard / O SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: a�` Front 17 � � Denth 2' � Heiaht d` O 61 r �i Sq. Ft. / Cu. Ft. 2 � s ,ale Front / -2 Depth %3 Height f O Sq. Ft. Ft. �a 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 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. f DATE ��i SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and Heating. Cooling, Ventilation, -Reh igeration end Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00. each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .... ........ 5.00 $ Repairs & Alterations each add. $500.00 ....... :..... 1 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $-5,_ GAS FITTING FEES: NO RATE 3!QTAL 1st 3 Fixtures x $1.50 $ V Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 14.50 ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 I: .0"; 6801 Oakley St. R. E. City of Fridley: .� The undersigned hereby makes application for a permit for the work herein 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 6-27-61 19 Owner Paz,71 SdbwRytm-iCcmat - Cn - Fr• Kind of Building Used as Rea. To be completed about 7-2761 Estimated Cost, $ 450.00 Old --Nm. Building Permit No. S96 B Permit No. HEATING or POWER PI ANTS -Steam, Hot Water, WarmAir—No Trade Nam Size150" Capacity. Sq. Ft. E.D.R. ZOOM BTU H.P. Total Connected Load 45t 631 Kind of Fuel Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Plan R-1 (on file) aZ 7M 7.59 (REMARKS -OVER) Signed By F7E'D V41•' ). Business P#jATMG & AIR CONDITIONING 6530 West Lake St. s WE. 9-6767 St. Louis Park, Minnesota City of Fridley Application for Plumbing and Cow Ruing Perndt Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Locain 6801 Oakley Street N.E.. Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 7 x $1.50 $ 10.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ .1 �d UN' W �O P f N WATER HTR. GAS EIEC. Base $ New Ground Run Old Bldg. ............ x 3.25 $ 1 1 1 ist 1 1 1 1 1 Dis ospi 2nd _ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 7 x $1.50 $ 10.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ 2,00 Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description...................� ............................. TOTAL FEE $ 1'.00 ob City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 July 10 1961 Owner haul Schwartz Const. Co. Kind of Building Frame Used as Dwelling To be completed about Oct. 10,1961 Estimated Cost, $ 800.00 Old—New. Building Permit NoN,��& (& Permit No. Signed STMDARD 1LUPABIRG a APPLIANCE Bus ess f a No Vie 8 3589 ROUGH f -/ y ( t FINAL d z 2M 7-59 City of Fridley, Minn. N° 7915 BUILDING PERMIT Date: June 17, 1965 Owner: Marvin W, Smith Builder Qreveo Const, Inq Address 6801 Oakley St. Address 312. Kyle No. Mp1s. 22 LOCATION OF BUILDING No. 6801 Street Oakley St. Part of Lot Lot 12 _ Block Addition or Sub -Division Rraolcd ALj T.e=- Rnd. ��.-- Corner Lot — Inside Lot Setback Sideyard Sewer Mevation ` Foundation Mevation To be Used as: Front Front Type of Construction Repair Storm Damage DESCRIPTION OF BUILDING Depth Height Depth Height — Estcwt _. 5,9000 Sq. Ft Cu. Ft Sq. Ft Cu. Ft. 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 compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to GrMyco Const- no. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it pisargtranted add his agente, employees anworkmen, 3n all work L Minnesota g nthince. city limits ands permit may be revoked at any time upon violation of any of the provlalons of said , nen Jensen Building Inspector NOTICE: I'll 'lids peradt don net corer the construction, hwhffiation for vArb& plumbing, gn hon inp, www or water. Be sun to we the BuMns Inspector for wparate pmft for thew hems. i APPLICATION FOR MaING PERMIT CITY. OF FRIDLEY* NNESOTA OWNER' S NAME BUILDER ADDRESS6 000 ADDASS2��& 2�- .. ' LOCATION OF BALDING No, R®Sheat Part of Lot. Lot_ Block Addition' or Subdivibi®n Corner Lot Inside Lot _,•,Setblitk Side Yard SEWER EMATI(N FOUNDATION ELEVATION Applicant attach to that form, Two Certificates of.Survey of Lot and proposed build—i. ing location drAwn on these GQttificates. DESCRIPTION OF RtMDING Teo be used as: Front Depth. Height,' Std. Ft.. Cu. Ft. Front Depth Height Sq. Ft-. Cu. Ft. Type of Construction Estimated Cos z 47-61-C The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work ift 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. _tScbedu1s of Fee Costs can be found on the Reverse Side). 0. City of Fridley, Minn.. BUILDING PERMIT Date: June 26, 1970 Kenneth Strand Builder S ame Address 6801 Oakley Street Address Some LOCATION OF BUILDING No. 6801 street Oakley Street,, ___ Part of Lot Lot — 13 __ Block Corner Lot ._ Inside Lot Sewer Elevation 10723 Addition or Sub -Division . ro kvi w TPrrarp 2nd Addn _ Setback __ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24 Depth 26' Height 10 ' Sq. Ft. 624' Cu. Ft. 6240 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Fist. Cost — $2, 200._00 ____ To be Completed Provide Hardsurfaced Driveway In consideration of the issuance to me of a permit to construct the building described above I to do the proposed work in accordance with the description above set forth and in compliance with ail ons of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 12 Oil , permit is hereby granted to Kane h Si -rand 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 regarding location, construction, 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. r- GLARENCE BELISLE NOTICE: 'fids permit does not cover the construction, Installation for whing, plumbing, gas hosting, sewer or water. Be amu to as the Building Inspector for separate permits for thea hens. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS:- (,,FO ) ST_ ADDRESS NO:. STREET: LOT: BLOCK: ;'� ADDITION:- b ot- V i E W v 4'D Add, CORNER LOT: ✓ INSIDE LOT: _SETBACK: SIDEYARD: 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: a L Front:_ a � Depth• a (Q Height Square Feet: Cubic Feet: - Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: r.__Le M t? Estimated Cost: $ �2 V o a� To Be Completed: 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. DATE: (See Reverse Side For Additional Information.) r UPWMWV h taaek swvs�Rt+ng _ - /r•�� nj�j��re�j/� ��1�j Mlnrfe�tpoeis� k` Eestiag *�� 3 R':Iz6 • irtimn 'SM2 Ci}r3f"gagMeeri" , . Totephpne.;TBA d�Q63 s �. 39xars►`�yt3l�rt�i. - r Are L"ll Sur ' y inr i r TH , } �... r„ .i IA iN� X L£o0 w CI G,1R 7�id�ei I.tiFs tet`._ f -- c q_yn I ten js M I 9 6f3 ,A1/�l M=_ , C j L07 7 /3 L ccl< 2 &AROO f WEW TEPA S ADD1 /OA/ -a"'P ! f' AIVO)VA s i# traez Cod Cerra ►e�eseatta'iioit of a'.survay of tbe' bo dari" of the kad above desfif•iboo t ot;the r 1040114a of all buiidifYg#, Ci im?t„thereo*, ,,mud oil rl#ibis eaare4trrhmeot#f`if arty, 1►4je 40 .40- #aid`taed. ihis,s+irvey is iM de Doli/ n aeuie etiah w1th.0,Mortgage laegt now t0ing pimced 40 the.-ProPerfy afid f•o'liabiit#iiis pssd►gi'eti: r „sd ep{” f•'tbe hplde►.af;sutit-ratrrRgage ar drgr: bikrer iwterest a+cgaired try the rets o#' sue mortgage. It is_' aDl erstaod ped agreed-"D'Monupw*fs have biiee;pioeed far the�:pu�rpose of estaisiiabing iat ?igety or bouit&iw .,- 4 w"Wr#. Mute$ ht#, gt . +u ,, A. D. IPA s4lsIN,NSl«re+�rru, ray. Sur a SUBJECT PERMIT NO. City of Fridley 29099 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. /� (� 1 v ____�_ r PROTECTIVE INSPECTION SEC. `�dl a F NUMBER REV DATE RAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/29/99 JOB ADDRESS 6801 Oakle Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Strand 6801 Owner Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofiniz 6680 Lucia Lane 11 Fridley, MN 55432 571-3973 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20097688 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 24 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OFCONST. 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 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 SE COMPLIED $2,056 $1.03 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. $74.75 Fire �.' $2.06 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL E Li ns C $5.0 82.84 SIGNATURE OFCONTRACTOR ORAUTHORIZED AGENT iOATE, ENP OPE LIDATE ,. BL -NSR HIS IS V R PERMIT GATE SIGNATURE OF OWNER09 OWNER BUILDERt iDATEi S NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ra BUILDING PERMIT APPLICATION ConstructionAddress• �f DO/ Legal Description: TC9,P -o V,-- Owner FOwner Name & Address: &--ti -5171 /11_VP Tel. # Contractor: flree�V,1 I 1�0�'l /�� MN LICENSE -6 Address: e�8V G uc- //+ 6,V Tel. # S 1 %3 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: z64 71' <o/ 446z-- -a �AE 9/ ? oma, -c Construction Type:&p0f--11Vo Estimated Cost: $ i (Fee Schedule 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 Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ �� Q C .001 of Permit Valuation (1/10th%) $ D $.50/$1,000 Valuation $ $1050 per SAC Unit $ S a U $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 [ ] Building $ W, C-0 BUILDING $ Permit No.: OCJ Inspections Surcharge RESIDENTIAL APPLICATION License Surcharge Received By: 763-572-3604 $ CITY OF FRIDLEY $ Date o DATE YOUR E-MAIL ADDRESS $ SITE ADDRESS C. Q/ S l /U D L 6V InIv s-5- 3 THIS APPLICANT IS: .,OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: t Y yyGTf-1 /:? S-f1F 61%b TENANT ADDRESS: ST ASE CITY z!FgI D L E1/ STAT*#IPSSy3O- PHONE: —Z& S- rZ 410 a CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP— TATEZIPWITH V=APPLICATION PHONE FAX PROPERTY TYPESINGLE FAMILY SIZE C3 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING )tOTHER ❑ SWRAMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:—,q/-(d ZVIAIUMc5a) •X/TS 4A4SC/A1 1A5UL#TbAJ°fo"-72F Win) -Ls SIZE OF IMPROVEMENT LENGTH � WIDTH 2, HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I . 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DFyCKS, ❑ Vinylflit ADDITIONS, & PORCHES SUBMIT: 13 Aluminum Trim 1. Site Plan/Survey showing the existing structures ❑ Other . Ofascia and proposed project. VVINDOWS 2. Two sets of construction plans IN EMSTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ = C% O OCCUPANCY_ TYPE Permit Fee $ W, C-0 Plan Review $ Fire Surcharge $ Surcharge $ 5 License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 5 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 work which requir review and appro of plans. / SIGNATURE OF APPLIC i PRINT NAME2! jE it — H R cS i /` D DATE 0(0,// A Building MECHANICAL Permit No.:W K)1)1'1�P Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Datl:��� o CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE ' OOUR E-MAIL ADDRESS n SITE ADDRESS THIS APPLICANT IS: O OWNER CONTRACTOR PROPERTY NAME: - OWNER/ ADDRESS: CITY Md ZIPS TENANTq —STATE PHONE: 7 " l CONTRACTOR COMPANY NAME: SHARP HEATING & A.C. CONTACT PERSON: FLOYD JOSWICR SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDREss:7221 -University Ave. N.E. CITY Fridley sTATEMN zip 55432 APPLICATION PHONE 763-572-0459 FAX 763-572-0164 PERMIT TYPE O INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: D NEW , ` I EPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORKC FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). PROVIDE HEAT LOSS CALC'S PER MAN: JJ 2A HRAE HANDBOOK. 9MVW Equipment Installed MFG: � MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU 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 TFURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 t r t + ... � � � ` �-�+�' '�� 5 �� �+j44'7V`'c��Y .'� � � 4i��<�3 � £ 4 �E^ �s�h i�€ fi��Ti�� ' � 1' Y'. S<t"�. $<f k $ .4h h sF, d n' %^i"Y �v .ti'�.�<y � � ,Y•(:_ �'s<' N a. � ren � �.`. �. u a � 4 � �� � Y •m 9 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 ap 'cation 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 ofidl work w re s review and approval of plans. p &*i�SIGNATURE OF APPLICANT PRINT NAME DATE 0�` APPROVAL INSPECTORS SIGN DATE iol City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977