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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 400-3 Date: / ` �� _.._.F�..._....._,z.........._............... ��..._........_.._............._......._...._.. Owner: ........ ....................................... ....................._.................._.._...............----. Builder ..... _. ....... ---.................... . Address............ .................. .... .... ........ -........ .... _._.. __. .._ ...... - Address -...-......._...._........----------------- _.....__.... _ __. �. LOCATION OF BUILDING No....2�Street .....V ......_......_... ..........._......._. 0 -6 -Ate .- .. Part of Lot .. -..........._......._...._..._........_.....__._._......._._ Addition or Sub -Division �Et-�-P-[til-_%..��.�'�..�G Lot ...........•. 0........ Block ..... _......._6........ ............ CornerLot ............. ........._........ Inside Lot ....................................... Setback _...............r_.. a....._........ Sideyard ./... ®......- D........rr ............. .............. ............ Sewer Elevation ....._ ............. _............. _..... _...... _............. _...................................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: _. lt'........._....._... Front ....._.�-.--- " Depth....,Height/,?._........_.../ Sq. Ft./..114?� - �.. . o �u. Ft.._..-.... - ..................................._....................... Front ..... -................ . Depth ............. .. Height .................... _. Sq. Ft. .................... ... Cu. Ft. ..................... Type of Construction .............. ............. ...................... -........ Est. To be Completed ............... .................................. In consideration of the issuance to me of a permit to construct the building described abovepliance with all , provisions of I agree to do the proposed work in accordance with the description above set forth apn // ordinances of the city of Fridley. �� J In consideration of the payment of a fee of $..A./.:...D.�...., ` rmit 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 upon violation of an f the provisions of said ordinances. / Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building Inspector for separate permits for these items. 4 City of Fridley, Minn. BUILDING PERMIT Date: June 2t 1965 9�F--3 No '76'71 owner: Richard Trest:er Budder E. D. Q. Claim Mae""ice Address 720 Overton Drive N. E. Address 6305 Bryeat Avenue South LOCATION OF BUILDING No. 720 Street Overton Drive N. E. Part of Lot Lot 10 _ Block 6 Addition or Sub -Division _ Brookview Terrace., 3rd, Add. Corner Lot — Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft Cu. Ft. Type of Construction Fast. Coat _ lbw___ To be Completed Storm Damage Repair 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- set forth and in co pliance with a�l provisions of ordinances of the city of Fridley. ) In consideration of the payment of a fee of S 10.00 , permit is hereby granted to P. D. Q. claim Service 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 dame 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 build' ---- within the city limits a� permit may be revoked at any time upon violation of any of the provisions of amid ordinances. Allen Jensen Building Inspector NOTICE rnb permh don not cam the conatructien, hahliallm for wfriae, plumbing, gas hating, awe er or water. Be aims to ase flus Buflft hupsahr for aparah psrmhs for thsas hens. APPLICATION FOR B 1NG PERMIT CITY OF FRIDLEY� 1INNESOTA a OWNER'S NAME BUILDER 0�7 ® A a ADDRESS ? A 11���e , �„ � �� ADD99SS �- • -�o , LOCATION OF BDING 4 No. Street Part of Lot. Lot Block Addit.iosr or SubdlViSiGnbaz�_�'4'e,"', Corner Lot Inside Lot _ .:SetVack Side Yard SEWER ELEVATION FOUNDATION ELEV'A'TION Applicant attach to thin form, Two Certificates of. Survey of Lot and proposed build- ing location drawn on these Cettificates. DESCRIPTION OF BUILDING Ta be used as: EronC Depth Height S$. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. L , Type of Construction _¢� ,, Estimated Cost J �G+. G► -..To-,be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to Jo 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. jScledule of Fee Costs can be found on the Reverse Side). City of Fridley, Minim BUILDING PERMIT Oar; _ Paul Q. Houle Builder Same Address 720 Overton Drive Address Same ATTENTION OF: TO SUBJECT Z DATE - /14 1v 10.64 12, ral so 0 (N r %j REPLIER'S COPY — RETAIN FOR YOUR FILES so 0 V 40 %j REPLIER'S COPY — RETAIN FOR YOUR FILES V 40 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S . NAME : r��l �i - /�� �/� BUILDER: ADDRESS: %C� C�c!,��TVOI/ ��. ADDRESS: ,5;9 W& NO • ® STREET • N O/f / LOT; ® BLOCK: ADDITION;�/�®�0.�� CORNER LOT: INSIDE LOT :SETBACK: SIDEYARD: e Applicant attach to this form Two Certificates of Surveg of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: ,?s Height: �© Square Feet:_ S 7W/' Cubic Feet: &.r 7d'i"o Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction: r'/ h 1.7..r Estimated Cost:$ � O� o— To Be Completed; ® G % O g,Zr;Q 1,970 The undersigned hereby makes application for a permit for the work herein specified'. Agieeing 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. =9 DATE: E SIGNATURE: (See Reverse `Side For Additional Information.) 1t n�ii,1 �A+.�..w �O�.r� pT.••�.•.s wM [g1�?� ". ��.,�.. ; it/� Jn-f pnr•� srr�iA.. n.!r...nn �.w 'y {yA %`iQ a djc 73if:d'J2 �: '.�.'d . -Cat's+ 7•.....d-' v. G.�.rwti�.o-�:.,. e•�•,: ".�"'✓We:l:'.�9 °i MCi::u'+.D l'VS� •t.•. �.e�v,O y.S���:i es.�a4 r�iJivdL t:� v..i+:9 F:•r 'K im%...V PARTIA € ATE SCHM-DULE GRATM 3TAR_14 AIM Itrh VZ TOTAL Sell & D-je cork 310.00 $ Rer:acem:-nt of c srnsre 6.00 $ F.rpa:-s It Aitr a:.ons--up to $500.00 600 S�-.. ReFa.-s It Ait,-ra:srns each add. $500.00 3W $_ IZC IL WAF34 AM Fizrnare Shell L• Duct Work to I10.M-0 BTU er': sdd. Mcll o BTU / 6 Fsp a:rr es:t of t urn:cc Rr,,a.rs & Alte-atiors.--up to $500.00 £.00 5 R :sirs Aa AlteratiocL, each add. $300.00 3.00 $ 37EAX Qa HOT WAi'i:R SYSTEM Furnace 5;heil : Lines --to, 40M sq. ft FZR Steam QIo-00 3 _ F1,_-nace Sh-zIl .0 Line---te 640 :,q ft. E DR Hot Ws)ter to co S. Each add 20(3 sq. fl EPR Steam 3 flit $ Each. add. 320.-q. ft EDP. Hot 'Rater 3.00 $ OIL BUENZE-to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Iree Schedule GAS 37111MR (up to L'9,000 BTU) 5.00 $ o-.- BIV See Fee ScksdLle GA 3 F : i T 1:i C TES: No RATE. TOTAL 1st 3 F.xtures xa 7.00 $ Additional FIrtures x .75 Cas Rarge to IS?.0M x$ 15.00 $ �Cera; State Surcharge �,, .50 /, c^..d.�IOSII:Gr rt _ — Ir.'1�i. ST57...14 Soa Fc� Se *Ia3� AL .P.'�iCY.3 a r-XPA:R3 TOTAL Fu= $ l Locz- i. City of Fridley: The nz-derslgied hereby makes.application for a permit for the work hermr specified agr�- ing to do all work in strict accordance with the City Ord:=a=M� and ruting.of the 7-pa:trnent of Buildirbs, and hereby dre:.:.s that all the fj---- and rel,r-.*sontatiuns stated in this applrc2u(,n ar true and eorzvct. Fridley. Minn I9�G 0wrer Kind of Building Used as To be completer) about Estimated Cos;, 5 Old -New. Building Permit No. ._ _permit No. D *:."c,i-TIOIi OF V703M HEATING or PO-vo EFILAANTr.-- tezm, Flet Fater. Warm Alr-No Trade Name 61 Size No'2v2 Capacity-,:___ Sq TL F_D.R BTU M? ria Total Connected Lond�� _ Xf-xI Cf nvt BURYIER - Trades N2 �z '. Size Ido Car+acity Sq. FL EMR I3TiT 1� SL+� Y3y�/�I6c s� (WAAR7LS+®Yaa; ,• FORM J-1 i '? 4, / � 7'� � g--'� - WOEINSHEIET--MlEA4 LOSS AN 1 Name of Room ENT113E HOUSE 1 2 3 4 5 2 Room Size X X X X X 3 Running Ft Exposed Wall 4 Ceiling Height, Ft 5 Room Compass Directions TYPE OF E31P®$U0E Const. No. HTM Area or Length Btuh Area or Btuh Length Area orBtuh LengthLength Area or Btuh Area or Length Btuh Area or Bt Length 6 Gross a -- --- -- -- -- -- — 0.. - Exposed Walls and Partitions b — — — — — — — — — — — — — c -- --- -- -- -- -- — d — — — — — — — — — — — — — — 7 Windows a and b Doors c ¢- 8 Net Exposed Walls and Partitions a b c d 9 Cold Ceilings a b 10 Cold Floors a b _ 11 Infiltration Length of a _ b _ Crack c �� 12 Sub Total Btuh Loss — -- 13 Reserve Capacity if Desired 14 Windows and Doors Front I _ Left o2v Rear Right S [LE Doors j 15 Net a � S D r- _ Exposed b Walls and c Partitions d _ 16 Warm Ceilings S� — 17 Warm Floors 13 Infiltration I 19 People G @, Appliances 300 1200 /*OG /SOD 3©®O 20 Sensible Btuh Gain — — 3 1-23 21 Total Btuh Gain 1.3 22 Btuh for Air Quantities HEAT LOSS CALCULATIONS Weatherstrips Guide Windows( Doors Reference Yes—No— Y—e_s—_No­ 19— F1.1 9 F1.1fit% i t " Room I Length A21 DEPARTMENT OF INSPECTION Construction No. Out. Wall Int. Wall Ceiling Roof Floor ' Width 4// Height II F1.1 Wmdows and Doors—Crackage and Area Width Hetght No. o! Lineal ft. Area Na of Dane of pans lights of crack sp: !t. Width Height No. of Lineal ft. Area ne No. of paof pane ilghts of crack sq, ft. -3 ?. JO / Tt. ®2b Q JA CAMEJ Btu _fiiffltration Exp. wag -e Glass Glass J00 SV AVL2 Exp.. Wall Exp. wall Floor Net exp: wag Net exp. wall S(, Exp. waU Law/I' "Int. "wall gf Int. wau Ceiling Ceiling Floor Floor -1 otal Stu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area J . F1.1 RC.4 Room I Length 1<__ Width 3 0 Height 'Windows and Doors--Crackage and Area Width Hetght No. o! Lineal ft. Area Na of Dane of pans lights of crack sp: !t. G ' -3 ?. JO / Tt. Coef.1 Btu Infiltration Coefil Btu Infiltration Exp. wag -e Glass Infiltration Int. wall SV AVL2 Exp.. Wall af3cop Floor Net exp: wag Exp. waU Law/I' "Int. "wall gf ,Q�roar Ceiling Floor Iat. waU Total Btu. Required sq. ft. E.D.R. or sq. ins. WA Leader. "area p F1.1 Room I Length. Width Height Windows and Doors--Crackage and Area Width Helght. No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Area sq. ft. -3 ?. JO / Tt. Coef.1 Btu Infiltration Glass Exp. wag Net ev. wall Infiltration Int. wall Ceiling Floor T otal Stu. l. Required sq: ft. E.D.R. or sq. ins. WA Leafkr area Kind Room I Length 57 00 MINNFAMUS. MINK. Insulation Width Heiaht Windows and Doors--Crackage, and Area Width Height NO. -of Lineal ft No. of pane of Mae lights of crack Area sq. ft. -3 ?. JO / Tt. J Infiltration Glass Exp. wall. Coef. Btu Infiltration Int. �waU Ceiling Lt Glass Exp. waU Net exp. wall Iat. waU Ceiling Floor -1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiaiit _ Windows and Doors—Crackage and Area Width Helght• No. of Lineal ft. Area No. of pane of pane lights of crack SQ. ft. Btu Infiltration Glass Exp. wall. Net exp. waU Int. �waU Ceiling Lt Floor -1 otal Stu. Required sq. ft. E.D.R. or sq. ms. WA Leader area KI Room I Unath Width Heiaht Windows and Doors-Crackage and Area Width Height Na of Lineal tL Area Na of pane of pane lights of ores sq. tt Coef. Btu Infiltration Glass Exp. wag Net exp. wall Int. wall Ceiling Floor Total Stn. Required sq. ft. E.D.R. or sq. ins. WA Leader area - r . SUBJECTMIT NO. City of Fridley ® 1469 AT THE TOP OF THE TWINS PER IT t BUILDING � RECEIPT NO. 4%. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 4/20/78 JOB ADDRESS 720 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 T- I Brookview Terrace 3rd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Paul G. Houle 720 Overton Drive N.E. 571-1346 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 ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Replace windows and reside ljouse and move basement stairs 9 CHANGE OF USE FROM TO STIPULATIONS g p'� pMffS REQUIRED FOR WIRING. HEATING, PLUmBING AND SIGNS. 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 R-1 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 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. $18.00 PLAN CHECK FEE TOTAL FEE $19.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)HE PROPERLY VALIDATED THIS IS YOUR PERMIT �•-Z�-7��.-I§LDGy- INSP -�8 DATE SIGNATURE OF OWN R(IF OWNER BUILDERI (DATE) - r . • OITY OF FRIDLEY ' APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NL -w, ALTERAT I ns, AI)UI T I OtdJ, OR REPAIRS) OWIIER: Pau 6s. -Bu ! e BUILDEM: �l�mE _ Address :ALJ A.,co A= De � k Address: • Tel. No. r% - 1,3q No.: '1 Q Street: nyeOs_ LOT: BLOCK- W% ADDITION:�v;PLJ /el^T. .3 CORNER LOT: INSIDE LOT: r/ SETBACK: SIDEYARDS: Applicant attach to this form Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Fac Used As: nt: Depth: Height: �,,-�:Ouare Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: (��„ ,,s Estimated Cost: $ 37,000 To Be Completed: 711;s-LAm,mar Alt. A Alt. B Praposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: `78� SIGNATURE: -1 Stipulations: . i. / 1.50 sue.,Ecr RMIT NO. City of Fridley 26185 2 618 5R AT THE TOP OF THE TWINS BUILDING PERMIT 1------�COMMUNITY DEVELOPMENT DIV. ti:� r � PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910-F15 6/10/98 JOB ADDRESS 720 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. lO 6 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE . Paul Houle 720 Overton Drive NE 571-1347 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION (R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (23 Sq) 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. 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 BE COMPLIED $1,918 $.95 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- $62.25 Fire SC $1.91 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $65.11 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT •BLDG INSP DATE S A REO XTO AUTHORIZED AGENT IDATEI SIGNATURE F OW14EROF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 / BUILDING PERMIT APPLICATION ConstructionAddress: '2,267 ev r o y Legal Description: Owner Name & Address: !/ 1 t L Tel. # Contractor: cS� /� 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 LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length Width OTHER: �3 Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: &6?1'1'kC Estimated Cost: $ / l� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 6 /O APPLICANT: 4 elo—z— Tel. /3 5/) Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control �1•as� $ Park Fee $ Sewer Main Charge TOTAL $ 7.0-11 v STIPULATIONS: �/� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] HOUSE HEATING TEST RECORD ADDRESS f% �r ® D'" APT. FLAOR CITY SUBURB OCCUPANT AA -I Limit r� r OWNER HEAT LOSS DATE HTG.- I T. P l� Fan Setting t �0 SOLD BY Ins' C� Outside INSTALLED BY Electrical Work By Pilot Make o I Gas Line By TYPE OF HEAT GA FA LiHW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE MAKE OF BURNER _ Model Model Serial �'� Max. BTU Rating — INPUT ® MAKE OF FURNACE Model CONVERSION CONTROLS THERMOSTAT ��® Heat Plug Vent Size Valve KIND OF LINER ° SIZE NONE Limit r� r v -- Draft Hood Z3 r Regularor FiIters Size ���f Number Setting c20 '- Limit l� Fan Setting t �0 Chimney Location Ins' C� Outside Pilot Type Chimney Construction Pilot Make o I i= Pilot Model �pp� S--- AJ Smoke Bomb Wiring Pilot Timing " -e Draft Test Tag L.W. Cut Off , Pressure . Percent CO Door Pressure Date Tested ]Lighting Inst. Input CFH—�—Percent 02— — Company Testing WStack Temp.Percent CO Name of Tester 6 CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ' 11D Dy.Qr4n CLr ' JOB ADDRESS RATE SCHEDULE 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 Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. 1 2 1 (Side Vent - Fill Out Back) n ,1998 Gas Piping (Needed with new furnace) $10.00 $ 1 ' ' P&WC"I"O �-P- OWNER Gas Range $10.00 $ { ` A AIA_ BUILDING USED AS I Gas Dryer $10.00 $ 7r ESTIMATED COST PERMIT NO.13,� *Air Conditioning - Allizes $ 25.00 T, $�E ,U 0 — -F 5(.0:50o-Daq DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.255/6 of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE BLAME HTGL XCELECT..INC . t35�-C�'i'RAtA1iE. N.E. HEATING MP ANOKA, MN 65304 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION ` i57--(PZ®O REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By el No. PLUS THE $.50 STATE SURCHARGE REINSPECTION. FEE $42.00/Hr Approved By !� Rough-In Date Final Date�� *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: . y CHIMNEY AND STACK VERIFICATION F p The undersigned-hhfeby verifies that the existing chimney or stack: 1. Has bee.efully examined Yes ( ) No ( ) 2. Is freefrberust 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 Yes () No ( ) 6 Has total heating BTU's of 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: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Authorization For Driveway Construction Abutting Property Line City of Fridley To whom it may concern, I, �, i G p (full name of property owner), reside at 730 Overton Drive NE, Fridley, MN 5 432. I am the legal owner of this parcel and have right to grant this authorization. My property is immediately adjacent to that belonging to Peter Marcel Gamache, at 720 Overton Drive NE. I hereby grant Peter Marcel Gamache and all successors in interest and their assignees my permission to construct and maintain a hard -surface driveway that extends to the property line between our two parcels. Signed, Dated July 12, 2006