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PRE 2010 DOCSCity of Fridley, Minn. BUR DING PERMIT Date: ....�..z. �.�................. Address...................................... N® 3991 Builder... ............................... . Address ............................................. LOCATION OF BUILDING a No. 7. � /Q X . . Street . 4! ...... ... (: �-�J ... Part of Lot ... ....................... . Lot ... e�g..... Block ..... ......... Addition or Sub -Division ..... ....... Corner Lot ............ Inside Lot ............ Setback- ` Sideyard . l ®.. .............. DESCRIPTION OF BUILDING To be Used as; �J // 4 ... Frortt T� . f: Depth �W.. /. `Height �% d /� Sq. F`t.�®a� Cu. Ft .................... Front ........ Depth Height,/ ...... Sq. Ft. ........ Cu. Ft.... .. Type of Construction ................... EstCost. �'/ . ��. T :. ®o. To be Completed .:................. In consideration of the issuance to me of a permit to construct the building de ed above, I agree to do the proposed work in accordance with the description above set forth and m iihnce with all provisions of ordinances of the city of Fridley. �/� .... Y..WN.9. W.A.AY../............................... . r In consideration of the payment of a fee of $ .(;�- �' . 0. , 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. "O'.. ..f.. ...... 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. BUILDING PERMITNo 4 6 8 5 Date: .....s .....' '.�......' _._ �_ _ Owner: (I �'Al/ Builder _ .�,,� ... ._---_._.._......... _.._ _._. �.. ` °� .. ' . ..111 4� � �_._ Address Address ,..�!--�-_... , � �_.:_..-' LOCA'?N QF BU t ILDINGu No. _.. _. ` ..... Street, qa __..._.� t _...._ ... ...... Part o Lot Lot ......... ................ . Block _...__ _....._ ............ Addition or Sub-jlyz, ion :._ .01 �,+� s` Corner Lot ........ ............... _....... Inside Lot ..----."...___.._ Setbac _.t :.""`Bide and ,...._--- Sewer Elevation..---..._._...._.._.__---____.._........_..._..._..____._------_._-. Foundation II9vation _...__. .._..__._..__ -..—_.._._..._.___..__..---•-- DESCRIPTION OF BUILDING To,* Usled '� .t.... Front +'�=-.. Depth .::. -. Hei t ... -. FtE_.1� _=.. Cu. a gh Sq. a . _... t:!�ro t ...................... Depth .................... ieight .......... .........._ ,,,Sq. Ft. .................. _.. Cu. Ft..... - ....._.--- ... Type of Constructionr Eat. d -........ 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., w't In consideration of the payment of a fee of $"t _F._...._.__.., 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 timeupon vola ' of any of', the provisions of said ordinances. 7,._ /�'/' , Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name [�la,e0 Builder Address az �� -.�° s /� h Dr Address LOCATION OF BUILDING No. Street /1 vet- /A h _ Part of Lot Lot Block _Addition or Sub.Div er, 9W //�, / Corner Lot Inside Lot Set Back ,Side -Yard 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: l �so Front ,.Z Z Depth �& He3ght Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft, Type of 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 representa- tions stated in this application are true and correct. q 10 a (A Schedule of Fee costs can be found on the Reverse Side.) SUBJECT P MI_ City of Fridley 1990 4 AT THE TOP OF THE TWINS BUILDING P E R M I T r L ECEIPT NO COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 503 r PROTECTIVE � i1 = ��'���,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •-_-� L 612-571-3450 910-F15 5/19/89 JOB ADDRESS 731 Overton Drive N.E. 1 LEGAL LOT NO. 18 BLOCK 5 TRACTOR ADDITION Brookvi.ew Terrace 3rd SEE ATTACHED Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glenn Bredahl 731 Overton Drive N.E. 571-5752 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. ABC Pools Route #3, Box 294-D, Tsanti, MDT 55040 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 Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 161 x 321 In -Ground Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS Permit issued subject to stipulations in letter dated May 10, 1989. WA,R I G SEP ARATE PERMITS REQUIRED FOR Before tigg ag w`, ion! w ' WIRMG, IDEATING, PLUMBING AND SIGNS. TELEPHONE -f(£CIT-WOW REQUIRED 9Y LAW 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,800 $4.40 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. $90.00 PLAN CHECK FEE TOTAL FEE $94.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) . fly N PROP R Y ID TE HIS IS YOUR PERMIT BMG )NSP 2-� DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ) ADT [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: 1'2> 1 ® V Zj2--r,0 ,t -j O (Z , Legal Description: owner Name & Address: &l."wl v9R$©Ar4 L I Effective 5/1/88 it Tel. # 57 1- 515 -2- Contractor: Contractor: heG Poo LS _ Te1. # 144H-6537 Address: 2-t- 3 &oy. ?�"i �f-� I sa- � � vti u ML+ D Attach to this application, a (certificate of Survey of the lot, with the prcyposed constriction drawn on it to scale. „_ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width might Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. 07HER: , `Ot X 3 'L W (©eO J nJD _2c) O L. - Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 7 Type of Construction: 900 4- Estimated Cost: $SSOo �= Approx. C oupletion Date: (19/1 Proposed Driveway Width If New Openix Des' Ft. $ $ Width + 6' See Back Page DATE: Jt"' �1 �? APPLSCW: Tel. # 44Y -16S37 Permit Fee $ State Surcharge $ SAC Charge $ Driveway Escrow Park Fee $ Sewer Main amrge $ TOML SMAJUTIMS : CITY USE CNLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering ng Agreement Necessary [ ] Not Necessary [ ] 88� I ro� 30D, I �u t 4� 0 ca ?0 .r C^ VIN d w a � � 1 v � N � S 3Ni1� Q 'R a ;A'�Z': �•�atlyai,.�,. yF � p+.id; r 'p!s,�Z,''1i•4t. ft- '�• _ 17 oo ol 301 ��1y.gt �/ �S`t'. !!�%wr',�.'�,:ba�•},�Wt»f':'I +Yrt'o�.:,\ l i \ , � ' .J,� ►.r r, t':\. N -:{t.'3S?Ss:'! •.(n!q:r.t?' l y «S-+.iiib+ ,.. v.=••,:� r;1;;.s•:•t+icJ n' l.e' !.K t t� .tom On �';: .r.'��t�."'Lti i• d J Y§AA+S,� � � �1�i' a (. ..r 'C`JY!9 Cali L`9 , i ,�., t 4'3 s r ,i �: r rCV�,: r•' It lei.. +'. y. q3 +4 ,� '�. ..` t.. f r .a: r ldF�� �e i � '? i ;n.�:+ �' .. ,s x t7r'' a '.J rY`q..��e � ;4 K1 ;,;•,ai..iyr.ma+ sem.• �a..,..w • �� '"' :i a Y :L�a :ti••i:v-, •••`.'.• ti•::..�!....: • � r.;•;^•.•A''hs».rra e.i;,,,.;, .: � L^^ ..• a.'t.` awe. T.: � � t� :Y: !� ..g . . J L,.; , ••.?': �sf } r C• ,� � ;'!'Y'- � t d; � .s!..5.!•i=..y.,,t;;:+�.r •.'�+, t':+,•.w:?�'iC ra�,�'�y'��jau'?f?$w,'.tia:�� r i:t�Ciii��' M :;:i •r. .r.;,nt:'� �: �{•�,� t'Kr i � r' bwt• °'•"' ! `moi . !.: Y�0 iT�r�r pitj'I CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 10, 1989 Mr. Bud Olson ABC Pools Route #3, Box 294-D Isanti, MN 55040 Re: Swimming Pool Construction at 731 Overton Drive N.E., Fridley Dear Mr. Olson: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, three (3) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: a. The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. b. The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. c. Self-closing and self -latching devices shall be placed at the top of the gate or otherwise.�naccessible to small children. d. The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. May 10, 1989 Mr. Olson ABC Pools Re: 731 Overton Drive N.E. Page 2 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, D L G. CLARK Chief Building Official DGC/mh CC: Mr. Glenn Bredahl z CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBi'NG FIXTURE.RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 S Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Not Watgr Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) rn'e S 5.00 $ ALL OTHOW AND/OR REPAIRS AND ALTERATIONS 1s"bf Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge S .50 ($15.00) TOTAL FEE $O Job Address Effective Date May 1, 1988 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. Fridlly, Mn. 4-1 /1 n OWNER KIND OF BUILDING USED AS n" TO BE COMPLETED ABOUT - gt x-1"\- ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. m jz2 (0— Company p ComEany 11/N q- o / 0 Tel. No. 6 3 1 -) b %.� `-NSP. Data _ FINAL INSP.`g1( Date APPROVAL FOR PERMIT MINIMUM FEE FOR qWY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE / m e a U x e Water �i v m C .c+ m � w w 01 Heater g a v ani y � w° U is :1 chi o s lec ISE 2nd 3rd 4th (R) Future Connection Opening Connected with Sewer (•) In New Fixture, Old Opening Water RATE SCHEDULE PLUMBi'NG FIXTURE.RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 S Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Not Watgr Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) rn'e S 5.00 $ ALL OTHOW AND/OR REPAIRS AND ALTERATIONS 1s"bf Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge S .50 ($15.00) TOTAL FEE $O Job Address Effective Date May 1, 1988 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. Fridlly, Mn. 4-1 /1 n OWNER KIND OF BUILDING USED AS n" TO BE COMPLETED ABOUT - gt x-1"\- ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. m jz2 (0— Company p ComEany 11/N q- o / 0 Tel. No. 6 3 1 -) b %.� `-NSP. Data _ FINAL INSP.`g1( Date APPROVAL FOR PERMIT MINIMUM FEE FOR qWY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE / /7= From The Desk Of RICHARD N. SOBIECH PUBLIC WORKS DIRECTOR MEMORANDUM RV 97 DATE: 5/24/78 1 TO I RFPI Y niiF SUBJECT: Curb Replacement; 731 Overton Mr. Bredahl Please contact Mr. Bredahl (571-5752) regarding some curbing replacement. He indicated someone told him it would be replaced, but no one has contacted him this.year. Please check out. - Thanks - DS/j 5-25-78 Work Order 2523 issued for this work. scheduled by Art. RV/ik i The work,vi l l be done as SUBJECT IT NO. City of Fridley 2 712 2 AT THE TOP OF THE TWINS BUILDING PERM l r � COMMUNITY DEVELOPMENT DIV. R r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/12/98 JOB ADDRESS 731 Overton Dr 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 5 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Urban Granson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St Fridley 571-3220 3237 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 KK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28 Sq) Tear -off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 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 $3,300 1.17 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- RUCTI N OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.34 PLAN CHECK FEE TOT FEE W -n d 5 K5. 83.26 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P OPE VALID E THIS 1$ Y R P 17 / BLD P r y S QATE Si'GNATURE OF OWNERIIF 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: X31' �v�►-�vti �h;d�z y, �y . Legal Description: Owner Name & Address: ai-La j 45 raNsv y Tel. # Contractor:�j�f �rPor I�ms: y,, S� ��' e MN LICENSE # Address: /039/ itll; /'r%�l�r y, /ylh, Tel. # _ 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 DESCRIPTION OF EMPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: 2, 3333' o0 Construction Type: f?V'V Gi`ka Estimated Cost: $ c3 300 Driveway Curb Cut Width Needed: DATE: 1-/a FY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ APPLICANT:Tel. # 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 ( ] From: unknown Page: 1/2 Date: 8/2/2010 4:09:02 PMr . Building MECHANICAL Permit Na• C' Inspections 763-572-3604 RESIDENTIAL APPLICATION jeCg CITY 4F I+ R DLEY 763-502-4977 FAX EFFECTIVE z-19.0909 DATE SW10 YOUR E-MAIL ADDRESS dave@dovesheatingandair.com SITE ADDRESS 731 Overton Drive THIS APPLICANT IS: 17 OWNER OCONTRACTOR PROPERTY NAME. Glen & Bonnle Bwdahl ADDRESS: 731 Overton Drive CITY FRIDLBY STATE MN, S6A32 OWNER/ TENANT PHONE: 763.671-6762 CONTRACTOR COMPANY NAME: DAVE'S HEATING. AIR & ELECTRIC CONTACT PERSON: AMY MADVIG SUBMIT A COPY OF YOUR STATE STATE LICENSE k EXP DATE LICENSE W1TH ADDRESS:1601 37TH AVE NE CITY COLUMBIA HEIGHTS STATE MN Zrp 55421 APPLICATION PHONE 783-781-8801 FAX 783.7894806 PERMIT TYPE WINGLE FAMILY 0 TWO FAMILY 17 TOWNHOUSE TYPE OF WORK; 0 NEW �LACEMENT Cl ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Replace Furnace and Central Air with a new Bryant Furnace and Central Air FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES. (INDICATE TOTAL NUMBER OF EACH BELOW) EquipmantInstalled MFG: GrOWr MODEL: StZEMTU — MFG: aryent Cental atr MODEL: SIZgJBTU 2 ton 13 seer MFG: MODEL: SIZE"rU ZLC $25.00 FIREPLACE (GAS) $15.00 CTAS RANGE/OVEN $10.00 IR TO AIR EXCHANOEER $IS REPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 RNACE $35.00 OAS UNIT HTR $10.00 CHIMNEY LINER $10.00 AS DRYER $10.00 HEATER $35.00 _POOL +DUCT WORK $10.00 GAS PIPiNO $10.00 YENIILATOR $15.00 Number of fixtures @ $10.00 _ x $10.00 = $ Number of fixtures @.$1.5.00 � x $15.00 $ Number of fixtures @ $25.00 1 x $25.00 = $ 26.00 Number of fixtures @ $35.00 1 x $35.00 — $ 36.00 State Surcharge (MMIK101, FEE 535.50 Total = $. THIS IS AN APPLICATION FOR A PERMIT -NOT VAUD UNTIL PROCESSED mit and 1 acknowledge that the information above is complete and accurate; that the work will be in I hereby apply foNanplication conformance with and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but o for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in t0, w ich r r a alof pls.SIGNATURE L OF APPT ME PLEASE NOTE: SEPARATE PERMITSkilFtE REQUIRED FC11MILDING,ELECTRICAL AND MECHANldk WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977