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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3462 Date: ....:...1.. ...................... Owner ..... Builder . .............. ....... � Address ... ....... .... Address ........................................... . LOCATION O�I DING No. ��. .. Street ?.r��...... .. ...�... n.. Part f Lot .. . Lot .. ..... Block ....l ............. Addition or Sub -Division ... .. ...lbw.'... ...... ... Comer Lot ............ Inside Lot ............ Setback ............ Side .............. ............ DESCRIPTION OF BUILDING �obe Used as: a �, ./' e s . ® E, &? ... Front .°.:. _0 Depth ........ . �....... Height .�� ® Sq. Ft. .0Q. Cu. ................. Front ........ Depth .... Height ........ Sq. Ft. ........ Cu. Ft . ... ........ 4 Type of Construction .4 .. . ... ........ llkt. Cost... / 4A07—=V. To be Completed ................... In consideration of the issuance to me of a permit to construct the building degribed above, I agree to do the proposed work in accordance with the description above set forth and in c o pliance with all p visions of ordinances of the city of Fridley. ..... .. .... ........ �� In consideration of the payment of a fee of $11-1 ....: 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. ®� ... Building Inspector NOTICE: This permit does not cover the oonstruotlon, 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 Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone 560-3480 DESCRIPTION OF WORK Dation ��–� Number, Kind and Location of Fixtures y, NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 19 �= J 0 NU' i f F • N WATER HTR. GAS ELEC. x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 3 �oas 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 $ Base 1st 2nd vtA 3rd 4th _ Future Connection Openings Connected withI Sewer � * New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... . ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 3 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 $ City of Fridley: . S- . The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Owner r I h L Kind of Building Used as To be completed about 19Gk Estimated Cost, $ 5New. Building Permit No Permit NO.. Signe By Business Phone No ROUGH FINAL City of Fridley SUBJECT , ® 13686 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. l CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L---- , 612-560-3450 910-F15 8/6/76 JOB ADDRESS 5228 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 3 4 Horizon Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard E. Foard 5228 Kai Pierce Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION J7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Provide required clearances to combustibles as per ICBO report. Provide 12 inch deep footing and 12 inch block wall construction. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS„ 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 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 $1,327 .66 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- $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $9.66 I SIGNATURE OF CONT CTOR OR HORIZEDA�ENT DAT17C WHEN PR ERLY VALIDATED THIS IS YOUR PERMIT 8 6 _ Al 4 -6 -7,6 SIGNATURE OF OWNER 0F OWNER UILDERI I IDA EI BLDG INSP. DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: Leonard E Foard BUILDER: Halux 52 & 86th Ave No. Osseo ADDRESS: 5228 Pierce Str. N. E. ADDRESS: NO:. 5228 Pierce StnERa E. LOT: 3 BLOCK: . 4 ADDITION: Horizen Heights. CORNER LOT: INSIDE LOT: SETBACK:' 38' SIDEYARD: no 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: Fireplace in existing home Front: Depth• Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Heatelator 123 38C 3138 Type of Construction: Estimated Cost: $ 1327.00 To Be Completed: AugvAt 31, 1976 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. DATE: 8/6/76 SIGNATURE: (See Reverse Side For Additional Information.) 3,, ,:5r/At '-A Tip .✓ S City of Fridley SUBJECT PE �"" AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = � CITY HALL FRIDLEY 55432 NUMBER- DATE PAGE OF APPROVED BY 612-580-3450 910-F15 7/6/78 JOB ADDRESS 5228 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 1 Horizon Heights Addition SHEET 7-PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Foard 5228 Pierce Street N.E. 571-5941 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 CA ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 131-x 6' Addition to House 9 CHANGE QF USE FROM TO STIPULATIONS Provide preformed valleys. Provide 16" x 8" footings. S 'RAT PERMITS REQUIRED Epi Wffaw ;s He>ONrG, PLUMBING AND S1 W"G Note dWftg CA W ulaatift TELEPHONE • ELECTRIC - GAS Etc. REQUIRED OY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 78 936 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 $2 OOO $1.00 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- $8.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE .00 $11.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED A ENT (DATE) HEN OPERLY VALIDATED THIS IS YOUR�PE IT • e12::" -/ 4DATI BL G. )NSP �G.././ F ///f GATE SIGNATURE OF OWN R IIF OW ER BUILDER) CITY OF FRIDLEY APPLICATION FOR RESIllENTIAL BUILDING PERMITS (NEW, ALTERATIONS, %ADDITIONS, OR REPAIRS) OWNER: ��_��h--- J � BUILDER: Address: �� � � k k- r - Address:Xd Tel. No.:.�/ •�� i No. Street: •��.` .�� ,L :.c" �_`> LOT: BLOCK: 19 ADDITION: CORNER LOT: INSIDE LOT: SETBACK: •SIDEYARDS: Applicant attach to this form Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: 15 Depth: �- � Height: Square Feet: .__� Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Th Be Completed: Alt. A Alt. B Proposed 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 �y�� Fridley Ordinances and rulings of the Department of Buildings, and hereby D declares that all the facts and representations stated in this application 1 yMi e9 are true and correct. See reverse side for additional infgrmation. DATE:Z- SIGNATURE: Stipulations: 441- - �KW'44-1 /'6W CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY �•� �� —4ir WARM AIR: RAT4 TOTAL ,lob Address Furnace Shell & Duct Work $12,00 $ ' Replacement of Furnace 7,00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of B4ij4ngs Repairs & Alterations each add. $500,00 4.00 $ City of Fridley Tel. #x571-3450 .IECIiANICAL ItiAR.M !AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and 'hereby declares that all the *Raplace-.ent of Furnace 7.00 $ facts and representations stated in this application are true and correct. Re?airs & Alterations -up to $500.00 7,00 �S q r P Repairs & Alterations each add. $500,00 440 $ Fridley, Minn. / T , 197 ' STE-V•1 OR HOT Y:aTER SYSMI: �J OWNER s'7 Boiler & Lines up to 100,000 BTU $12.Q0 $ PND pF BUILPTNG ". each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.pp $ pSEp AS -T. each addn. 50,000 BTU A. PP $ I TA PP. FoMPLETER RANT 1P— -'O OIL BUP-\ER- to 3 gal. per hour $1Q.pQ $ p e) each add. 3 gal. per hour 1Q.QQ $ FSTTtVgFp CAST GAS BURNER- from 100,000 BTU lA 1Q9,Q�9 STN $,1Q.pp $162 ALD - I UJ PqT; TNG PTTgTT NO,. FER TT NO. (over 199,999 BTU see Fee Scheggu ) GAS FITTING FEES: 1st 3 Fixtures X S Q.pQ S PS ART?'Td�I PF FIIR*?ACE/BURNER Aiditional Fixtures X $ �;pQ $ Gas Range to 199,000 ET(J !RT�H or ?.AY1E#I P.WT$r 944?Rs #TQ7: P10srfW�� Aix- No. � AIR CONDITIONING$ Trade Name Size No.f 0 N,0 / / FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS +� $ Capacity Sq. Ft. EDEi/ BTU State Surcharge $ .50 Total Connected Load si/ ff 1/f_ Kind of Fuel 72ty, TOTAL FEE $ S D Bur.NER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) G FINAL INS?. ",3^O Company Date Signed By APPROVAL FOR PER41T f T+' Tel. No. YSb-M- F=E FOR ANY BEATING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE *Attached stack verification fora City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT MI 16 0 8 7 fECEIPT r _ COMMUNITY DEVELOPMENT DIV. t✓ PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 1 612-571-3450 NO. / NUMBER 910-F15 REV. DATE 3/31/81 PAGE OF APPROVED BY JOB ADDRESS 5228 Pierce Street N.E. 1 LEGAL DESCR. LOT NO. 3 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Horizon Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Foard 5228 Pierce Street N.E. 571-5941 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Cb. 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alter Flat Roof 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $1,500 $1.25 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE $10.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) - WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DAT SIGNATURE OF OWNER (IF OWNER BUILDER) )DATE)` 01 To $e Oz)rtpleted: Alt. A Alt. B Proposed 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 cqFrect. DATE: 3 - 31' - Y1 SIGNATURE: Stipulations: CITY OF FRIDLEY APPLICATIa FOR RESIDENTIAL BUILDING PER14ITS ' (New, Alterations, Additions or Repairs) OWNER: ��� � � a� �[� � 2� BUILDER: ADDRESS: S ��( �1'0`�� Vv ADDRESS: �s 13 TEL NO: -S®�/ '° '� �/ TEL NO: 07f'� 1�sF Construction Location STRICT NO: `� �1 STREET: L; e -e Al t5 LOT: � BLOCK: " _ ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of. Survey of lot and proposed'building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION - Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: ; ®rg '— Estimated Cost: $ To $e Oz)rtpleted: Alt. A Alt. B Proposed 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 cqFrect. DATE: 3 - 31' - Y1 SIGNATURE: Stipulations: :ITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 5431 University Ave NE =ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND 0711C�S JOB ADDRESS����� \-'1 RATE SCHEDULE OWNERS l� • I Residential .Rate TOTAL ' l Furnace- Burner- BUILDING USED ASL� AIsR�-Furnace $ 30.00 $' , (Side Vent - Fill Out Back) ESTIMATED COST ` ` � PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (H#) W to arm Air) .�, Gas Dryer $ 10.00 $ Trade me Size Non --- BTUHP EDR � �� "Air Conditioning - All Sizes $ 25.00 $ Fuel l� �1 °`� Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 ar L State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and 1 representations stated in this application are true and correct. TOTAL FEES "�- �• 26611�RAPQB 80tXE� C N RAPIDS. MN � MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION_ _ . HEATING4121757- REFRIGERATION/AIR f2 757- REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed, REINSPECTION FEE $47.00/Hr 'Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. _ _• •� ^_�„ ��_„•, .•..�.�,„.T,,... ^K2 Mr NI A/Ir\Arki rt IMKI ANr HEATING CO: Signed By: Date: DEPENDABLE INMARQUALITY, INC. 2619 COON RAPIDS BOULEVARD COON RAPIDS, IWIN 115133 ,1 _,5? Lr, -- o r CEUMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefullyexamined �� Yes () No ( ) 2. Is free from rust or deterioration Yes (�.. No ( ) 3. Has. no foreign objects lodged within Yes (J) No O 4. Is securely supported Yes (;/). -No ( ) S. Meets all current Code requirements for size ' and total BTU's connected Yes( No ( ) 6 Has total heating BTU's of1 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 ALTERS ONS.Being Done: " =,; S0 � N . N HEATING CO: Signed By: Date: DEPENDABLE INMARQUALITY, INC. 2619 COON RAPIDS BOULEVARD COON RAPIDS, IWIN 115133 ,1 _,5? Lr, -- o r Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS R' ef G a RATE SCHEDULE -r OWNER Lo;-s L P h(x-j(` 1= � o�.Y' Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS_0 W r- i� a Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ / ESTIMATED COST — PERMIT NO. / Gas Piping (Needed with new furnace, $ 10.00 $ ,�S_d/3. but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $.OD Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $�S� RIM CRY Sheet MM, ft. PATE 03 0§28 EHUGbW St N.W.-- MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # FAX # REINSPECTION FEE $47.00/Hr '-Air Conditioners can not be placed in a side yard without Approved By. Rough-In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 2, 2004 Mr. Leonard Foard 5228 Pierce Street NE Fridley, MN 55421 Re: Final Inspection at 5228 Pierce Street NE Contractor: River City Sheet Metal Inc. Dear Mr. Foard: A mechanical permit was issued on September 4, 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, DA%SEN Build pector DJ/mh