PRE 2010 DOCS4 City of Fridley, Minn.
BUILDING PERMIT X® 4155.
Date:
Owner: .................. Builder ...!: _.._._......_.__..._.__.._.__._..._....____...
Address
Address
_ LO ON OF BUILDING
No. 4.1 Street ....... ..... ..... ....... ........ r.. . . . ...... Part of Lot
Lot ..... . ......................-........ Block ..... - ................... -................ _........ Addition or Sub -Division .........................
Corner Lot .................................... Inside Lot ....................................... Setback ....._. .......... __................... .. Sideyard
Sewer Elevation ............. -................................... ............................. ........................ Foundation Elevation ..................
DESCRIPTION OF BUILDING
To be Used as: j
=-:.1..-.._.-.__........._... Front 1. _ R. Depth �.S...p.._� Height Sq. Ft 7.._.. Cu Ft _tl�u
......:...._...................................... Front .......................... ....Depth ..................... .... Height ................... _.. Sq. Ft....................... Cu. Ft.
Type of Construction ........................... ........ -......... . .. Est. Cost ...._1j,./................ 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 $._..., 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 upon violation of any of the provisions of said
ordinances.
_-_-- -----.......
.....-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.
City of Fridley, Minn.
BUILDING PERMIT N® 3471
Date: ...&' . ®,... ... ... ...... .
Owner ....................................... Builder ...... ......
Address ...................................... Address .............................................
LOCATION OF BUILDING
No. S . ®.. Street .. .. ..0 ................ Part of Lot........... .. ...... .. .
Lot ... l/...... Block .............. Addition or Sub -Division ...
Corner Lot ............ Inside Lot . A ......... Setback . .7�: -�?. Sideyard 44i 0. .....................
DESCRIPTION OF BUILDING
To be Usedd as:
AL . ..... ....... Front 3 �Depth -? &.— 1> Height Sq. Ft. //:5P Cu. Ft.- qy.?O
....... Front ®P: "Depth Depth . 6`0 leight®. Sq. Ft.cu. Ft.® .�
Type o Construction ................... Rst. Cost ..................... To be Completed ...................
4 </.G
In consideration of the issuance to me of a permit to construct the building desribed 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. ?/i ao
..d.� .........�. ..............
In consideration of the payment of a fee of $..., 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
0Pinances.
e, .
... ...... Building Inspector
e
NOTICE:
This permit does not cover the constructlon, 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 PlI robing and Gas Fitting Permit
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
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WATER HTR.
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GAS
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Base
1st
2nd
3rd
4th
• Future Connection Openings I
Connected with
New Fixture, Old Openings
Sewer ❑
I
1
❑
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 $
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 $ °
Dept. of Bldgs. Phone SII 4-7470
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- � � ! `� 19-5
Owner - e ' 19
Kind of Building
Used as
To be completed about
Estimated Cost, $
Ol New. uilding Permit No
Sign -
By
Business Phone No ~
Connection Permit No . .......................................................
'S-� �d~tee Water
a �–`�� Sewer
6 Meter Deposit
11 1M-8-58
City of Fridley
Appiicatian for plumbing and Gas Fitting Perrnit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
r
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
fu
a
Number Fixtures ..............
Z
$1.50
= N
Y
x
0 z
z
0=
x
w
Z
Catch Basin ............................
x
WATER HTR.
GAS
ELEC
O<G
3 Ci
z
<m
'�
`a�
3.25
i
cp
=
��
F-�
y
¢a
�Z
�a
F
N
m
m
m
c u
LL/o
c� m
a 3
a s
��
c� o
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected With
New Fixture, Old Openings
Sewer El
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ..............
x
$1.50
P. 0 b
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
Water Heater (Up to 200,000 BTI) ......
x
2.00
$--a- J
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
1st 3 Fixtures .........................
Additional Fixtures ...................
Gas Range to 200,000 BTU .............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATE TOTAL
x $1.50 $
x .50 $
x 2.00 $
DepL of Bldgs. Phone SU 4.7470
City of Fridley:
The undersigned hereby makes application for a peri*t for the work herein
specified, agreeing to do all work in strict accordatici 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 trite and correct.
Fridley, 11 inn ® ® ,- a S
19
Owner -'' 19—
Kind of Building 19—
Used as
To be completed about
Estimated Cost,
Old F' a Building Permit No 3 Z
Sign`
By
Business Phone
Connection Permit No . .......................................................
Water
Sewer
Description ................................................$
TOTAL FEE $ 11 IM -8-58
Meter Deposit
53-84-s-915.51
City of Fridley
for Phmddng and Geri Fktbg hnb
Dept- of Bblas Prone NO -3480
DESCRIPTION OF WORK L. *L. 6751 N. E. Plaza Curve
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $200 $
Future Fixture Opening ............ x $1.50 $—_
New Fixture Old Opening .......... x $1.50 $
Catch Basin ..................... x $3.25 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Beater .............. a $2.00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ............... x =00 $
Additional Fixtures .................. x $ .75 $
Gas Range to 199,000 BTU , ... , ..... x $5.00 $
REPAIRS b ALTERATIONS—Rotor to Code
Description ......... �a.. wLo5.00
TOTAL FEE s— 5. 00
(SURCHARGE
City of Fridley:
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 alt the fact
and representations stated in this application are true and correct.
Fridley, Wnn 9-18-72
Owner Barry Zustiak
Kind of Building Frame
Used as Res.
To be completed about 9-25-72
Estimated Cost, $ 10.00
New. Building Permit No. Pe e
ver.
Signed.
By
MINNEGASCO
Business Phone No
ROUGH
FINAL �� �,2�'• �,c
Caw "An' -Sur targe. 5.50
Val
• •
wATEa wry.
Bax
tat
In ta Ll
Gas
Leg
f
Dr
Fir
Dpl
Leel
2nd
3rd
44th
• Futuro Connection Openings
+ Now Fixture. ON Oponings
Connected with
8ewes
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $200 $
Future Fixture Opening ............ x $1.50 $—_
New Fixture Old Opening .......... x $1.50 $
Catch Basin ..................... x $3.25 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Beater .............. a $2.00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ............... x =00 $
Additional Fixtures .................. x $ .75 $
Gas Range to 199,000 BTU , ... , ..... x $5.00 $
REPAIRS b ALTERATIONS—Rotor to Code
Description ......... �a.. wLo5.00
TOTAL FEE s— 5. 00
(SURCHARGE
City of Fridley:
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 alt the fact
and representations stated in this application are true and correct.
Fridley, Wnn 9-18-72
Owner Barry Zustiak
Kind of Building Frame
Used as Res.
To be completed about 9-25-72
Estimated Cost, $ 10.00
New. Building Permit No. Pe e
ver.
Signed.
By
MINNEGASCO
Business Phone No
ROUGH
FINAL �� �,2�'• �,c
Caw "An' -Sur targe. 5.50
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY 1tiARIM AIR:
Furnace Shell & Duct Work
Replacement of furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECIUVNICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,600 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEktii OR HOT WATER SYST01:
RATE TOTAL Job Address 6 / TJ64 l
$12.00 $
7.00 $
7.00 $ Department of Buildings
4.00 $ City of Fridley
Tel. #571-3450
The undersigned hereby makes application for.a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $
4.00 $ Fridley,® nn.
Bailer & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999
BTU $10.00
$
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures
x $ 3.00
$
Additional Fixtures
x $ 1,.00
$
Gas Range to 199,000 BTU
x $10.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEMS _ See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS & REPAIRS_
$
State
Surcharge
$50
TOTAL FEE
$ o 5*
ROUGH INSP.
Date
FN, AL INSP. - 2 �- 76
Date
APPROVAL FOR PEPUMIT
REINSPECTION FEE
(.$10.00)
MINIXUM FEE FOR ANY HEATING PERMIT IS $7.50
OWNER
KIND OF
USED AS
TO BE COMPLETED ABOUT eie s 2 7C
ESTIMATED COST
OLD NEW BUILDING PERMIT NO.
PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water Warm Ai No. A �p//
f�G'
Trade Name f� ec G _ Size No. 19 Q07 /W
Capacity Sq. Ft. EDR BTU/0t _HP
Total Connected Load a�Zrylind of —Fuel i1
BURNER - Trade Name Size No:
Capacity Sq. Ft. EDR BTU HP
Company ✓'
'-�
Signed By
Tel. No. '
SUBJECT
P N l
City ®f Fridley
(2669
AT THE TOP OF THE TWINS
BUILDING
B U I� I
I T
i
LJ �J
RECEIPT NO.
v __�_�_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
�C
'
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�
1 /"'>f CITY HALL FRIDLEY 55432
A'� �'�
612-571-3450
910-F15
7/20/98
JOB ADDRESS 6751 Plaza Curve
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
4
Rice Creek Plaza South Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Harr Zustiak
571-2849
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Progressive Building Systems 23120 Gar ison Rd Corcoran.-
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20104340
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
Reroof house and garage 33-5 Tear-off
9 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2752
$1.37
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-
STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION.
74.75
Fire SC $2.7.f
PLAN CHECK FEE
TOTAL FEE
-9
License SC $5.0,0
1 $83.87
IGNATUREOFCONTRACTOR ORAUTHORIZED AGENT (DATE)
PROPER ALID,TED THIS IS YOUR PERMIT
t74.LH1EN
'.NSP
DATE
SIGNATURE OF OWNER OF OWNER BUiLDERi IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRWLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �� r
ConstructionAddress:
Legal Description:
Owner Name & Address: o Tel. # SIle 9
Contractor: - ° a MN LICENSE # /® 1/ 3all
Y�
Address•
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE A REA: Length Width Height Sq. Ft.
DECK AREA: Length Width H Ground Sq. Ft.
OTHER: AL a
Construction Type: Estimated Cost: $ ®�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: -Ft. + 6 Ft = Ft x $ _ $
DATE:--� g APPLICANT Tel. #J'9g� - ?0�/
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ S Fee Schedule on Reverse Side
$ % .001 of Permit Valuation (1/10th%)
$ /3 $.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
I
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 21, 2003
Mr. Harry Zustiak
6751 Plaza. Curve NE
Fridley, MN 55432
Re: Final Inspection at 6751 Plaza Curve NE
Contractor: Superior Contractors Inc
Dear Mr. Zustiak:
A mechanical permit was issued on July 26, 2001 to install a furnace and 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. A final inspection was conducted on July
311 2001, which noted the following correction:
Size vent connectors per manufacturer's instructions or GAMA tables. B -vent
required.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. Please contact us within 30 days to reinspect this correction.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
4inrPrPly
DJ/mh
CIIY OFV'RIDLEY INSPECTION DIViSION DS I.®� Effective On January 1, 2000
6431 University Ave NE 'I'd, 11' �G'i Uvil C011"i�-OV-1; I 0sdi1J1_1* LllowNttAl�r
Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning- All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
JOB ADDRESS [,,` S- f AA -2--A e-'0iZV4
OWNER
Rate TOTAL
BUILDING USED AS �tdc7�N�
$ 30.00 ��
ESTIMATED COST � � PERMIT NO.
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units l .Circle One (Steam) (Hot Water) Warm Air
$ 10.00 $ Trade Name ieyg-D Size No. Ua-0407
_ BTU %dam HP EDR
$ 25.00 Fuel Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
$ BTU HP EDR
$ 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
$ _ SUPEMOR CONTRACTOR 1
W21421DAV�EIN11
HEATING CO 7 MN
Signed TEL #
Approved By A Rough -In Date Final Date .2� 10.3
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes (,-rNo ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No (�
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes KNo ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. . Yes (-f No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes (.,Y'No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type rVRAjA-ci BTU Input Assiste r Nat
Appliance #2 Type lc.4& BTU Input . oo-O Fan Assisted or t
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances �_ Total Btu Input
Common Vent Type &A -5S 6 Vent Height AS -r Diameters inches
Appliance #1 Vent Connector Height ft Length ft Diameter _ in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
GUIR MORCONIRAC'L'OR3 mM
61214II1DAVLIN,IENO. -
HEATING CO: CRMAL, MV I
Signed By: Date