PRE 2010 DOCSCaiy ®i Fridley, jinn.
BUILDING PERMIT
Dlte� All�
/41
Owner: Builder
Address _.. _ - ___ .... _.. _ Address _ _--_------ --
LOCATION UILDING
No..Street A . A-�Afjl I.... _.._.. ..._...._ P f 4of __._..._._...._ � .....__..��...._,...
Lot Block .. Addition or Sub--Divisio • , A!" +C -
Corner Lot Inside Lot .. Setback _-i 15J— - Sideyard _ ..
Sewer Elevation __ _ _ _ _ _ Foundation Elevation
DESCRIPTION OF BUILDING
;0a
Used ..�
Front Depths Height �r~ Sq. Ft. Cu. Ft.-
Front _ Depth _ Height - o Sq. Ft. Cu. Ft. -
Type of Construction Est. cost . 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 uponvolat�en ofany of the provisions of said
ordinances
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to no
the Building Inspector for separate permits for these hems.
h.;
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name��(�
$ alder,
ASS%//4
CIs¢S 2f`
Address 5'3e� i
..�`�•d. 5_
1 �� 4Address
LOCATION OF BUILDING
No. Street R-/ PP- A V I if ty art of Lot
Lot Block Addition or Sub.Div, JP/ k/)f t�� k/
,�,.�.
Corner Lot L-"' Inside Lot Set Back �5� 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:
Front Depth Leight 2
Sq. Ft. 19.2,S- Cu. Ft. ) LK "_0
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ,Efr A & F • Estimated Cost 4
To be completed 41'&__5
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.
: -
DATE L SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
Ciiy of Fridley
Application fcw Plumbing and Gas Pitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures LOQ&o"
'1
pLL
-
6
WATER HTR.
GAS
ELEC.
V
m
Base
1st
2nd
_
3rd
4th
* Future Connection Openings
Connected with
I
Sewer E]
New .Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ o 0
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 $--L-150
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
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. 4 , 194-1
Z% —_ 10
Owner °
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old ew. g Permit No J-2_Permit No.
Signed
By v
Business Phone No
ROUGH
FINAL
Description ................................................$
TOTAL FEE $% 4 z 2M 7-59
'cation for Power igonts and H .
� Apph e�attng, C��ng, Yent�lat�on, Refr�geratton and /
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ................ .
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00 $ 8.00
2.00
6
5.00
$
5.00
$
2.50
$
Furnace Shell &Trines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell &Trine --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 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ 1*50
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN BEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $14.50
REMARKS:
Location 8199 River View Terrace
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, ATinn- April 26' 1961y 195—
Owner Joe Xaciaszek 195—
Kind of Building Frame 195—
Used as Dwelling
To be completed about Ju e 1961
Estimated Cost, $ $ 500.00
Old—New. Building Permit No. New rla
DESCRIPTION OF WORK
BEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1
Trade Name DAICO Size Nc�c*H1-00��
Capacity Sq. Ft. E.D.R. 100BTU H.P.
Total Connected Load 339195 Kind of Fuel G -1S
BURNER — Trade Names Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signe
B,
HEATING COMPANY, INC.
11 POST IM -12-58 BusinggslPWoy 50_,_IA Uta
MINNEAPOLIS 9 MINNESOTA
D•56 7 9
HEAT L.WS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E, Construction No.
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes—No I Yes—No 19—
FI.I 7 Pi ." i. e, Room I Length;7/--a Width e Height i;r II 1 Fl.l
Windows an
Doors—Crackage a d Area
'>'- (0
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq.
'®
Width
Coef.
l
Z)
Coef.
Btu
Infiltration
ref.
Exp. wall
Glass
Glass
Net exp. wall
Exp. wall
&C
Int. wall
Exp. wall
L -0
Ceiling
Int. wall
Int. wall
Net exp. wall
(A
o
j '®
Z_
Int. wall
Floor
d
Ceiling
Ceiling
Floor
Floor
td
��
a
Total Btu. I c) -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Fl.1111 Room I Length Width ® Height
Windows and Doors—Crackage and Area
'>'- (0
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
area
I F1.1 ; v Room I Leng /
Width
Coef.
Btu
Infiltration
InfiltrationD
c�
Glass
ref.
Exp. wall
Glass
d
Net exp. wall
Exp. wall
&C
Int. wall
Net exp. wall
L -0
Ceiling
Int. wall
Int. wall
Floor
(A
01 0
Total Btu. '
Required sq. ft. E.D.R. or sq. ins. W.A. Lead area
% m.I 7 M:i Room I Length q _ Width ` e h Height
Windows and Doors--Crackage and Area
'>'- (0
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
area
I F1.1 ; v Room I Leng /
Width
Coef.
Coef.1
Btu
InfiltrationD
/11--a
Glass
C -1-0
Glass
Exp. wall
Glass
d
Exp. wall
Exp. wall
&C
Int. wall
Net exp. wall
L -0
10fy
Int. wall
Int. wall
Floor
Ceiling
®8 is
Ceiling
Int. wall
!J
Floor
d
Ceiling
b
Total Btu. 2,lz>
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ifs MINNEAPOLIS. MINN.
Insulation
Kind How. Applied
Rnom I Lenath -' Width /& Height
Windows and Doors—Crackage an Area
'>'- (0
Width Height No. of Linea! ft. Area
No. of pane of pane lights of crack sq. ft.
area
I F1.1 ; v Room I Leng /
Width
Coef.
Btu
Infiltration
Btu
/11--a
Glass
Infiltration
o
Exp. wall
Glass
Net exp. wall
Exp. wall
&C
Int. wall
T-,2-
L -0
Ceiling
Int. wall
Net exp. wall
Floor
Ceiling
®8 is
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1 0 I �XRnnm I1.math c? Width—j_> Height 7C
Windows and Doors—Crackage and Area
'>'- (0
Width Height No. 01 Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
area
I F1.1 ; v Room I Leng /
Width
Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
ZG 1
Coef.
Btu
Infiltrations
Btu
Infiltration
0
Glass
® d
Exp. wall
&C
Exp. wall
Net exp. wall
L -0
;-O -0
Int. wall
Net exp. wall
Ceiling
ij b
0- 0
Int. wall
!J
Total Btu.
Ceiling
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Floor
td
��
a
Total Btu.
'>'- (0
Required sq. ft. E.D.R. or sq. ins. W.A. LvAer
area
I F1.1 ; v Room I Leng /
Width
Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
ZG 1
Coef.
Btu
Infiltration
Glass
® d
Exp. wall
Net exp. wall
L -0
;-O -0
Int. wall
Ceiling
Floor
!J
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Date: br
Owner:Ar, 1�
City of Fridley, BE=.
L
BUILDING PERMIT N9
r.58.54
......-----
Builder
Address _
LOCATI :r BUILDING
No. Street --.- , _ -� :: Part t ----.
_� _
Lot _ Block _ Addition or Sub- i n .
Corner Lot . �- Inside Lot __ Otback ideyard w -
Sewer Elevation __ _ _ _ Foundation Elevation _
DESCRIPTION OF BUILDING
' Fxont01
Depth �� Height ,.._...,. _ Sq. Ft. Cu. Ft. O
Fro _ Deptheight Sq. Ft. Cu. Ft.
_ _
Type of Construction - Est. cost, �° "` 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.
r
In consideration of the payment of a fee of $=.—:.._.., permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin$I
within the city limits and this permit may be revoked at any jjpupon violati f any of the provisions of said
ordinances. r 1 rT .ra
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sea
the Building Inspector for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
o
Owner°s Name Builder
Address ,Vit/C. Address
LOCATION OF BUILDING
l � C
No. Stree Part of Lot
Loa��Block Additi or�Subdivision
0
Corner Lot Inside Lot Setback e -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
ESCRIPTION OF BUILDING
To be used as:. ��-
® ® Front ;--
7� C3 Depth -2- Height
Sq, Ft• ------o Cu. Ft. � C�
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated 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 of
Fridley Ordinances and rulings of the Department of.Buildings, and hereby
declares that all the facts and representations A tated in this application
are'true and correct.
DATE r v� — �� SIGNATURE 'R4 �'6
fz 1 a w is e
/b
(Schedule of Fee Costs can be found on the Reverse Side).
C -57y CPO'*"
8431 UNIVERSITY AVENUE N.E., FRI DLEY, MINNESOTA 55432
TELEPHONE 612)571-3450
OBSTRUCTION:
Lot
Block Addition
Property avner-.'address
17
RECORD OF COMM)NUC.NTIONS:
Ito 7UY
2.
3.
4.
G.
7.
SUB�E�T
P
City of Fridley
3 14 3 9
AT THE TOP OF THE 'TWINS
BUILDING
PERMIT
iiECEr T NO.
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC-
1
I I CITY HALL FRIDLEY 55432
I
,.j
NUMBER
REV
DATE
PAGE OF
A0PROVED BY
612-571-3450
910-F1
10/3/00
JOB ADDRESS 8199 Riverview Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
30,31
R
I Riverview Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Kennedy
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Rosecraft 1743 Margaret St, St Paul, MN 55106
651-771-0634 20094989
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
O NEW O ADDITION O ALTERATION
REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Cole.
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
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
$2,557 $1.28
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 OT R STATE OR OCAL LAW REGULATING CON-
$83,25 Fire SC $2.56
UCTION O E PER RMANCE O CONSTRUCTION
PLAN CHECK FEE TOTA EE
Licen C $5. $ .09
SIGNATUREOF CONTRACTOROR AUTHORIZED AGENT IDATEI
EN P OPE LIDATIODXHIS IS YOUR PERMJTZ
a Bt-)rgP rJAIRE
S,GNATURE 09 OWNER i6 OWNER SUILDERI (DATE,
NEW [ l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: f�5 ICA --A 1Z-1 G►Z � �� C -
Legal Description:
Owner Name &Address: --�O Tel. #/ I- — - 7
Contractor: MN LICENSE # -?— A 996en
7
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
L_._ Tel. # &S 1 - 77
SS/®l0
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft.
Length Width ,Hgt/Ground Sq. Ft.
Construction Type:C2 'D -/' '6��- Estimated Cost: $ ��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE:D
Lod APPLICANT: Tel. #
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$ �� _ �� Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$.50/$1,000 Valuation
SAC Charge
$
$1100 per SAC Unit
License Surcharge
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
CITY OF FRIDLEY BUILDING INSPECTION
6431 UnlyRrsity Ave NE
Fri&ey, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
le,,o �'44 Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOBADDRESS �1 1 )2Wcal ��/ '
�
Fee Total
Owner
e
$35.00 $ afD Building Used As
$10.00 $
$10.00 $
$10.00 $
$25.00 $ 7�ks
ESTIMATED COT PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units 1 Circle One (Steam) (Hot Water) arm Air
Trade Name 2 L Size No.
BTU GG HP EDR
Fuel Total Connected Load �:J&xU®
Burner Trade Name
BTU
HP
Size No.
EDR
Improvement whichever is greater
The undersigned hereby makes application for a permit for the work herein
Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes
1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts
Minimum Fee $35.00 for Commercial/IndustriaVInstitutional and representations stated in this application are true and correct.
!'- SER i ➢ � i ! <w
State Surcharge $ HEATING CO 744 -Aa ® A -S C j4 r-
�.
so MAPLE GROVE, MN 55
TOTAL FEE $ Signed Tel #
tt
REINSPECTION FEE $50.00/HOUR 901CO
vFAX # Date + V
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE c41-4
Approved by Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, 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 () 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 ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes ( )
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 ( )
No( )
No ( )
No ( )
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 () No( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type `%` A Q BTU Input 9 } GCC'
Appliance #2 Type H;� ,O °2— BTU Input
Appliance #3 Type BTU Input
Total Appliances Total Btu Input
Common Vent Type
Fan Assisted or Nat
Fan Assisted or Nates"
Fan Assisted or Nat
Vent Height Diameter
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)
KA'�s'MER HEff1o'lIG de O�
744d DALLAS COURT
NIAPLE GROVE, MN 5W'
HEATING CO: 7,620-51�7
Signed By:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763) 571-1237
ADDRESS : 8199 RIVERVIEW TERRACE NE
PIN : 043024140020
LEGAL DESC UNAVAILABLE
LOT BLOCK
PERMIT TYPE HEATING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
PERMIT N 2004-00896
DATE ISSUED: 06_/._11—/2-00`44
VALUATION : $ 3,000.00
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL A FURNACE (WARM AIR, YORK, 80,000 BTUS) AND AN AIR CONDITIONER.
# A/C UNITS 1 VALUE OF APPL OR WORK
# FURNACES
# GAS RANGES
APPLICANT
KRAEMER HEATING INC
7441 DALLAS COURT
MAPLE GROVE, MN 55311
1Jd S'
KENNEDY JOHN M
8199 RIVERVIEW TER NE
FRIDLEY, MN 55432
1 # GAS DRYERS
0
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulat' g struct'on or the performance of construction.
Applicant Date
j�
Bldg Insp Da
l
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 3513
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
0
0.00
35.00
0.00
0.00
25.00
0.00
0.50
60.50