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PRE 2010 DOCSCity of Fridley, Minn. �2 6431 University .Ave. N.E., Minneapolis, Minn. 555432 G PE .9. Date: - October 28, 1971 Owner: _,_.._..._.yiewcon. Incorporated Builder . Same Address _._._.....5.201 Bmolyn_Hatii7ea�ard Address Same NO. _._.5..SQA____. Street — West; Bavarian bass part of Lot Lot __. 5_ Block ._._.._.._11_.._.___......__ Addition or Sub -Division Tnnqb-Mjr_k North Tnh:G , Site Corner Lot ___._. . ___ Inside Lot —_X _ Setback Sideyard Sewer Elevation Foundation Elevation o be U d as: In ividual Town , use llni.t..._.._.. Front _ ZQ_ Depth ___ _3.1! Height 28' Sq. Ft. - 620' Cu. Ft. .17 -j -W a Gazag.2____.._._ _ Front 14' Depth _ _22.' Height 10' Sq. Ft. _30.$' _ Cu. Ft. Type of Construction ---Waad Frame Est, Cost .$20,11.6_,4A To be Completed ,l'an- 1-9. 1972 Stipulations: Provide 10 foot wide plato at J'V elevation 857 for future walk around the lake. All parking lot and street grades must be greater than .6%. Area to be platted and filed before occupancy of units. 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 a'll provisions of ordinances of the city of Fridley. 10.16 State Surcharge In consideration of the payment of a fee of $ 38.00 , permit is hereby granted to Viewcon, Inc. 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 buiidirig� .within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. !2�Wed®l�Buijdjng Inspector HANK MUNICH NOTICE: This permit does not cover the construction, installation for vetting, plumbing, gas heating, sewer or water. Be mare to we the lluilding Inspector for separate permits for these items. ("B" Unit) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: VIEWCON, INC. BUILDER: VIEWCON, INC. ADDRESS:, 5901 Brooklyn Blvd. ADDRESS: 590,1 Brooklyn Blvd. NO:. 5„50 STREET: West Bavarian Pass LOT: 5 BLOCK: 11 ADDITION: Innsbruck North Townhouse site CORNER LOT: INSIDE LOT: X SETBACK: -- SIDEYARD: -- 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: Individual Townhouse Unit Front: 20' Depth: 31' Height: 28' Unit: 620 -- uAK-0 - c5; ,10 �i i 71 I Square Feet: F i n : 1240 Cubic Feet: 17,360 Garage Front: 14' Depth: 22' Height; 10' 1Square Feet; 308 Cubic Feet: 3,080 7777 077 7 �U =-T61 Type of Construction: Wood frame Estimated Cost: I2G , To Be Completed; 15, January. 1972 /73 4 G err� /0 a 5g 2 Z 2 '/r/a The undersigned hereby makes application for a permit for the work herein s - specified, agreeing to do all work in sttict accordance with the City of �— Fridley Ordinances and rulings of the Department of Buildings, and hereby /412-2 ° .0. declares that all the facts and representations stat in this applic Lou /4 3 $ a ° are true d correct. Lo -Y e/ 37, e % Pf DATE: 10 13/71 SIGNATURE (See Reverse Side For Additional Information.5 ,P,�51FAI< 7' 11=Zr _ 3 k- 00, t� �/7e n 3 L� DO' CA 0 cf) r 4 5 4N not �j,vQj Application for power plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ 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 .............. 8.00 $ X 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam 8.00 $ Furnace Shell & Line—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 $ X GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ X Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 17.50 ROUGH FINAL�di'� �� Dept. of Bldgs. Phone SU 4-7470 Location 5506 W. Bavarian Pass 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 December 13T1971 , 19 — Owner ®iewcon, Inc. Kind of Building Frame? Used as Residence To be completed about — janua=.y_19T2 Estimated Cost, $ Old—New. Building Permit No. Permit No.� DESCRIPTION OF WORN HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No 1 Trade Name Bryant Size No 393-80 Capacity Sq. Ft. E.D.R 80, 000 BTUH P Total Connected Load 41 , ann Kind of FueL Nat _ Ggs BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P (REMARKS -OVER) She AdvaAced H tge & Air Condo, I -c o By - Business Phone No 786 881 City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone X560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures C7 C RATE TOTAL Number Fixtures ...................... Z x $2.00 $ �o Y rF�F c Z 8oS� <� Z Oi W < �G$ W C79� Z �O : F • N WATER HTR. GAS ELEC. Base x $3.00 $ O New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2,00 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ —7-06 Additional Fixtures .................... 1st $ Gas Range to 199,000 BTU .............. x $5.00 $ 2nd / 3rd 4th ° Future Connection Openings New Fixture, Old Openings I _ Connected with Sewer ❑ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 16a x $2.00 $ �o 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) ...... l x $3.00 $ O New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2,00 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ —7-06 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 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 all the fact and representations stated in this application are true and correct. Fridley, Minn l9%f Owner Kind of Building 2 cc inz/ Used as ' z' n 11 To be completed about Estimated Cost, $ ® ®®® Oldew Building Permit No Permit No. 1:S_ Signe�5 By /�-a-C tel' �-,_o•z...� Business Phone ROUGH FINAL - REPAIRS & ALTERATIONS—Refer to Code SD JA.LA� Description ................................................$ TOTAL FEE $ az City of Fridley To be completed about , .. S e -o t . 18, 1972 PARTIAL RATE SCHEDULE Estimated Cost, $ 10.00 old- New. Building Permit No. sPe Ot No. PLVMNING FIXTURE RATES- NO. RATE TOTAL Signed Number Fixtures ................ x:$106 $ Future Fixture Opening .... o ...... x $1.50 $ By MINNEGASCO New Fixture Old Opening .......... x $1.50 $ Business Phune No Catch Basin .................... : $3.25 $ Water heater 'Up to 99.000 BTU) .... x $3.00 $ New Ground Bun old Bldg......... x $3.25 $ ROUGH Electric Water Ifester .............. s $2.00 $ FIZilLL �?9 7- 7V GAS FITTING FEEM NO. RATE TOTAL 1st 3 Fixtures 1 : $200 Additional Fixtures x $ .75 $ /! Atyf rpp♦ ' M 3.00 ( l) gas lite Gas a to 10.000 BTU &/ .. o......... R $5.00 $ State Surcharge $ .50 REPAIRS S AL TI® t®r fe Ce&_ Description TOTAL yEE $ 5.50 91 SUBJECT PERMIT NO. City ®f Fridley AT THE TOP OF THE TWINS U I L ®I PERMIT BUILDING N �\ �Ji T RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. r ; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910415 5/18/94 JOB ADDRESS 5506 West Bavarian Pass NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 11 INnsbruck North Townhouse SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dicks Fire & Storm 864 19 Ave SE M ls. MN 55414 - 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 Reroof House & Garage (Tear -off); Install gutters 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. ZONING SO. FT. CU. FT. THI$ PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.06 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,1nq PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW $54.00 Fire SC $2.11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC 15.00 $62.17 EN RLY ALIDATED THIS IS YOUR PERMIT SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI BLDG INS GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 91 NEW ADDN (( CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 5506 - West Bavarian Pass _ Legal Description: Owner Name & Address: Tel. # Effective 1 / 1 /94 Contractor: Dicks Fire and Storm MNLICENSE# 2481 Address: 864 - 19th Ave S.E , Mpls., Mn. 55414 Tel. # 781-6170 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 Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. - DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Remove and replace roofing on garage Install g„t Pra Remove and replace roofing on house. $ Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Roofing /gutters Estimated Cost: $� 2.10 9 .0 0 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $_ DATE: 5/15/94' APPLICANT: Dicks Fire and S t o Tel. #781-6170, STIPULATIONS: CITY USE ONLY Permit Pee $ n Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ d $.50/$1,000 Valuation SAC Charge $ $800 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 INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 / 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED oN FAr.H Fi MR Effective On May 10, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas"' NO. RATE W Gas Range" Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS_ 55D6 tJ- 6l�/?9-/06 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 9 L4 1999 Owner Oil, 6, 3 Building Used As S Estimated Cost PERMIT NO. MR RR OF ANOM COUNTY PLUMBING COMPANY RO INDUSTRY AVE, N. #114 RMSEY, MN Ev SIGNED BY TEL N0. Approved ByAe'i Rough -In Date Final Date $ .50 MINIMUM FEE R ANY PLUMBINGIGAS PERMIT IS $20.00 PLUS HE S.5W STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. SUBJECT �• city of Fridley 31043 AT THE TOP OF THE TWINS BUILDING PERMIT t . RECEIPT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ` q f NUMBER REV DATE PAGE OF APPROVED Br j E �'••1 CITY HALL FRIDLEY 55432 612-571-3450 910415 6/8/00 JOB ADDRESS 5502, 06,10,14,18, 22 W. Bavarian Pass 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR: , 1-6 11 Innsbruck North Townhouse Site SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Innsbruck.,Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp. 2301-E. 25th St...Mpls., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING ','Residential I., CLASS OF WORK O NEW O ADDITION ❑ ALTERATION )p REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Building 9 .CHANGEOFVSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Par mit inspection Cards will Be Mailed -ro Homeowner To Post TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE'PERMITSRRE 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 6 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 $16,674.56 $8.33 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 11101 304.25 SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT IDATEI HENR P VALI AT D THIS IS 10UR P_kRMIT BL INSP QATE SIGNATURE Of OWNERIIt OWNER BUILDERI IDATEI Building BUILDING Permit No.:~ S Inspections RESIDENTIAL APPLICATION Received By: 763-572=3604 mate Rec'd: G CITY OF FRIDLEY DATE `` 6—o7 YOUR E - MNL ADDRESS 44 1,161 SITE ADDRESS O Id cR THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: STATE LICENSE # ® EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STA IP S5 J WITH APPLICATION PHONE FAX PROPERTY TYPEINGL FAMILY/NEW CONS UC ON SIZE ❑ TWO FAMILY/1 CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK OKSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR. NREMODELING DESCRIBE WORK BEING DONE:¢ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: "MING FOR NEW CONSTRUCTION INCLUDING DECKS, myl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINq THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ -0 6 6 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ (,7t7D $ -3 LID $i G� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w ' h review and approval of plans. j 9 SIGNATURE OF APPLICANT PRINT NAME DATE Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: U 0 763-572-3604 CITY OF FRIDLEY Date : ' ° 1763-502-4.977 EFFECTIVE 2-19-09 ppFAX / DATE E-MAIL ADDRESS �Y%UR SITE ADDRESS ® I �a 9s THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: R -L- -I �(� n OWNER/ TENANT a_I STATEPi/I �' ADDRESS: -6 6 W rfi'1� LIP 7i r ZZ& PHONE: to 17,— CONTRACTOR COMPANY NAMEU6E'� Co 7A C'ZJ Ct S 1% S T6-0'15' SUBMIT A COPY OF CONTACT PERSON: Nr0q 1) u YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: �� �7G�� �� C'IlTY/wts LpG�'f STATEtVkiIP53Z)� APPLICATION PHONE — ��Z ''� lD� FAX —7�Z g(o� 7 i Thi PERMIT TYPE #<NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATIONJREMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, XCEPT WHERE NOTED. FIXTURES: I DIC TE TOT4L NUMBER OF EACH BELOW) Equipment Installed MFG: � MODEL: rWE0Z� 2- 3c) SIZE/BTU Z(:4fQcnn MFG: _� MODEL: C7! U" 364 -O�O SIZEBTU 70z MFG: MODEL: SIZE/BTU A/C $25.00. FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 FPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 _✓FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 kyr }� 44"":4­ W- SI "W-W7 c$ b F �:' tis, Y � a 5 � � ,� ➢ a 5 2 - S y; h `.� � �.d�' C � THIS 1S AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicat' or a and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of al] rich re es review and approval of plans. , SIGNATURE OF APPLICANT PRINT NAME M&CS't A DATECzs_h f s City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 IN