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City of Fridley, 31inii.
BUILDING PERMIT N? 6 415
Date: IL �✓ � �
Owner: Builder
Address Address
LOCATION OF BUILDING
No. Street a �JC Part of Lot
Lot _ _ __ Block dition or Sub -Division .
Corner Lot _ Inside Lot Setback
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used l i
Front Depth Height
Fro _ Depth Hei t �� Sq. Ft.Cu. Ft. Q
Type Construction Est.: be Completed
In consideration of the issuance to me of a permit to constru a building described above, I agree to do
the proposed work in accordance with the description above set f and compliance with all provisions of
ordinances of the city of Fridley.
.,e
In consideration of the payment of a fee of $�"— , permit is hereby granted to
the
to construct the building or addition as described above. This permit is granted upon
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 thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regardiig location, construction, alteration, maintenance, repair and moving oY buildings
within the dty limits and this permit may be revoked at auy tune upon violation of any of the provisions of said
ordinances ,
Building Inspector
NOTICE:
'Ihls porn* doss not cover tits construction, huhOdlon for wiring, plumbing, gas hooting, wwor or wrier. Be sore to we
the Building hwpsetor for soparate permits for than f mm
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner `s xame&aaj&
/ Builder
Addres " (®� P &lAddress -1®A��,Cd7Z—'lei
17
LOCATION OF BUILDING
rG2��X
No. Street � j'Part of Lot
Lot Block Addition or Subdivision!L
Corner Lot Inside Lot Setback_7S Side-Yard/14
SEWER ELEVATION FOUNDATION ELEVATION2A5_;rj_<_�_1_04
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be use as o f/
Front Depth /a,� Height
sq. Ft. / /j t LJ 9--�r4 a Ft.
f r...
FrontDepth, Height
Sq. Ft. Cu. Ft
Type of Construction Estimated CoA4f_?11*
To be Compi
The undersigned reby makes application for a permit for the work
herein specifiqW,, agreeing to do all work in strict accordance with
the City..of Fridley Ordinances and ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correc
—
rA
(Schedule of Fee Costs can be found on the Reverse Side).
Application for Power Plants and Healing, Coding, Ventilation. Reh igeraand
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
W
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 ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. ............. 5.00 $
Repairs & Alterations each add. $500.00 ....... :...... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR 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 $ f
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 $
AIR CONDITIONING
tFAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE / S
DepL of Bldgs. Phone SV 4-7470
-,1'2K2— z� i LOQ h --c
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- 3 1'r ';,� 19 —
Owner
Kind of Building
Used as
(/
To be completed about
Estimated Cost, we, D
01d --New. Building Permit No. —42 Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water, arm Air No
Trade Name to—Size
�No-
Capacity Sq. Ft. E.D.R- /,��, 'Bi� H.P.
Total Connected Load "/3 `res Kind of Fue
le, eq
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R I BTU H.P.
(REMARKS -OVER)
Signed
71,
4 Z 2M 7-59 Business Phone No
r
Compliments of North Central Public Service Co.,
07 Y,� V2
1Ei�AT IMS CALCULATIONS07
OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
WindowsDoors Reference Out. Wall Int. Wall Ceilili Roof Floor
a
Ye o I Y T% 19.. I �
Room I Length ?- 3 j,01Width / Height FL
Windows and Doors—Crackage and Area I II
No.
Width Height
of pane of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Lineal ft.
of crack
Area
sq. ft.
Area
sq. ft.
1,
0
Do
i/
V
-7 -
Coef.
Btu
Infiltration
Coef.
Btu,
Infiltration
Glass
(,
Sv
4,0
d' 1/0
Glass
Coef.
Btu
�0
Exp. wall
yo u v
Exp. wall j
-
0
Ceiling
Net exp. Wall
uV
�V20,30
Int. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader areal
7
Ceiling
Floor
Floor
' u
E Total Btu.
�- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /
/ Fl. I �QL,j! r Room I Length q Width /.I- Height y
Windows and Doors— Cra.ckage
and Area
No.
Width Height No. of
of pane of pane lights
Lineal ft.
of crack
Area
sq. ft.
Area
sq. ft.
Height
of pane
No. of
lights
Lineal ft.
of crack
y,�
V
-7 -
Coef.
Btu
Infiltration
.1/0/
(0 v
Glass
a
Sv
�o
Exp. wall
Glass
Coef.
Btu
Net exp. wall
Exp. wall
/
L)
Int. wall
Net exp. wall
Ceiling
Int. wall
Floor
Ceiling
G U
10
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader areal
7
j FL I,( Room I Length /Width y Height
Windows and Doors—Crackage and Area I
'j-- I Jkl 0 1/ b 11- 1 3 5" 1 a I I
Btu
Infiltration I l' y0 /,/Do
Glass 3 Su 0
Exp. wall
Net exp, wall / V / y
Int. wall
P
Ceiling
Floor 1 —
Total Btu. -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
% /'per-
` TOW
VILLAGE
Insulation
How
Room I Length /; Width /lj�Ieight
Windows and
Doors--Crackage and Area,
Width
No. of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Height
of pane
No. of
lights
Lineal ft.
of crack
y,�
V
-7 -
Coef.
Btu
Infiltration
a
Glass
Coef.
Btu
Infiltration
Exp. wall
Oyu
1,
Net exp. wall
Int. wall
Ceiling
G U
10
(S v
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I I
j Fl. I oom I Length 7 idth Q Height 0
Windows and
Doors—Crackage
and Area
No.
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
V
-7 -
Coef.
Btu
Infiltration
Oyu
1,
Glass
Exp. wall b -
Net exp. wall
G U
10
(S v
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. I -Room I Length 0 a Width // Height
Windows and
Doors—Crackage and Area
10 S1
J�
Width
No, of pane
Height No. of Lineal t.
of pane lights of crack
Area
sq. ft.
0 !
y
139
go33
/
Coef. ,Btu
Infiltration T T
p ?� 0
Glass
Exp. wall
�ik
Net exp. wall
0 0
Int. wall N
/
Ceiling
Floor
V
Total Btu. Q
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I
City of Fridley
Application for. Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK 30
Number, Kind and Location of Fixtures Location
G7
NO. RATE TOTAL
Number Fixtures ....... ..............
x $1.50
$ -�
Future Fixture Opening ................
x 1.20
Y
New Fixture Old Opening ..............
c Z
$
Catch Basin ...... ..................
.. x 3.25
w
?
(�90
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................Z
x $1.50
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
Ist
/
2nd
_
3rd
4th
• Fugue Connection Openings
* New Fixture, Old Openings I
Connected with
Sewer
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
$ C�
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................Z
x $1.50
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$��
TOTAL FEE $. Z;2-6
City of Fridley:
i
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.
4 _� Fridley, Minn
Owner�,.fL,d��'
Kind of Building
Used as �✓
To be completed about
Estimated Cost, $
Old �ewlding Permit N A Permit No.
Signe
r
B �D
Business Phone No �– 3 ®�� e ICL—
ROUGH
FINAL
42 •2M
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
'r'
NO.
COMMUNITY DEVELOPMENT DIV.
I PROTECTIVE INSPECTION SEC.
/�
r i
�l
` r
i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEP
AGE OF
APPROVED BY
612-571-3450
910_F15
5/9/95
JOB ADDRESS 32 66 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
I
4
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joan Kazmierkoski 32 66 1/2 Way NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ken's Roofing Co 3600 Minnehaha Ave S M ls. MN 55406 721-6705 5035
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 p REPAIR ❑ MOVE ❑ REMOVE
xx
8 DESCRIBE WORK
Reroof Dwelling (15 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
'c /-Is � � , ����►mss
Po i to c ��
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
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
$1,225
$.56
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-
$31.00
Fire SC. $1.12
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
jo/PLAN
fA_44 01, _�� A��,
CHECK FEE
License SC
$5.00
TOTAL FEE
$37.68
IGNATURCONTFtACTOR OFrAUTHORIZED AGENT IDATEI
WHqNA P
LY VALIDATED THIS IS YOUR ERM
BLDG INSD
FATE
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z -71qBuilding Permit Application l
Construction Address: ✓� f' �!j °'?
Legal Description:
Owner Name & Address: �� � r� �✓i:: � Tel: #
Contractor: r
MN LICENSE .#
Address: Tel. # .. .2 .P
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: 4 aae -
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
9
Type of Construction:�� Estimated Cost: $
Approx. Completion Date.
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. ,+ 6 Ft = Ft x $ _ $
DATE: ' 7.1 APPLICANT: � ' � �� � Tel. #
CITY USE ONLY
Permit Fee $31,00 Fee Schedule on Reverse Side
Fire Surcharge $ 1 .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ Q 0 $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:
s'
SUBJECT
P
City of Fridley
� � � � 9
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
REC
Jr?
�
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
��
{ CITY HALL FRIDLEY 55432
NUMBER
DATE
P AGE OF
APPROVED BY
,•J 612-571-3450
7REV
910-F15
5/15/95
1
JOB ADDRESS 32 66 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4 1
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Joan Kazmierkoski 32 66 1/2 Way NE
574-7468
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Midwest Window Co 3739 Minnehaha Ave S, Mpls., MN 55406
721-5333 2130
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
O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
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 I
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
$7,531
$3.76
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
$99,00
Fire SC $7.53
N���^
PLAN CHECK FEE
TOTAL FEE
c5`
License SC
$5.00
1 $115.29
SIGNATURE OF CONTRACTORO THOCR ED AGENT IDATEI
WHENPROPEP.ClVALIDATED THIS IS YOUR PERMIT�I
BL INSP
/
/ 9
BATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW I Effective l/1/95
ADDN CITY OF FRIDLEY I
ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application C71 1 5 -
Construction Address: 3o? - 6ro / A 601f
Legal Description: 4Z M/�; %Z'o�5 kl- r
Owner Name & Address: ��l% &:zM "C'e' A-'0sr%/ ' Tel. # S'71Q-- DW
Contractor: /� ceJL�"f f �P`,��Q� C!,� MN LICENSE #%3®
Address:J)3p 4111W WA Tel. #
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:
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks
Type of Construction: J11•A,-C. W-ld s1014 Estimated Cost: $ %S�%• �®
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: + 6 Ft = Ft x $ _ $
DATE: APPLICAN Q Tel. #]o?/=���,�
CITY USE ONLY
Permit Fee $_?2 U0 Fee Schedule on Reverse Side
Fire Surcharge $ % .001 of Permit Valuation (1/loth%)
State Surcharge $ `7 $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ �� G� $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 Enpneering
Sewer Main Charge $ Agreement Necessary (] Not Necessary [ ]
TOTAL $ Pf
STIPULATIONS:
• e �J
CITY OF FRIDLEY'INSPECTION DIViSION , I .UI Effective On May 10, 1999
b f
6431 University Ave NE (�
Fridley,. MN 55432 APPLICATION FOR POWER PLANTS AND.HEATING, COOLING, VENTILATION, < <
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESSOR—
RATE SCHEDULE .
OWNER A& `i11�(L 1�b51�1
Residential Rate TOTAL
Furnace Shell and Duct Work; Burner - BUILDING USED AS f�0)
Also Replacement Furnace $ 30.00 A0.00
(Side Vent - Fill Out Back) ESTIMATED COST ` ®�`� PERMIT NO.
Gas Piping (Needed with nqw furnace, $ 10.00
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER �Y
Gas Range $ 10.00 $
No. of Heating its Circle One (Steam) (Hot Water) arm Air
Gas Dryer $ 10.00 $ Trade Name ' Size No. die.
BTU HP EDR
*Air Conditioning - All Sizes $ 25.00 $ a50 Fuel fg a Total Connected Load •
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Appliance or Work • $ 3`®� BTU HP EDR
Commercial/Industrial
1.25% of Valpe 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 $ 5Q rulings of the Building Division, and hereby declares that all the facts and
TOTAL FEE $`� representations stated in this application are•true and correct.
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 ��
PLUS THE $.50 STATE SURCHARGE Signe DATE
REINSPECTION FEE $47-00/Hr
*Air Conditioners can not be placed.in a side yard without Approved By4_ Rough -in Date Final Date I0
written permission from adjoining property owner.__ _ _ 4 (� ��
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or.stack:
1. Has been carefully examined Yes (t"No ( )
o
2. Is free from rust or deterioration Yes (,-'rNo ('
3. Has no foreign objects lodged within. Yes (--fNo ( )
4. Is securely supported Yes , (P<o ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No (L,),`�
6 Has total heating BTU's of % x)
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes (ONo ( )
8. Has combustion air been provided for water heater Yes (W-9-0 ()
Remarks:
List ALTERAT/JILONS Being Done: /J
HEATING CO:
Signed By:
Date:
GiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
March 14, 2003
Ms. Joan Kazmierkoski
32 66 1/2 Way NE
Fridley, MN 55432
Re: Final Inspection at 32 66 1/2 Way NE
Contractor: Anderson Heating & Air Conditioning
Dear Ms. Kazmierkoski:
A mechanical permit was issued on October 4, 2001 to install a furnace and 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 take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh