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P - 44562Building ` Inspections 763-572-3604 753-5�2-4977 FI�X SI1'E ADDRE5S � THIS APPLICANT IS: MECHANICAL RESIDENTIAL APPLICATIUN CITY OF �'RIDLEY 0 L7 OWN$R YOUR E-MAIL ADDRESS Permit No.: . . - , : �% _ r � �il� ►�. �� � �, PRCiFERTY NAME: ,�, �� K '�1 C.I�Y� .✓ OWNER/ ADDRESS: CITY STATE ZTP TENANT PHONE:_ � 2� � �D i"�S 1 Z— CONTRACTOR ��,�YN�: es SU$MIT A COPY OF C�TACTPERSON: O1.,1'1!ti L"�ZUtis YOUR STATE STATE LICENSE # D'�' 7J �I n� I�I EXP DATE � I� � L � �.w LICENSB WITH �DRESS:J; I I[i� vl� I�t� CTTY f�' STATEI'�1`IZIP�J3�1 APPLICATION pHONE � b3 '�aIPJ',�D"1 � FAX PERMTT TYPE TYrE oF wo�: �SINGLE FAMILY ❑ TWO FAMILY ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPT7ON OF WfJRK C7 TOWNHOUSE �(,ALTERATIOAT/REMODEL. u�k__ FEES ARE BASED ON $10.00 PER FTXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TQTAL TVUMBER OF EAC$ BELOt� PROVIDE HEAT LOSS CALC'S PER MANtJAL d 2006 ASHRAE HANDBObK. Equip�nt Instatied MFG: MODEL: 5��� MFG: MODEL: S��TU MFG: MODEL: SIZEBTU q/C $xj,pp FIREPLACE (GAS) $t5.00 iGAS RANGF/OVEN $10.00 AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 NEW GAS GRILL 510.00 �BOIi,ER 535.00 FURNACE $3S.00 GAS UNIT HTR $10.00 �HIMNEY LINER 510.04 4AS DRYER $10.00 �� �AT�'��.� UCT WORK $I0.00 GAS PIPING 510.00 �N'TILATOR $15.00 THIS IS AN APPLICATIdN FOR A PERMIT-1�iOT VALID UNTIL PROCESSED I hereby apply for a buitding permit and I acknowledge that the inforrnation above is compiete and accurate; that the work will be in conformance with th dinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but on an appiication fo ecmit and work ' not to start without a permit; tttat the w rk wili be in accordance with the aaaroved nlan in t e case of all ����uire�,rev�and approval of pians. , � f SIGNATURE OF I�Ti1�y City of Fridley ' Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3b04 FAX:763-502-4977 TE L—�--�--17� � I �' � ;,;�s ca�.cut, r,T►orvs ar'_�,ax�r!���� o� r�ui�.n►�r.s _ __ _ ------ �; -� rstrip�. �.�i� C�o�nstruttio'T� N . �� ` �Insulation _�, Gwdo �--- - - - •� � �... poors Re(�rrn�C ! OuL Wall Llt_ W��11_ Ce�ling RooF �floor_ �. Kind �i yF_ I(ow Ap�liecl � Yr�-ho 19�,_-. _ ' __ I , ~-�:. - ��-� - - -- _ _--_ _ _ �.k..... _ .__ _. --���__.=..--_.� .__�-___�.� =..� �_ �_-- ...�--..�.-__. , . Kaam � Lc�g�h � rV�'�dth Wcight i II F'I.� �� Rr,orn Len��h _ Vl idth ( Ic�bht i and f)uors-�-firack�ge ui�d Arca � � Window� end Qonrs--Crack�ge and nrc� _ ti � IlciK��i N�+ uf l.li�•,��� ft. A����a ' I Wluih II�•iKht Na, u[ Li��rni tt, nrvo pr ql vWUa����INM�i'!U'11_ P1 �L I., lI --NO� �nf (I�e�r 6f Vuie IIRYy_tr_ e.�_rrwrr����l��l. . „ �, �� ... � - n II x•al! 14. .—„�_ ,.�.-- ci �q, ft. E,U.R� or aq. �� Etoom Le (awe and Doora--C�Ac f� r�ne e[ oano Ilrht �s _ :�� . �p � �`I� '- � -- c� � wall ��. _-�,,.+�-•�----. cil�n� I UQ:r��"��- ---�------ ot af���1 u. �(p" Cocf� Btu ,�_.._.... /� �G .� `lf^��Q m�/ /L4 .� 3�d =s i�e a�.9 � � � � s- S/G .�� .�G �/ . e � ss S►��d � rrr rS"' /J e. S�O in�, W.A. L,t�7dcr erca . =..--�.- :_-. ngth Width kBBt AAd l4l'C� �'OCE. ft. E.Q.�T. or aq. ina. W.A. l..eud-r area Room � I.,ength Vllidch And Uoan-�-Cra<ka e dnd AreR He1rA Nc. 0 _ in�al t1. Arr• 1_ of p��+� . Iliht� ot cr�ck rQ, U. iun .�-.-_,._.-..,. �I�� .__.-.__-..- �. w.l) � Coef,l Beu COtf Inhltrat�on � _ C�lat� fxp. w�l) -- ..._„_,_,.r.-,_- � 1Nct exp, a�all_� int. w,�lt Gt1���B - � ��oar^�� Tota! �tu. ` _,,, �.... Rcquitrd sq. ft. i.D.R. or �q. ins, W.A. l..e.rdet area F{,� _ Room ( Length Width Wil1CIOw� pnd DGDr�--Cracica�e �nd Arca Wldl�, THrly�t o, eL Llne�l /t. A.�� No, of pans � ot pana __Ilrhu._ vf eraek �v ft_ E ��: Heigh �OC +I In6ltration � _ �_, Gl�te �xp. wall _ � � Net cxp, wall _� Int. wal) _�, Ceiling �IooC . T���! B�u. _ _�.. ..�._ Requ�t�d �q�ft. E.D.R. ot �q. iae. W.A. Leadcr Nres �^��� Raom ( I..rngth � Width � N{eig} Window� and Doo�i--�Cracke,p,r. and Arca "�°'i^qlidt� AY`�ilnlrh��i�Ne. ar'�1�� Llni�l lL Ar�a Gla�s ��p. waU Ntt exp� w�ll — I� Inl. wall ~�� � � .�, �Ot �. Floor 1 � '� . - ---�- To B . ` -- �(=, tu. _ _ � ._.._. _ - 4i�cd �q. (t. E.D.R. or eq. in�, W,A. L.eader �rc* !^y�T �Reyuired �q, ft. E.D.R. or aq, in�� WA. Le�ckr �rc• '.,. '�l ilaa ��., �n. �cc � P�' eili � ���� � F . �,,t y� CFti(,(:l'iATI�.`�C�15�'�`�� ...� /i� �.I�A�1G1F.IVT �__�.,.�.f✓r'``-� __�r� _..��:.--.:�.:.-:.�.--�•::��� �.-�- __.,._.._-� �p 1 3� EiU1L � . _.. r;; _ ;��_,:� �, ._ -�=;-------�--•_ � lneul�t�on �. ,: �-, > �i,V.E,. � ��nsirucricro �lo. �� ._�...._ �... __..... Yi'°cr�t�ips Cuidc � -- -- -_---_. �. , _ _ � - -__._.. _..._ - T _..,_�.. nop��l! ic��a �F_���qW A��>i�C<i � ,.w....:V - - . I i:�cors �i��[�rcncn � C7ut, W�li , int, W�II_ Ce�l�ng i RooE� .... . - s. 9_ r. ! � �-�-�T-----��- ,��� _ .��-= ... - - - -. =,- � Yce�^!o � __..� .:;:�� ==� � ' . �. _ � - � I ..=".-:�- - i Room Length ��� �dth �Hught ,� . ~Roc,m Lcngih �11L'idth _ --Wcigl�t �� i � � F'I•� +r.� _.......-� _ " • """^-- �' Window� snd Daor}--Grack�go and /lrca _ ��k�e and Door�--.Ctack� c und Arra •-.�-- wi��i�" It�:�rcAl— Ne. uS Llneui tl. Af�:� �- .����i�� 11.�y,l�l h�� uf l+lncul N. A���il. Nn, nf Odnn bf ��a�ir Ilyht� Ni C(M�k e�� t{• . � r•nar ut h��u.!�..:.'��:..h:-a nf �'I'n��lt_ �y I-.......�..�..�....��-�. .��'_" — � H•aU�C"- fc�E.D.R. or as -- Room�L and Doors---C�n uniYne No. � er psne 11It1! 0'1 d iocf, Btu .�� �i .:� � 9� S� a3 �u� W,A. Leaaer a�,ca W►dch � c aad Arca � Lin�+0.1 tl. Arr• i/7 i�!� r.�n /. i a: - r _. �;:..—. w _...�_.._--_- � � f� � C Infil►r, f�on __'__, ._._._ �,Iner'..:;:: �-'/ er 5�.2 � sP, ��,p _• �,.,..r,/o4.�r a b et c' . ., wal( �-,: /lS �' fn t. w�1) ___�,_,,,'� ��; -_-�. �: • _ .�._._. �eilir�_��--- � - Floar`` .. �+�---._..--- - �8R&i ��t u. .- fte4u� r� d sq. f�, E•p•�. ar rq. ina ,,.. W,A. l..eod�r ;rea q � ,�..w._--_�___..,____,_ _.. - �....r ,: �l Room l..cngth �____�_WFdth �,J��dowa and Daor���--Crack�► a �nd Area �""" �ti�inin tleiKnt No. ot n��t ti� �.�roa ip. vt v�n• ul r�n0 Il hl� ut er�ck s9. (l. � .._ ' :..r-. _ _ _.,.... --. � O 0 3 -� o G9 Coef,l Btu n COCf�� � In6llrat►on J _ ,r - G1a�a �'�� �i1�o�- 3c� �'? � s�ci� �� Exp. wall - �,_,e_s•�'I_,_ 86 31 y��Z' °�"Net exp.��an__,_,. � r�. - _ � �,� ���� � Int. w�tl ,_,_„Y -. Ceiling �� - - - i'laor - — . . ._ ...,._,_._..._ -- - - �ro��i B►�. ...�. _ �Rcquirod aq, ft, E.D.R, or eq, ine, W.A. Leadet area =....r._.------�--------- ---•=. Fl.f Room I LeRg�h Width �Windowa sad Door�r-Cracica�r, snd A�ca {4{h HCI�(hl p• DL Llpt�l fl. Area Nu o� DaMe Of p�na Ilrhu ef er�ch �q tt. .��-- i Infiltration � Cla�s r.�. £xp. wolt �c � Ntt cxp, wall C Inc. we�ll --- Ceiling � � � �� M��,�h� � ��t� SS�;t . `_f.: :! '�'otal Dtu. _ .�. _.._._. Required �q. t�.�E.�1,R. ar eq. ins, VV.A. L..eudcr ert� 4KK1� 4 _� F1.' ��R+rootn ( !,en�th-- Width _ Mc_,_h}. V(lindows ard Daort-r-Ceackegt and l3rea ��-- 'P/�dlh 7lol�ht No. u[ I�a�l tL Araa� _.._,�.,,_.�_____.._..�.____._.�.._....._..._�. . , �. lau, at oano, ot prne Il;�la_ ot t��eu �Q tt. 1 /� u Coc(. � �, � �_ __. .��..�.f�.•._.. - ,.�..-• -._.... . _ �... � � � ._. G�43s GGI' �.. GC� f�.�CJ �►�A�#.: �„�'j�,il vV-___._..,... � �� "���j '!T � �/.r' 81 5.,� ,�8'`►' ��P• wall C�.;�.-rt�. _ i'y ' U.. �/.�' .� �""�- 96 a 3 � Ne► exp, wall �, � �ii /r -�� _.�� Nrt ±a p. w�l) G% In1, well � �'' .�� /��''/ ��nt.`1�wM�� .___...�.,.- Cei�ing __ `Ceiling _ � _"� - -- -� - __.. ..- --- '--�-- � Floor � Flaar -----r-- n °.' "r"' ,._.__.�...�._.._.__._.._ - _.�. _ri.._.'� TO�QI [�lU� '�ol�R Qlu. I ------�--- �.:. .. ,.�- _ _,_._. .. ..._.....�.�....�...— . ��. _. _.__ - ��quircd �q, ft. �.D.R, or sq. in�. WA. Lcacicr area far,�r�d �q. ft. E_D.R, a_� r _eq, in�, W.A�L.eadcr arc�� .,_ -----• __..__-------�-------�-----------------.______ __.....-----------------------___----.�__..__ ,:��,���.