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AF - 35237�� ,,_ �r /"n� City of Fridley, Minn. BUILDING PERMIT � N° �te: ,� :'. . .��. : : . .� . . . . . . . . . . . . . . . . Owner .. ... ..... Builder Addr . . .(o. � �� . . . . . . . . . . . . . Address . . . . f 0.l. .�).L . . . . � � 312� �` � LO�CATIO�V OF BUILDING � No. L7. � � Street . . .,1.\.�� . . . . . . . . . . . . . . . . Part of � . ��. . ./ . Lot . �. .. . Block . .. .. .�.. .�ddition or Sub-Division . .. .. .. .. .... . . . .. ..�r�re� Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback .��f , , , . Sideyard .�.�. � G�Q%�,Qif„�� DESCRIPTION OF BUILDII�9C . . _. � �p, l'77c'�'�v� � / Of '°�'�: To be LIsed as: - � � �Q�� ........ i q� . . . . . . . . Front . . . �. ,� Depth� � o Hei ht ° g Sq. Ft. ,�.� Cu. Ft. .. ... . . .. .. .. . F nt �.�. Depth 0,��_ He' ht . . . . Sq. F't. '�.�. . .. . Cu. F't. e of Construction . . . . . . . . . . . . . . . . . Est. Cos�j�'� . . 0. � .� o be Completed . . . . � �'?'�a2"Gr(�.. � �. . / 7 �� o� �J � / � _ .�. � ��.; C�- or'r'-� ��`x.-,i'.' �--=� A�a�''►�' �'�GA / ~ _ . �.., In consideration of t77e 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 orth and in com iance with all provisions of ordinances of the city of Fridley. .�\� In consideration of the payxnent of a fee of $. .!. .�,., permit is hereb • y granted to ............. • • • • • • • • • . . . . . . . . . . . . . . . . to construct the building or addition as described above. This pe it is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. `��t.. .. ........ � , uild' Inspector NOTICE: ` This permit does not cover the construation, instal�ti�n ^� alteration for wirinS, I sewer or water. Be sure to see the Build7ng Inspeotor for separate permits for these HARVEY A. GARTWRiGHT ANOKA COUN7Y-SURVtYS HENNEPtN COUN"fY SURVEYS MINNEApOLIS SURYEYS � 8410 SHADY O.R1C �LANE N,E. SUNSET �.flQ��. � � OWNEp INDUSTRIAL — JUpIG4AL � BUSINE85 — TpppGRAPHICAL CLTY LOTS — r(„II�T'►f►JG . �� _: �..;, , � �, ��e, li � 1 � � �.7+i`� � �� 7 RtG1iF!lf�D itlRD[11 L„�W� p!f- ��?,' 61C�HI�ISR �1i f�lNA�,iI� Gfi}�"� 34'S P1.YMdUTif �1l�D#N6 � ;. ��L"�''?�"°'�� ... :: � �, � �.:�_: ��- � %'i�JMBINtNG T J. E. HtLL, i Y ° satKa6 < , . � C. !�`R� � ��ltEGORDS OF iY�1. �Nriir�#eR �ftQ�., ttY6� � . . �i�t?QR ` t�sso �osa �t:ii"1�N LA N D . _ _ , _ . 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' -` Urinala - - � -x �_ - c o ( -I ' � � I Bath �bs � s n � � ( ( Bd52S19 �Q o ., g r r- R D - � ( � S1iLC5 f"� 7 � - �m ro � � Wash ,TYays � n '� � Drinkin `� � I ( {-Fountains ' � � � � I _Shovets � � I ( I ( Floor Drdi 0 � I I I � I$z�ns � 0 � °' ( - � � ' � ` Washeatic � E � _ — � I � I 'Gas "App1 _ D s I 1 j �5�_ F�x� o .� � (n C�idS RdilCje -7 rv rr � I O K n 1 I i ( 1 � Oth� .' ,7i - 1 I � � � N m rr 7 C rr N p _ � ! I � o n � � _ � b . � > C v, - p � O P7 y C 7. O rr v� m H[7 � 4 �� - o r cn o cn .-+ _�•o m,- m o C � H t7 z Z o II. m�3 r r• 'D D' -i [� H m O o n n "' � � � � �T K F- D �"t b � ' �Y � S' O J C rn = O R G. ` rr H h cn �l O r H- C v+ rn� �. � - c I [7 O ro r m� � c� n C 7 LY G. Y'7 � iD R7 � � "d �"j C t0 O 1 n R tn � -7 . ro n r (p •, v m m n �., .- N r:; . H � y fA � � o. O� � cn r w � r -3 m • .-� k'� r-c ro �n o m -- O O Z ''� �T �= Y ti — H� � n r. r m G --i � �j n .z m � � r- O� � � c ` a N ,.� � o o rF n r N t^ �" +-3 MJ o m. o n 7 Q O �O ►'! C7 � '� c `a = • 1 W a n o � � � µ o � O N � '- � °' � �i f-� c:] ? ^ � O(� Y 9� r7 - " O - � r x L� !D G _ -�] [n �r r.+ � m � z% O O � � m � K rr n. �'t P � .� - r � �r '� a �' m `D - � ' r O G r f' m G. r- 7 � .� r c� r �. [n ID J � R n - �, 7 rt f-` ' n a0 r- O . 7 vi n 7 . � .� m ` rt �'► t,� o� w O o � n �t _ � � L�. c� L. H � � � A y r S +t f ^ 1 �- c, a'a �, � - :Tl n .r o � . � O � � Q n a r rc m . p � o R � a= � {y F� M O n K O n r � n o y U ^ r* ^ - _. __ :� _ _ n m 7 � ' C „�� l o�� _ � .-- f. n u n n -.�p � rr �C 7c I O r ��y, n n � sue�ECT PERMIT _ --- City of Fridley � 16 2 0 0�° AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r • . � � ; �1 �__..__ COMMUNITY DEVELOPMENT DIV. RECEIP_ T NO�% r � � PROTECTIVE INSPECTION SEC. / �T � � V i l__—_ �� ,,, CITY HALL FRIDLEY 55432 NUMBER . REV. DATE PAGE OF APPROVED 8V L � � " 612-571-3450 910-F15 5/22/81 � � JOB ADDRESS 6220 Baker Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. P't.13,14,1 2 Moore Lake Hi hlands SEE ATTACHED g SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Judith- M. Blancha.rd 6220 Bak_er Avenue N. E. ��; _�� 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CIASS OF WORK � NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10 ` x 8' Deck on Fzont of DHrelling 9 CHANGEQFUSEfROM TO STIPULATIONS H FPFRA7-� PE �� . . . E� r�N� R�?I %S Before digging cail I��a� �f�'3�.�e§ • P�1lJ1�e1NG � EPU/�Ed FO TELEPHONE - ELECTRlC � G1�S ;�s. N� SIG�S. R WtRI�� REQU �� t �SY �,�^; �r� SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT. AUTHORIZED IS NOT COMMENCEO 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 � 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 WIIL BE COMPLIED c� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y4QO $.SQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S7. SO PLAN CHECKFEE TOTALFEE �B.�Q SIGNATUREOFCONTRACTOFlORAUTHORIZEDAGENT ioAre� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SrGNATUREOFOWNERIIFOWNERBUILDERI �pqTE� i 'I�L�� y�,�{-" " BLDG WSP DaTE CITY Of" I=IZIDI_CY • . Af'('i_IC/1'fIU;d f�Uft J',ESIUI"i'�TI/l1. f3UILDIilG !'GP.i�T'(S ' (Ideti-�, !tl (;er��tions, /ldditivns, or Rcrairs) � Ot�lIdCR: eT /i1 . �L�ti�G�-fA�.0 �UILQE�R: _ �,=�sn � ADDRFSS : ��t� ��1 ��-�. �t--��c„�r __ /1UURESS: ---- . TCL h0: . TCL (d0: • � Construction Location ' . s�rz�x rio : s��:k:T: ,[�,� s� �� n c-�� _ � � �LO��: ��- � �� x,oac: � �nz��r�o�1: � �=,-� i✓�Z�,,� L.4-�� l�� -1 L A�t;��c Corner Lo�: insicle Lot: SetbacY,: � _ Sideyards: Ap�lican� attach to i�liis form �cti�o Certificates of Survey of lot and prop�sed building locai:ion c3rawn on certzficates to scale. . DESCRIPTIOi� OF COPISTRUCTIOfd - . , �� rront: �O Depth: � ` Iieight: ��j "� r.r� � �Square. Feet: Clibic I'eet: � � ";; ```�'`' .�� • , � Fx'ont: DePth: Height: Squai:e� reet: Cubic Feet: �YP� of Co�l�truetion : _ / �� l�� C��7C`)� Estimated Gost: _ $ .t��Q �b Be Cbr<<pleted: • . _ Alt. 1i Att. B Proposed . Drive�•�ay {�vidth Tf New Opening Is Des:ired; S' $ . • . SLL: R�VERSI: SID� OF SiIEET �iie unc�e.z signed hereby ma};e� applic�-�ticn for a perniit icr th� t:�or1: herein s�ecified, agr.eeing to c?o ,a11 work in stra.ct accord«nce �•�ith i�he City of I'ri_dley Ordiii�nces anci ruliii7� of tl�e Depaitmei�t of Buii.dinc�s, a��a hereby declares thlt all tlle £aci:s and repzesen E::tta.ens stated in i:.his application �zre true �nd correc�. D�17'Ia : E�'-.,�,�1;� / S I. GI�171`.CU R`r'. ; St:i��ulations : � �, .S� , ,� �i � �; . [7� , a � • � ' , J'sll ) I_t)) i'1G I'(�f1f11'f (� i:f: S(:f if:))Ut_L '� . . �;).:C:'.C:LOt� ?_. 'J'l�L 7n�.,��cci:c�r of: 13ui.Tc?i_�i�.J ; ::l�ra).7., };cfol:c �.r,�;t�i.iicJ }�c»na.L� for l:tic crr.ct:a.on v!: ��iy 1��u:i.l.rl:i.t�� crx� :�i.:_uc:t:tit:c, c�r f:o�' t,»y .zcic.li.t:i��n t.o ti�iy cr..i_�t_in�� 1�tiilc�i.rlg c�z :.LxlicLur.c, . ciY !'c>r ui,y til.t:cr�.�t:.i�,�i or. r.c��ir.:; t�.o •ar�y c.:i.r:i..in�� htii.).cli.�i�.I or. :;t:�:ucttir_c, u��r� a}��J��.i.c:at.i.vii i:li��r.�:f.or.�c, �r.eclu:iT-e th�• l��ym�,��t, l�y Uie ar�p]:i.c:a�►!. f.c,r s,ucli }�r_r.i�:i.L• of.' tee:; to tlse ��nounL•. hcr.c,.i.►i bcl.o�•� seC rortt� ��,a a.�i t:lic ��a»rie�: ticzcin Y��:ov�,cic�cl L•c�-e::i.i:: - , l�l;l•J CCJId�;�i')tUC`.CIOI�. Sinc�l.c l.'ami.).y 11otr,c:; and Gar.�iqes.;, y:�.00/J.,000 cul�i.c fect:. )?J.T::•, CI!):Cl:: 25 I�ercet�t: oL bu�.lcli_n�� }:�e�-mit: Lee. . Ult1:��3:1•:11Y llEl'I,�SS:f.Ut•;: (ConcreLe_ C:�irb �Lr_cets Unly) � • 111.t.cr��rtt:e R: lu�mov��il 'at�d r.e��l.ac�;r�enL oL conCrete cux.0 a7d � cjuLL-er only; Driveway c•riclt}i plus 6 fcet: x $13. �0 111i.ernatc� I3: }2esnoval and re��lacem��ni� of concrete curb anci . guLLer and iiistall a 3 toot �•�i.de ap�roach �.�i.t:h �� ' . 6 111Ct1 CIL'��t}l� llrivcway a�idt�h �plus G iee L x $1�. 75 . � . .1�� i a o��n�. 1 r�r ►�;�1/LZI 0�� For the Pur}�ose of com��ut�_ng ices for bcai.lding pezrnits, i.l�e ciil�ica3_ co..tents of any buil.d�.ng or. addiiion, is detcr..ni.ried by rnultzp.l_ying �:he csr.ound �rea covered f-rom a ��oin� si�: (6) inches belo:� ti�e Lloor )_ine oi L-he basel-neni: or th� cellar io 'the average iic.ighi:s oi thc �upper ,w-face or to t}ze average Ileight o£ the roo? surf:�.ce of tite ;,iain gab].e of a pitched roof. �. For. r_e�a�.rs or alt�raiions L-o an ey�sting strucfi_ure, t's1e iee shall be at the xate o� $3 .00 x:er. each �ive ]ZUndred dol.lars °($500.00) or frac�ion '�liereaf in tlie cost oi all prop�sc;d wor.y. _ , ' In •no case sha;1 the fee ciiarc�ed for_ an� penn3_t as set f:orth i.n Section 2 be less � tiiaii $7.50 plus $.50 state surcliarge. ' v�: R r F r c o� QF_Su ��nn�� t o r� NOTE: Permits �or canst�-uction ��ill be issned a minimu�-n ai 24 hours �r.om L-lie time o� 4pt�lication to a]_).ow for proper rcview ot ihe pro�sed st-Yucture and oi the cons�ruction site_ Ii Certi�icate of Su�-vey of the lot, sho�,�ing the locati.on of t2ie foundation onee it has beei� coi�s�nictcd ��Till be reguired be; ore proc:eedinq t•ritii the fiaminc�. �-L',.IIFIC!`�T� OF ��:UP/�f�'Cl' � ' � Ispp�.3.cation f-ar a Ce�:t�_ficate O� OCCLIZ�7I�Cy stiall be mad;� ten (ZO) c3�i��s �ri.or i.o the u�e ar. occu�Jilcy o� any st�.-�zcture foz �aliich a buil�ii_zig perr,zit l:as been �.ssu��d; artd sc�icl strtict.uze : iial). not be used or. occupiccl iuii:i.l a Cerl..i_f:ica�e oi' Occuj�ancy h��. liCCIl XSSll�Ci. c f t • � + n May 21, 1981 City Inspector City of Fridley City Offices City Hall 6431 University Avenue Fridley, Minnesota 55432 Dear Sir: I hereby request a permit to build a small deck on the front of my home at 6220 Baker Avenue. Please see attached drawing for construction details. It is not our present plan to attach it to the house, unless required by code. In that case, it will be attached at the point of the stars. Enclosed is my check for $8.00. Sincerely, , /��• �. J. M. Blanchard 6220 Baker Avenue Fri �il ey, M� nn�seta jmb enc. � � �� d��u� � . . . , . i _ , __ _ � _ _- - __ � __. ._ _ . _ . __ _ _- -- --- --._ _ _ . .. __ __ , ___-----____. _. __ . _ _ _ . f ._ . ' � _ _ __ St= � . � � � 27•� 3 �'� `' � ;..._._ . _ _ __ _ O _.__..--- . .__ _ r _ t I - _ _ _ . . � � � _ _ � 1 / � . � . _ __. . _ _ � . -- - -- '^ _ _ _ :. � ____ ._ _ t' � 1 f � ' 7� ' _ _ _.. . ._. � , _ _ _ __._ ._ ._. _, _ . ___ _� . _ _ .___ _ . , , _ _ _ _ _ � , f ' _ � . �Q _ _- __ .. . _ _ --� - __. ; � � _ _ _ _ , � _ � . , � _ C� ' , � . , � "- - � , � , , , ,� _ � ; � ; � ,. . __ _ _ _ ___ _. _ _ __ __ . , , ; ; '' �• ;r '� I 3�� , , , � � ��, , . . - ,... . , . _ __ �'y _ . _ _ _ _ ,__ _ _. t�. �- 3 _, � _ _ _ _ .. ' b _ a_ k= _ � . ___ . y � � 1 _ __ � �ah_ � � �_.. _ . _ .�� _ _ _ - __ . _ � � _ � °• b �_ � _ __ . . � � a � �� _ _ _ m � z s r _ __ _ _ ._ __ . _ _ _ __ _ _ _ m � i __ _ __. c� �*° _ __ _ _ �, � � f �__ _ • _ __ _ � � �� r t _ __ o __ _ _ - --- - _ ___ __ _ . _ _ __. _ _ __ O �p (" (� _ _. _ _ _ -- -_ _ '� .� _ _ _ _ � . _ _ . .__ _ . _ . --- S" ` �� N � m - ---.. _ __. _ 2 _ _ - - _ _._._ __ _ _ ... ___ _. N N � 'i � � �� h.r , c �"�_ .._. ..'.�_ ....... 4 .'" ;_ _.._.'_" . __.. ..__' _'-.. . .. __. _ .. . . ._.'_. _7 � � � � � � � - _ _ � _ c � r _ . __ _ _� � . .� _ - -- �� U, � _ - _ ' � � _ .._ � .., � �a � � � � � �.� �. 4 �_ _ r m _ _ _ _ _ _� � �` - r,, _ _ . _ _ -- N� � = � `� � _ �. _ � � k � �. . : . _ �. � � �. � �:. � _ _ . � �- � . � . . � � �:� r � � _ ___ _ __ .:_ _ __ � � � � � � � � : �` � �,.�� sue�ecr P E City of Fridley 16 5 7 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r _ � � RE NO. ; �L ______ COMMUNI7Y DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. �/ � � i ' , __� ��'� '1,,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPfiOVED BV ` �� 612-571-3450 910-F15 5/12/82 � � JOB ADDRESS 622p gaker Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. Pt. ].3 � 14 15 2 Moore Lake Hi Y11c3I1C�,S SEE ATTACHED g SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE C. M. Blancha�d 6200 Balcer Avenue N.E. 571-5386 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNEFi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OFBUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION I� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS lmof can be 2nd but not 3rd roof. Intall ridged galvanized valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. ASp�ld�.t THIS PEFMIT 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 �- 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 yS`SSO yS. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $].S.00 PLAN CHECKFEE TOTALFEE $�� $15. 50 SIGNATUREOFCON'RACTOROAAUTHORIZED EN7 �DATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT �%� ' S/��- �� 1��.. SiGNATUAE OF OWNER�IF OWNER BUILDERi IOATEI BL�G iNSP D�TE CITY Of FRIOLCY Effective Aug. 1, 1981 APPLIGATIO:'�I FOlt RCSIDCi�TIlli. I3U1LDIiJG PLRi�ITS (Nc�r, Alterations, Additions, or Repairs) o�rrl�rt: <' /12 � /��%� �✓c 1�� l��.0 aultn�R: S�1 �, r '` � . ADDRESS: �� lS�f�� (2- /IDDRCSS: TEL N0: _ �`� /� S 3�� TEL i�0: Construction Location - ST]2I�T NO: �� 2 c STI2EET: ��-Jl C�( r�- Lo�r: I� � � 3 �� / !'f l r BLOac : � ADAI TION : /1� � a/2 � � f� f� r-' /� ( � N c _� �, � �' . - Corner Lot: �_ Insicie Lots �_ Setback: Sideyards: Ap�licant attach to tl�is fona two Certificates of S1�zvey of lot and pzoposed building location drawn on certificates to scale. --�, OESCRIPTIOi� OF COhJSTP.UCTIO�� . - � � Front: Depth: Heiqht: Square Feet: Qibic Feet: , Front: DeP�= Neight: Squar.e Feet: Cvbic I'eet: ?�pe of Cor,struction: ��}}��j Zb Be Wr,�pleted: .� - 2 C -�� G � Es�.imat-ed Cost: $ .S � � �, Alt. A Alt. B Proposed Dr�veti�ay kiath If New Opening Is Desired: $' S - . . . SE� Rc^,VERaE SIDE OF SHEET �iie un8ersioned hereb�► ma);es application for a permit fcr the �:�ork herein specified, agreeinq to c?o ,all work ir, strict accordancc with the City of I'ridley Ordii�ances a�id zuling� of the Departme»t. of IIuilc3inc�s, and hereby declares that all e facts and repres�ntatiens stated in this zpplication are true and correct. , r D.17'L: � -� f z �� L SIGNATU7�: ( v '�� l � '��/�1v�..¢�1—� � Stfl,ulations: � l� , � � �b _� t� -s� �. 1! � ! � � �.i<f,r'�� } � �/ ` ^I �J �"� f ��t. - � '.✓; F��i CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 1, 1982 _.__ Judith Blanchard 6220 Baker Avenue Northeast Fridley, Minnesota 55432 TELEPHONE ( 612)571-3450 Dear Ms. Blanchard: Weed control in the City of Fridley is administered by our Park and Recreation Department. As property is identified, either through City personnel or citizen complaints, we notify the pro- perty owner and request he take action to eliminate the nuisance. The owners are normally given 10 days to correct the problem before the City reinspects and then, if necessary, schedules cor- reGtion actions. If the City accomplishes the work, the owner is then billed for this effort. The problem along West Moore Lake Drive has been identified and a work order initiated. The problem should be corrected within the next 10 days. Thank you for your interest and comments. We attempt to accom- plish all of our assigned and expected tasks as they appear, but it all takes a little time. Sincer ly yours, ' ��.t/�/.�c� JOHN �. FLORA, P.E. Publ i c Works Di rector JGF:ijk - _ �� . , � Tell It To The ent Public W orks D ep artm jn our form of government, city employees a We cancThere are We are anxious to serve you in the best way many maintenance and operational problems that face a city on a day-to-day basis. City employees find many of these problems before citizens become aware of them and get them solved. In some cases you ou to ell us bout these problems so hat we can solve encourage y them for you. There are also times that you might wish to pass on a good word concerning some program or job done by the City that you think might merit praise. W e invite you to use this form to "Tell it to the Public Works Department." This survey can either be mailed in ' or dropped off at City Hall. Materials can be le�t�ank yo�uposit Box in the Police Depart�nt 24 ho�r 1a��aY• Your Name ��C�-- 7�T �' c.� '�'� �j l�-� � � �`f� � �+ : �; " Address � _ , � �� : t'��„� _ _iT_elephone S� 4'�' �'t' �° Date �-�--- �� e K,�,. 4 ` r� rtr1 � f I i ��i'` �$'° ��`s+,��C e �1 U`'.�.. � ��.�.�� ;� /� yn,� j,�..31/`+ 1♦�tA►e+.�a i��'vi,�' `�,�,j�S�ar�g 1 t �, STREETS: '�'`f? 'r^�.al�" ❑ Holes ❑ Rough ❑ Settled ❑ W ater stays in low � spot � � i ❑ Bump ❑ Loose Gravel � Needs sweeping � fl p Curb needs repair i�� t�f't � � S ❑ Manhole cover rattles � �- SHRUBBEKY: , � � � ❑ Blocks traffic sign ❑ Blocks view of intersection� �,� �`'" Overgrown or noxious ; � �;5 (,�°± ��Obstructs sidewalk'� , �„ V STORM SEWERS AND DITCHES: __ _ # � --�-- --- _ __ _— R.. a � -- ipe ocked ❑ Pipe Broken � Odor ;s �;�. �_,� � ❑ Catch basin needs repair ''� �:" �; i � i SANITARY SEWERS: i ❑ Odor in house ❑ Odor outaide ❑ Slow draina�g _'"� � fi i 1 �Fj � � � i TRAFFIC SIGNS: i Bent sign post ❑ Misaing ;.-- i — ❑ Bent Sign ❑ � y �^" � � ❑ Dangerous � '� � � � �� ❑ Dirty ❑ Hard to read ❑ Unnecessary �� i�� r I ❑ Needs repair � � � "'�' � � �, i O New sign needed (please apecify): i � � I � � i STREET NAME SIGNS: i ❑ Sign Missing ❑ Sign and post missing "� � �� i � - i ❑ Needs replacement i p Hard to read ❑ Incorrect spelling of street na� '� y�` �'i �� , ❑ Sign twisted or bent ❑ Post twnset aed(please s if3� �� ❑ ImproperLocation ❑ Ne�'�'sl� � -~" `� �""' � TftEES: � � �' � ❑ Limbs too low ❑ Dangerous limb � � � �--: � �, .., � ❑ Blocks traffic sign i � � ❑ Blocka traffic signal ❑ Diseased or dead 'b �� ' I like � � \ q ; �,� + � 1 it�` ' �, r� i � � ,. i � *�i I'd like to compliment � � i r .�` � -. � 1 � - � �`, p � I have questio s abou ,:�.. ;, � � ,� �.� � �... ` �; � {� s �, � ,� , �.� � � ' � Other suggestion i - - , � � . � � `� � � Page 4 � y .;f � �� `�� '��a �f,t�'*� � �`,� `�� City of Fr � E l I � BA�K TA�K: � R EP LY CA R D----------- This newsletter is an effort on CEy Man gerD's O(f ceO. TMIS NEWSLETTER IS: y � the part of the City to provide 6431 University Ave. N.E. efY �nformative g � civic information to the �orthwhile 11 I zens of Fridley. We Would like Fridley, MN 55432 ' to know what you think of the ❑ Of Little Value y� contents. Are we covering COMMENTS: >r ' areas of interest to you? Are n! we missing items that would d:� be helpfW to you? Sugges- d � tions, comments, criticism? � � °t ' This can be retumed with your watsr bill. d DATE� ' '�y is �i,� ,� t � h i NAME � � , <E . .� ✓e ' (°ptional) '�%' , is � - IS � ADORESS s�" '�� a,;,r' �`< b' � �e �(oPtional) , i ; �°yi��,• ��.,,9,.�„A....�..�" ce ; � �� ' - . , ^ r ,. ....,.,...o.,ff r� f " � p �'� ' r J` "_ � c_ E A �� ( � r _, " � � � .� �� : �`�� ';. ,� J ( — � `'� �'' .t,. r : _ C�/ � �F, 1•�-(_ - Cit 4 �/ , �' . <= " ,/ � .t� � '_. f �, � �� i :xs------�� - ;d Y�=w �_ conducted into a telephone). � �' ------ 34. . � If you live in a brick or wood home without a metal frame, i avoid touching metal faucets or any electrical equipment that isn't grounded. Lightning strikes can travel down natural conductors such as wiring or pipes into the ground. •ed • ightning rods and other t g �rt ca hel YPes of ro ding equipment ;he P Protect your home from the d ger of being struck by h tning. �lp �it, ice �ur :��7 �� ou �� .� � Anyc a of rnori entitlet �ch that an �ne ��Z$ � ;o a �� our �uld � �� dge �� an ject t rough ,dge as $�Q cles $�lling � iore �� weni up City of Fridley �a ��e, �� r your �S, �ity. , reg dlesst �� 0% on � 5% refunc nt over 3U%.' tn pertaizas t< n M-7 PR �'� Ct�l��VER r�me and real estate tax ratip rebate before August 31 to rne, having a tax increase >s ad properiy this year is n th Si�te of141inr�esvta far maxi m ersdit is $200.0�. «dule 3 iad property tax e statistics of s es for a11 of toi$1 of 3i4 repo d-salea T�t ��,n .,_n..�_�_ ,.. �I � f5,�ot1. Even t�ough'is2�e by 33%, the average, price Page 3 � , �,+ Z. ir?�-i.� *' �^t`+l.-"`-��..* �i'»�,... #f �+'�.. 6 d,r"�w+! �/r�' %� �'t�~ May 28, 1985 City Manager City of Fridley 6431 University Avenue Fridley, Minnesota 55432 Dear Sir: Upon receiving the attached notice in my door when I returned from work, I immediately, without even removing my jacket, called the number requesting them not to paint my curb. Well, they did! I can't believe you gave them permission to do this again. They said you did. If something must be done for safety reasons, you must think of an alternative. As usual, these will deteriorate almost immediately, leaving a sloppy look to the neighborhoods. I did not pay, nor will I pay for it. I asked to have it re- moved but they refused. As in the last instance, these people aren't even from the area, but hired from out of state so you can't even use the excuse that you are helping local kids go through school. Please do not do this again!!!! enc. Sincerely, �� udith Blanchard 6220 Baker Avenue Fridley, MN 55432 REFLECTIVE HOUSE NUMBERS are being painted on the curbs in �t of all the homes in Fridley. Large four inch numbers will be stenciled on a white background with REFLECTIVE HIGHWAY BEADS. These numbers will assist emergency vehicles, delivery vehicles and guests to easily locate your home at night. The City Council of Fridley has permitted this beneficial service for the community. The painted numbers do not, however, replace the required address on the building; but ALLOW A SOLUTION TO THE FRUSTRATION OF FINDING A HOUSE NUMBER AT NIGHT. We estimate the value of these numbers at �4.00; yet all donations large or small are appreciated. Someone will be around to collect for the service after the numbers are painted. Please mail us a check if we miss you at home. We are a small business comprised of students and young adults who depend on this as our sole means of income. Thank you very much. Steven Rice curb painting 5301 11th Avenue South Minneapolis, MN 55417 824-4670 t �. SuB�ECT c;ty of Fr�a�ey AT THE TOP OF TME TWINS g U I L D 1 N G P E R M I T r � � � � ; `v _____ COMMUNITV DEVELOPMENT DIV. % j � PROTECTIVE INSPECTION SEC. , , , � l•._-��'�' �'� C17Y MALI FRIOLE� 55132 NuMeER L 612-571-3450 910-F15 JOB ADDRESS 6220 Baker Avenue NE 1 IEGAL �OT NO.,t . Of BLOCK 7RACT OR AOOITION 1' oesca. 13 14 15 7 Mnnro r.,>>� I� 2 PROPERTY OWNER MAIL ADDRESS Judith Blanchard 3 CON7RACTOR MAILADDRESS _Four Seasons Roofing & Rem LLC 7930 Univ a ARCHITECT Oii OESIGNER MAII ADDRESS 5 ENGINEER MAIL AODiiESS 6 USE OF BUILDING Residential 7 CLASS OF WppK REV OATE 10/28/98 ZIP 5: ZIP ZIP P�GE O� � � .� Pf RMIT NO. 28457 RECEIPT NO. 733� APVqOVED BY SEE ATTACHED SMEET PMONE 571-9602 PNONE LICENSE NO 5-9410 20138780 PHONE UCENSENO. PHONE LICENSE NO ❑ NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (25 Sq) Tear-off 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, T�PE OF CON VENTI�ATING OR Alfi CONDITIONING TNIS PERMIT BECOMES NUII AND VOIO IF WORK Ofi CONSTRUCTION 20NING AUTHOq12ED IS NOT COMMENCEO WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONE� FOFi A PERIOD OF 120 DAVS AT ANV TIME AFTER WOqK IS COMMENCEO. NO DWLG. I I HEREBV CERTIFV THAT I MAVE FEAD AND EXAMINED 7M1S APP�ICATION ANO KNOW TME SAME TO BE TRUE AND CORRECi. ALL PROVISIONS OF �AW$ yq�UATION AND OROINANCES GOVERNING TMI$ TVPE Of WORK WILL BE COMPLIEO WiTM WHETHER SPECIFIE� MEREIN OR NOT. THE GRANTING OF A PERMIT 21/{2, DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- STp�TI OF THE PERfOfiMANCE OF CONSTRUCTION ][�,. �S P f • � ` �,/ PLAN CMECK 7 � .� '°� ��%`�" �� icen S�GN�TUpE � CO � CTOpOR AUTr�OQ�IEO �GENT iDATEi ME� f S�GNa7UAEO�OWNEp��_OWNEABU�IDEpi i��TE� n� G OCCUPANCYGROUP OCCUPANCVLOAD SO.FT CU FT OFFSTpEET PARKING STA�L$ GARAGES SURTAX �1.07 SAC CNARGE Fire sC $2.14 Tp FEE 0 2.96 LV VA�I AT D TMIS IS YOUR PERMIT /2 ��$- �'� NEW [ ] ADDN [ ) ALTER [ ] ConstructionAddress: CITY OF FRIDLEY SINGLE FAI�IILY AND DUPLEXES R-1 Ai�1D R-2 BUILDING PERMIT APPLICATION � Effective 1/1/98 �� `� 3 � � �� Legal Description: Owner Name & Address: J(1� �� ; �� Tel. #Jr�/-- 7(�Q,� Contractor: _ �(� r �� <;� � - �.�� u�G MN LICENSE # Address: ��G% �� (,LL'1 � U� YS � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF �IPROVEMENT LIVING AREA: Length Width Height Tel . # %� �J � `�'%�l� GARAGE AREA: I.ength Width Height DECK AREA: Length Width Hgt/Ground OTHER: � r'1'10 ll e, �� e. � icc c P ��la �i � Sq. Ft. Sq. Ft. Sq. Ft. � c�{'1 � V1c( �ta � Construction Type: ��,t71vU� cL �� p�� Estimated Cost: $ o��T� •�� (Fee Schedule on Back) Driveway Curb Cu� Width Needed: Ft. + 6 Ft = Ft x$ _$ �----_ . DATE: `L%— � -- f � APPLICANT: TeL # �� =��lC� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � � $ 07• / $ yD7 $ $ G� $ $ $ $ $ �o� ��o CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] c� O � C � � a D � N D r r � m v � O v m 0 m � � � m C) � O Z � g D D z v D 0� r m � D n 0 3 z < m 2 � z � O z � n � � O m '\ FEB-25-2002 1a�38 �� O � o � 1 � m � m� � D � $Z m X O � � � � � � S A � � � � N O � � D � �o � � rD- � � -� O � FROM C I T'f OF FR I D�E'� TO -I e�i � �' m m � c� � � g � � � c� � � G y70 � � � � � � O 0 � � ��J � 2 01 m� t�' � X �.°�� °"-�°� �'.� � � 1 ' a�i �' r , 3' � � � � m � v -� � . � � m w � 4 p� '� . � � � � F x � c � � Q .-. � � Z I o I I I I� I� I� I� I w w 0 0 iA � Cm � �� o � ,., A v � X � � � Z m 0 va v► �n « �a ds e� �w �n rn �n w 0 0 o r+ o--+ �s v v cs, a, ..r Q O O � p O O O O O O O 0 0 0 0 0 0 0 0 0 0 0 0 c�> � r�- a c� � � v � � 3 � � a a � m ao m m ° � c � _ � � W � � � a w m c� o $ � �o�c� � p �� ' a_ � �. �na 2 � �� . � � � ? � � P` �. A { _' 0 1 (-� � ., 4 _,, � a p Q _1' 'i '� �" ' C�o m � /v r i,, 4 c�` � a � � � U��" o � m � � � n � w � � r � � ^. �.- ,- . - � � .J r � � ��°1 � � 'i�_' o �',. `� � � � a � �= ��m � � i r .� C7 �+. . � � �.+�--• � �` '� 1 �-�' nl tD � � � ��. 3 tp � -w "P! r "��,. �� A � � gi r ,� � �.� o a � --�- � � � � � � :.�.._ � �` I k..; � � o � ,-+ . � .� \, „ � � �� .`_ ��'� N�'�w � � � � �� r �J r ��__:� � � r C � � Y' T X 1 C � rn � m � 2 O � rn 0 A r O CA G 0 � � c-�- � �> 0 ��a�55 P.03�05 ��nv � Q � � �=�; o N � �Z�� s A .�9�" O N � { � rn� m n � O z 0 < � � r D .a 'o Z '�I O � r C 3 W c�i a z v � � tR � a � � � 7�0 3 -y m � s � O � � , 0 � n�+e ea.ow a�usT ��a.uEO w w�au �.nc� Fu� eu�u�c a��uwcES oRn� APPLlCATION 1AAt.L BE RETURl1�D � � •�� l�, 1 ��. ! •;� i� i •,: � , I� � , ' 1�� I :�17, _ I��:� W�IM Q;nLn��,� ��:� .��me. the undersignad hereby verfies that the venting has been examined and is iree irat't n�st. deZerioration, obstrudions. and is seauely supported and fu�stapped wher+e required. Y�s ( 1 No i) The venting system is p[astidPVC and rneets att cument codes ar�d m2mufacxurer spe�tions ir�h,duig sibng. t�ngth, number of elbo�ws and tem�ination. Yes {� No () The tu�dersigned also vet�es tt�at the replacement unit is a listed asserrbly and me�ts thQ curt+ont codQS �d manufacturer's spec�ficatians. This does inc�ude AGA-GAMA Category I CeMtal Fumace Verrting Tabtes for f� assistiad and natura! draft �s. Y� ()��) The . . is sized arx! instaNed to meet the c�rrerrt codes and man�acturets specifications. when reqc�ined m- � wiu be sited and inst�led tc meet the cur�r�t codes snd manufac�mers specifications. WI1en ' the undersigned her+eby verifies that it 'ss a I� assembly and nreets the cxxnertt c�des and manufa�re�s speci�c�tions. This does � AGA-GP�AAA Cateycry ! Centr� Fumace Venti�g Tabtes far f� assisted and natural �aft appiiarxes. Is the common verrt and vent connecwrs sized and installed corre�y after an appliance has been removed from the common vertt and vented sepatately as per wment codes. Yes ( ) No ( ) Yes ( } No { ) Yes ( } No t ) Yes( )No( ) .�.. . ... ,. ... ....; .�� .�:. � �.; . � . _., ......,« . ,.,,. ,�� - ,,.,. A�rrei f►1 Typ�i o 1 V �i�ut Fan As� a Nai �—__ Ap�actoe #2 T�pe BT�_ (t� F� Assi�sted �s' N�t - qpp�ce i�3 Type . BTU Input F� Assisted or Nat Tota! Appiiances Tot� 8� lnput Cammon Vent Type Vent Height Diarr�ter �d�es AppGance #1 Vent Cennect�ot Height ft Let�gth ft Diameter � Type Appfiance #2 Ve,nt Corv�cbor lieipht ft Lengtl� ft Di�neter in Type Apphance �3 Vent Connec�r Height tt length ft Diameter in 7ype — ��_ � �.��, �� .,. HEATiNG CO: $igned gy; Oate : 90; bo •� g9sc�a�9L - - — Building Inspections 763-572-3604 DATE � I �-' �' SITE ADDRESS � THIS APPLICANT IS: Z MECHANICAL RESIDENTIAL APPLICATION ❑ OWNER PROPERTY N,� ;� OWNER/ �DxESS: TENANT CONTRACTOR SUSMIT A COPY OF YOUR STATE LICENSE WIT'H APPLICATION PERMIT TYPE TYPE OF WORK: CIT� OF FRID�EY I��/11IJ C7 � Perr��:�; Received By: Date��: ST. cot�rn.�rrY Na�: STAND„gQt� u�n�� r .�n ,..,.��... _ - corrrACT r�RSC� �� ; 1,,� 410 WESt l STA7'E LICENSE q $� MN 55408 2•�24- ADDRESS: STATE ZIP PHONE `�SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK FAX ❑ TWO FAMILY ❑ TOWNHOUSE ❑ ALTERATION/REMODEL PER MS 16B.665 the permit fee is a miuimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement af a residential fixture, exclnding #he fixiures. (`This should reflect only the cost of labor ) Labor cost under $300 =$I5.00. Labor cost between $300 to $500 = cost of labor x.OS � FOR PROJECTS WI�RE LABOR EXCEEDS S500 FEES ARE BASED ON $10.00 PER FIXTiIRE, EXCEPT WHERE NOTED. FIXTURES: (IIdDICATE TOTAL NUMBER OF EACH BELOWj � l�� Equipment Installed MFG: _�� ",,1 MODEL: _'�'�'_�_ S1ZElBTU ��T_ MFG: MODEL: SIZFIBTU �(�,: MODEL: SIZF�BTU �— A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN $10.00 TO AIR EXCHANGEER $IS FIl2EPLACE (WOOD) $35.00 NEW GAS GRII,L S10.00 BOILER 535.00 _FURNACE 535.00 _GAS UN1T HTR 510.00 CHIMNEY LINER $10.00 GAS DRYER SI0.00 POOL HEATER 535.00 DUCT WORK S10.00 _GAS PIPING $10.00 VENTILATOR 515.00 Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 � x $25.00 = $ �S, � Number of fixtures @ �35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ 7c_ C'� 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 �e work will be in conformance with the ordinances and codes of e City of Fridley and with the Minnesota Construction Codes; that i unders�and this is not a permit but only an i tion for a p ' work is not to start without a pemnit; that the work will be in accordance with the approved plan in the c of ll o whic equ' review and approval of�an �� ' / SIGNATURE OF �lYtQlrba� % .:�� City of Fridle� Building Inspections Department 5431 iJniversity Avenue 1*1E, Fridley,. MN 55432 � 763-572-3604 F.AX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS XISTlI�G HOME ❑ MAKF-UP AlR REQUIRED FOR NEW/EXISTINC� MQlSIfES .;; . - . ... . _ < _ . 1` ., . . . .. 1. Combustion Air (See note belovv) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanellFGC Chapter 3 with MN Amendments 2. Make-up Ai.r (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapier 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Hea.t loss & cooling load per room a. Required on new construction IMC 1346.0312 5 . V entilation . a. Per IvIN Energy Code 7670 or 7672 6. Duct Design Per lMC 1346.0603.2 � a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building Inspections 763-572-3604 763-502-4977 MECHAIVICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTTVE 2-19-09 DATE G� � [ v - OUF SITE ADDRESS �- THIS APPLICANT IS: ❑ O�l C NTR_ PROPERTY N �,¢; (,( _ OWNER/ ' TENANT �D�ss: � O nunT.rF � � C � �"� .� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: COnfP.=�NYN.�1I�fE: •�ta�wa�u i �ca�aiy a ru� vv��uv��n�,y CONT.aCT PERSON: ym STATE LICENSE # F 17 R7d 7� DATE ADDRES PHONE ❑ NE�L' F,U�IILI' ❑ T�?O F.AAIII,1' ��EPL �CEA•fENT � � DETAILED DESCRIPTION OF WORK FAX �❑ ❑ TOWNHOUSE Permit No.; Recei�- � Bv N Dat'�`��dn � ST�1TE ZIP FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT WHERE 1VOTED. FIXTURES: (IIVDICATE TOTAL NUMBIIt OF EACIi BELOVi� Equipment Installed MFG• MODEL: S��g� MFG: MODEL:�•G��L:��J SIZFJBTU� 7 _A/C 525.00 _AIR TO AII2 EXCHANGEER S15 _BOII ER 535.00 CHII�II�EY LINER S 10.00 ___ DUCT WORK 510.00 MFG: MODEL: _FIILEPLACE (GAS) 515.00 REPLACE (WOOD) 535.00 FURNACE $35.00 AS DRYER SI0.00 GAS PIPING $10.00 SIZF/BTU GAS RANGE/OVEN �10.00 _NEW GAS GRILL 510.00 _GAS LJNIT HTR S10.Ob POOL HEATER �i5.00 _VENTII,ATOR 515.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN'I'II, pROCESSED I hereby apply for a building pemut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the inances and c of City of Fridle_y and �vith the Minnesota Construction Codes; that I understand this is not a permit but }� an li ation fo permit nd vvork is not to start ��ith t a permit; that the �vo �uill be in acco ance �vith the approved plan ' the c work �ch req ' es review and approval of p . SIGNATURE L VY� �� N �•¢ City of Fridley Buiiding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC J NEW HOMES/ADDITIONS ��EXISTING HOME Ll MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 wi� MN Amendments b. Fuel bther than gas IMC Chapter 8 with MN Amendments REQUIREI) FOR NEW �OMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or ?6�2 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manua1 D NOTE: Centerpoint Energy Mechanical Code Gaiiletines software may be used for combustion and mal�e-up air calculations.