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AF - 46123C� • • City of Fridley, Mi.nn. BUILDING PERMIT JULY 27, 1966 Date: _.._. __ ........_. ......__ �-�� 1T° 8940 �r, RICHARD E. MICHALICEK Builder T� SUSSEL COMPANY Address ._._6426.Baker Avenue N. E. �,g� �_. 1850_Como Ayenue__��_.___,� Fridley, Minnesota 55421�� St. Pau1, Minnesota � . LOCATION OP BUILDING No. ..__..64�76-.__.. Street .....____BAKER AVENUE N.E. ......_....__.._. Part of Lot ...__..._..____..._..r_..._.._.._.._... Lot __.....__ 5_._._..._ Block _.._.__.__.. 2__._..._.._.......__.. Addition or Sub-Division ...__MQQ� _�. ��$.�._...�.+ Corner Lot ...__.._..._.._....__ Inside Lot ....._..._?�..._.._._..._..... S.etback __..__._........__._._._.... Sideyard _._._.._..._________.�_�_.. Sewer Elevati� ._.._._.._.___.._....___.__..__..__._....._...__......____.._._ Foundation IIevation ._.._...._._.._._....._._...y.._.__._.__.�...._. , DESCRIPTION OF BUILDING To be Used ae: DET._GARAGE____........ F�t __16 .�. Depth _.____24 Height _..13 .._. Sq. Ft. 384'._.. Cu. FL 3,840 _._..______..__.._._._....__....... Fiont _._.._..._._ Depth ._...__..._.___ H'eight _..._......__.__ Sq. Ft. ._.._._._..._.. Cu. F't. _._. Type of Construction _..._..FRAME_........_._..____.. Es� Cost __...---.$1.,..OS.R.........._......._ To be ComPleted _.._.. ...:.�. In consideration o! the issuance to me of a permit to cc the propo�ed work in accordance with the d�scription above ordinanoes of the city of Frfdley. � uct the buildin=�t forth ax�iil in o� � t above, I agree to do with all pravisions o! In co�sideration of the payment of a fee o! a._�.�___._..._.., permit fs hereby granted t THF..�S��+SF�L �Q�:'_�._...__.... _ to construct the building or addition as described above. Thia rmit is granted upa�► the express condition that thepe reon to whom it is granted and his agenta, employees workmen, in all work done in, around and upon said building, or anypart thereof, shalI conPorm in all respects to the ordinanoes o! Fridley, Minnesota reBarding location, co�astruction, alteration, maintenance, repair and movin8 of buildinSs within the dty limits and this permit may be revoked a t ar�y time upon violation of any of the provisiw�s o� sa�d ordiaan�. CLARENCE BELISLE B�� NOTICB: iMs p�rmh dea not sewr tla eonmuaNen, tmhilNion �er wirin', P��Y, Ya M�tGio, awK er waMe. d� wn M� th� lutMieo In�p�aior tor ap�raN p�nnid foe 1ha� h�na. APPLICATION FOR BUILDING PERMIT CITY OF FRIliLEY, MINNESOTA � , OWNER' S NAME i 1 t �� , { , ��51�: ;�� `.�:�1.�UILDEFt �,..r G :�° � ,�� ADDRESS �`� ��`,� �,s��U1� ADDRESS ,� � ��.� � �- 1`-'� � � � � LOCATION OF BUILDING N4. (r.� "7 % � STREET �: I �,� �'�v � �.s �= PART OF LOT LUT rj BLOCK �-- ADbITION OR SUBDIVISION X� d�� 1. a�� %��•� P�� CORNER LOT INSIDE LOT �-'' SET$ACK SIDE-YARD SEWER ELEVATION F'OUNDAT"ION ELEVATIOIA AppZicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIOft OF BUILDYNG To be used as; � ':��-/�' �� _ Front /'�, Depth_^�Height ? % . Sq. Ft . � � � Cu, Ft . � � �� -T Front Degth Height Sq. Ft. Cu. Ft. ��- T-- Type of Construction_ �''��_ Estimated Cost ��`) �� .e To be comgleted (� �� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a1X work in strict accordance with the City of Fridley Ordinances and rulings of the Depar�ment of Bui�dings, and hereby declares that a11 the facts and representationa stated in this app3icatian are true and cnrrect. -, , " �� , ' DATE_ � � „ �- ,, � SIGNATURE � � (Schedule of Fee Costs can be found on the Reversa Side). t� , �, � � ,� f � ��"'�`i� ��;°� , � . � �� . - � , � ., :;; � /�� 1 _ _ zs`� LOT NAME iZ � c�,o.2c BIOC K ADDRESS �, 42 (P E ADD'N. A.REA �2� pL�y \ \ \ � 1-IouS� 5�0 - 730 E. M � c.1-� A �. � c�►� ,a. �E 2 ,Ltv E . f�! • E . SIZE i (o X 2.4- VALUE ►050 °" TVPE . �2/�M E 1 S' � (v� �To .. T �,i�vE — --- - � I M�sN � � C,o�,ov�-r � . ,� / •s. o . -� 9 � . � 10� t�002 . '- 'Z' .L�P2G1.! N r� �_ i d.2" � r� o �T� '8' a � 0 N 4 � �J QU.L� 2E V� I T I--1 �--� O U S G Q2 2-�, rz o� �,� rz�a�E -To L � r.l � W rr N t2�� rz o� -�.._I ou s� .o.� 5� ov�i ►.� �3 M�,sN � C...o►.i �u �-r . -- - � �20 �► T � � Q V' N I . . _-. � N .� N � � lst 2nd 3rd 4th A N� U1 N � N Q � J�.1 Nrt! � N U 5 � aJ ai 3 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTIN6 PERMIT N CI +� � ro � YI .0 C F� O O +� N +� � L�v UPO � � � � b� a w ry' � S� � N � o � (R) = Future Connection Opening I Connected with Sewer (*) = New Fixture, Old Opening i Wates rti4E2 — i2Z Fo�2 '� y S�i�+ RATE SCNEDULE PLUMBING FIXTURE RATES: N0. RATE New Fix tures Future Fixtures Old Openfng, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Ranqe Gas Dryer Back Flow preventer Required. Type $ 5.00 � $ 3.50 g 1. 50 S 4.00 $ 5. 00 $ 5.00 $ 5.00 $ 5.00 S 5.00 g 7.00 g 5. 00 $ 10.00 $ 10.00 . Yes ( ) No ( ) _ S 5.00 Effective Date May 1, 1988 Water Job Address �"1 �� J'�K� ��i C l� � Heater Department of Buildings City of Fridley as lec Tel. #571-3450 � 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. N Q� ,�p , 19� TOTAL S $ S S S S S S S S $ $ 3 S owrrER S-rEV E T�acZC-�. S KIND OF BUILDING TWO L�U(—Z USED AS TO BE COMPLETED ABOUT �JC7 V• 7j�� , � 5 ESTIMATED COST OLD NEW BIIILDING PERMIT NO. PERMIT NO. �� Company t�i�JOL� �(,I,II�IL.�rc-��I,I�LvC�� Signed By !� l,�.vc D• C�^�2��(- Tel. No. ((q12-� 7� � — SS�S � ROUGH INSP. Date FINAL INSP. �w ✓ ` — / � Date APPROVAL FOR PERMIT _!� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS PIINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 1$ of Value of Fixture or Appliance $ PLUS THE $.50 STATE SURCHARGE State Surcharge $ .50 Reinspection Fee $ ($15. 00) TOTAL FEE $ �,j", S -_�_ _ _ C1TY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDENTIAL � Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Pipfng (pipinq needed with new furnace) Gae Range • Gas Dryer • Air Conditio�ing (all si'zea� All Others/Repairs and Alterations lt of Value of Applfance or Work COMMERCIAL/INDUSTRIAL lt of Value of Appliance or Work Reinspection Fee RATE TO'tAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 14.00 $ $ 10.00 $ S $ State Surcharge TOTIIL P'EE ($15.00) Rouqh Insp. Date Pinal Insp. � `31 � �� Date � i� Approva; for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS E15.00 PLUS 5.50 STATE SURCHARGE •Air Conditioners can not be placed in sid�� yaid without written permission fraa adjoiniog rx�lyhbor. $ .50 $ /5's S C� S � Job Address � �� v� N� Department of Buildings, 6431 University Ave. N.E., Frldley, MN 55432 City of Fridley Tel. M571-3450 ' The undersigned hereby makes application for a permit for tha work herein specified agreeing to do all work in strict accordance with the City Codea and rulings of the Department of Buildings, and hereby declaree that all the facts and representations stated in this application are true and correct. Fridley, Minn. �/— Z Z , 19 �9 OWNER 5�� N BOGGS KIND OF BUILDING �'Ef ��E'�� USED AS 'S/g�� TO BE COMPLETED 11B0(1T l /ti ON � � ESTIMATED COST �� OLD - NEW BUILDING PERMIT N0. PERMIT NO. � ��}SJ DESCRIPTION OF FURNACE%BURNER HEATING or POWER PI.ANTS, Steam, Not Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP 1bta1 Connected Load Kind of Fuel BURNER - Trade Name Capacity Sq. FC. EDR Size No. B'111 NP Company Signed ey � . Tel. No. s%i�—Od�� Fill out back side far stack verification on replacement furnaces a � _ UTYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 January 28, 1992 Stephen Boggs 6426 Baker Avenue N.E. Fridley, MN 55432 RE: Home Occupations Dear Mr. Boggs: Recently we received information suggesting that you are operating a business out of your residence. In the zoning district where you live, home occupations are permitted as an accessory use, provided that certain criteria are met. I have enclosed for your review a copy of a City ordinance pertaining to home occupations. If you are operating a home occupation, please make certain that it complies with the enclosed ordinance requirements. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation. Sincerely, Steven Barg Planning Assistant SB:ls CE-92-16 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING. COOLING. VENTILATION� 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residentiai Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Rar►ge Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ Gas Dryer $ 10.00 � i' 1,�p.c.'l '�"' "Air Conditioning - All Siz�� j�� , � $ 10.00 � �� All Othe�s/Repairs 8 Alterations (LIST ON BACK) 1�/o of Value of Appliance or Work � Commercial/indust�iai . 1�/o of Value of Appliance or Work State Surcharge TOTAL FEE $ $ /O •DU a S S .50 � . � [1 �7 � 5�'i� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION R�FRIGERATION/AIR CONDITIONING PERMIT IS �15.00 PLUS THE �.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without writte� permissian from adjoining property owner. JOB ADDRESS (,�� K �� 1`i�� I� � The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the ciry codes and ruling of the Building Division, and hereby declares that all the facts and representatinns stated in this application a�e �qG � true and correct. '�% � � ,�994- OWN BUILDING USED AS 1°�e S i c� C�i� �cG� ESTIMATED COST ��G' U PERMIT NO. � l�� _ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU � HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP _ EDR 61J431�E kE�IT��;, ,�lR CONtlfi�Oi�tN� ��' � ;"' ��'�,s�, 3�C. HEATING COMPANY t. . . • ��r �Il� 55�tk Signed By� � Tel No. App�oved B �� y��'i �14��ta 4 SL�rZ:..cJ- �YNA �' Rough-In Date Final Date � 7 Z- F1LL OUT BACK SIOE FOR STACK VERiFICATtON ON REPLACEMENT FURNACE � � SuBJECT P . City of Fridley 2 7 2 4 g AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r ; � RECEIPT NO. � • COMMUNITY OEVELOPMENT pIV. r � � � � PROTECTIVE INSPECTION SEC. ��a i � � � /"'1 � CITV HALL FRIDIE� 55032 NUMBER REV DATE PAGE OF AVPROVED BY �'""'�"� ,'' 612-571-3450 9�0-F�5 8/18/98 � � JOB ADDRESS 6426 Baker Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 5 2 Moore Lake Hi hlands SHEET 2 PROPEHTY OWNER MAIL ADDRESS ZIP PMONE Steve & Cind Bo s - 3 CONTRACTOR MAIL AOORESS Z�P PHONE LICENSE NO. PTLContractin 2526 N Fer n - d 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 WOiiK ❑ NEW ❑ ADDITION ❑ ALTERATION pX REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e(24 S) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE Of CONSf. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRtCAL, PLUM8ING, HEA7ING, 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 FOH A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OfFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMtNED THIS APPLICATION STAILS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AWS VA�UATIQN SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2001 1.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW fiEGULATING CON- �� @7(f.75 Fire SC �Z..00 STRUCTION OR THE P P ORMANCE OF CONSTRUCTION. Y' PLAN CHECKFEE TOTALFEE Licens $5.00 $8 75 SIGNA FE O� CON7RACTOR OA AUTHORIZED AGENT IDATEi N OP ALIDAT IS I�U%� �T � S�GNATURE OF OWNEA��F OWNEA BUILDERi iDATE� BL �NSP �� E � • M NEW ADDN ALTER [l [l [l � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �� a b Pja�.ke ��t1�� IV � , - Legal Description; _ Owner Name & Address: � Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/98 n �� 1� �� .� Te�. # 5? l - �f �1 Sa• MN LICENSE # SoZ °J y IVe ��4�,�' Tel. # ��j —� �O� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF Il1�IIPROVEMENT Width Height Width Height Width Hgt/Ground f F J �:�.� �C'�-��+c'� �. � � Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: �C7, ,f�,�,�- �c�' Estimated Cost: $ -�� :��.� � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � ' � ° APPLICANT: Tel. # �ja 3 -'7y0l� �`�e' CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ '�Zi "� $ . L� �; $ /. L� �' $ $ S". ��C $ $ $ $ y $_ ( =��1, `%S Fee Schedule on Reverse Side 001 of Permit Valuation (1 % l Oth %) $.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 [ ] sue�ecr PERMIT City of Fridley 20145 pT THE TOP OF THE TWINS g �{ L D I N G P E R M I T r ; � RECEIPT NO. • COMMUNITY DEVELOPMENT OIV. ; �,: ----- 3 ye 9� r � � PROTECTIVE INSPECTION SEC. 1 � � 1 � /'��1 � CITY HALL FRIDLEY 5S43Z NUMBER REV. OATE PAGE Of APPROVE6 BV �'""'�" ,�� 612-571-3450 9�0-F15 10/4/89 � � JOB ADDRESS 6426 Bakex Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 2 Moore Lake Highlands SHEET 2 PROPERTY OWNEF MAI� ADORESS ZIP PHONE Steve/Cindy Boggs 6426 Baker Avenue N.E. 574-0830 3 CONTFACTOR MAII ADDRESS Z�P PHONE LICENSE NO. Sawhorse.Builders 4740 - 42nd Avenue North, Robbinsdale, MN 55422 533-0352 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 OESCRIBE WORK Construct a 26' x 14� Addition ta Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Sawhorse B.uilders is only eonstxucting shell. Owner is finish.ing and providing all mechanical. City is not responsible �or any water da.mage that may xesult because �i of the lower level caalkout. See notations on plan. ��A �� SEPARATE PERMITS REQUIRED FOR ��%�F��Z��;�� WIRING, HEATI;��, ��+,�aiNG AND SIGNS. E2f0,'@ �'l�g�;1� C31) fi0f a;l u�ii�ty I�cations On al! new roofs or tear-offs and replacement roofs, 454-0002 State Code r�quires ti�;,� � la�,�r-,rs of 15 Ib. fe(t, �EQUIRED BY LAW �mop�d toge±h�r, �� r:s;a��e�1 t0 a poiri 24 inches up fram exterior wa{� I;ne, or the use of othe� approved upderfayment membrane. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR Alq CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF; IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GAAAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUf;TAX ANO Of;DINANCES GOVERNING THIS TYPE OF WORK WII,L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING QF A PERMIT $2�-y 9OO $ZO. �S 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. $19H.00 PLAN CHECK FEE TOTAL FEE $208.95 SiG�EOFCON�RACTORORAUTHORIZEDAGENT �Dn7Ei WHEN PROPERLY VA DATED THIS IS YOUR PERMIT `�'Z, ` � �� J SiGNATUAE OF OWN IF QWNEA BU�LD I IDATEI � BLOG �NSP AiE I�W [ ] ADDN �] ALTER [ ] Cbnstructian Adc]r� Legal Descriptian City of FYidley R-1 AND R-2 �,;�ding Permit Application EEfec�ive 5/L88 Owr�er 1�ame & Ac3r]ress: 5�1 �U� i(( I�p1� ��`� Tel. 7- � �ntractor: �� ('lL�� .• �;;�3�-D.�Z- Aaaress: �7�D `� 21� D �� . �D. Attac� to this appl ication, a Certif i,cate o� Sl�rvey of the lot, with the prop�soed oonstruction drawn on it to scale. �FSQtIPPIQI�I 0�' IM�ROV�Tr ' Len9th Width � Heic�t St�. Ft. ° . i,�►9th Wi�t.:: �.� Heic�t �. Ft. ' DDC� ARFA: Length Width Hgt/Ground rt � � �� .�`��' 1D.�5� (od, Iz., >c��g�3.(� Q�rner Lot [] Inside Lo� �Q Ft. Yd Setback Side Yard Setbacks �pe � cbnstruction: ��DM .�17P�T�Dl� �j{f�L[-�timatecl Cost: S � �tOX. �Itl��l.0I1 Ia3tE: � � — �,� "' -I p�� 3.�0$`^- �J � ,9ov Alt. A Alt. B �. Ft. �(_4 Ts � Prop�sed Driveway Width If New Openi.ng Is Desired: S, Width + 6'� .. � • � i► �'• ��/ S.= ��,L,� �t � state surazarge SAC Q�atge Driv�ray E�e�craw Park Flee Se�wer !lain Cbarge �OTl� 3PIpUL�t�IO[�: T�115 s ��l g,� s ��,�,� � S S S S �a�.�J CLTY OSE GbLY S See Back Page �et. � ,533 -�vs�Z P�ee Sc�edule on Reverse Side �.50/51,000 Valuation 5550 per SAC Unit Al� '�+," or A1t. 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Th i� rn�.tst be t ��r^r�eci i r� w a. t n each set c�f r,3�a�t.treriis�� s, I r�c 1 ude the �,�11c�wir�q items: �) Revise exis�irrq nct��se �hape with dir��er,sic�r��, d�.�rs't sh�.�w ra��n�. b) Labe1 ar�d sh��w all b�.iilding� c�r� pr�_�qerty. � Dirner+sic�n the abc�ve t�� nc��se ar�d the twc� e1c��est prc�per,ty lirtes. c) Sh��w ar,y perrnir,ar,t fer�ce, tr�ee, shr�ubs, 1ar�ciscapir�q, r,et�ir�ir��g wa 1 I sy a 11 �ys, m�� r, yr,�de c:har�ges �r�d "car^s c�r� b1 c�cks" ci) L�;:�cate �_�verh�ad ar�d/�:,r �_inder,gr,�w��.�r�d wir^es. � • � p _ , _ _ �� _ _ , �, NO . � �� i . � A� i I a 1 � �I � ^i • � �, N -ro ►�� ' l-�u�� . I-- � o '� �i �L '• 0 i.... _ �� ` / 9 / I � � Tt��C3) I t v�u �� _ �� a ;�� .� - - --�--- — - GU� l.�l.l� ._ �T�r:.�r I ' I ..._...... �., I 1 ��, � �- / � � , „ � 0 J . � i �� • --�c �� 2� � L 1� To �IE�cT 1-lo��e. � � Building �� o MECHANICAL Permit No.: � 7y Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 L��ec�� CITY OF FRIDLE�' bATE � ��V D o YOUR E-MAIL ADDRESS siTE a.Dbx�ss fv yaG � �t e✓ /4v c /U� THIS APPLICANT IS: ❑ OWNER �]CONTRACTOR PROPERTY NAME: �'t ,� OWNER/ ADDRESS: QK �►� v n!� CITY l�r-t� �-cy STATE�%j�IP�57� 3.Z TENANT pHONE: %(o ,3 ' S % 1 � � �I S 'Z '� CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN � INREN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: �320 EVERGREEN BT,� STE �ITY ��C`.00N RAPIDS STATEMN ZIPr3S433 APPLICATION PxoNE 763 — 757 — 6202 FAX 763--757--6701 PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: � �W �PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �v�s a�.� I 0.0 � ��•�.r v1 u i✓ �`�' l PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fiacture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $] 0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� ` EquipmeM Installed MFG: ��- d MODEL: �(o iZ�.. '6L SIZE/BTU i..O�L1L�0 MFG: ''� w,�,t„ d. MODEL: U A(V �-- [5 at t{ SIZEBN �-�o Y1 MFG: MODEL: SIZEBN A1C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (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 PERMITFEE PROJECTS FOR UNDER $500 ` _'. PERNIIT FEE FOR PROJECTS OVER $500 > Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fi�ctures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 1 x$25.00 =$ ot S� C� Number of fixtures @$35.00 1 x$35.00 =$ �F� o0 State Surcharge = $ .SO Tota1= $ !00•50 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 which requires review and approval of plans. SIGNATURE OF APPLICANT , �� ° � _ T rrat� ROGER HOFFHE IN DATE l D I 0 O o PLEASE NOTE:; SEPARATE PERMITS ARE RE U1RED FOR BUII,DING, ELECTRICAI; AND MECH.�NICAL WORK- City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 er City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS �XISTING HOME ❑ 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 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.