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AF - 43598r. . . � .. . . . � .. � � . . d � . . � . . � . .. . � µ�� . �� . . � . . � ;=4�'t ��f .. ' � � . . � . . . � . . a4 . . . . � . . � . . � Village of F�i�iley, l�'Iinn. �� , � �.. �UBLl)ING PERMIT � N° 186 {` Of�ace of IlaTSP�C�OR O� BUII.DING� � �j£� tF. �'., . . . q. � . . . . . . � . . A,�+P ��k . � � . . � . � � � ` ��t � .. . . . . . . . . � � � Owner ,. x �} r��, �� Architect Fridley, Minn., ��`-"`'�`� � > 19w� � `' r"� � � Builder� _ E.�t.+�e+..._k �� ' � � LO�ATIQN OF BUILDING �� #x �� No. ��""`� Street � �.�! .�, e Part of Lot k€ � � � �"z� . . . . . .. . . . ' . �:��'� Lot Block Addition or Sub-Division �� , , fF.,, . 4 �ESCRIPTIC�N OF ?3TJILD�1! G � a '�; Front `�F Depth �~ `°' Height Sto-ries_ Manner af Construction To be used as To be conlpleted Estimated Cost ..� � - �� ,;�t�� f:..�` ' `�;�._ _ . .�.r�a,.c ,�.;. �r'� ,.�- , .. ':fi:: ... � .T� ..:�'..��.�.w�'".�..�xr.s� �n , `t lding s�'4�"'s.� : '�;,` � described in the above statement. This permit is granted te express�ondition t2�t the person to whom it is granted, and his agents, employees and workmen, in all rk done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- of Fridley, Minn., regarding the construction, alteration, maintenance, repair and modfng of buildinga the city limits, and this permit may, be revoked at any time upon violation of any of the provisions of said ces. , ,� � � � � � `'� ��. r„spector of Buildings. AGREEMENT AND SWORIV STATEiVlENT �nsideration of the issue and delivery to me by the _Tnsgector of B�iil�lings of Fricdley of e permit, I hereby agree to do the proposed work in _ aceord�,nce with t11e descx�ption t forth and according to the provisions of the ordinai�cea of Fridley, a,nd, being first duly hereby state and say that the facts stated by me and contained in the above permit are herein stated. � ` � _ ibed'and sworn to before me at Fridley, 1�Zinnesota, is `"�' �� A .D. 19�. �, � � � r .,;� � ��..�""� �� : ,' � ,;:�;: �t111C,.1�1'� 1i1S� � ��Ci 0115 �' � L %6�-,i�-�6� /(7J-.'lJ �.-''--��/^ I�_��1 DA'TL �b' 15-.� SITLADDRL55 4 THIS .1PPLlC.�NT I5 PRCPE�ZT`r �'�'NEat/ TLN�.�`TT CONT�iCT�R SUBMIT A COPY OF YOUR ST`ATE LICEiJSE. BOND AND CERTIFICATE OF INSURANCL PEBMIT TYPE TYPE OF WORI�: �� .� a � ;�.� �� _� �� ('�7T! �^') T'T T �-r�"T{ i.J i _ �. 1 ��J ii � _ • 'i �"� .. j � .Il • '3 J�� cPF�C'I7�7� ;-?-;)8 YOUI';�-�VIAIL .�DDRESS ❑ OWNEP. �CONTRACTOP� ��llllll : �.Q.• ��C�1Ved ��'' �at��d:(� NANIL-: V �(t-�`• 0�1 C�AC� �,v � 1 �'�' ADDiZLSS: %�f a- � � d�.�..r �{ CIT! �i2�Q(� STATL- r7 ✓ 7_IP S`� �--. PHONG: 7b3. � a a_ �� l � NAML: �� . � � Li � j"'il C- ( STATE LIC�NS� m $ �tI' OATE - _ _...�•••-� . ST.�TE BOND � L;YP DATL "'""°` ADDRESS; �t3 f 0 �"'1� ti S� . �"�F CITY F�I O�t ST�TE �`':� ZIP ,j SV�Z PHONE 7 6� 'l, S� a- i R� Fr�X SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW �REPLACEMENT DETAILED DESCRIP'I�ON OF WORK �hS-4;+, t I �LzP t?-�� W a� ^� I� �,N� '� ' PER MS 168.665 the permit fee is a minimum of �15.D0 or Sa/o of the total eost up to �5a0.00, whiche.ver is geater, for the improvement„installation or replacement of a residential fixture, exciudin; the fi�tures. �(This should reflect only the cost of labor ) Labor cDSt under $300 =�15.00. Labor cost between �300 to �500 = cost of labor x.05 = pius _50 surchar�e � OR � �� FORPROJECTS WF�RE LABOREXCEEDS �T500, FEES ARE BASED ON �10.00 PERFtXTiJRE„EXCEPT WFIERE NOTED. FIXTCTRES: (Il�1DICs1TE T0�5AI. NIJMBER OF EACH BEL04�. MIN1MUIv1 FEE � 15.50, BATH SINK/LAV ' _FLOORDRAINS SI30WEA WATERPIPING � BATHTUB GA3PIPING(NEEDCTTYLIC) SWIMMINGPOOL WATERSO.FINER(S3� CLOTFI$S WA5HEIZ � KTTCi�N SINK WATER CLOSET �BACKFZOW PREV. ($15) _ DISHWASHER , LAUNDRY TRAY r =WATER HEATEA ($3� � FOTf. IRRIGATION � _ WATER METER ,_ OTi�R Permit Fee TOTAL DL [MUM �15.� � �r .�Z Number of fixtvres � �10.00 x � 10.00 = � .50 Number of fixtures (cr � 15.00 x$15.00 =� $ �. ,5 U QR I�Iumber of fi.�ctures Cla �35.00 _� x $35.00 = $ � � � v � Stata Surcharge = $ .50 � � (MINIMUM �15.50) Total = � ��• � � THI5 I5 AN APPLIC�lTION POR A PE3tMIT-NOT VALID UNTIL PROC�SSED [ l�ereby apply for a plumbin� permit and 1 acicnowledge that the information above is compiete and accurate; thatthe wor!c will be in j• conformance with the ordinances and cocles oi'the Ciry of Fridley and svith the Niinnesata Construction Codes; that t undersiand this is !-_ not a permit but only an a�plication for a permit and wori: is not tn start �Nithout a permit on siie: that the �vork �,vill be in accordance '-- � •.:vith the approved pian in the c�se of all �,varlc z.vhich reQUires review and approval af plans. :;IGi•IATiJP�C()P;1PPI,I � T � �r_c� "<o��__ �;;iTfT�IAML-'.��"�l� /'�-�IV'(�.� DATL• �� r .',PPROVL•� 131` �, %,4'J7: �'��L ..�..;�•!��T??� ,i��l7SR.: T�'i7r1?`�ftIT�-_P..��'�tJ1�IR��=C)R:3.lIiL"�11�I1"i:.�i:?i��T:l:�:':L..�.ivC -1G'�'.s:,i�,iC.`�_L. �ii�Rl> �:i;T �'�J[ ! .'tJL�e"r �R1ISCEYFI:� �?'I3��`��:U�I3 _�'�"3.sii":::lE��t .-_ � .;:IV�:'�7I'S' . .,'8.1'a� . �L. C':Ulz'. :,,�l.,j ,---- -'i�-} _-.�1�1_i -..__. ��=-:!�_--�� Building Inspections 763-572-3604 763-502-4977 FAX DATE �U - t S- n 7 SITE ADDRESS � � u THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 ADDRESS � ❑ OWNER / ' �1CONTRACTOR NAME:L(p�� /' O.ILt�r �.� ADDRESS`� V t�.� 6 s? � n(-� W PHONE: 76�-- J d�-' 6� �� COMPANY Per�nit No. P.eceived B� Dat�e"�'� '� .O,�a. STATEI'1�-%ZIP Jrs y3' SUBMIT A COPY OF CONTACT PERSON: C� r e s V%%.- n.r� YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRES3: 0 a� b I`� �-�'+ �� R-�� CITY F/�� J( STATEE"'l' NZIP � s' 4 3 APPLICATION pHONE "j b'3 ' � S�l .,1 G�1 FAX PERMIT TYPE M�1 % � �L�J ��iL�1�� [�, INGLE FAMILY ❑ TWO FAMILY ❑ NEW L�t�PLACEMENT ❑ TOWNHOUSE ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK T y� ' ( ( 2�at � • -. �- ��'� � � ~ �"" FEES ARE BASED ON 510.00 PER FIXTURE EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI� Equipment Installed MFG: �� MODEL: j��J s-. � Q�, 0• �_ � y SIZE/BTU � . � MFG: MODEL: MFG: MODEL: A/C $25.00 FIREPLACE (GAS) $I5.00 `AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 BOILER $35.00 �FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 DUCT WORK $10.00 GAS PIPING $10.00 SIZEBTU SIZE/BN GAS RANGE/OVEN $10.00 NEW GAS GffiLL $10.00 �GAS UNIT HTR $10.00 POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT C. h ti� �� E�� PRINT NAME� (1 t' S t� ,O L� DATE I 6" t S� l� y City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Cw�2- ' � MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-5�2'-4977 FAX EFFECTIVE2-19-09 DATE ?GL'(� O� � � O�. �( O YQJJR E-MAIL ADDRESS SITE ADDRESS 1 THIS APPLICANT IS: PROPERTY OWNER/ TENANT � � OWNER �`ICONTRACTOR ADD�SS: (�y aq �.�c �� 5 PHONE: �(.o .� ` S , ot ' �Q� � S Permit No.: Received i� .� - ��• � � TA' CONTRACTOR coMpA�YNAME: CENTERPOINT ENERGY SUBMIT A COPY OF coNTACT PeRSON: JOANN ZINKEN YOUR STATE STATE LICENSE # BOND 22013346 EXP DATE ` LICENSE WITH ADDRESS:9320 EVERGREEN BLVD NW SUITE B ciTYC00N RAPIDS sTATE MN ZIp55433 APPLICATION pHONE 763-757-6202 F,�ac 763-757-6701 PERMIT TYPE TYPE OF WORK: �$INGLE FAMILY ❑ TWO FAMILY ❑ NEW �REPLACEMENT ❑ TOWNHOUSE � ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK�i�e ��e,�� e �-t�..r' �(1-c.��,e- FEES ARE BASED ON $10.00 PER FIXTURE, �CEPT WHERE NOTED. FIXTURES: (IN�15 �L�o�'A_LSUMBER OF EACH BELOW) Equipment Installed MFG: r�� r MODEL: d�•� SIZE/BTU y S � OOO _A!C $25.00 _AIR TO ACR EXCHANGEER $15 BOILER $35.00 CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: MFG: MODEL: FIREPLACE (GAS) $15.00 �F[REPLACE (WOOD) $35.00 ( FURNACE $35.00 �GAS DRYER $10.00 GAS PIPING 510.00 SIZE/BTU SIZE/BTU GAS RANGE/OVEN $]0.00 _NEW GAS GRILL 510.00 GAS UNIT HTR $ I0.00 POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPL(CATION FOR A PERMIT-NOT VALID UNT[L 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 cas��ll work which r uire review and approval of plans. . �; � • � � ^ SIGNATUREOFAPPLICAN � PRINTNAME ROGER HOFFHEIN DATE ('Dc�-�D City of Fridley Building 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 ❑ NEW HOMES/ADDITIONS �EXISTING HOME 0 MAKE-LTP 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.�603,2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.