AF - 35305a
City of Fridlep, Mirm..
6431 Univeraity Ave. N. E., Miinneapolis, Minn. 55432
BUILDING PERMIT
��; Novembe��, 1�,72
lo.�S� �
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pWnex; --�• J. Messick B�� South owr tzea� t�r
,AddTeSiq --��nFi Cavn1 ih-i TP „��F, Addre9s �.Sl Silver Lake R�ad Roo�., 5�
New Bri hton Mi
LOCATIOiV OF BUILDING
i1To - h�.� Street �-n Mnrp 1M-it:o �i.F'. Part of Lot
� ��I SioCk � $ Addition or Sub-DivisioII Haathc�r iH 11 �a Adr77.1'��T*
Corner Lot inside Loi _- X Setback ___.3.�.. Sideyard _ 1 5�,�.
��iFIIevatYcsn _ 918 94 �q{17�i�tid�']�'�0'�1��1� 9 -9L4 Minitrn�m
_Ldve op �f Foot�n�
DESCRIPTION OF BUIL�IN9G
To be Used as;
ikae] 1 in� �ont �_ Depth ___�_�.�.. Heighi _..��.�....._ Sq. F� �..��_ Cu. F't. ..3.Qy.$�-�.4
GRrage Front r.2.0_� Depth � Hei�ht ..�„p! _ Scl. Ft. --••�yp•� Cu. Ft -��
Type of Consiructian �T�n.a FxamP Est. Cost ,.,427�.LL To be Completed � MA��iLi�
Stipulations: Provide a varifying survey before eapping. Provide a hard surface
driveway. Provide_a verifyin� survev on 6253 Ben More Drive before a rough in
inapection will be made on this address.
WATER LOCATION: 10' West of Sewer Service
SL�WER, I,OCATION: 60' West of Ma,nhole (WIE 918.70)
In consideration of the issuance to me of a permit to const
�be proposed work ia accordance with the description above set
O�hances of the dty of Fridley. �
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above, I agree to do
nth a11 provisYons of
In conssideration of the payment of a fee of $ 58.00 ,. p�t is hereby granted to�t..h_ TOwne Realty
to construct the building or addition as described above. This permit is granted upo�,
the express condition that the person to whom it 3s granted and his agents, employees and workmen, in ali work
done in, around and upon said building, or any part ttiereo% shall conPorm in all respects •to the ordinances pf
l�`ridley, Minnesota. regarding location, construction, alteraiion, maintena.nce, repair and moving of buil�g�
�� dty limits and this permit may be revoked at any time upon violation of any of the provisions of Sa�d
� �8 �P�toP
CI,ARENCE BELISLE
NOi10Es
. �'i�i s permh does not eover t6e eonstruetion, installaHoa foe wering, plumbing, gas heafing, sewer or water. Be an 4o sae
t6s Building Inspaeta� fo� sepa�aTe parmits for these items,
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.�i�.�,�a� �#;ad$ ���+pv��„o Certificates af Susve�„r of Lcat a�d prap�e��:d
?�,�.�.� �,�ati.o� d� oa �8se Cexti�ica�es,
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F��C�I�'TI9N OF �UIL�ING
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� o�+���d hereby aa�e� a���c��iv� �or, $ pe�t fafi th� wa�ick h�reir�
�g�#,f�,� ag�ee� -� da al�, �T� �n ett�at acco�dance wi.tt�. the C�ty ��
F�dA�' Qz�d�c�� �d t�l�a� aPf �e+ De#�art�aen� Qf Bu�$d�n��a, �} �e�eeby
+��� � al1 �h� ��cts a�d ��reser�tai�;ions ed �, ta,li� ap�►I�,�atia�t
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YBU���TN� P�RMZT F�� �GH�nu�E
� ������ �, �'he I�s�ecto� pf �u�ldin�� s�al�, be�axe �asuiag permi�� for the
������on o� arty bu�lding a� struc�ure, ox far any addition to any �is����
����d�� ox stxuCture, or f4� any alteratio� ox �epairs to any ex���i�g
�&a�����,� o� stx+uc�uxe, upo� �pP���ation th�xef��ey xequ�re �he paym��� by �hs
���li��t fp� su�h F@x�,t p� �ees t:o the a�ount herein below set �a��h �d ��
��.�; uaa��ar h�+x�:�.� g��vided � �c��wik s
ti�Qltl"i �U�LIITNG �ODEt �►pe �.a 2& 4�$2.�:5 �ar each aAae tY►ous�nd cubic
�e�C„ +A�' ��ac�ipn th�7c�eo�, in ��tc� cubical co�,tents. �.'ype 3& 5� -$�..8�5 fo�
I�C�1 O'1'�81 i�A1�$SAa ,�1�.:�.0 �@��e •
��D�T�UI�IA� I�F1�AT'�ON
FQ� �� puxg�8a af �a�pt�t��.t�� �ees for building pereaits, the cubical conteats
of �ty building or addition, is datermi�.ed by mui�$plyin� the �ound area
�Ay��. �tmt a� poit�� s�x ��� in�ies below �he flo�r �ine o� the basemet�t
��� �+��la�' i�o �he average �ieights of the upper surface or to the avera�� •!
��� �� t�s �o�� �.��ace o� the maia� �ab�e p� � pi�chec� xoo�.
���L3's o� ai������.ot�� � aa� existin� s���eF �a� f�e shal�, be �� ��.�
�'�,�� fl� $�s�U �g' ��,r� g�ve h�dxed dollax� ($300q0E3) � f���i�a. �hex'�o£ �,�
�h� ca�s� a� a�.� �a�o�rsec� wo��c�
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City of Fridley
AT THE TOP OF THE TWINS
i �
� �
� `L ______ COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC.
� ; i
i•---� ��"" �•� CITY HALL FRIDLE� 55432
i 612-571-3450
SUBJECT
BU ILDING PERMIT
NUMBER REV. DATE PAGE OF
910-F15 5/18/88 � �
JOB ADDRESS 6257 Ben More Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. L� 2 Heather Hi.11s
2 PROPERTYOWNER MAILADDRESS ZIp
Messick 6257 Ben More Drive N.E.
3 CONTRACTOR MAIL ADDRESS 21p
D& D Home �p.proveaent I'nc. 7401 Central Avenue N. E.
4 ARCHITECTORDESIGNER MAILADDRESS ZIP
5 ENGINEER
6 USE OF BUILDING
Residential
7 CLASS OF WORK
MAIL ADDRESS
P�+ 'VITN
�0 19478
REC .
,�� �/
APPROVED BV
SEE ATTACHED
SHEET
PHONE UCENSE NO.
784-7543
PHONE LICENSE NO.
PHONE LICENSE NO.
❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (22. Squares )
9 CHANGEOFUSEFROM
TO
STIPULATIONS R�f can be 2nd layer but not 3rd. Install ridged galvanized valleys.
Urt all new roofs or tea�-offs and replacement roofs�
State Code requires that 2 layers of 15 Ib. fett,
mo��ed together, be installed io a poinf 24 inche�
uR from ext��iQr wa�l �ine, or the use oi other
aRpra�e� uR�e�i�yment membrane.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPI
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTAUCTION
OR WOpK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCE0. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�1QO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27� OQ
RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
����,�,r PLAN CHECK FEE
� %�
SIGNATURE OF CONTRAC R OR AUTHOR12ED AGENT �DATEI �a�uor.i ooneee� v v.
11F OWNER BUILDERi iDATEi .
GROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SU RTAX
$. 55
SACCHARGE
TOTALFEE
$27.55
pED THIS IS YOUR PERMIT
1�%v [ ]
1�1DDN [ ]
ALTER '[�
City of Fridley
R-1 Ai�ID R-2
�,;�ding Permit Application
EEfective 5/L88
Construction Address:—� � � � ����1 ���°� �� -
Legal Description-
Owner Naaae & Address:_ �%°� � 5 i C� Tel. �`��l/� G���
Cbritr act or : � `�" � i� �t �e � un $� a��e �c � ,� �- �n e ,- Tel. # � � —7.����
,
Adc]ress :
�� � � � r�� °$ � � �-�� r �d�
Attach to this appl ication, a Certif icate af Sl�rvey of the
lat, with the proposoed construction drawn on it to scale.
LIESCRIPPION OF IM�'ROVII�Tr
T.TVTI�Y; ARFA; j�,an� Wl�l He1Cjtlt
--- - ---- .�. �.
(�RAGE ARF,A: Length Width Height St�. Ft.
DECtc ARF�: Length width �t/Groima sq. Ft.
S�+S:.
�rner Lot [ 7 Inside Lot � Ft. Yd Setback Side Yard Se cks
Type of construction: P�5���31 �e -�� � Estimatecl Cost :$`�� Q F�-
Approx. Completion Date: �
Alt. A Alt. B
Proposed Driveway Width If New Opena.ng Is Desired: $ $
Width + 6' See Back Page
nr�E : � =/ � - � � ��zc�,rrr: � �'rl o lso �
Petmi.t rlee
State Surcharge
SAC (harge
Driveway Escraw
Park Fee
Sewer Main Qzarge
TOTAL
STIPIJLATIOIJS:
S �� �)�
S � �:
$
$
S
S
$ a`�• ,S: ,�.°
(3TY OSE OHI�Y
T�. � �� 7�"5�.�
F�ee Schedule on Reverse Side
$.50/51,000 Valuation
$550 per SAC Unit
Al� '�," or A1t. "B" Above
F�e Determired by Ehgineering
Agreenerit Neaessary [] Nat Neaessary [ l
�
1=_+���� � �+��� 4 :r� �«:���.1
'IRze Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or for
any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein Y�elaw set forth and in the maruier herein prwic]ed to-wit:
�'t'AL VALUE
$1 to $500
5501 to �2, 000
S2, 001 to $25, p00
525,001 to $50,000
550,001 to $1Q0,000
5100,001 to 5500,000
FFES
S15 (Minim�n Fee is S15 glus surcharge) �
$15 for first $500 plus S2 for e�ch �dditional $100 or f raction
thereof, to and including 52,000
S45 for first 52,000 plus $9 for each additional 51,000 or
fraction thereof, to and including $25,000
5252 for first 525,000 plus $6.50 for each additional $1,000 or
fraction thereof, to and including �50,000
5414.50 for first 550,000 plus $4.50 for each ack7itio�al S1, 000
or fraction thereof, to and including $100,000
$ 639. 50 for f irst $100, 000 plus S3. 50 for each additional $1, 000
or fraction thereof, to and including 5500,000
$500,001 to �1,000,000 $2039.50 for the first $500,000 plus `$3 for each additional
$1,000 or fraction thereof, to and including 51,000,000
51,000,001 a�c] up
Alternate "A": RemWal
feet times 513.50.
$3539.50 for the first. $1,000,000 pl�s $2 for each additional
$1,000 or fraction �t�ereof•: • '
;
�,�� r�
(Concrete Curb Streets 'Ch�].y) �.s..'.Y.;;. �:;"�.` .�` d .
and replavement o�' curb and gutter ��cinly, -` Dr�veway width plus 6
Alternate "B": Re�nwal and replaoement o�f curb and gutter and install a 3 foot wide
approach with 6 inch depth - Drivesaay width plus 6 feet times $15.75.
��� � � • � • ' �►� J��� : Y �J�I
Permits for construction will be issued a minimum of 24 hours f rom the time of
application to allow for proper review of the proposed structure and of the wnstruction
site.
A Certificate of S�rvey of the lat, shawing the location of the foundation once it has
been aonstructed will be required before proceeding with the fra�ning.
.. a �. -
City of Fridley
AT THE TOP OF THE TWINS g � � L D I N� P E R M I T
;,
� �
i j V ��'..�'
COMMUNITY OEVELOPMENT OIV.
r � � PR07ECTIVE INSPECTION SEC.
l.-_-� ��"" �'� CITY HALL FRIOLE� SS432 NUMBEN pEv
t 612-571-34b0 9�0-F15
10B ADDRESS 6257 Ben More Drive NE
t IEGAI �OT NO. BLOCK TRACT OR ADDITION
OATE I PAGE OF
3/7/O1 � �
�i 66i
RECEIPT NO.
APPRpVED
SEE ATTACMED
DES,CR. l} 2 Heather Hills SNEET
2 PROPERTY OWNER MAIL ADDRESS 21P PFIONE
Sue Messick 6257 Ben More Dr.ive NE 763-571-6737
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 763-502-4777
4 ARCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS OF WORK
20130983
MAII ADORESS 21P PMONE LICENSE NO
❑ NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WOHK
Replace 10 full frame windows and 1 bay window within existing openings
9 CHAN(iE OF USE FpOM
TO
STIPULATIONS
Provide smoke detectors in ali sleeping rooms nnd on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICA�, PLUMBING. HEATING, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK Ofl CONSTRUCTION ZONING
AUTMORIZEO IS NOT COMMENCED V�(ITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF /20 DAYS AT
ANY TIME AFTEfi WORK IS COMMENCED. NO DWLG. UNI7S
I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED TFIIS APPLICA710N I
ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEpEIN OR NOT. THE GRANTING OF A PERMIT �I.G,676
DOES NOT PHESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEI THE pERMIT FEE
PROVISIONS OF ANY OTHER STA7E OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �Z79 . ZS
PLAN CHECKfEE
Lice C
S�GNATUAEOFCONiRACTOpOAAUTNOAi2E0AGENT 1DAfEi . .• r nn.
� ibATE� � B G �aSO :
SQ.
STA�LS
�
NCYGROUP �OCCUPANCVLOAD
CU
OFFSTREET PARKING
GARAGES
SURTAX
' $8.34
SAC CMARGE
Fire SC $16.68
T07 L FEE
$309.27
��-,�
� � �- '
,
�ective 5/10/99
` �. ; .� �:�:
;i ;r�. �. ;�, ..; ;�y,�; .; �, ,.,
: r r:i � � `� : : .► f.
�onstruction Address: %a1 S� %-ex��c�ncat-Q.�c �w1 . . .
Legai Description: � _
Owner Name & Address: �cc,� YYe-e�5 i 1�. '1`� Tel. #�'lc3 • S�L •�3�°
Contractor:; � REN�WAL BY A�IQERSE� 1�'IV I:.IC�TSE #
350m73RD AVE. �E
Address: FRIDLEY, MN 55432 Tel. #
�(03 f��02m4777 F Survey of the �
LICENSE #201.30983
---�, ,r-= — -.- - -- - � on it to scale.
�: - ;� :.:
,.., ;,
, ,.
..
t , ;,;�� •
�onstruction Type:
D�.S.��IflP�T t?lF �����'� _ � '
I-eength �Vi�ltb. Height Sq. Ft.
I.ength Width �ieight Sq. �t.
Length � Y�li� � �Igt/Ground Sq. Ft.
.�.s�.��►t��'!'�:�ir1L"i�i��l'\�i�..t�Z:��s7/�j ► •' �J _ J
• �
a
/
� �� . �. . , , ," `
I3riveway Curb Cut i�l'idth Needed: Ft. + 6�t = Ft x$
_$ �
�.: , � , � � : . .. :
�
. . ; ; -. > � .•
. . . � - - � %J���_ t. '�+_. �_i ..i.a... .i.�_.. . . � _ � r
Permit Fee
Fire Surclia.ige
State Surcharge
SAC Charge
I.icanse �rcharge
l�riveway Escrow
Erosion ControI
Park Fee
Sewer Mai.n Charge
� �� i ��
$ iio [�$
$ � ��-.
$
� ��
$
$
$
$
�8.8 8 �.1� �1lY.t�
�ee Schedule on iteverse Side
.001 of Permit Valuatian (1/lOth%)
$.SQ/$1,000 Valuation
$1050 per St�C Unit
$5.00 (State Lic�ns,�d Residential Coutractors)
Alt. "A" OT Alt. "B" AbOVe
$450.� Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not IVecessary [ ]
T���. � 9 a�
, `��1!/D�"' „�i�-z.olC� �!��-��-' �%w`�� .
S�u��o�vs.`, 9 / // /� �'�i��/�/s✓ �-
��r 3 /V • ! . / .�--- / .,l �� �% C/C. y ♦ C.
L
�Z �GL �Z- � l?�Z t��'•�.���lcl-.�-.f _
;:` � .1 1� f ,- "' :�1' ' .t � ::1i�i
The Chief Building Official shall,loefore issiaing permits for the erection �f any building or st�ucture, or for azry
addition to any e�isti�g building or stn�cture, or for any alteration o� -�pair to any existing builciing or structure,
upon application therefore, require thc.payment by the applieant�:for.�sucir permit:of ��s to the amourn, herein
below set forth and in the manner herein provided-�o-wit: . '� _. _ k �
TOTAI. VALUE
$1 to $500
$SO1 to $2,OOU
$2,001 tQ $25,�d
$25,�1 to $SO,Q00
$50,�1 to $100,000
$100,001 to�$5�,(�30
$500,001 to $1,Q00,000
$1,OQ0,001 and up
--__..... - FEES _
$23.50.
$23.5:0_far first $SOO pI"us: $3.a5 for each additional $100 or
fiaction thereof, to and�;inrclnding::$2,� - ... .
$69,2� for first $2r(�O plus. $.14,0�3_f4� each additionai $1,�0
or fraction thereof, to and including $25,0�
$391.25 for first $25,(M?0 plus $10.10 for each additional $1,000
or fraction thereof,. to and: includin� $50,�0 -�
$b43.75 for first .$50,000 plus` $7.00 for each additional
$1,000 or fraction thereaf, to -and �inciuding $100,000
�$993.75 for first $i�,000 plus $5.b0 foir each addition�l
$1,�Q or fraetion �ier�o�,� t� and i�cluding $5(3�,�0 , -
�3,233.75 for the first $500,000 plus $4.75 for each additional
$1,Q00 or fractian thereof, to and including $1,000,000 °`
$5,608.75 foz the first $1,OQO,Q00 plus $3.15 for each additianal
$1,000 or fraction thereof �
I)���IAY I)EP�SSION ��Oi�V
(Co�rete Curb Streets Only) .
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Aiternate "�": Remova� and replacement of eurb and gittter and:in�Cali a 3 foot:�w�dee.: .: �-
approach wi#h 6 inch depth - I)riveway width plus 6 feet times $23.25.
CA�O1�T O�+' i+'{)UNI)A�'ION
Permits for constructi.on will be issued a minimum of 24 hours "from the time of applica.tion to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey af the lot, showing the Iocation of the foundation once it has � it has i�n ���� vvi11
be required before:proceeding with the framing. _
�
�� _
Building MECHANICAL Perrnit lvo.: C�0 �`�'Q
Inspections RESIDENTIAL APPLICATION Rec� ��8�
763-572-3604 Date�ec d:
CITY OF FRIDLEY
DATE .�=a � °� � YOUR E-MAIL ADDRESS � � /vl � ��G ��C�..` � !� �5/V . C�
SI� fwD�SS 1� a � �_ � e � � � �' � � �.
THIS APPLICANT IS: ❑ OWNER �ONTRACTOR
PROPERTY Nq�: �
OWNER/ pDDRESS: � � � � �'� �S CTI'Y � STA �IP��,��
TENANT
PHONE:'
CONTRACTOR COMPANY NAME:
SUBMIT A COPY OF CONTACT PERSON: �
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH pDDRESS: l���_ F�Tr� 5� < CITY�C,A ,.�, �c� � STATE�Z[P�a��
APPLICATION gHONE�������� FAX � �° �� LI -° T�
PERMTT TYPE �Gt.E FAMILY ❑ TWO FAMILY Q TOWNHOU5E
TYPE OF WORK• 0 NEW �EPLACEMENT ❑ ALTERATIONJREMODEL
DETAILED DESCRIPTION OF WORK ..�
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, installarion or replacement of a residential fixture, 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.05 =
FOR PRUJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. F[XTURES: (INDICATE TOTAL
NUMBER OF EACH BELOV�
Equipmentlnstalled MFG:�_i�'�����, MODEL��.�p�C�� SIZE/BTU�}_�
MFG: � MODEL: SIZEBTU
MFG: MODEL: SIZFJBTU
A/C $25.(l0 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.Q0
CHIMNEY LMER $10.00 GAS DRYER $]0.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPMG $10.00 VENTILATOR $15.00
� � �� ��p ��:; � � : �'�� � ; � �'�.�v _
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 = $
� Number offixtures @ $35.00 x $35.00 = $
State Surchazge = $ .50
Tota1= $
THIS IS AN APPLICATION 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 'dley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an applicati n r a ermit and k is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all 'ch e u' eview and approval of plans.
SIGNATURE OF APPLICAN7' PRINT NAME �� �� ���° `�� DATE �� � �'� /
z,°
r �� „� � � �..,,
�= c:'�,. ` . � ,�.. . ° - � . � .: ., :: . . .. ;�� :,
�
• f i1v nf Frir�lav
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
0 NEW HOMES/ADDITIONS ❑ EXISTING 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 Cha.pter 5 with MN Amendments
b. Fuel other than gas IMC Cha.pter 8 with MN Amendments
REOUIRED 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
cQmbustion and make-up air calculations.