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AF - 36472City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: ......Nauemtz.ex..2�i.._.12Z.1—_.� Owner: _..uieTaC411...11.1.�9.]:��i:�.�.�------....�.___.� Builder Same Address ..._��.47.-- B-�aakl.�u--�iouleuar.d.�._�_..___ Address SamP � �9s� 11275 LOCATION OF BUILDING No. ..----1..�.Q.�Z--------------- Street .--.-----�ohnhof---Junc_tion__._____....._.._ Part of Lot Lot ..............�!_..................... Block .__...._6_.._._____._____._____.___.__.____,__.._._ Addition or Sub-Division ._.Innsbruck N�rth_ Townhouse � Site Corner Lot .---._ .............---.----. Inside Lot --•-_X-----_.___--------- Setback _...--•_._._..__��... Sideyard Sewer Elevation ..---------------------------------------.-----•---------------.---------•--.-.------- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 620' Unit .T�FI11k1Q1,�s.�....------..------.-- Front _20-�--•--• Depth _._31 �...__ Height ._._ 28.�_... Sq. Ft. 1240' Cu. F�. 17, 360' �a7=a.ge.--�---�--�--�--�-�--�-.._ Front ._2Q�_.._ Depth _._. 22 �--_ Height __�10_�_.. Sq. Ft __440' Cu. F� 4400' Frame $21 416.80 June 1 1972 Type of Construction ------_------------.---__---•---------- Est, Cost -----.----'--------------•--._._.---- To be Completed _` � Stipulation: Owner and Contractor to be responsible for elevations and drainage for all structures. City shall be held blameless. "B" Unit - Same as 5506 West Bavarian Pass. In consideration of the issuance to me of a permit to construct e bui ' described above, I agree to do the proposed work in accordance with the description above set r and in co lianCe with all provisions OP Ordinances of the city of Fridley. _/'� �') �/ �% 10_71 State Surcharge In consideration of the payment of a fee of $__41..QQ�.v., permit is hereby granted to u.3•ewcon Inc oroorated ____......_.�..__.._...._ ..............................._ to construct the building or addition as described above. This permit is granted upoA the express condition that the person to whom it is granted and his agents, employees and worlflnen, 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 buildillgs pyithin the city limits and this perniit may be revoked at any time upon violation of any of the provisions of said ordinances. � �L� � �: �_�'��l��. Buildin - 8 InsPectoT Hank Muhich NOTICE: This psrmit does nof cover the construction, installation for wiring, plumbing, gas heating, sewer or watar. Be sun To sN ths Building Inspecfo� for separate permifs for these items. f �� r �i ��(%�� S/� � �� a,�S 4��L�S i g,�l 11 � 1�i I 1�- ltJ ��S S APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : �✓L �� /�C � BUILDER : t//��C �-� � INC ADDRESS :�" 9 oj 8�� oK z v� Q� �'� ADDRES S:✓'`��G�/ 8 R�oi�iL y�'/ ,Q1-vd, N0: �� STREET: �4�/v/��'' ` �J/VC- � Di'fJ LOT : � BLOCK : �! ADDITION :/�iL�.S'Q�vC l��%OR 11�'vkJ�li i��06t= S 0 T L° CORNER LOT: INSIDE LOT: X SETB�ACK: -� SIDEYARD; — qppl;Ccant a�tach to thie form �io Certificatea of Survey of Lot and proposed bui�.d�.n,g location drawn cm these Certificates. I�ESCRIPTION OF BUILDING To Be Ueed As: ��/Di v'� A�� T� +.✓nJ ' , � � 1��✓5� tJN/T Front: z� Depth: �� Height: �� v iUlT,' � �. � Square Feet :��v: i z�� Cubic Feet : /� 3� O � G'��lb'� Fxont, zo' Depth: �2•� Height• �� Squaxe Feet; �� Cubic Feet : �y�� pe of Conatruction: t»D Y�/;M� Estimated Cost: $ � - —r----- To Be Campleted; � �i �-/ - ,� �./� �i� =- 1�e undersigaed hareby makes applicativn for a�ermit for the work herein apecified, agreeing to do all Mo=k in etlict accordance with the City of �ridley Ordinance� and rulings of the Department of Buildinge, and herabq declares that all the facts and representations stated in thia application are true and correct. , np,zE : l/ �--2 2 -7% s Nt►�vx� • � � �- � � �E��----- IG . � (See Raverae Side For Additional Information.j . � -� �=� � , n ,;�� r:� �� !� �� .....,. ,� � .� �_ �� .��,. � . �,.. �, �•� � �•f, , � �', . , / \ . BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pennits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such pexmit of fees to the amount herein below set forth and in the manner herein provided to-wit: TJNIFORM BUILDING CODE: Zj►pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 fox each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permita, the cubical contents of any building or addition, is determined by multiplyfng the ground area covered from a point six (6) inches below the floor line of the basement or tkte cellar to the average heights of the upper surface or to the average.� ktei$ht of the roof surface of the mnin gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the xate of $3.Q0 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shal�. the fee charged for any permit as set forth in Section 2 be less th�n �S,Op. V$RIFICATION OF FOUNDATION NOTE: Perm�ts for aonstruction will be issued a miniumum of 24 houxs from the �iae of application, to allow•for proper review of the proposed structure and of the construction� site. A Ce�cti�iad Survey of the lot, shawing the location of the foundation, oACe �.t has been canstructed, will be required before proceedinR t�ith the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prio� to the use or occupancy of �y atructure for which a builditig perniit has been issued; and said etnxcture shall not be used or occupied until a CertiFicate of Occupancy has been issued. 1 0 Application �or Power Plants and Heerting. Cooling. Ventilation. Refrygeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . Replacement of Furnace . . .... .. . ..... .. ... . ...... . . . Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . MECH. WARM AIR Furnace Shell & Duct Work to 12A,000 BTCT . . . . . . . . . . . each add. 60,000 BTiT ....................... Replacement of Furnace . . . . . . . . . . . .. . . Repairs & Alterations—up to $500.00 . . . . . . . . . . .. . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . RATE TOTAL 8.00 $ 5.00 � 5.00 $ 2.50 $ ��.Q� I �. 0� . $ae �� 2.00 � 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDA Steam . 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR iiot Water . 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water .. 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . 5.00 $ �• � O GAS FITTING FEES: NO �TE TOTAL lst 3 Fixtures °?� � � x $�39 $� Additional Fixtures x .50 $ � Gas Range to 200,000 BTU . . . . . . . . . . x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ��'�� $ S� ALTERATIONS & AEPAIRS TOTAL F � ,� / '7. So ROUGH FINAL � �l� � � Depi. of Bldgs. Phone 3U 4-7470 ;� �� I�.� City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fri ley, Minn.—, /[ , 19 � y Owner ��i�^:C�yi � �'e-- • Kind of Build� Used as To be compieted about � � � / �� Estimated Cost, $ Old� Building Permit No. �� Permit No. r d�C-� DESCRIPTION OF WORK HEATING or POWER PI.AN15—Steam, Hot Water, Warm Air—No.� Trade N ame Size No �! �� D Capacity Sq. Ft. E.D.R. � �� BTLJ H.P Total Connected Load L O� y� � Kind of F`ue '� �� BURNER — Trade Name Size Capacity. (REMARKS-OVER) �{�� 4 2 Sq. Ft. E.D.R BT[T H.P . • . � ��.�/ // � . I . _ l � ji - - � ` � � � � � _ -J�%� .��i �� , / - � r• . � � / Basc Irt 2nd 3rd � ;� �i4y o4 Fridley �.J APPlec.alia+ for Pk��biAg �d Cvs Fiti�aq PatzFdfi Drprt. o� Bldp�. Phon� 9�90-34!� DESCRIPTION OF WORIC , -, Numb�r. Kind �fd Location ot flxtur�s . ' Loe�tied /.`? (, L, �> �rfimh �� /-��? �-�i ,^� �; ';�I� I=�1�1°l�=10� / 4th � � � � � � � • F��r� Co�wctfoa Op�ninqs • N�w Fi:tu�s. Old Op�dn4s M � ��oi3� �; v�� 3 0$ PARTIAL RATE SCHEDULE w�rt� �. .. 9 M GAS [IEC. / Srr�r Q �P� ❑ PLIIMSIIiG FiXTURE AATES: IfO. RA'[E TOTAL Number FYxtures . . . . . . . . . . . . . . . . � x i200 t / ,�' '- PLture Fixture Opcning . . . . . . . . . . . v x E1.50 i - New Fixture Old Opening . . . . . . . . . . . — x =1.50 =__ _ Catch Basin . . . . . . . . . . . . . . . . . . . . x :3.25 = Waler Heater !Up to 99,000 BTU1. •.• � x 53.00 f �? New Ground Run Old Hldg. ........ x i3.25 S El.ctrie w.c.r H.at�r . . . . . . . . . . . . . . : =2.0o t GAS FITTING FEEB: NO. RATE 'fOTAL lat 3 Fixtures • . . • • • • • • • • • • . • • �— x 5200 ;��! Addttional P'l:turea . . . . . . . ... . . . . . x : .7b ; Gar Ranse to 19�.000 BTU ..... ....... : i5.00 i State Surcharge $ .50 REPI►IRS k ALTEAJITIOIf6—A�t�r !o Cod� Drxrlptlon .. . . . .. . .. . .. . . . . ...... ..... . . .... . .....� TOTAI. iEE � �? .S � : Cit7 of hidley: The undersigned hereby makes application tor a permit for the arork herei specified, agreeiog to do aU work in strict accordance with the Cat,� O�dinance and ruling of tAe Department of Buildings. and hereby declares that atI the fact and reDreser�tatlon� stated in this application are true and cocrect �idle�, Llina � � ? � �' � 19_ OW[!!r ,�.(i�' �� ^� . � Kind ot Building ' %'� � , '' � � — Used as <'•�.. To be completed about . 5� %`� '^ S , � - : ��, Estimated Cost, � %�-' ' Old—New. Building Permit No. P•rmit No. � Signed / ' �� f _ ,f' ��_ gy ��% �' `- - - - :��, � Businesa Phune No � �� ' - �/ y 'l . ROUaH �rru. �i� s�e�ecT PERMFT iJt3. .._ City of Fridley -; ,: ;�, ;� 4�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ~�" r ; � RECEIPT fJO. � ` _ ____ COMMUNITY DEVELOPMENT DIV r � � � PROTEC7IVE INSPECTION SEC. � S�L � � ' I ��'1 � CITY HALL FRIDLE� 55432 NUMBER �7EV OATE PAGE OF APPROVED 8� �'"'"�"� ,'' 612-571-3450 9�0-F�5 9/9/94 � � J08 ADDRESS 1506 Bohnhof Junction NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 6 Innsbruck North Townhouse Site SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE 3 CONTRACTOR MAIL ADDFiESS Z�P PHONE LICENSE NO Tabor & Sons Inc. 3716 St Francis Blvd, Anoka MN 55303 789-1902 20014248 4 ARCHITECT OF DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Reroof and Install Gutters 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMiTS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTI�ATING OF AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFiAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of IAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y Z,159.00 �1 .OH DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR TNE PERPORMANCE OF CONSTRUCTION �S�F.00 Fire SC �2. 16 PLAN CHECK fEE TOTAL FEE � ,� f r�?'7/ �- 9�� y License SC $5.00 $62. 24 SiGNatuAE FCOPI"�7ACTOAOAAUTMOAIZEDAGENT �DnrEi WHEN PFi VALI ATED THIS IS VOUR PERMIT S�GNaTUREOFpWNERiiFOWNEABUI�DEA� �DATEi BIDG �NSP �7E �� NF,W ADDN ALTER C[1'Y OF FR[DLEY SiNGLE FA,Mi �LY AND DUPLEXES R-1 AND R-2 Building Permit A�plication Construction Address : 15 0 6 - B o h n h o f� J u n c t i o n F r i d l e Lebal Description: Owner Name &. Address: Contractor: Tabor and Sons, INc. Address:3716 .- St. Francis Blvd. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effer,tive 1 / l /44 �,�Sb� Tel . l# MN LICENSE # Pending Anoka Tel. # 789-1902 Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it ta scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Corner Lot [� Tnside Lot (] Ft. Yd Setback Side Yard Setbacks Type Of ConSttuCtiOri: r o o f i n g/ g u t t e r s EStirilatEd COSt: $ 215 9. 0 0 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: 9/ 2/ 9 4 APPLICANT: T a b o r a n d S o n s, I n c. Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ "5 �� Ql� Fee Schedute on Reverse Side $ �1. / � .�Ol of Permit Valuation (lllOth%) $ /. O�G $.50/$1,000 Valuation $ $800 per SAC Unit $_ � . C�C'` $5.(?Q (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Pian Review $ Fee Determineci by Engineering $ Agreement Necessary [] Not Neces•.sary ( j $_-�� STIPULATIONS: _ . _ _ 789-1902 �� , �� liUI.LDING . PCl�MIT_ FEE SCHEDULE� l fic Chict (3uilctin� Ulticial st�all, hetore issuing pennits for the ercxtion of any buildin� or stn�cture, c�r for ariy ad�liti<>n t<> any exititing buildinf; ��r struciurc, or for any altcr�[ion or rc�a�r to any cxistin�; (�uil<iing <>r- s�ructure, uPvn a��lication tticref�re, tequire lile payment by the al�plica��t `for suct� �ermit � ��f- 1�ccs �� to � thc <iniount hcrcfn (iclotv .sc(' i<�i1h �nd. �in tl�c ntannen c�rcin Pr<�vi�icd� tc�-wit - � � "l�O"t'nI_ VALU[; I�i�.1�S $ ( (o $S00 . $S01 to $2,000 $2,001 to $25,000 $25,001 to $50,000 � $50,001 to $100,000 $100,001 to $500,000 $500, 001 to $1,000, 000 $1, 000,001 and up $IS (Miniinum :Fce is $15 plus. surcharge) � IS for � fust $500 . plus $2 for each additioaal $ i00 or � � fraction thereof, to and including $2,000 $4� for �frst $Z,ppp plus $g for each addi�ional $1;000 or Craction thereof, to and including $25,000 � . $252, �for first $25,ppp p1�s $(_50 far each additional� �1;000 � or fraction thereof, to and including $50,000 � $4-14.50 for first $50,000 plus $4_50 for each addirionai $1,000 or fractioa thereof, to and including $100,000 $639_50 for first -$100,000 plus $3_SO for each additional $i,000 or fraction thereof, to and includiQg -$500,000 $2039.50 for the first $Spp,ppp plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539_SO for the first $1,000,00p plus $2 for each additional $1,000 or fraction �thereof - DRIYEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A"= Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $i3_50_ Alternate "f3": Re�itoval and replacement of curb and gutter and install a 3 foot wide ap;�roach with 6 inch deptli - Driveway width plus 6 feet times $IS_75_ VERIf�ICA"C[ON OF f�OUNDAT[OIV YcrtniLs for co�LSiiuc�ion wi(1 be issued a minimum of 24 tiours from the tirne of a��lication to allow tor ��roE�cr review ot ti►e �roposui structure and of the constn,ction site_ A Ccitilicale <�f Su�vey o( t1�e lol, showing the location of the foundation once it has it has heen cc�nsU�ue:tecl wi(I he rcyuirc:d before ��roceeclinF; with (he framin�;_ a� sue�ecr �E . City of Fridley 310 3 4 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ' ' RECEIPT NO. � � � ` COMMUNiTV OEVELOPMENT DiV. r � y � PROTECTIVE INSPECTION SEC. 3�(J69 � � ✓ � � �'�'1 � CITY HA�� FRIOLEr 55132 NUMBER REV O�TE vI,GE OF AVVROVEO B• �'""'�"� ,'' 612-571-3450 9t0-F15 6/8/00 � � JOB ADORESS 1506 10 14 18 22 26 Bohnhof Junction t LEGAL �OT N0. BLOCK TiiACT OR ADDITION SEE ATTACMEO oescR. 1-6 6 Innsbruck North Townhouse Site SHEET 2 PHOPERTY OWNER MAII ADOiiESS ZIP PHONE Innsbruck Townhome 3�S��Y�$Y�A Association 651-224-5482 3 CONTFACTOF MAIL ADDFESS ZIP PMONE LICENSE NO Garlock-French� �oofin Co . 2301 E. 25th St. ls. I�II�1 55406 612-722-7129 � AFiCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO 00001423 5 ENGINEER MAII AODFESS ZIP PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK ❑ NEW O AODITION ❑ ALTERATION �.] REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof Buildin 9 CHANGEOFUSFFROM TO STIPU�ATIONS Underlayment must comply with the State Building Code. �' RE RA T� p�RM,li�, ��t�At i��e��ia►n Cards W1R NG �� F�R= � �Vill �� llatled �LUN►BI,V� q � SN�, ,� �n ��m�o��er T�a Pos# �`� TVPEOFCONST OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOF EIECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONOITIONING TNIS PERMIT BECOMES NUL� ANO VOID IF WORK OR CONSTRUCTION ZONING SO. fT CU fT AUTHpRIZEO IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANOONED fOFi A PERIOD OF 120 OAYS AT ANV TIME AFTER WOAK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEfiEBY CERTIFV THAT I MAVE REAp AND EXAMINEO THIS APPIICATION Ej STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COFFECi. A�L PHOVISIONS OF �AWS VA�UATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMPLIED WITH WHETMER SPECIFIEO HEpE1N Oi: NOT TME GRANTING OF A PERMIT �11 135. %1 �S.SG DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OA CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHEFi STATE OR LOCAL LAW REGULATING CON- STqUCTION OF TNE PERFOFMANCE OF CONSTRUCTION 209.25 Fire SC �1.1..13 PLAN CHECK FEE TOT L FEE 25.94 S�GNATUAE O� CON'AACTOA OA 1UTHpRIIEO �GENT �O�TE� EN ROP VAL AT D THIS IS VQUQ�� G� S�GN4TUAEO�OWNEA��GOWNEQBU�IOEA� iD�tE� BlD �NS� ��tE NEW [] ADDN [J ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address �� "(�"� � y� 1 g- Legal Description: Owner Name & Address: Contractor: � G C- LNING AREA: GARAGE AREA: DECK AREA: OTHER: 2 - 2 �O Effective 1/1/2000 \,,;�612�72�604 Bidg Insp ��Ir ��1 - i �. � C�. . . . . _ . ss� a,+�orn��. # � 5 � - aa u - s � � � MN UCENSE # iXNSD I �{a3 N Ssy°�Te�. # � l�- �l�a-�7J� �'i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D�SCRIPTION OF IAfIPROYEMENT Length Width Height Sq. Ft. Length Length Width Height Sq. Ft Width Hgt/Ground Sq. Ft. Construction Type: � U � ln Estimated Cost: $ � �� 3 S��( Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: l� 2 APPLICANT: ��i, ��1�l,1_�� Tel. # �,�a-�aa-� �� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (612) 572�604 fo� Permit Fees if mailing in application $ � %1�Fee Schedule on Reverse Side $ //. /.3 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1100 per SAC Unit $ . �. $5.00 (State Licensed Residential Contractors) -,_. $ Alt. "A" or Alt. "6" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �riI��ILi ��s � BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing penmits for the erection of any building or structure, or for any addidon 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 below set forth and in the manner herein provided to-wit: _ �. , TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OOQ,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for fust $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete G�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applicadon to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv �- sue�ECT P E City of Fridley 2179 AT THE TOP OF THE TWINS gU I L D I N G P E R M I T r � . e�,.,�� • COMMUNITV DEVEIOPMENT DIV. L��,,, F��; �✓�{ r � � � PROTECTIVE INSPECTION SEC � � � �rd `°'� —r ��Q � � � i--_.�,��"' �•� CITY NALL FRIOLE� SSIJ2 NUMBEN nEV D�iE v�GE OF •vnnOVEO Br Z 12-571-3450 9�0-Ft5 9/19/O1 / / JOB ADDRESS 1506 - 1526 Bohnhof Junction 1 LEGAI LOT NO. BLOCK TRACT OR AOD1710N SEE ATTACHEO DESCR. 1— H 6 Innsbruck North Townhouse SHEET 2 PfiOPERTY OWNER MAIL AODRESS 21P PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Columbus Ex�eriors 2131 111 Lane NW, Coon Rapids, MN 55433 763-757-7530 4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO 6 USE OF BUILDING 8 unit Townhouse 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATtON 6� REPAIR O MOVE O REMOVE 8 DESCRIBE WOFiK Reside Building; Soffit/Fascia; Window Wrap 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Buildang Code, requ�res that a weather resistive barrier be pZaced over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be i� sheathing is ar. approved weatherproof panel or when the siding is sn approved weather b�rrier. Vinyl siding is not a weatherproof covering ur.less the mar.ufacturer states this in their applicat�o� guidelines. Call for inspectior. of wrap befere covering. TYPE OF CONST OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIFED FOR ELECTRICAL. PLUMBING. HEATING, VENTILATING Ofi AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZONING SO FT CU FT AUTHORIZEO IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTRUCTION OR WOfiK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 OAVS AT ANV TIME AfTER WORK IS COMMENCED NO DWLG. UNITS O�fSTFEET PARKING I MEREBV CERTIFV THAT I HAVE READ ANO EXAMINEO THIS APPLICATION 8 STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECi ALL PqOVISIONS OF LAWS VA�UATION SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPUED WITH WMETHEfi SPECIFIEO MEREIN OR NOT THE GRANTING OF A PERMIT �4H,265 �Z�F.13 OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANV OTNER STATE OR �OCAL LAW REGULATING CON- STRUCTION OF THE PERfORMANCE OF CONSTRUCTION $633.65 Fire SC. ��F8.26 �%� �� PLAN CHECK FEE TOTAL FEE �i -� / $ 706 . 04 S�GNAfUREO�CON'AACTOQOAAUTHOQ�2ED�GENT �O�iE� EN P OPER LIDATED IS IS V UR IP�EpMiT • /f/ � _�� S�GaatUAE O� OwtiEQ �� OWtiEQ BUi�DER� iD�TE� 6�OG So ��<<t Prepaid Plan Check $ Estimated Cost $ Receipt # _ CITY OF FRIDLEY R-3, COriMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Effective 1/1/2001 (763)572-3604 �� i�! i `�..— /, � Construction Address �-Sr�lO `� �s Z� �� \ /�O� �"'�G/ �ol� Zoning Legal / 1[� ,i'`� � � r. n S�S�' f' � c_ IC Owner & Address � �r �L ��v n�%�� - Tel# ��l ) �'� � '" s�`l �Z CONTRACTOR & ADDRESS � ��v ^� �� f Tel# (�CJ�) �S % � � S .5 0 .�1.�/ l j/�` 1 n. G�a,^ $/°,� s Architect Reg.# Engineer Reg.# - BUILDING CONSTRUCTION �. TYPE OF WORK [] New [] Addition [p�Alteration -Describe S• �`� J �P �! ' � � v �il-� � `� � . .-. •a °rV L(� /� w�� OFC. AREA: Length WHSE AREA: Length OTHER AREA: Length APPLICANT � � ��`--� Sq. Ft Sq. Ft Sq. Ft x $ x $ x $ Building Use Air Conditioning [] Yes [] No Performance Bond Amount $ Width Width Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. Tel #�I�"3�3 "%�1� Date ( � �� I VALUATION Cost/Sq. Ft. = Valuation $ ) � -- .� cost/sq. Ft . = valuation $ ) _ $ � "' Z" 6`� . Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Construction Type Occupancy Group Fire Protection Provided []Yes []No See Reverse for Schedule Received []Yes []No Permit Fee $ ��✓- (pJ^ Plan Check $ 1----' Fire Surcharge $ '�% � . � (,o State Surcharge $ ��,%� SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $__ Q tO R D PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/lOth o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1150 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACH STIPULATIONS $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up BUILDING PERMIT FEE SCHEDULE $23.50 (Minunum Fee is $23.50 plus surcharge) $23 .50 for 1 st $500 plus $3 .OS for each addn' 1$100 or fraction, to and including $2,000 $69.25 for lst $2,000 plus $14.00 for each addn'1 $1,000 or fraction, to and including $25,000 $391.25 for lst $25,000 plus $10.10 for each addn'1 $1,000 or fraction, to and including $50,000 $643.75 for lst $50,000 plus $7.00 for each addn'1 $1,000 or fraction, to and including $100,000 $993.75 for lst $100,000 plus $5.60 for each addn'1 $1,000 or fraction, to and including $500,000 $3,233.75 for the lst $500,000 plus $4.75 for each addn'1 $1,000 or fraction, to and including $1,000,000 $5,608.75 for the lst $1,000,000 plus $3.15 for each addn'1 $1,000 or fraction PREPAID PLAN CHECK FEE SCHEDULE Per Minnesota Building Code - 65 % of building permit fee. PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements, a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacictcpping, screening fences, lighting, water & sanitary sewer services, and storm drainage systems. Calculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the building permit value up to a 2 million dollar project or a $60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Projects with no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. Reproducible "as-built" drawings of all exterior underground utilities must be submitted to the City Engineering Dept before the project is considered complete and the bond released. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The Ciry will then inspect these properties in August of the year following the initial planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace ��=�?��?� � Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �� i� �VI�CTIO N Fee Total $35.00 $__�! l. Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ Gas Range Gas Dryer *Air Conditioning-All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Owner Building Used As�l,/W�i�� L� ESTIMATED COS�� .� PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating U its ' Circle One (Steam) (Hot Wat (Warm � Trade Name � l.� Size No. O $25.00 $ BTU HP EDR Fuel Total Connected Load Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ Burner Trade Name Size No. BTU HP EDR 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 Building Division, and hereby declares that all the facts an pre entations stated in this application are true and correct. $ .SU *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City , , � ,��i,��"� � % - � � i , ! � i ' i i � �. - � � FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough-in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existinq furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (,� No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No (J� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( � No ( ) Yes ( ) No (✓� When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (� No () When installinq a new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (� No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (� No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tatal Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type _ Appliance #2 Vent Connector Height ft Length ft Diameter in Type _ Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ ALTERATIONS• (Describe) HEATING CO: Signed By: 3/�0� Date : � Building MECHANICAL Pernut No.: .�U".O' — �;//cL � Inspections RESIDENTIAL APPLICATION Received sy: 763-572-3604 CITY OF FRIDLEY D °� : DATE D YOUR E-IYIAIL ADDRESS SITE ADDRESS L% THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NpME: ..�• OWNERI ppDRESS: F CITY TICLDL,EV STAT��L1P_�� TENANT pHONE: �I rD3 • 5iI • Q I D I CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: � IT�-I W� L I. I�M,S YOUR STATE STATE LICENSE # N�}�' EXP DATE LICENSE WITH ,e,DDRESS: JOQ� NCL �� CTTY TATFiA��IP 55 r�3 APPLICATION pHONE b�J' I��D'4 ' 3�0� FAX G�J' • • I3 PERNIIT T'YPE � SINGLE FAMII,Y ❑ TWO FAMII.Y C�TOWNHOUSE TYPE OF WORK: ��W PLACEMENT ❑ ALTERATION/REMODEL 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, installation or replacement of a residential fixture, excluding the fixlures. (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 WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (II�IDICATE TOTAL NUMBER OF EACH BELOV� Equipment Installed MFG: �e MODEL: SIZEBTU � 00 ii %�� MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 FIItEPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AII2 TO AIR EXCHANGEER $15 FII2EPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII,ER $35.00 FURNACE $35.00 GAS CTNIT HTR $10.00 CHIIvINEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENl'II.ATOR $15.00 Permit Fee $ .� Number of fixtures @$10.00 x$10.00 =$ Surcharge 50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DLTE $ . SO Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID iJNTIL 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 ordin �s and codes of th City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap�¢ation for ' and work is not to start without a permit; that the work will be in accordance with the approved plan in the case ,0 1 work wh c ir s eview and approval of plans. SIGNATURE OF APPLIC PRINT NAME U IC�� DATE �� D � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING PermitNo.: '(�' -o,� � Inspections RESIDENTIAL APPLICATIQN Received B: 763-572-3604 CITY OF - Da�e`i��d� � FR�DLEY DATE � � . YOURL E-MAIL ADDRESS SITE ADDRESS _�l O �o �Cl THIS APPLICANT IS: O OWNER �ONfRACTOR PROPERTY NAME: � OWNER/ � TENANT �DRESS: CITY � STATEM IJZIP S �J� PHONE: ��j � � I - � I � � CONTR.ACTOR N,�: rhampion f��1g S� � SUBMIT A COPY OF STATE LICENSE # 651-365-� �:� EXP DATE � - L� YUUR STATE ADDRESS: �70 ' ' CiTY STATE ZIP LICENSE WITH pHONE ��' pqa{ APPLICATION PERMIT TYPE �'�GLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NLW �pLACEMENT DETAILED DESCRIPTION OF WORK W PER MS 16B.665 the permit fee is a minimum of $15.U0 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation 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.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FTXTURES: (iNDICATE TOTAL NUMBER OF EACH BELOV� _ BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB GAS PIPING p✓�C�rruC�rSEj SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER PERMT3; FEE.I'RL)JEC'1�fFOR; UNDE,iZ $SDi� �.. �� . . :. ; ....... �;�,,� : ; � . .T'ER�VIiT��:FOR PiZOTECTS OVER $500 � . ��,, Permit Fee $ .� Number of fixtures @$10.00 x$10.00 =� Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 � Total = $ 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 ia accordance with the approved plan in the case of all ork which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE I l- I�' U� �.,;:' ;::.PLEASENOT� ';SE�.�P��'E PERM�TS'1�RE, .• �T:J�RED`FORB,�II::DI?�TG;s��!C�'R��° `�!�GH�3�fi��iL*�fl�f„�"`" City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��,�y� I� "" Building Inspections 763-572-3604 763-502-4977 FAX DATE i�7 � `f � SITE ADDRESS � THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 YOUR E-MA1L ADDRESS l� ,v� hC�� J C,''I ❑ OWNER NAME: l � i .rX-�l ADDRESS: PHONE:� COMPANY NAME: CONTACT PERSON: � STATE LICENSE # ADDRESS: 1.� PHONE �Ia �/ �V �'SINGLE FAMILY ❑ TWO FAMILY ❑ NEW ❑ REPLACEMENT CITY Permit No.: L Dacei��. I � � . �1►� �� : I � FAX ❑ TOWNHOUSE � ALTERATION/REMODEL �li n lin�' O STATE ZIP FEES ARE BASED ON $]0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: S1ZE/BTU MFG: MODEL: SIZE/$TU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $I5.00 � GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $]5 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $]0.00 BOILER $35.00 FURNACE $35.00 GAS LJNIT HTR $10.00 CHIMNEY LINER $10.00 TGAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $]0.00 G.4S PIPING $10.00 VENT]L.ATOR $15.00 Nuniber`of fixtures @ $10,40 x $10.00 = $ - ?�tuznber'�of iixtures @ $�15 00 � ��. � � � $15,00 =��$ �; .._,r_ rr n e�� c nn -¢��: �!ri —'�^ l�ulllul.i �01 ti �iw� w Hs,�✓.vv :� , � w:..✓..,�,., �w .. ':� . • �� , '.' .... ' - . �.. . ., _._ . . .;.... �.+. -:;... . , � �. . �. . _ .: ., i Numbei• offixtru�e5 � ��5.00 : X $3�.�� ='� ' State Surcl�arge - $ , ' �.50 �� . �' ' � � �. ^ Y � . "'4, i ;i a 4 (MINIMUM FE� $3� 50) Total $ �,�r� �-' 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 ork which requu rev�ew and approval of plans. . StGNATURE OF APPLICANT � �I//1.� PRINTNAME� n I C�i (�� DATE �— —O 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 ❑ 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.