The URL can be used to link to this page

AF - 36101Building Inspections 763-572-3604 763-502-4977 DATE� . � SI'CE ADDRESS _ THIS APPLICANT IS PROPERTY OWNER/ TENANT ❑ OWNER BUILDING APPLICATION OF FRIDLEY :FFEC1'IVE 1-1-OS Permit No.: Received By: Date Rec'd: YOUR E-MAIL ADDRESS Gi �t[ M' Il� OP"OD MN M17� � N��I#� �r�'1 ' " 6 �7 7 .— CONTRACTOR n,�Dlt�ss:� SUBMIT A COPY OF pHONE � YOUR STATE LICENSE STATE LICENSE � r,M/ ztP 5�T'112 � � � tl u�_ CITY S%: P�t �_STATEJI:N' ZIPS�J�/% '3 Fa,x `iZ �jQ roo7 ga EXP DATE 3� 3/ � 206 9 PROPERTY TYPE I I�S[NGLE FAMILY/NEW CONSTRUCTIi {7 TWO FAMILYMEW CONSTRUCTION PERMIT TYPE ❑ BASEMENT FINISH ❑ ❑ DECK p � TYPE OF WORK: DESCRIBE WORK BEING DONE: ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGNT: SIDING O Viny! ❑ Aluminum ❑ Other HOME CONSTRUCTION `� ❑ ADDITION fTENANCE/REPAIR C] REMODELING ❑ HOUSE ONLY � HOUSE & GARAGE ❑ ATTACHED GAW+GE ❑ DETACHED GARAGE o wit�gows � DRAIN T1LE ❑ OTH£R HEIGHT F"T �ASEMENT REMODELING SUBMIT• • 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUC7'ION MCLUDING DECKS, OSoffit ADDITIONS & PORCHF_S SUBMIT• ❑ Trim 1. Site PlaniSurvey showing the existing structures ❑ Fascia and proposed project 2 Two sets of construction lans p WW��'S � 3. EnergyCalculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BAS�D ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ I'� �. NOO __ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ $ $ $ 5ee Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavabie to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the inforn►adon above is complete and accurate; thai the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota nstru ' • that I understand this is not a permit but only an application for a pertnit and work is not to s[art withont a permit on site; that the work will be in accord e i the ed p1 in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICA � PRINT NAME q�r,py Sy� l� DATE� 2 QI� APPROVED BY DATE ' From: 651 489 3529 Page: 1/3 Date: 6/25/2008 2:24:47 PM � 1039 NEBRaStcq qv�vu� WI � S1r. PAU1„ MN � 551T7 C651) �4.89-3529. Fp,X (65 7 } To: DAVE, crtvoF Fr��L.�; F�vc 763 502,497'7 Pr-ron� 763 57 1 345p � R � H O►.� �lrr'C'r„�; cC� Tu:�:= :� ��= SIG�Z/, ,L;,�1„ FRaan: Mtcr-�,E�. J. Ecacn�p-r PaG�s: 3 Da� 6/25l24C)6 GC: X URGEiVT X FOR REVIEYN ❑�L�E CrjMMp�-�. �� R�Y ❑ Pf Fns� R�� I �r l.:vMMETht7�": Dav�, A'iTAGHED IS THE ENERGY g i RESlDENCE. CALL. ME IF' YOU HAVE qhiy q(,�ES[�p . SI11[CERQ.Y, Nf�cr��,J. Ec��T, A�cHrrEC� ARCyos �c[�rrEC�vRE & DES�c�r, P� CEar�icwTE FoR �� Tolv�r Mouss,n r . , From: 651 489 3529 Page: 2/3 Date: 6/25/2008 2:24:47 PM � � � � . + claeck Complianc�e Certific ZOOO .�lIIll@50� Fli�l'� COi� REScher�: So�wa� Veasion 3.b Relea4e Ia �818 �ICll�fl� ('.:�CCbOSipiCllectRi'iiltlSilA/�n,�� PR03ECT TITLE: Tony Moussa Reaid�ce COUNTY: Hennepin STATE: Miunesota ZONE: 2 CONSTRUCTTON TYPE: Single Pamily WIlVDOw ! WALL RATiO: 0.16 DATE: 06J2SJ08 DATE OF �LANS: 06-19-2008 PROTECT DESCRIPTTON: ne�v ho�ne consttuction twastory with unfimshed bas�neatt DES IGNER/CONT RAC T OR: 14[ichael J. Eckm�t, Architect Archos A�hitactu� & Design, P.A. COMI�LIAR'CE: Passes Maximum UA = 509 Your Home UA = 4d1 9.A�% Better Tl�an Code (LTA) Ccifing 1: Flat Ceilirtg or Scissa�r Tn�ss Wall 1; Wood Frame, iG" o.c. Window 1: Above-Giad�e:Mexal Frame:Double P Door 1: Glass Basemeirt Wall 1: Sotid Concrete ar Masonry Wa11 height: 8.iN Depth below grad� G.0' Insulation depth: 8.0' Floor 1; All-Wood JoistJTruss;Over putside Air Proposed aad Maximum U-Tacbor Averages Pennit Nurnber Ched�ed BylDete Gross Gl�ng Area or Cavity Coat or I?oar Petimeter -RV�lue R= Value Fa or �T .► 1781 38.0 0.0 53 3254 19.0 0.0 � 62 Low E 4i7 Q.250 lt?4 92 0.350 32 i 344 10.0 0.0 g4 629 38.0 0.0 1� Proposed Maximum Avec�tge i,l-Facror Allowed U�actor . � From: 651 489 3529 Page: 3/3 Date: 6/25/2008 2:24:48 PM Abov�Grade Windovws and Glass i�aars lncludes Foundation Windows > S.6 #2 COMPLIANCE STATEMENT; The spe�fic�tioas, and other t�lculations su mest t�es 2d80 Mi�nesota Energy Code cornply witfi the mat�datotp r�er� �� .1�GH+p �iRCH/7'ECT[!RE & DFS'/G , P. MiCHAE1, .J, �C�RDT 1 iJ39 I1IEBi3ASffA Ai/EtVU S7. PAU�, Mltii 55 Z I 7 65,�-�89�-.3529 a.268 0.370 Iding design descaihed here is onnsistent vs�i�rh the building pians, the pe�mit application. The pmposed building has heen desi8ned to in ItESchedr Version 3.6 Release la (�rrnerly MECche�r.k) and W SREScla Inspexxion Chedclist. � nate l� -2$ �-�d�j�� — �---� — —.— _�. _ ►_ — — _.... Building Inspections 763-572-3604 �' 763-502-4977 FAX DATE� SITE ADDRESS _ THIS APPLICANT IS ❑ OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �-�-os � �� ' Permit � - - • = �":�, �, �,''�-'�• � • i1�: YOUR E-MAIL ADDRESS _q IkN h j OPOO �N af�" � �jd'Fw1� GOt?7 PROPERTY OWNER/ NAME: �QI^6 0 S al �'1 TENANT qDDRESS: � 7 ri K � el� CITY ��/ STATE �% ZIP ,�� 2. PHONE: _ �I,L ,� " �i � �I �-^ ,� ] 7 CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE ADDRESS: ��L NC%I��ry� /�. u CITY S%. PiJN � STATEIMA�' ZIP '✓rS/% PHONE ��O rr D� 7�3 FAX `►/ Z� j� *I�:! 7 STATE LICENSE #�,G 6� O SO % EXP DATE 3� ��0�9 � LE FAMILY/NEW CONSTRUCTION FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: �Qi•rEw HO� DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED S1ZE: PROPOSED HEIGHT: SID1NG � O Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�I�W TO BE INSTALLED 'AIR ❑ ROOF , � SIDING ❑ SWIMMING: ❑ ADDITION O REMODELING ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE � DETACHED GARAGE ❑ w[NDOws ❑ DRAIN TILE ❑ OTHER Zjti3L �, F'I' BASEMENT REMODELING SUBMIT: • 1. Existing Floor Plan 2. Proposed ffoor plan 3. List of structural members to be used, FOR NEW CONSTRUCTION INCLUDING DECKS, �Soffit ADDITIONS. & PORCHFS SUBMIT: O Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans r 3. Energy Calculations LOCATION OF WINDOWS �� NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND 1VIATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ I S i. NOO �� .�Z� qi OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Cwb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= � ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building perrt►it 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 nstru ' s; that I understand this is not a pem►it but only an application for a permit and work is not to stazt without a permit on site; that the w will be in accord i the a ed pl in the case of all work which requires review and approval of plans. SIGNATURE OF APPL CA . � PRINT NAME_ J�"q�r+0y S�i f f' DATE� �3 d� APPROVED BY DA Page 2- Building Residential Application � � , � BUILDING PERMIT FEE SCHEDULE The Chie��ui�di�ng Ofiicial� s�ial,l, �be�o�re �assuing pernuts for the erection of any building or shucture, 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 below �et forth and in the manner herein . , provided, to-wit: . . . p , , , . . , , . , � VERIFICATION OF FOUNDATION Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley . Building Inspections Department � 6431 University Avenue NE Fridley, MN 55432 � 763-572-3604 Faz: 763-502-4977 .. � . . . .. , -� � � �% �/ � _ � _ �--' � Solid Fuel Appliance. An atmospherically vented appfiance that is either a closed combustion solid fuel buming appliance or a decorative solid fuel. buming appliance. ❖ MN Energy Code 7670 or 7672 Ventilation Calculations MN Enerav Code 7670 Ventilation Galculation 'atement of Compliance: The proposed building design represented in these documents is consistent with the building �,�ans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Mi.nnesota, Energy Code. Applicant (print name} Signature Date Telephone number (a) VENTILATION (Submit upon completion of system, verification) Job Site Address: Permit Number Compliance Statement: Installed ventilation system�is in compliance �with MN Energy Code and is sized to provide the design air flow. (print name) IX-3 � Z 3 �� '��d �4�fC �' Da Telephone number 1 , ° 11AN ENERGY CODE 7672 VENTILATION CALCULATIOPI l Statement of Compliance: The proposed building design represented in these documents is consistent with the buildi.ng plans, specifications, and other calculations submitted with the permit application. The praposed. building has been designed to meet the requirements of the Minnesota. Energy Cade. Applic�nt (print name) Signature Date Telephone number VENTILATION (Snbmit npon completion of system verification) Job Site Address: Permit Number Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature ►�� Date Telephone number � � R@Sid@Iltial Coml]ustion Air Calc��latinn Wnrlrchoot �_� �� - - — � . � � � � : � � - � .. �s. �� m z .,��"�,. ,� � �- - ��. � � �' .,�+�. � �� v�i' �^� q�y � t# ^� S � a�i `Kw�e z�k �' '�,.�. r*��,� �� -za'� � +.� -3�`.�a}" � 3x� � �' _ � s r, 1 124N�� f N a"'�� r" =� `3 � �*°`�s��,;�� .rd�� . , . � �� - _ �. �a "°.�., � � . . , y "� aa ' ' �.�"F .. .�s.� . '� �"�� ' �"`�u� � � ��,�."�. �e,�� t' s� �>. �-,r.i . � .., � _ � �. . ,.. � . i "�,''.1-; af. �" . ... � . r1r, . . _ '... ... . _....,.... � , .., ",. . � . .. . . . .: .. . .. ..�'�+{$�„� � . > .., , x�,,,�'s� ��a ��.'.� . .�� n, �i'�x!�d.. � w:x�'� ::.. ��p� Complete vented combusfion appliance information. Fumace/Boiler. � � � � Draft Hood Fan Assisted �Direct Vent Input: __�a _ � BtWhr (Not fan assist) & Power Vent Water Heater: ,� Draft Hood �Fan Assisted _ Direct Vent Input: Btu/hr (Not fan assist) 8� Power Vent ��> � ;�,�; Calculate the volume of the Combustion Aaaliance Suace (CAS) containing combustion appliances. The CAS includes all spaces connected to one another by code compliant openings CAS volume: � f� ��"'�° �' � Determine Air Chan es ' �. g per Hour (ACH}' Default ACH values have been incorporated into Table E-1 for use with method 4b (KAIR Method). If the year of construction or ACH is not known, use Method 4a (Standard Method). `£�� ,,� Determine Required Volume for Combustion Air. 4a. Standard AAethod Total Btu/hr input of all cmmbustion appliances Input: �� Btu/hr (DO NOT COUM' DIRECT VENT APPLIANCES) " Use Standard Method column in Table E-1 to find Total Reauired Volume (TRV) TRV: �� ft' If CAS Volume (from Step 2) is greater than TRV, then no outdoor openings are needed. If CAS Volume (from Step 2) is less than TRV, then go to Step 5. 4b. Known Air Infiltration Rate (KAIR) Method Total Btu/hr input af all fan-assisted and power vent appliances. Input: Btu/hr (DO NOT COUNT DIRECT VENT APPLIANCES) Use fan-Assisted Appliances column in table E-1 to find Reauired Volume Fan Assisted (RVFA) RVFA: ft' Total Btu/hr input of all non-fan-assisted appliances. Input: Btu/hr Use Non-Fan-Assisted Appliances column in Table E-1 to find Reauired Volume Idon-Fan-Assisted (RVNFA) RVNFA: f� Total Reauired Volume (fR� = RVFA + RVIVFA TRV = + _ {� If CAS Volume (Step 2) is greater than TRV, then no outdoor openings are needed. If CAS Volume (Step 2) is less than TRV, then go to Step 5. ��5� Calculate the ratio of available interior volume to the total required volume. Ratio = CAS Volume (from Step 2) divided by TRV (from Step 4a or Step 4b) Ratio = 3 / 3�� _•�� ; �� Calculate Reduction Factor (RF). �/� RF = 1 minus Ratio RF = 1-�� _• i'-�� =j: Calculate single outdoor opening as if all combustion air is from outside. Total Btu/hr input of all Combustion Appliancss in the same CAS Input: _��/ �� Btu/hr (EXCEPT DIRECT VEN� ' Combustion Air oQenina Area (CAOA): ,�j Total Btu/hr divided by 3000 Btu/hr per ir� CAOA =��¢ ��f� / 3000 Btu/hr per ir� _��inz 4 � Calculate Minimym CAOA. Minimum CAOA = CAOA multi lied b RF Minimum CAOA =�� x• �_ �• in2 Calculate Combustion Air Oaenina Diameter (CAOD� � CAOD = 1.13 multi lied b the square root of minimum CAOA CAOA = 1.13 x� Minimum CAOA — e�� in ' If desired, ACH can be determined using ASHRAE calculation or blower door test. Follow procedures in Section 304. IX-5 IX-6 ❖ Makeup Air Quantity for Exhaust Equipment Table 501.4.1 �� b ��"" � -,r�a �� n"` � a � '�.'2 z�x �'�4 � �`^ .,� � . , a" � ` � 4 A �'z �q, -�� R�^�w , F�;�" .' .,�.� ,� vm � ��+°, �„ � " �� ' �,t�a�,,," � � -�� .� � s� � � �,,�'�, �z..- � , ' � 5'u`'�'��»-�"ittir ,�� 2V+� �,� � �,,.,»�,� � �� *� . ��„ . � � ,i.� > _; x�� One,or multipl� .Dne or�nulfiple �ne Multiple � _ � * � ; �� `., � �powe�vent or .fian-assi�t� airraosph2nc�lly�'' � �mqsphencaUy � > `' :p � w � � �Imecka�ent :appl�anr�s ant� >ventec�,gas�or oil ;� roen'ted �as.�or�d . ti -�, M} appli�r�ces ar�no °po�rer�v�nftor . a hance:orone'° a Iia�ceS or PP _ W.P. , t X �`` :� '�`F ' � E �cbmbustion ;:-. , _' �dired vent , ; solid fi�elr ' solic�, fuel , � , .. ... > - , ... .... �- 7.. 4 - -: ' �;; . ....... �p .iances°.=� ; ;;,a plianCes" . :° . . .a pliancez. , .:�P ..��anees3- 1. a) pressure factor CFM/SF 0.'15 0.09 0.06 �� 0.03 b} conditioned floor area (sfj (includes unfiriished basements � �� . Estimated House Infiltration � cfm 1ax1b - � 2. Eachaust Capacity a) continuous exhaust-oniy ventilation system (cfm): (not applicable to balanced � ventilation s stems such as HR b) clothes dryer (cfm) 135 135 135 135 c) 80% of largest exhaust rating cfm d} 80% of next largest exhaust rating (cfm): (Not applicable if recirculating system or if powered makeup air is electrically interlocked and Not applic�ble matched to exhaust Total exhaust capacity (cfm): � � � 2a+2b+2c+2d � 3. Makeup Air Requirements a) total exhaust capacity � � from above b) estimated house infiltration from above � Makeup Air Quanfiity (cim) [3a — 3b] (if valus is negative, no makeup s air is needed 4. For Makeup Air Opening Sizin . Refer to Table 501.4.2 ° Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if tliere are no combustion appliances � Use this column if there is one fan-assisted appliance per vanting system. Other than atmospherically vented appliances may also be included z Use this column if there is one atrnospherically vented (other than fan-assisted) gas or oil appliance per venting systems or one solid fuel appliance. 3 Use this column ff there are multiple atrnospherically vented gas or oil appliances using a comman vent or if there are atrnospherically vented gas or oil appliances and solid fuel appliances. �-7 ( Type of Opening or �� ? �� (inches) S stem • Passive Opening 1-36 1-22 1-15 1-9 3 Passive Opening 37-66 23-41 16-28 10-17 4 Passive Opening 67-109 42-86 29�6 18-28 5 Passive Opening 110-163 67-100 47-69 29-42 6 Passive Opening 164-232 101-143 70-99 43-61 7 Passive Opening 233-317 144-195 100-135 62-63 8 Passive Opening with 318�19 996-258 136-179 84-110 9 Motorized damper Passive Opening with 420-538 259-332 180-230 111-142 10 Motorized damper Passive Opening with ��79 333-q.�9 231-290 143-179 11 ( IVlotorized damper � Powered Makeup Air" >679 >419 >290 >179 not appiicable Use this column iF there are other than fan-assisted or atmospherically vented gas or oii appliances or if there are no combusfion appliance§ B Use this column if there is one fan-assistai appli�.nce per venting system Other than atmospherically vented aCppliances may also be included. Use this column if there is one atmospherically venbed (other than fan-assisted) gas or oil appliance per venting systems or one solid fuel appliance. D Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances. E An equivalent length of 100 feet of round metal duct is assumed. Subtract 40 feet for the exterior hood and ten feet for each 90.degree elbow io determine the remaining length of straight duct allowable. F If fle�ble duct is used, increase the duct diameter by one inch Flex duct sha11 be stretched with miivnoa,l sags. G Barometric dampers aze prolubited 'm passive air openings when any atmospherically vented appliance is installed. H Powered makeup air shal] be electrically interlocked with the largest exhaust system. � � a � `. j� {` One°or�nultiple : One�r�nulhple�� On� Mulfiple =� � power aent �r fan�ssist� � .atmos henc�ily �frnospherically ' ' a� : , > � dired ueni ;`; ;appl�ar�c�s and� , :��ntecl�as otbil .� ven�ed gas,orz�d .: , , .a liances�r�no ; . • ,. < ti � PP ; po�n+er. �er�t or ; . . ;.:. � , ,V ap�s6ance ar�ne �ppliances �r � � � z � �` ;> combusfion � xlirect �erxt ;� . . � solitl #uel . .sohd fiae"t =. , .�'� .,:.. ,. . .�� .:. . d . . . a .: .liances° <.' . . . . � .: iances" '�� ,�- . -..a liance? . `fia�ces3 . 1. a) pressure tactor CFM/SF 0.15 0.09 0.06 0.03 b) conditioned floor area (s� (includes unfinished basements Estimated House Infiltration (cfm): 1a x 1b 2. Exhaust Capacity 80% of exhaust rating = Exhaust Capacity (cfm): (Not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust 3. Makeup Air Requirements a} exhaust capacity (from above b) Estimated house infiltration from above Makeup Air Quantity (cfm) [3a — 3b] (if value is negative, no makeup air is needed 4. For Makeup Air Opening Sizin . Refer to Table 501.42 ° Use this column if there are other than fan-assisted or atrnospherirally vented gas or oil appliances or if there are no combustian appliances � Use this column if there is one fan-assisted appliance per venting system. Other than atmospfierically vented appliances may also be included. 2 Use this wtumn if there is one atrnospherically vented (other than fan-assisted) gas or oil appliance per ven6ng systems or one solid fuel appliance. 3 Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil apptiances and solid fuel appliances. . , � IX-9 ° Use tl�is column if there are othei' than fan-assisted or atmaspherically verited gas or oil appliances or if there are no combustian appliances ' Use this column ff there is one fan-assisted appliance per ver�ting system. Otl�er than atmospharicxlly vented appliances may atso be included. 2 Use ihis column if there is one afrnospherically veM�ed (other than fan-ass'sted) gas or oii appliance per venting systems or one sotid fuel appliance. ' Use this column if there are multiple atmosphericaily vented gas or oil appliances using a common vent or if there are atmosphericaAy vented gas or oil applianc�s and solid fuel appliances. 4 As an altemate, the Estimatd House I�iltra6on may be calculated by performing a birnroer door test and mul6plying the cornersion factor by the CFAASO valu ► i P � � H� � '� � � �-r � � . �� .�� 3 �, iY ��` a�s, �, � �„5� ;- �. �x'}'�•�x,�� ; � �� i � 5 s*� � � 3 # � � � � �� ' '�y' y � �'�„� 3$ t � � �' �- � $ "� � � ^� � � � '�� fv h t �� q�r - �' a � � z � � � g � . � ��r . w '�n � r� � .� & i .��, ,� � ¢ r �� & . _ �,. � � �; �"�:. �r- f$�, �� '� �+.s �' -��j x -�c't � :� �,, �:,�.� �� ;,�;�.� � � ,�� ,,�,.� v .��. s�+ �. ��, � �.. �� M ,_.,%?,�. : :- � �" , .. _ --n ��: ��r i ,e ;.,�, �� y :~ ` � � ..' > ,; �ne�rYrr�iJltipte ~:�ne_c�r�nultiple � :One Mult�pie ., * . � �ower �rent or " farrassisted: . ;atmosphencally � �tmosph�rically _- Y direck uani .: aPpliances and rrented..gas �or=nd �� vented gas"?or ��1 ` appliances �r no ;�powrer: vent or ' �p I�an�e_ ar ane . ap' Uances;�r -_ :' ; . c�mb�s�i�an . direct dent �o d �uei , so(id fue"I ; w . : �, „ £ ,: ; . ,. ,, ..� ° ,�': k�a I.ia�ces`D,:�: _ ..:` ap liancest ;ap 1'�anaez i. . . . `. :a lianc:es3; .. ': 1. a) pressure factor ��Sfl 0.25 0.15 0.10 0.05 b) conditioned floor area s includes unfinished basements Estimated House Infiitration (cfm) [ 1a x 1b Or Altemate calculation (by blovver door test) c) conversion factor 0.75 0.45 0.30 0.15 d) CFMSO value from blower door test Estimated House Infiltration (cfm) 1cx 1d 2. Exhaust Capacity a) continuous exhaust-anly ventilation system (cfm): (Not applicable to balanced ventilation systems) b) clothes dry'er (cfm) 135 135 135 135 c) 80% of largest exhaust ra6ng (�) (Not appGcable if recirculafing system or if power makeup air is electrically interlocked and with exhaust d) 80% of next largest exhaust rating (�) (Not applicable if recirculating s}rstem or if power makeup air is electrically interlocked and with exhaust not applic�ble Total E�chaust Capacity (cfm) 2a+2b+2c+2 3. Makeup Air Requiremerrts a) exhaust capacity from above b) estimated house i�iltration from abave Makeup Air Quantity (cfm) [3a — 3b] (if value is negative, no makeup air is ' needed 4. For Makeup Air Opening Sizing. Refer to Table 501.4.2 ° Use this column if there are other than fan-assisted or atmosphericalty vented gas or oil appliances or if there are rto combustion appliances ' Use this column if there is one fan-assisted appliance per verrting system. Other tlian atmospheriplly vented appliances mav also be included. - �se u�� umn �r u�ere �s one aurrosprrencany ven[ea �omer than fan-asststeci) gas or oil appliance per venting systems or one solid fuel appliant:e. ' Use this �lumn ff there are multiple atmospherically vented gas or oil appliances using a common vent or iF there are atmospherically vented gas or oil appliances and sotid fuel appliances. 4 As an altemate, the Estimatd House Infiltration may be calcutat� by perfomurtg a blawer door test and multiplying the conv�sion factor by the CFAASO value. IX-11 �r Combustion �►ir Requirements Combustion Air. Air necessary for complete combustion of a fuel, including theoretical air (The exact amount of air required to supply oxygen for complete combustion of a given quantity of specfic fuel.) and excess air. Fuel-burnina appliances other than qas-fired appliances IMC 701.1 Scope. The provisions of this chapter shall govem the requirements for combustion and dilution air for fuel-buming appliances other than gas-fired appliances. IMC 701:2 Combustion and dilution air requirerrients. Cornbustion air requirements shall be determined based on the simultaneous operation of all fuel-buming appliances drawing combustion and dilution air from the room or space. 1346.0701 Section i01.4 Engineered installations. Engineered combustion air installations shall provide adequate supply of combustion, ventilation, and dilution air, and shall be approved by the building official. IMC 702.1 All air from indoors. Combustion and dilution air shall be permitted to be obtained entirely from the indoor in buildings that are not of unusuallv tiqht construction. IMC 202 Unusually Tight Construction. Construction meeting the followring requirements: 1. 2. 3. Walls and ceilings exposed to the outdoors atmoshere having a continuous water vapor retarder with a rating of 1 perm or less vvith openings gasketed or sealed; Storm windows or �reatherstripping or openable windows and doors; and Caulking or sealants applied to areas, such as . joints around windows and door frames, befinreen sole ptates and florrs, beiween wall-ceiling joints, between vvall panels, at penetrations for plumbing, electrical and gas lines, and at other openings. 134�6.0703 Section 703.1 A!1 air from i�e outdoor. Where all combustion and dilution air is to be provided by outdoor air, the required combustion and dilution air shall b� obfained by opening the room to the outdoors. Openings connecting the room to the outdoor air shall comply with IMC Sections 703.1.1 through 703.1.2.2. r� � Date: 7/8/2008 Revision Date: 7/8/2008 Site Information Address 1: 5947 Old Central Avenue Address 2: City: Fridley County: Anoka Application Information Business Name: Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: Zip Code: New Construction Project #: Lot: Block: Subdivision: MN Contractor License #: House Details Square Feet: 3632 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 4 Ventilation : Balanced Total Ventilation Capacity : 143 cfm. Minimum Continuous Ventilation :75cfm. Intermittent Ventilation: 68 cfm. Combustion Aapliance Water Heater: Power Vent Input BTUs: 40,000 Independently Vented Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 88,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Ye� Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Epuipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 80 Make-Up Air No Make-Up Air Required by Code Combustion Air Round Rigid Required: 3 inches or Insulated Flex: 4 inches Applicant Name (print): ��W,rS �, Signature/Date: %%��i0`D Code Official (print): Signature/Date: � 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 � ; � ! � 5 d � r Jul 07 08 10:37a Kurth Surveying, Inc. r �.�- o �, `-r� OQ —� � � � � ro � � � � . •---- � � O� � � .--. O � � C].. r x � fD � G ,� � � � �° � rn 0 � o �� r+ -� y m � � � � N � � 0 r+ cv � \ � � ��+�� ` � �� , �'.�p r�i rre�� , V ��, ,,� .,� ,�,, -1 y� ..� �S �3� �a s �f s �, �'o,� A � �' � wv�y «Ah'" � � . ( � �` j �� o%� � � �. ; D� p� � �D � � '- ��jv� �� a,, 5+ a� ti �� A _�o,�Q m�' �� \ �,� �i'6`. � ppNpp yy..�� ! f s �� ' 9j n �. �'�� .�. ,�,,}�,� t ��: w x � �� r � � � � � � �a � �' a I N � � > .�+ `��. � ^ � n �� f'` �� I � / / � � � � ;_� I ' � '� � m � oa � � �o I ��X � � , o � -.�, ` � pro �9• x : --� ,�; cb � � , '� �F6 �se� 3 � � .. . V�1 �� 6T �p `�' q �4� I nm� i,in � 1t�y 4s�' �^' �°' � �'' I � r � .�i' '�933 � o � . �o,• .5� �� lo�� ttr %+30 x � � �8 � I � w 6- � � � �v � � � �� i > � � r "'� ( � cn i�'�-�;} , � � �� ' I ,� � — — _ _ � � � �o � o� DRAINGfi d IiTII.ITY EASENENT v. io6.3� �-► G C1 p �. _. �� a-c� oa n � fll x � ^n -K[] -• � -- —�� --� rn _.� � � n � t� .-r � O O �3 O' � Ti � p � ! —• 3 �'O 6. a � z � Q � , O 763-788-7602 0_� 01N Q OX p cW � _' a ' Q pp R1 .Or 3 y� o�x' �3c c a �-v rn e�c . �„ _ , a -� o 0 .-F r+ A S O�D � e�r (p —. iD..L � O O Q�- Oo � . n Q m x �� a = '�+ �F' fD {D '�t _, w � ] a — O us o — H� f0 —• � p r+ r+' 7 tiC a{ O —• � "r-� rt Q' O C � � � - .� �� W �"" 7 G tD't r► n g � o ro c� m a. � � � m < � � n � __ � ,� � 3 y � � o , � -�— � ,o I� �� a 5�� L . � � B� o` � , � � � 00 o" .a V ��+ 9,r$ � � � � � x � � � N �fl �3F � � ��i�� ..��r�D � ., � II Il �I II II It 11 U II (l m z ao aQ -� � ca 'o m cn -_. � CO��X'0�.�7 D O - - A OC7C3�2p--�i1�7�Z I � —��aly,N._ � �ODrirCiv�m�Z I m(!) r� D I'T7 C�l � IT1 C r' � �� o« oa n n� �� z� -� � �- _ C� � m Z -� �Cl � � c�o • � � � �, r+. S - I r-- i N t or r --• r rn� .� W �ot�'nr � -�-I � 'A � c�a��-�c � '��+^mm v �o -� m a -t � ---) �Q -"'icm-� ��.�y � ��zz � �N�� m�1�� ,Q `"rvm �� rn�Z �,, �°m�z C � q O p �� • � � � o �n ;.: � a c `C m c � °� � w o � -� � ; � oi°o � � 0 � � �� I �� . +l�i r � �� _ ..: o . � . � o� � c� � � °Q �,�, a cni m � --� m � � ° m , � �, II u � � O VI N � D� oN (!) ►�i � � � � �� s� � �� tn � �-•i � � � �z� �.�,H � � � � � � � � ~�C Q �� c— �� ' -On � � � gC ,: � � �� ^�y�� ro Ag� �"�JL �—�� ti� � A �N �� ,h� ny..r ^� s � c c A��"� �� o,�;U, z � � �� I Jul. 07 08 10:37a Kurth Surveying, Inc. 763-788-7602 p.1 iCr�rtfr Siuveying,lnc. Dat�: ra /_ 3o I� 400Z Jefferaon 9t N.E Coieunl�a Ne[ghfs.lilN �642i Phone (l63) T88�769 Fax {T63} 786-T602 kurthsurvey�aoi.crnn Page(sj (lncfusive) ra: iA NC �a Ctrltalt`l�i:S�.L�t�L-� ron�: ra �C� �i �y � ► K-tvc.��+ ��c � S? � - ti �$� •–•— ---------- �,AYhIC — iNctS t5 �► ��=`�fS� D Sc)Z�� I Q4 R, o� Gcx*�t+�t;�t i S L.E `r � C 1F�� w ��' 't t4� �.` 5 t�,�f'ilt-1�Lcra �t.s C NEt�'�E �. t w�,�t_ ► o�,�� "1�t�C yy� Lt,. �MC`o b t�Lt: ��Gt;. � v. � W '�'�a R � r" 1� � l.� � t� �.` �t,� r' � �F- l �T�= �o i �:• �It�dc�- "7-D'T �''�'•��-r�� a-c�.F�zc,��r�z rwe��a[c�r.� iF UNREAQABLE • PLEASE N�TIFY U5 IN�IIIEDIATELY - THANK YOU `� , ` �� :c -..- Report Prepared By: For: Residential Heat Loss and Heat Gain Calculation In accordance with ACCA Manual J AARON MOUSSA "TONY" 5 OLD CENTRALAVE FRIDLEY, MINNESOTA 55432 Design Condittons: Minneapolis/St. Paul Indoor: Summer temperature: 73 Winter temperature: 70 Relative humidity: 55 Building Component Whole House 3,632 sq.ft. Sensible GaPn (BTUH) 40,631 Basement 4,502 All Rooms 1,196 sq.ft. 4,502 Infiltration 522 - Tightness: Best; Winter ACH: .3 ; Summer ACH: .2 Floor 1,196 sq.ft. 0 - Over conditioned space 6/26/2008 Outdoor: Summer temperature: 98 Winter temperature: -20 Summer grains of moisture: 98 Daily temperature range:Medium Latent Total Gain Heat Gain (BTUH) (BTUH) 3,383 44,014 400 4,902 400 4,902 400 922 0 0 Total Heat Loss (BTUH) 66,846 10,939 10,939 2,817 0 N Wall 219.4 sq.ft. 334 0 334 1,461 - ICF Insulated Concrete Form, above grade; not applicable; R-12 to R-14 Window 18.6 sq.ft. 372 0 372 604 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Glassdoor 42 sq.ft. 840 0 840 1,365 - Sliding glass door; Double pane; Wood or vinyl frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. E Wall BelowGr 392 sq.ft. 0 0 0 1,200 - Block or brick, extends to 5' below grade; R-19 5 1/2 in.; 8 or 12 in. Block Window 28 sq.ft. 1,820 0 1,820 910 - Double pane; Wood frame; Low emittance _No inside shading; Coating: None (clear glass); No outside shading. S Wall BelowGr 226.4 sq.ft. 0 0 0 693 - Block or brick, extends to 5' below grade; R-19 5 1/2 in.; 8 or 12 in. Block Window 18.6 sq.ft. 614 0 614 604 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. W Wall BelowGr 420 sq.ft. 0 0 0 1,285 � Page 2 Building Component AARON MOUSSA "TONY" 6/26/2008 Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) - Block or brick, extends to 5' below grade; R-19 5 1/2 in.; 8 or 12 in. Block First Floor 17,397 1,022 All Rooms 1,196 sq.ft. 17,397 Infiltration 1,333 - Tightness: Best; Winter ACH: .3 ; Summer ACH: .2 Floor 1,196 sq.ft. - Over conditioned space 1,022 1, 022 18,419 18,419 2,355 0 0 0 22,662 22,662 7,200 N Wall 250 sq.ft. 429 0 429 1,350 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 30 sq.ft. 600 0 600 975 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. E Wall 264 sq.ft. 453 0 453 1,426 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 135 sq.ft. 8,775 0 8,775 4,386 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Door 21 sq.ft. 354 0 354 1,115 - Metal; Fiberglass; No storm S Wall 236.2 sq.ft. 405 0 405 1,275 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none - ----_T.___._ __ .___..__..^__-_�.___._.------- Window 8.8 sq.ft. 290 0 290 286 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. W Wall 339 sq.ft. 582 0 582 1,831 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 60 sq.ft. 3,900 0 3,900 1,949 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Door 21 sq.ft. 276 0 276 869 - Wood; Solid; No storm Second Floor 18,732 1,961 20,693 33,244 All Rooms 1,240 sq.ft. 18,732 1,961 20,693 33,244 Infiltration 1,058 811 1,869 5,713 - Tightness: Best; Winter ACH: .3 ; Summer ACH: .2 People 5 1,500 1,150 2,650 0 Miscellaneous 1,200 0 1,200 0 Fireplace 0 0 0 10,487 - Average - glass doors, damper Floor 1,240 sq.ft. 0 0 0 0 - Over conditioned space N Wall 252.3 sq.ft. 433 0 433 1,362 Page 3 AARON MOUSSA "TONY" 6/26/2008 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 30 sq.ft. 600 0 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Window (2) 12 sq.ft. 240 0 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Window (3) 12 sq.ft. 240 0 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. E Wall 347 sq.ft. 595 0 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 42.7 sq.ft. 2,776 0 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. 600 975 240 390 240 390 595 1,874 2,776 1,387 Window (Z) 6.3 sq.ft. 410 0 410 205 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Window (3) 24 sq.ft. 1,560 0 1,560 780 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. S Wall 283 sq.ft. 486 0 486 1,528 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 10.7 sq.ft. 353 0 353 348 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Window (2) 12.6 sq.ft. 416 0 416 409 - Double pane; Wood frame; Low emittance - No inside shading; Coa6ng: None (clear glass); No outside shading. W Wall 282.7 sq.ft. 485 0 485 1,527 - Wood frame, with sheathing, siding or brick; R-19 5 1/2 in.; none Window 12.6 sq.ft. 819 0 819 409 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Window (2) 42.7 sq.ft. 2,776 0 2,776 1,387 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Window (3) 12 sq.ft. 780 0 780 390 - Double pane; Wood frame; Low emittance - No inside shading; Coating: None (clear glass); No outside shading. Ceiling 1,240 sq.ft. 2,005 0 2,005 3,683 - Under ventilated attic; R-30 (8 - 9 inch); Dark R- ��esidential 4. � Sq• y HVAC Com ys ems Lt .> > 8 Load celculadons are esdmatea onty, actual loads may vary due to weaUrer and construcHon d(fterencss. Building WATER OR SEWER Pernut No.: �?� -� I�� In.spection.s pERMjT APPLICATION xeceived By: 763-s�2-3604 CITy OF FRIDLEY � 763-502-4977 fax �c� 1-i-os Da��'� � P� 3 2 8 APPLICATION DATE: 3� �q � YOUR E-MAIL ADDRESS: tiTS Tr'/'/'�lL�' /9ir ,�j � 5' . C ) THIS APPLICANT IS: �CONTRACTOR ❑ OWNER JOBADDRESS: `J I o�' (� � � C`�'N'%i?%9� NEW CONSTRUCTION PERMIT # (IF APPLICABLE): PROPERTY NAME OWNER/ ADDRESS: CITY: STATE: ZIP: TENANT PHONE: CONTRACTOR NAME: 57�=l��Ne fj �c ['�,yv � � SUBMIT A COPY OF ADDRESS: / CTTY: z' STATE: �it�IP; �' r YOUR STATE LICEN5E PHONE: % 3 i CELL PHONE: 6 i� "7'"7 Q� � 0'7 P,.'(� AND BOND STATE LIC: %'�t f�� 1° STATE BOND: �� Q 5(�p � EXp; /� 0� PERMIT TYPE � SEWER CONNECTION FERNIIT $50 �J � ,�� C� WATER CONNECTION PERMIT $50 �� w�(� � WATER/5EWER LINE REPAIR PERMIT $40 ❑ ADD STATE SURCHARGE $.50 w ❑ SAC CHARGE @ $1825 � TOTAL OTHER CHARGES (Ir APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST s� v�rn.rrY Bu.c.ING SPECIAL ASSESSMENTS s� Fn�rnrrcE WATER TAP $�E ENGINEERIIVG NOTE: WAT'ER METER REPAIR, INSP OR SHUT-OFF / w�cnvns � xoLmaYS $125 / HOUR-BILLED THIS IS AN APPLICA-TION FOR A PERMIT-ATOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit work is not to start without a pemu� ' qr=/Q,� Ll� SIGNATURE OF APPLIC :�� GvH,UQ,� pRINT NqME 5 Tt` fi n;> �t,r DATE g�� 8 APPROVED BY: � DATE � '�,�' G tg COPY GIVEN TO: ❑ UTII,ITY BILLING C;ity o# Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 C�/1 EFFECTIVE: January 1, 2007 Gity of Fridley 6431 University Avenue I�F.E. Fridley, MN 55432 (763) 572-3604 WATER AND SEWER LINE INSTALLATION REQUIREMENTS WATER SERVICE LINES: TYPE K COPPER PLASTIC PIPE WITH TRACER WIRE 6D Polyethylene D2239, D2737 6E Acrylonitrile D2282 6F Polyvinyl D2241, D1785 6G Polybutylene D2662, D2666 1. Flare fitting in yard area or silver (brazed) fittings underground, within building or yard area 2. Approved A�VWA compression fittings permitted on existing lines. 3. Valves at meter to be gate or other full-way valve 4. Curb stop with rod must be used. 5. 7 foot minimum bury (only dense foam insulation allowed if needed). 6. 1 foot minimum separation of sewer and water. SEWER SERVICE LINES: Cast iron with matching fittings Plastic ABS Schedule 40, D2661 Foam Core, F628 • Thin Wall, D2751 Plastic PVC Schedule 40, D2665 Foam Core, F789 Thin Wa11, SDR-35, D3033, D3Q34 All PVC requires a two step process of joining; first a colored primer; second the solvent cement. Building Inspections 763-572-3604 763-502-49,77 FA:X DA� !o Il I STTE ADDRESS � THIS APPLICANT 1S: PROPERTY OWNER/ TENANT a� -42`1 - CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERT�ICATE OF nvsux.�rrcE PERRZTT TYPE TYPE OF WORK: � OWNER �u s° �� G ]�,SID]El`,TT'I`IAL� APPLICA'T`IOl� CIT�►' O�+' �+'R�I.E� EFFECTNE 1-I-OS YOUR E-MAIL ADDRESS c � � �-a-�cF2 �t 1 NAARE: �d"`��''� ADDRFSS: PHONE: .. . . ,,,_ . � .....o-r � � , . ,, ,. �. � P � E.--� STATE LICENSE Pemut Na.:2�c�-- � Received By: Date Rec'd: ( 3 EXP DATE ;4TE ZIP STATE BOND # EXP DATE anDxsss: Z� `'I °� S' — S�$o� S°r crrv � C1E°r�r� � sTa,� �^�- zrn�� PFiONE �� 2 �Gt � `f '� � FAX �'SINGLE FAMILY �� DETAII.ED DESCRIPTION OF WORK Q TWO FAMiLY ❑ TOWNHOUSE ❑ REPLACEMENT PER MS 16B.665 the permit fee is a minimum of �15.00 or 5% of the toial cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect onty the cost of la6or ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor 6D00 � x.OS = pIus .50 surcharge OR FOR PROJECTS WHERE 1-ABOR EXCEEDS $500, FEES ARE BASED ON $]0.00 PER FIXTURE, EXCEPT WHERE AIOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MIN FE� $15.50. Z BATH SMK/LAV �FLOOR DRAINS SHOWER _ WATER PIPTNG � BATHTUB GAS PIPIAIG (NEED CITY L1C) SWIMMING PQOL _ WATER SOFTNER ($35) �CLpTHES WASHER � KITCHEN SINK `� WATER CLOSET BACKFLOW PREV. ($15) ,� DISHWASHER � LAUNDRY TRAY ,�WATER HEATER ($35) — FOR TRRIGATiON � WATER METER OTHER Permit Fee TOTAL DUE _ _ _ _.__.._ _ _ � � Number of fixtures @ $10.00 � x $10.00 = .50 Number of fixtures @ $15.00 x $15.00 = $ $ OR Number of ftxtures @ $35.00 � x $35.OQ = $� � State Surcharge = $ ° .50 (M1MMLlM $15.50) Tota1= $ THIS [S AN APPLICATION FOR A PERMIT-NOT VAL1D UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information abave is complete and accura.te; that the work will be iz� 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 appGcaxion for a rmit and work is not to start without a permit on site; that the work wiil be in accordance with the approved plan in the f all w r which requires review and approval of plans. SIGNATURE O CANT PRMT NAME (<��`.r S�� DATE %�� APPROVED BY �%�"' \ DATE � � City of I+`ridley �uilding Inspections I�epartment 6431 Uxuversity Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE � � � � "O srrE a,DD�ss S � THiS APPLICANT IS: 0 OWNER PROPERTY OWNER/ TENANT CONTRACTOR N07'E: SEPARATE C1TY LICENSES ARE REQUIItED FOR GAS AND HVAC. SUBMIT COPY OF BOND PERMIT TYPE MECHANICAL RESIDENTiAL APPLYCATION CITY OF FRIDLEY EFFEC'fIVE 1-1-OS ADDRESS: PHONE: YOUR E-MAiL ADDRESS v�. / � �e �ONTRACTOR r�� h COMPANY NAME:_ CONTACT PERSON: CTTY of�✓1�, I.)eSl Permit No,��'�J Received By: Date Rec'd: �� STATE LICENSE # s� `�-Y3 Y� 6 2 EXP DATE �—I 2— � U �D�ss: 10 � 3 0� b( e S /1/ F CITY � 0. t%) 2 PHONE �%2.'�01`� —%� 7 02 FAX �63- �SS -�� a�1 �SINGLE FAMILY ❑ TWO FAMILY � TOWNHOUSE ATE ZIP, ATE!'4/ivZIp�`S �i�7 TYPE OF WORK' I""EW ❑ REPLACEMENT O ALTERATTON/REMODEL DETAILED DESCRIPTION OF WORK `Ti� s � � I I Fv �n � � �tt � fc Cfl h � - � o n � �` � � � � T� A � � , �� K 2 P I�J ce . G �+- S �� rtie ?o � u v� v� a ce � n dt F�` �E e�,l a ce v c. w ovtc k e a� v� �� P �! PER MS 16�.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 impravement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR 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. FIXTURES: {INDICATE TOTAL NUMBER OF EACH BELOV� J` /�N 9,�0 3%v Equipment Installed MFG: �P��ri'' � MODEL: lr l( SIZEBTU � � MFG: AOM � MODEL: CY C SIZEBTU 3 T'a �/ MFG:� � 2 �i �� 2 MODEL: SIZE/BTU I O C �V� C$25.00 �! FIREPLACE (GAS) $I5.00 GAS RANGE/OVEN $10.00 V AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10A0 BOILER $35.00 �FURNACE $35.00' GAS UNIT HTR $10.Q0 CHIMNEY LMER $]0.00 GAS DRYER $10.00 POOL HEATER $35.00 �DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 M,.,_.�. , _��.a- .�.,. �,,...�_.,.. _�...�.. . _. Pertnit Fee $ Number of fiactures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 MINIMUM $15.50 MI1vIMUM $15.50 Tota1= $ ��i.� THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED I hereby apply for a mechanical permit and 1 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 applica6on for a permit and work is not to start without a permit; that the work will be i acc i�FU7� e�vitirthe approved plan in the case of all work which requires review and approval of plans. /�, SIGNATURE O�F AP ICANT �' PRINT NAME O/Q r S DATE �I d�� i e \ � ._ . I^-,. I� APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE 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 Cha.pter 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. _ _ CIlYOF FR[DL�Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/T°I'Y (763) 572-3534 February 26, 2009 Adapt Construction LLC 846 Nebraska Ave W St Paul, MN 55102 Re: Final Inspection at 5927 Central Ave NE. Dear Sirs: A final inspection was conducted on February 26, 2009 for the completion of the dwelling at the above address. The inspection noted that the construction was completed according to the approved plan but the following item needs to be completed before the building permit can be finaled out: 1. Final grade by engineering department by July 1, 2009. 2. Provide sod in the front and side yards by July 1, 2009. 3. Provide hard surface driveway July 1, 2009. 4. Provide a verified survey by March 12�', 2009. 5. Provide permanent steps and handrails by June 1, 2009. We will expect the above items to be completed by the scheduled dates and a reinspection called for. The dwelling is approved for occupancy. If you have any questions concerning this matter, please feel free to contact me at 763-572-3603. �AVID JEN Building Ins Building Inspections 763-572-3h,04 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY �Q�� DATE L../ � 6/ C� � YOUR E-MAIL ADDRESS SITE ADDRESS !'2 � � �- � � �(�i - � ��' THIS APPLICANT IS: ❑ OWNER �ONTRACTOR - - - PROPERTY OWNER/ NAME: TENANT ADDRESS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE PHONE: CITY Permit No.: Received By: Dat : � STATE ZIP, STATE LICENSE # �.� G �� EXP DATE �/ "�/ / ,.�G� � ADDRESS: ��'. t�S��C��U'� �`, CITY �T � 1—� °�+ ZIPS��I PHONE ( �j ! � /G' � � (0 � � '�f S[NGLE FAMILY/NEW CONSTRU�TION d TWO FAMILY(NEW CONSTRUCTION ❑ ADDITION ❑ GARAG �BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMM FAX SIZE STORIES ❑ WINDOWS � DRAIN TILE 0 OTHER TYPE OF WORK: I❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR �REMODELING DESCRIBE WORK BEING ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING � Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPEN[NGS DYes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED e. Yw� ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ti�e-.�,,(t FT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures � Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ,� , ,(USIN�THE 1997 U.B.0 FEE SCHEDULE) COTAL JOB VALUATION � Permit Fee Plan Review Fire Swcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ANCY $ ,j�. ��'j See Back Page for Fee Schedule $ � 65% of Building Permit Fee $ .001 times the total job valuation $ ` � .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ . I� Make checks pavable to: City of Fridlev Attach 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 pe ' d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al ork ic uires eview and approval of pl ns. SIGNATURE OF APPLIC PRINT NAME��!'� �bl ��'� DATE �.��f �� Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE �_ - - The 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 below set forth and in the manner herein provided to-wit: VERIFICAT�ON OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � � = - �. . �.� .� � \ Q � J a � '� —� ; _�, �� 3� �� ,��x �9 � � � �� 1�--� " � < � [� � �� \ � � . � ;� � ��, �n� v� �u o, 1. _ CfIYOF FIZIDI.EY FRIDLEY MUDiICIPAL CENTER • 6431 IJNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/TTY (763) 572-3534 September 15, 2010 AMIRA ATTIA TAREK MOUSSA - 5927 OLD CENTRAL AVE NE FRIDLEY, MN 55432 RE: Code ViolationsJNeed for Action at 5927 CENTRAL AVE NE Dear Property Owner: Your driveway abatement will cost $5,677.50 (curbing $733.25 and asphalt $4,944.25). The work is scheduled to begin in a few days. As part of the driveway abatement project at your address, we are constructing a section of concrete curb and gutter. We estimate a cost of $733.25 including contractor charges and associated staff time. The Contractor has tenta.tively scheduled to begin removing and installing the concrete curb and gutter next Monday, September 20 or Tuesday, September 21. Please be prepared to move your vehicles early the day they pour curb in front of your driveway. After the curb and gutter are poured across your driveway entrance, you will not be able to access your driveway for 5 days. The concrete needs time to gain strength or it �vill crack from the weight of your vehicle, but you will be able to park next to the curb irr front of your home on the day it is installed. As part of the driveway abatement project at your address, we will be placing asphalt. We estimate a cost of $4,944.25 including contractor charges and associated stafftime. The Contractor has tentatively scheduled to begin grading your driveway and insta.11ing the a.sphalt on Monday, September 27 or Tuesday, Septeraber 28. Your driveway will be closed after the pavement has been placed. The driveway will be available when the pavement has cooled (approzimately 7 p.m.). ' If you will be using your vehicle during these times, please park next to the curb in front of your ho�ne. Please be careful when driving on the new pavement for about a week. The pavement needs a little time to cure. Sharp turning movements with your vehicle will likely scar the surface and potentially cause early deterioration. Please be aware that these schedules are tentative and can change due to weather or unforeseen conditions. Page 1 of 2 We understand this will cause some inconvenience, but if you have any questions or special needs for access, please call me at (763) 572-3594. Thank you for your cooperation. NOTES: The City of Fridley will not be liable for any damages after the installation. If you are unable to pay the total bill before September 1, 2011, a Finance administration fee of 25% will be added to the bill and the adjusted total of $7,096.88 will be assessed to your ta�ces. Sincerely, , R chel Harris Environmental Planner City of Fridley CE-10-553 Page 2 of 2