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AF - 36386� Ci.ty of Fridley, Minn.. BUILDING PERMIT Date: - - Sept . 10, 1969 pwtter; John. P. Urista g�� Same Addiegg _ 6599 ChannAl_ RnaA A�•�g �,$ame �� '�� N° 10398 LOCATION OF BUILDING No. 6599 g�t � Channel Road part of Lot Lot Pt •°� '�' �— Block Addition or Sub-Divisian . 2nd Revis ion of Aud . Sub .No . 21 Corner Lot _ Ins3de Lot Setback ,.____ Sideyard �'�' II�$�� -- .._ Foundation IIevation DESCRIPTION OF BUILDING To i� v�a �: � Garage �nt 24' �p� 26' Hei�ht � 1�� Sq. Ft. 624 �, � 6240 Front Depth fTeight Sq. Ft Cu. F't Type of Construction Fp�e ��, �� 00 . 00 __ To be Completed In consideration of the issuance to me of a permft to consl:ruct the building th� proposed work fn accordance with the d�scription above �t fo n� � f cO/ ordinances of the dty oP Fridley. 1 � above, I agsee to do with all provis�tons of In consfderal3on of the payment oY a fee oP $ 10. 00 �� p�t is hereby graated toJOI� 'URISTA to construct the buflding or addition as described above. This �rmit is gra.nted upon the express condition that the person to whom it is granted aad Yus agents, employees and worl�►en, in all work done in, around aad u�n said building, or any part ihereof, st�all conform 3a all respects to the orclinancea oP FridleY� Minnesota regardiYg lacation, construction, alteration, maintenance, repair and. moving of buildings within the dty ]imits and this permit may be revoked at any time upon violation of auy of the provis�ions of said ordinanc�s. a d' — C axence Belisle � NOTIC� TWs psm�h doa eot eovs� t6s consteoetton, lestall�Non hr wGiae, plum6tes, en 6e�tiee, �nr er watsr. B� ae+� to ies the Bnildlo� Inipsator for apara» parmhr fo� thess itfmi, �~; • _ _ .v , _,' _— _�c .� � '+� � ` ' �� .e„�, gPP�ICATION FOR BIIILDING PERMIT � - ' CITY OF FRIDLEY, MINNESOTA .. . . . OWNk'�R'S NAME �,JS� YI � ��1 V i. 1 a ^ BIIILDER. ,S'� l�! � � —.-��_,___ � e% LOCA'�ION OF BUT�,DING S No, �' �9 5 s�Er G`1��i�e� �d -,--- '— � .r � LOT G� B�,OC$ ADDITION OR SUBDIVISION CORNER. LOT INSIDE LOT_d�j SE°I'BA.CK� SIDEXAl�,p�_ SEWER FLEtT,A,TION TOP OF FOOTING App�,iaant atta,�h �o this fo�m Two Certificates of Survey o� Lot and propo$ed buildin,� location drawn on these Certificatea. DESCRTPTION OF BUILDING To �e tT��d ge.: , � . , , � � c7 �e �'ront ,��% / Depth � � � Heigh� �� _� . , Square ieet � � L� , Cubic Feet � ��, �.�'' � " ; ��: � Front Depth Height Squase feet Cubic Feet � Type of Canstrurtion ��`-�l-°y! -� Estima,ted Cost To Be Completed The unders3.�ned her�by makes application for a permit for the wo�k her�ir�, apec�iiied, agreeing to do all work i.n atrict accordance with the City of F�rid],e� O�cdinancea and ruli_ngs of the Departu�ent of A�ilding�, and hereby decla�es that all the facte a.nd rep�es ntations atat�d �. this appl�.ca�io�. are t�u.e and correct e r DATE %` 0 � S3GNATU$E , (Schedule of Fee Co�ts can be fourid an �h Reverse Side.j � 1 ; � - � � ,, � �� + ,,,��..__- -.�- � � .- _ 0 '�. � . �` r- _ n � _ _� .t y.. � _�- � _ y BUIIsDING PEAMIT �FEE SC�UI,E SECTIO�T 2o The Inspector of Buildi.nga ahall9 before is�ui�ag permits ior the e�ection of any building or structure; o�° for any addition to any �a�i�ting atructure or buildi.r�.g9 or .for any alteration or repairs to a.ny exi€ating buildi�.g o� at�ucture, upo� applYCation therefore, require th� p�.yn?ent by the �,pplica.:r�t for euch �ermit Qi fee� to the amount herein. below �et iorth and in the ma.nner he�e� provided to-wit: II:riif.o� Buildi�g Code: Type 1 9 2s & 4-$1 075 fox each one thousand eubic feet 9 or fraction thereof 9 in �uch cubical c.�a.a.tents. Type 3& 5- $1 a 50 ior each o�.e thousat�.d cubic feet o For the purpose oi computi.ng fees fox buildi.ng permits, �he cuhical � �'oz�tenta of a.ny°��:iriiiri� o�addi�ioTi �`o"a uni�orm hei`��it�-"th�ou�Yiout"�y ` multiplyi.ng the ground area covered from a point six (6) i.nches below the iloor line of the basement or the cellar to the average height of the upper su:cface or to the average height of the roof surface oi the main gable of a pitched roof. • - _ ?i For rep�,ir� or alterations to an exiati.ng stxucture, the fee shall be at the �ate of' $3.00 per each five hundred dollaxs ($500.00� or fraction thereof i.�. the cost of all proposed worke In no caa� �hall the fee char^ged for axsy permit as set fbrth in Section 2 b� les� tha�. $50000 NSSSD �o�a.ection Cha.rgea based on location - 9.rea 1 or 2. i�' , _ s��. 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"".'�- d� ;, ;3 ; , _.�tJB flf�+�#ArlA�'. �'1�1�lAlE��}�fG , !N�` � ° - , . � � � h t .{ �. � "��s -� �' �` ,� F : y� L�ii v� � +�� /� �. � �7�� a�li9 t � �P�'� ��z .�pl � k r v; E � . � " >> � � � '..ffi ';S �s i3 .�: ��`� � ; � ' � s , , : �T_ � � � r � . � � _.�,� �� --1��- �-- - � � � r =-.� -� — - _ � � - , �„�=�.�„`, `�' _�- . ¢ � �� - �_ . E . _. ,... _ ,. . � _ _ � x � ,�- . - .,_ ., , , , SUBJECT , 1484' � City of Fridley AT THE TOP OF THE NdiNS g U I L D I N G P E R i � ' ` RECEIPT NO � ; v ____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � _ � l-_--� �r�� ,� CITY HALL FRIDLEY 55432 NUMBEH REV. DATE PAGE OF APPROVED BY � 612-560-3450 910-F15 g��g � � �oa aooaess 6599 CZiannel Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt, L.EG R@'�7. AU,Cl. SLtb. #i,�. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE John P. Urista. 6599 Channel. Road N. E. , Fridley 574-0158 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 3 0' x 18' Addition to Drnttelli,ng 9 CHANGE OF USE FROM TO � STIPULATIONS p�nide preformed valleys. Ma.intain maxim� WlridO�W sill height of 4 feet i.n bedrooms. Provide smoke detector. Provide 22" x 30" a�tic access. Add �enter bearing footing as shown on plans. FroniEl� copy of truss design by September 1,1978. SEPL�Ai� PERMITS WARH�N� HEATING, PLIJl�l�I�y� A�pU1RE� �i� W��y�� 8efare d�gg�ng caN lncal ufiilitt�,t Si�1��, TEi.�PHONE - EIECTRI� - GAS E� REQtiltRED �Y L�1� SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�-7i36I y�S.GS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $43.ZO NONE PLAN CHECK FEE TOTAL FEE .80 $62.68 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI HEN PROPER Y VALIDATED THI IS YOUR PERMIT 0 �� 7 7� `��1 �� ) 1 c�� .� � _ � -, SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI rA BLDG WSP OATE � `�� .�. - .�l°,;�`�� i�a� � �� : � ,m Y� _ _ �,' :� �c'Vll;o,�- } T � ' GC7T .?�Fi:'� TR � v � �� = .�� . '�t�l T�4��f�i-i � " *�W � Jf� TVi30.+90'� �C ' iSU� .�Cu. ,_4r._ v t �i�� s �� s �� T` � � � .:19U� �ii,llT>>w;��:11 �,rl1J�Tf-py � .a � �+, . - .. . `� . �__.� i e � � rBOi.�S�v�� . »nv� � � - :�t�Aa�4 --,,;iR�.� .- p,d�i+Uo7�( St.GC�' �Y3��fl? 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C� . � -------._. -.�-__— � TI�f�39 r71.lC�Y' 21�,�?13-IT�t��"0. f-l1,1s"�"`Y.{`r�,3��f4 �[�3k'{':"J. . �..' _ _-.{3FsC1____�,._�_�-.-._. � raa�AC3Sif�f) i�,A;-t:ic _.i-,,;�t-itat � ��.�3WL''a� �.:: .. .F .{ - t _ � � . { 1 s�:',� � .. �v , �'Y -_\4��A-� Y.� �SY;� 't . �� ,. �ti �� ._ _'._. _ ._ _ � � .� i_i3_�`�.. 4 . � �R w - , .-.-,.-. �- - — ° . . .'. , �, -. : ; . ... _. � -. � � �i1 'X' ..k .. j f,.� ..4'i � (.3-Y��3? _ ' � ✓l _i , ��' t z'''r t 1, ..: . . . � - - . . . . � . . . . "''°? . ,. . �..n`."`°' m . �.a-..- _ . -� °'`4�- . ,. . - :a _..... ,. , . , ,;. � .� . .„ , , � CITY or- rItIULCY . � . ' API'LIC/�TTUfI fOfi Itt:ST))f=NTI/1L �U1LD11�1G f'Cltf�iIT�� . • (IJc:w, �LTL(�t/1TIUIJS� (IL�llITlO(�J�, 0!2 ��P/1I12S) . . • � . OZ;II�R: y� �� e`$ � • • IlUl'LllI.R: J�`� •f � r,aaz�::c : � �� r�e naax�:: . : ' Tel . N . : �� '�� . 1Jo. :_ � �� Street: a !� e / � . J�OT : ?3IACY.: ADDIT70t'I : . C0�2tJER L07.': I2�SZDE IlJT: 5;:2I3ACY.: SIU}.YI�RDS: ApplicarL- attach 'to this iorm �ra CerL-ifica�es of Survey of LoL- and pro�osed Liui.l.dzn� IocaL-ion draim on these CertiLicates. . DESCRI PTIOIV OF BUI LDI t�G ' To l3e Used I:s: ' r' � �� Front: .3� l)epth: � � Height: �� _ - Square reet: .�� Cubic Fe� �: �o� �� r �ron t : � Depth : � iie ight : � Square F'eet: Gtitbic reet: ' Type o� Construction: �dt�yl�.�Q . Estiunated Cost: � �'1 � ' � 3G1, � To ]3e Comnl�t-ed: A1L-. A Alt. B Pr_opos c2 Drivet,ray 1•;idt:h If l�ew Opcning Is D�si�'ed _ $ $ • �� (S�� }'.�VEFsE SIDE OF SHEET} .j ' ' . f ncc�rsianed he�-e}�y niakes application for a permiL- for the work herein sp^cifa.ed, , gz-eeing to do all ti.ork in stric� accord�-�nce �ai.t.�� tlie Cit-y of 7Fa:i�le�� Ord�nances an:i ruliszgs ot the Dcn�r�racnt oi' }_uildings, and hez-eby decl.ares Lh�t all tlie £acts and ret�resentatic�ns stated i�1 i:}iis a�plic��Lion . � a�:e Lrue <��a correct. See �-everse side i�r aciciii:ional ini'oz-mation. �'�T�: S]CGIeA'1°URL•': ' Qo�� - Sti��ulations: � 1�� '�`-- �-� � — ° �3. L �/�'""'� . . /%%�i /JYte�t, '�.�,u�.�� G�� 'fu'' / 0 . � � � . . ' `� �„ ��r�� — �' �� , . . � � � �,�,� � . . �'�'�- �•?. �a , r . �� ,r �v r�r� �c:c �s.�. � �� • � �,p �_��r� ,��.�� n ��, � � BUILDIIdG PCR�•1IT FEr SCiiEDULE S�CTION 2. The inspector of Buil.�3ings shall, before issuing pezr,�it� far the c:rectior. of any buildinc� or sLructure, or for any addition to any existing buildirg ar structure, or for any a1L-eration or reZ�ai�s to an�� existing buildin� ar struc��are, ttpari applir_�Lion i:�crefore, require t_he paymenL- k�y the applicant fc,r sucli pex�mit of. fees Lo the amount herein belo�� set forth and in the manner herLin provided to-a�it: P;L'64 CONSTRUCTION: Single I'amily Homes and Garages: $4.00/1,d00 cubic �eet.. PLAN CHEGY.: 25 percent of bui�ding permit fee. ' DRIVEVdFi`i DEPRESSION: (Concrete Curb Streets Only) Alternate A: P,emoval and replacement of concrete curb and gut•ter anly; Driveway wi dth plus 6 f�et t: $14. 50 Alternate B: Removal and replacement of conc�ete curb ancl gutter arYd install a 3 foot wide 3pproach with ' 6 inch depth; Driveway width plus 6 feet x$I�•2� ,�I IOPdAL I tJFQ�.�iAT I ON For the purpos� of cam�uting f�es for building permits, the cubical contents of an}� b:iildiri� ar additior,, is detnrmined by multiplying the ground area cc�ered from a p�znt six (h) inches below the floor line of tne basement or th� cellar to the aver�.�� hcig;its o� thz upper surface or to the avera3e height of the roet surface c�f �Q main qable of a pitched roof. Fa'!' te�oirs or altera�ions to an existing structure, th� fee shal?. be at the rate of $3.00 j�er e�ch f.i_ve hundred do? lars ($500.00) or fraction tl-:ereof in the CpSt of alJ. proposed wor}:. T_n n� c�se shall �.he fee charged for any pe�znit as set fort-ii in Section 2 be l�s� tr,�n $7. r�� plus Y.50 utate surch.arge. �RIFIC ,T�iOV OF FOU�!DATION NOTu': Pzz�::its �or �on_�tructi�n will be issued a minimum of 'l4 hours from the tim° o� G�pl:ir�a�ion to allow for proper review of the proposed �tructure and of the consi:z�.:�tion si te. A Ce�-i-.ificate o� Su:vep of the lot, showing the location of the foundation once it has b�era cons�tructed wi_11 be required bei'ore proce�dir.g with the frami.n�. �CRiIFTCAl'E 0�= G��U°AN�Y Ii�f�l.i�atinn fc�r a Certificate of Occupancy sl�all be made ten (10) days prior �a t;�e use �r c�ccunancy of any structuxe for whici: a building permit has k�cen issu�d; ar.d saa.d s;:ructux•� shall no� be used or occupied until a Certificate o� Occupancy has tse�n issued. " 6 � s � � . . . . _. , . . . � -.._�_..-_,_ , .... . - . .. .L,. ._ .. . .i. . , ._.....-..._ " �' ��,.'�� t` � . , � , _. . . .1 r . ' ., ��Vs� � s �'�� , . - � �� :�, � ��'�� ' ; . ti �` � �� ......._._._....__- -- --�� _., r _ g . � � ' - _ ' ' - � \ � ., ~ � . . �sP�,��r s�N�r�w��.� � , � �� '�'��' - , . '- . � . . `�._.. _ ' - _ i � �� `��R�9$€�G ��u� � ` � M" ' provide approv9d products of . �' .. � ' . � ..� "' ' Combusfiion detector other than � , heat in ail dweiling aaiis as � . _� � "required in section 1413 uf ,y,��.�c.�s��'��*"- . . _� ""f973 idnifornr-�uilding �ede� .. ': • µ��.q'{pan! I ; - - �� , ��, �� ! � . . ,d . �i/`� e . � - . . ��..�____.�., .�. ___T , � ��,��.. � . � r � � �� , _.. __;.__,_.�..._�_ d . � ,� , --- -- f � . � �, , � . � .. ; . . . . � . _ . i � '� , � . ,� t � Eve slee :n ��. ic1 M w; N�l��v �� - _ _ . • '., . ,. w�nduw w h a sil! he�� g�o n t mor�ha�B ----°-�- . ."�T • ,...�..;.:..�,_,..,_...,.�.�.�..�.__�». 48" abOVe the floor and sha�t provide not � L" ��.�� ,_ ..3� iess than 5 sq. ft. W opema6learea. • 3G�o�w�._ �^.� uC � � . . • � .m .. .. _._ _..._._._..�. . _ ..._._ .....:-:.,��_._.__�_ ...� ,_ .._..._. ._ �amBnSia►le5s than 22" • � . � , • . . -� \ . . � �is lN ata l� . ' . � . r ��-.r� -- �.,� �i i�'�.2 �. �.. . .. .. � �.._..� _..�..�--�. — — - t ' __..._._.....>. � . - __ , _ __..,..r..:,. _.. ..._�.�... .__._, _ :_ .... . . . �� 4- ' ;- � .. - � . � . .. .- '�. .. . ,� .,.. . . . . � .... _ . ._�_� .__._.,._..___..... .. _. .._ .�. . _.._._ _ .-'- _ _ . . . . � . ' , �-'-- _.__---' __....�.._. .......�_._�. �_ea.__.._�_�...._...._......,.. • .� _... �_.._..-� . .....r..�..�.._.. . :...-;..w..rc.a--...a+..�---�� - � _ --'-'-' . � . �+ .. • : d. , . - � � . e L° �. 0 .,� \ `..�i'trG fr��. �.. �1.CJ._�' _...._.. _�� e � d � � a s� .._ _.. . _. REYISIONS AND PATTERN CH� {.71AN6[0 DAT6 BY � i . "�F�fIS PE.�Af MUST �E MAItV'FA1�ED ANO ACCESSl�LE �N TFiE �(?iUSTRUCT{ON SITE. s . OFAWN BY � DATE tRACFO EY MtE aucKCO sr nnre ACPiOVFD BY DAfE SCALE D1�4WING NO. ; . ' �...- S � � . �� . . , � - , ' - _ . . � �� . � � �."" - • t .: . ' � . �„' �e0 � � �� ti� . � _ � �__ . ,�.-•C�- . � _ ._.._�:_ r...__..,. . _ . _�_ .... _ .. .`�..,,-.,.,,q .....�...._,.....� �ti'? - � � - ��- - .�� b�` .;_ . �� q1/� - - � t ,.. � _ - . � • - � ;Z. �'ru.,r l,ATt�::S ''-�--�-... y.r� � , . - /�a �t?� . `�d - ? �: � _ - 2� v� �eh`��" c �'�. �' d �. � - -- _ ._.. _�.____ . , � . _ � . _.. _—_ _`.�.__ �.��.....�.,.� , . ,. , ( - , ' � . . �r fi' . , �J � D 4 _ . � .. � , � � . , �� 4 ! � : . . ._� � � � , ___..._.: ;I � n,a�-�"' _...L_-- - ------ �-- - . [ . i � ' dV i1+'FOW ' { , � � ' ' (sj'jj' X fD��`. . . � i 4 _ 9_ .�_ _ ' � ��ir+e� t�o�i� . : � , j — .� ti.. .. � ._.__.�..__.__.-_ i� t� aa -� '� - ��.._ _ ! � ��. . , _. . _. __ . _ . _ ...___... .. -' ...;...:.:.�.v-Y�-°x-� _ �,.- �� ,. , -. i ; , u.__ �_.._ _..___' .">� }` "_ '- - r �: g • . � � �. . i } � y ;�� ` ' :� � , , . � , i.t , � • ` . ' ` ;. . � c„t.��i�. ws,�o� t � � • , , :- - �1_ . _ � _ � .. _ _ ... _ _ _,.__. _ . _ .__..._.....� _..__ __. . _. _ ____ _ .� . �.�,..�.,�, ��..,...._. ..-.�_..,.___-w _._. �...... ..-_.. . . , . . . . {'�T ..-..�1 � � � f . i. . . .. ' .�... � .. . } � , c�i �,� , _ Gr�4R� ,%t..�'-��;et t' � -__�_. � '---__. . .. ' i . s � • ` . • „ ; � i: � - � �.�s� �y�._m._- .zs�.��5 �: . ��.o�� - r �" ��a"c � � . -=. - . _. __ ___.�.�._.._� �. a . C ,�+L•N l7 Ifl { 1'� StR. . -. � _.:__��.q�.3:'� ... __.�.._.._°�-_.__•..........._�.__..�_.......__. - - . ..�..�._-.._Y._,......r ...._...-__..__.._.., �¢ ;-_._...q,....,..�'�" : , , � � _ s . _...,. -_,_. _..._. _ _ _ _ . ._ _ - -. _. . - --._. ._ . . _ . .. � �--�,.._ .... __ _ - - .. _ _.._.__.__ ._._..---_ -_ -.- - - -_..__ �� _ ___.�.__..____.__...._ _ ----- � , j`r y�yc _ � , .• . :. 4� 14 ..V�4�ll:k� � . . - ' G'>L:oG.k � � _ _ . � � . � . , . ' . o � �. �# . � �.��r�.�-�� _ _._ :_ �. _ _ _._ . ,�s.. .. __ _._._.. 4 . i ♦ � 9 * � MR. 8i MRS.:IOHN P. URISTP 6599 CHANNEL ROAD ERIDL:EX, MItJNESO'fq �_54�5 . � �'� y-oIS�' : � �.._ ...� .,.� ' '�b . " t�`�f � � ° -, ( � : . � �� A��°�� SY�i�%9 1 �c� _ _ �' Provide aporoved produc4s of � _ < . _ combusiion �e,ectRr other than heat in aR ��aclfing units as � , - � - - � . - : required in section 1413 of . � -�--�Ai�f�.ti�....��.,��,e ` ; I973 Unifiorm �uilding Co!ie � . � � �`� ` i . �--, CD . . , ---1-�----�----�---- ---�. _1__ . . �_.._._:.. _�_.___._ ._.._. ....___:_ ...�.. ...� :� . ._ ^~ : �` � , j _` _��. _ .� ., � � : � . ��o�� 1 � S��u�� , _._._ _ �+ ; ( ; �'� .-._._._.`_..,..�.. _�• .....-... ... _.,�...._ .,_•..�.�-�.`��.__.__._ . _.... ( � . r�53i I ! I I ' ! �' 1 � . y � . .. . �t � :. � i � sta��2�-�- f . ; � , Y � e � �„ , . y— wnl � � k, . �� ; � � � . _. � _ t - ,�-----� , __ `._�__- ---�-��V -�-'�._� 4� y � i . 6. � { ? `� j • ,�� `�En'' S L�, f i 9 � - . °a�� ___. ..--.. . {� r�e�±��;�.. � � � .' : .i.o xl � � r� � Etrety sleeptng raom shai! have a4 least ode ; yyu�dot,►svdh a siA hejgnt ot not more thao ,�� • F qg•� aboye the tloor and shali provide not � ± tess than 5 su. n ot oDenaWe are� �h mD. ' � dienaPl�Qi1 tC's5 t�t9 22" ,» T —" __... aC:i. �_ _�--- —�—�._..�__..,._... ,_.� ,._.__ _.__.._�__ __ _..._._ _ _ 3 0' __ . _.._;.: .__ -- � , _ ___�_a w��. . �..�.s� . � � . � � �� . . ``� �►�n� n�usr ��'Q�' 'VTAINEI� ANl� ��« ON TH�' ucrio�v si�. -------_._._ REVISIONS AND PATTEBN CH QIkNOW DATE BY 0 �� I �f �..�., �._. � w - — rr , �' ", li 1.�� , i -�' �I � . Y �'s tA \� j ,3 I � . . � �� ; , _ . � � � i ��; - y �� .�' . ' a �,�.,-- �� _ 4 } . �_ .� a 4 r , • , ..- �FAq'N 8Y TRACED BY CifFtl(FD BY APPROVED BI sc%i� � � �" ��, . � . 7i ��,n � � �6� � ��" V �t � � OarE DA/F '� DAtt DRAWlNG NO. � .. , I i i . � � � ., tE 7 i -� � g � � � � � 0 I M � . � • � . . � '` ; � . ` , f_ - " .. F • t - r f . , t s � � k��x; �� a j�-��5�. � t � � � � �E r . r . - �. � � . • � � � �`--•----._.._.____ -- . — . _...__._...._ .� , ._.__ ___.�_. _...... _...�.. .f�._._.._.._.._.._. .._._�... .__.._,__._._ „_.._-- -__--.__._�..,.;,..�..........:_ve.....� E � — s .�.._--�. i - __ . _.. _ . .. s i � � : ' : � �*',�r'� 5 uP � � t - � . �---� - --� . t � _ � ..._ a� •� a ' ' ; � , � s .; . 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ADDIYIONAL INFORMATION, �. IT�OlCASEO CHORD SPLICF$ SMAl6 86 LOCAYED 1!4 OF YH8 . FABFICAYIOY INSTRUC710N4,- PAroEI L@WGYN (_g'•) yHASURC+D FROP! A JOiPlY. . APdD NOYICES. � Q 6 � 9EE L1T. 9RAC'_VG 3CHEDULE - E lssrebg e�rilfg that thie plan. ep�slgflcatlono os roporC umn Bgo9�� tg/ mo os �do� mg dlseo� supoa�v4oaaffi an:1 th3C I am a dulg Rr�3lator�d Pa�a� �S000aon�g P.�agYnesos unCo� tho laoo �R' :4Ho 38c�Qo oS tf2n�aosot�, � .� �� a II64Q� G�L�,�,.�, $��e �O. 94i%� �s 1 6�.f�.�.�C�J•�QB� ° �o-JB'iB9°J«d °aYBo�9ff$.BR1tL'.. 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YI V O VI tt� A1 N W o� c a° o° °o °o o° °o o° o° o° °o o°o `� tb • . tA i/l i/l ib N� tp N fA. fA N� N t/l N tA tA N H �� . 0 � � � 0 � � r � � � V � r�b i� ° as N O � ro � 'AO � � .� � � � �b .ro � � 0 0 O � � � � d � ao � a � v A � M � � � � � �' � p . � . � M � 0 � ry � w Stories : � a a a n M d ` � z Closets t �Urinals x " . � � sath ltibs n � �o � Basins O � p' � ^° Sinks � � Wash Trays � w Drinkinq `° w ' Fauntains � Showers � Floor Dr � catch � Basins a� Automatic E Washer � Gas Apgl. . Misc. Fixt a � Gas Ranqe � E � ►�s Othet � m �m . � � K ' n y � t� � � C K z � � � �� Q' S m am �nro °v � n � �e � c°�i � w a u�i ►°A � � �`aa.ca ►�-•M� m � `°� m aao °° a o rt r u+ r►a � M� � O� M m W � � � � ' ��K � � M O''G � � ��w� � `° *�CEi m n h � � � .'O F��+ � G i� H ,y m o. r� � r : rp~.m o - �� M � Q, �m a � '� m� ��s � �°oa�� oa n n a� A ' �w�� 17 N tpn+ � K � : �1•� o S� , � f0 O 0 � e 4 � �r} � � "J K `C 7'� • a �, � y, .�� . � a 'D � r .. C7 . � -� 0 Z "�t - O � '� � � 3 —~.� � �C � O a T Z b � G� ►-.• N �a'r7 '��'1 �-G .. � ci • � � . . � "� ' SUBJECT PE O. City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� r - � . � ` PT NO. � `v _.___ COMMUNITY DEVELOPMENT OIV. �� r � � PROTECTIVE INSPECTION SEC. � � , i ( �� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE Of APPROVED BV �'""""�� ,�� 612-571-3450 910-F15 10/21/94 / / JOB ADORESS 6599 Channel Road NE t LEGAL LOT NO. BLOCK THACT OR ADDITION SEE ATTACHED DESCR. (�,G ReV. Aud. S11b. ��21 SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE John Urista 6599 Channel Road NE 574-0158 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION OX REPAIR � MOVE ❑ REMOVE B DESCRIBE WOHK Reroof House & Gara e 23 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITB ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. 7HE GRANTING OF A PERMIT �l s 725 �. H6 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PFOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��FI.00 Fire SC �1.73 PLAN CHECKFEE TOTALFEE $43.59 � SGNATUAEOFCON�AACT0�70RAUTNORIZEDAGENT IDATE� WHEN PFiOPERL VALIDATED THIS IS YOUR PERM�T ��ATURE OF WNERUF OWNER BUILD I IDATEI ' BlD �NS� " �� narE r�w ADDN ALTER I] [l �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-I AND R-2 Buitding Pemiit Application Effe�tive 11i/94 ConstcuctionAddress: �� 9 9 C h Q r�r� e/�� Legai Description: Owner Name & Address: �oh � � U �s �� 9 � Gh c� nrr � i �'�/ Tel. # � 7�I- — o� /s'� � � � � �%`:i�:i►_'��!'i,!%�A!; � 1 Address: LIVIATG AREA: G�GB AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the 1ot, with the prc�posed cons�vction drdwn on it to sc�le. �II� I.ength I.eagth � DESCRiPTION UF IMPROVEMENT �Vidth Width R�idth Tel. # . Height �. Ft. Height Sq. F� Iigt/Ground Sq. Ft. , .-�.: �,. ,� � �� S;� � Coraer Lot [] Inside Lot [] Ft. Yd Setback Side Yazd Setbacks Type of Construction: Fstimat+ed Cost; $ �%�-�-�� _Approx. Completion Date: - . '' (cost `on �acx j . _ �; . Driveway Curb Cut Width Ne�ed: F� + 6 Ft = Ft x$ =� DATE: �/��.��' ,�¢_ API'LICANT: �c�,d i ti� r1-� . L! R�.s: l�- Tel. # 5�}.-- � 1s8 �. Penmt Fee Fire Surcharge State Surc�arge SAC C6arge License Swcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TQTAL ��SE ONLY , $ "7�� ` Fee.Sch�ule on Reverse Side $ % � %� --(l01 of Permit Valuation (1/10th%) $ r �:SO!$1,000 Va�uation $ $� pa SAC Unit $ $S.OQ (State Licensed Residential Contractors) $ Alt. "A° or Ait "B" Above � $ $ � �,� $450.(� ConSe�vation Plan Review F� Determin�d by Engineen.ng Agreement Necessary [ ] ATot Ne��;�sary [ ] STIPULATIONS: � i3U[LDING PERMIT FEE SCHEDULE `i'he Chicf [3uildiag Ofticial shall, f�efore issuing �ermits for the erection of any buildiag or structuce, 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 tfte . payment by the applicant for such permit of tcc.s to the ainount hercin Uelow sei forth and in the maaner herein provicicd LO-Wit: TOTAL VALUE $1 to $500 $SO1 to $2,000 FEES $i5 (Minimum Fee is $15 pius surcharge) $15 for first $S0p plus $2 for each additional $100 or fraction thereof, to and including $2,Op0 - $2,001 to $25,IX}0 . $45 for fiist �2,000 plus $9 for �each additional $1;0�0 . or fraction t��of, to and inclu�ng $25,0(}0 • $25;001 to $SO,OOU �SO,U01 to $IQ0,000 + $i00,001 to $SOO,OQO - .$500,001 to . $I,O00,(�0 - : . , $1,000;001 and up Alternate °A": Alternate "B": $252 for first $25,Q00 pl�s $6 Sp for �ach additional $1;000 or firddion thcxeof, �v_ and includ�ng $�0,000 -- $414.50 for first $50,UOU plus $4S0 for each additional . $1,000 or fcachoa t�eo� _to .aad indu�Cng $140,000 $639.50 for first -$100,U00'pins- $3S0 for each aildmional-' �. $1,Q00 or fraction ti�co� _ to._and includ�g.. $SD4,OQ0 � �` - : :,i �?A39SO::far,� dze first:`�$�)O;ODO = plas � * _, D � � � O � � � o y 1 O� H � A • � �' o � 3 � 0 a� O �• � �' 01 o� � � � a o � c�°D °' � N: .� a o �D � 1 `°. a � � O C .�► D � � � < cu a W � � O C 04 s � � n� � � � � 0 � � m C 'm�t Z Z � _ � 3 C �-�i rn�3 a -� . o � ° z Q Q � , m .. � \ � .• _.. . • m �� -Di�a .... �P r*1 � Z .. V " o �om. (a. _ D, .. * _ =-_I�._ .:. noz . .. �z� : ., :� N oa' � c� o. 2 � � �` � o a � h1 � i"� _ � � � � � C7 � � o �- o '� -� � � �� C� a d � y � d�� C '"o O� . QC a� D`��, v � 'o c`,', � Q° — � � a � �• A f�D N � (D 1 C� N O � y -� O � N o x- � - —I Cn � -�-I O � z_ D � .. r m = n �1'1 - rn � - - v cr - — _ -� t�y c�D N � O O fA :a9 � � .O � � y � � � � � � � n � � � � � a �o o.� dh�� rt �� N y W � � �, _.��a .+ av °' a „+, c�o � � o � a °'o Q. Q. � oo� .-« <_ °1 � 7� N� � => >• � N � d � � � > >�U �• a -v °« � � ci � � � =`• a> � � � co a c� -^ � � ° o c a a� � � °'.o � � N (np � a�� o •°+�o � � � � � �� a �o N O � � Q ? tD � Q y C�D �, �. _ � o�i � D c y N N t/l �= Q v � �,��a► � � � v�!?co�� .. � � � d s = � ^ < <D � .Z: •��r N '��"' N d "�'� �a�� .-m ° a � � v y —c n .°. �'.0 � �. m a� � �, d " � � pp m o C c� � t c�i � m ' �� c � c�c `-°. � . �a � �a O O O O � O O � O � O O O O � %H �69 ifl �6�9 (a9 69 � � r" � W C � � c� � -� d a c� z n� � 2 'O N c� z 0 m v � ,� Z d o ao ce �, aZi � � °� N =* �� o'v O � C? N � n � o p � � � � .n+ ^ m � a �� r N' O1 a�"Z3 v � O = 0 � n� � c� : d -� � � _v, m � -�I D --� m v c� 0 � � � �� 'v m � � z O � � � � C r= a Z G� c � m v � Z m c1 • .- � 0 CFIIlViNEY AND. STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (�f No () 2. Is free from rust or deterioration . Y�s (� No O 3. Has no foreign objects lodged within Yes (� No () 4. Is securely supported Yes (� No O 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks : Yes ( �No ( ) Yes ( } No ( ) Yes ( ) No ( ) HEATING CO: Signed By: Date: � � °��-.� � / �� ,cc�, � ,�. _ �5�� /fQ 'i�09£-ZLS �£9L) �� IS�niQ uor��adsuI �utp�ng a� ��uo� as�aid `paaannsu� suor�sanb �iu� an� o� ao uoq�adsutaa a� dn �as oZ •pa�aidu�o� a�an� suoA�a.uo� a� �uan o� ��adsu�a.� o� paau a� •d� �iauun�� pa�s� apino.� •z '�I9� �'Y1i�J �ad �o��auao� �uan az�s • i :suoR�a.r.io� �t.nmo�o� a� pa�ou IOOZ `6Z �aqo��p uo pa��npuo� uop�adsut � aqZ •ssa.�pp� mo� �� a�t�un� �e �sat o� IOOZ `8Z �Taquza�das uo pansst s�n� �nzuad �nm�q�atu � :sn�od •s� �aQ ny u�qmqns :.�o��.�uo� �l�I P��2I ta�i� 66S9 �� uop�adsaI 1�3 �a2I Z£f�SS 1�IJAi `�aipu3 � p�og iauaeq� 66S9 snuz�qiod a�y� •sy� ZOOZ `£Z ��n�' LSZI-ILS (£9L) X�dd • OSi�£-iLS i£9L) • Z£bSS 1�iY1i `A�"IQI2i3 '�'N '�A�d �.LIS2I�AI1�If1 i£t�9 • 2I�.LM��'INdI�INf1L1i A�'IQIN3 /V 1QliIV� �� /�i.�� _ � Building Inspections 763-572-3604 �G�� J� BUILDING RESIDENTIAL APPLICATI�N CITY OF FRIDLEY Permit No.: Received By: Date Rec'c�: DATE 'v� l,�Z I I d�P YOUR E-MAIL ADDRESS PV ,4 S�4 S S t:�, �'-'�) f't. � L - C 0/"( SITEADDFESS %S9� C./t�tnne� �� TH1S APPLICANT IS: ❑ OWNER �CQNTRACTOR PROPERTY OWNER/ NAME: �SS 1� f-J�SS�-vl/ TENANT ADDRESS: � S41 R C i� q n/Le�I �o� CITY F✓ ��(1 e.�l STATF,��IZIP S�1/'� L PHONE: 7� � S 7/ / 6 3 S' CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE VJITH APPLICAT`ION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: STATE LICENSE #�,}1 S .�nDxESS: 6 / 3 S PHONE �o S I a OF� � SINGLE FAMILY/NE� ❑ TWO FAMILY/NEW C �rr�f ��2 Sa � EXP DATE 3� 3i z o0 a 7 / y FAX CONSTRUCTION ❑ BASEMENT FINLSH ❑ DECK ❑ NEW ❑ MAINTENANCFJREPAIR DESCRIBE WORK BEING STZE OF IMPROVEMENT � Y z 3e� NUMBER OF SQUARES J � ❑ ROOF ❑ SIDING � SWIMMING POOL � ADDTTION � REMODELING � �—''I �. ,/� t�1� �.y� 2Y LENGTH ❑ HOUSE ONLY � HOUSE & GARAGE GARAGES � � � x � � ❑ ATI'ACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIG� �(�-�° �7� SIDING � Vinyl ❑ Aluminum D Other �Soffit ❑ Trim �� vpt �A v,^�'� � Fascia � CITY EO/rv� STATFII,B��ZIP s3"y.Z`� SIZE STORIES 0 WINDOWS ❑ DRAIN TILE ❑ OTHER Ga�as� .¢� WIDTH HEIGHT BASEMENT REMODELING SUBMTT: I. F�cisting Floor Plan 2. Proposed floor plan 3. List of structura] members to be used F�� FOR NEW CONSTRUCTION INCLUDING DECKS, ,ADDTfIONS & PORCHES SUBMTT: 1. Site Plan/Survey showing the existing struotures and proposed project. 2. Two sets of consisuction plans WINDOWS 3. Energy Calculations 1N EXISTING OFENINGS ❑Yes ONo LOCAITON OF WINDOWS ORFORNEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINBOWS ALL FEES ARE BASED ON VALUATION, INCLUDING TI3E COST OF LABOR AND MATERIA.LS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�Li'��f; � OCCUPANCY TYPE Pemut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk 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 Muumum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge 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 pernut and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re uires review a d approval of plans. S IGNATURE OF APPLICANT L�.rb l7�"1 /u�� PRINT NAME t� 0��s-�' � u/'�"'/ DATE � L I �J � J 3 / � � � � �' +O � 1�� i � y � � � �.^ � VI � � � U �i C V In. � � ,�L�� I "� a r i ! � 4 � iJ� � ►1. � � � � � i�'i � � ..� , � � � �1 ... _ �..�_ __._�..�...��._. _� _�_ . _.__ ._� �w t ��.� _.._.�._.�._.��.��._�._...._ ._�. .._ _ . ._ � _ _. __ � �� Effective 1/1/04 �L� o��`� CITY OF FRIDLEY MOVING [, WRECKING [] PERMIT APPLICATION 6431 University Ave NE Fridley MN 55432 � (763) 572-3604 FAX (763) 571-1287 Job Address: C, 1°l °r C��,�,�.�( � Legal Description: Owner & Address : f{ 5 S�'� �-{a� SS �-v✓ Contractcrr : C �.✓�-h,� y �, L�, ;�-c; Address: .��77 �- 32 "`� ��-re��- State License # . DESCRIPTION OF BUII�DING HOUSE: Length Width GARAGE:Length � Width � � OTHER: Length Width Estimated Cost $ Tel. # Tel. # Height Sq. Ft. Cu. Ft. Height �� Sq. Ft. Height Sq. Ft. Approx. Completion Date Cu. Ft. Cu. Ft. C'AT•T• GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS . CALL AT•T• UTILITIES FOR DISCONNECTS BEFORE WRECItING/MOVI%TG STRUCTURE. Water Bill Paid: Yes [ J or Collect [$ Moving Route: Signature The undersigned hereby makes application for a permit to wreck/move the building described. above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in trus application are true and correct. ALL DEMOLITON DEBRIS, INCLUDING FOUNDATION & SLAB, SHALL BE REMOVED FROM SITE. �1 �� U�� Date Signature � MOVing - - - Principle building into Fridley . . . . $300.00 Accessory building into Fridley ...$ 42.Q0 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 � PERMIT FEE: � � --�--� MINIMUM $20.00 Wrec ' For each 1,400 cubic feet or fraction.. ....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for ea.ch $500.00 or fraction. STIPULATIONS: 5931 Hot� Lane - • �hlte 8eer Lake, AAN 55110 L��1 � ��4 �: �, � ` L� Larson �, ' � � 0 � �AVe �no�a oIz ��Nn ��vo � _ •�t l S f i n�► �'(-�' c5 S-�-5 - G' �c � l�fL� ,� +�'t� �-' Q�-'�'' . �a,c. ! s � � •f3��+ (� n IS ,�s 'C� � g � 1 NGj �ZC�?,» S � �?�'i 1�.1 L � , � 2- 4 � G' ,.:, � i i��... t� � � �'ls s' ��o 0 3 �ow S ^. /G� N�It S Ct� �2��.�.. �I 3/� xB'` LU t.. . `�tsr �� b�► 2 • t� l S fi, �v� � o� S-rx � �, � � �6 � SP M� tZ•'- b--1� ICkW, ! hereby ceriify th�t th�s ��s�, �'tt�a�. or r�pa�t �as pr�pa;c-r1 ?�� az�� srr ��;�r � dicsG� StA��l65's�r� �:id th�� #�,� s e�u�Y Licen�d Pru�.,�sa�s�a! E€��ainc�� a��r ��ae i�S Of �9'8� Sir'S�.E c�� b°ll�ii�i1�3`SO$3. Pr+�f N�ms: ,��y�c�e �. �.arsc�� ,_._ sig�c�re : ...,��1y �-'�� '��.:.�,�C, : � 7�t Building Inspections 763-572-3604 DATE / SITE ADDRESS l THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICA'FION PERMIT TYPE TYPE OF WORK: MECHA.NICAL RESIDENTIAL APPLICATION CITY OF FRIDIdEY ❑ OWISER COMPANY NAME:_ CONTACT PERSON: YOUR E-MAII. ADDRESS CITY. Pemut No.� Received By:� Date Rec'd: �6d STATE LICENSE � � � D'°'� ��1.� 3 ' C�y � ��STATE�ZIP_ �� wn�ss: 7�,� (l�� rcns �. • PHONE __7f0 i� S%iI�' Q�SA FAX �SINGLE FAMILY ❑ TWO FAMILY ❑ �W 0 REPLACEMENT DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE ALTERATION/REMODEL PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation ar 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 BASBD ON $10.00 PER FIXTURE, E�E T WI�RE NOTED. FIXTURES: (WDTCATE TOTAL NUMBER OF EACH BELOV� MODEL: ____ �,�� SIZE/BTU Equipmant Installed , M�G: SIZEBTU MFG: MODEL: SIZEBTU �G: MODEL: _A/C $25.00 FIREPi.AGE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (W�D) $35.00 NEW GAS GRILL $10.00 �- BOILER $35.00 FURNACE $35.00 GAS IJNIT HT'R $10.� CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 — t ...�.,z.::� ,.w�,,.�:�s'�T,.�s.�. .: _' � .wAavs�..�a^r,+s��ii: �. ,.w�. �� ,a.� :�'...�r V.. � >.,,��A�'�lA�.'._ ,::, ...,:�� s-.aa..*v�. .,-�w-- ,,�.F -r_..,.,-.<. ..._ ..__ . ....._..... . _ Permit Fee $___!,�_•� Number of fixtures @$10.00 x$10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $_j.�•,� Number of fixtur'es @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERNIIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ci of Fridley and with the Minnesota-Construction Codes; that � understand this is not a permit but only an application for a permit an ork is not to start without a pemait; that the work will be in accordance with the approved plan in the case o all wor hich requir� and approval of plans. �' n `Q� • I� } �N Sd DATE 0� SIGNATLJRE OF APPLICANT PR1Nr NAME LV.I�—T_'/�— City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATI�N NEEDED TO PROCESS PERMlT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTt1�G HOME ❑ MAKE-UP AIR REQUIRED �R NEW/EXIS�ING HOMES 1. Combustion Air (See note below) , a. Oil or solid fnel IMC Clia.pter 7 with MN Amendments b. Nat1u-al Gas or Propa:ne/IFGC Chapter 3 with MN Amendments 2. Make-up Ait (See note below) a. IlvIC Chapter 5 with MN Am.endments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas 1MC Chapter 8 with MN Amend.ments REQUIRED FOR NEW HOMES 4. Hea� loss & cooling load. per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7b72 6. Duct Design Per IMC 134b.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations City of Fridley Inspections List Report Actual Date To: 7/6/2006 Permit # From: 2006-00317 To: 2006-00317 Permit Type: All Property Type: All Construction Type: All Inspector: All Status: Pass/FaiUNo Status Include Notes: Yes Permit # Site Address Inspection Type 2006-00317 6599 CHANNEL RD NE Applicant Status Sched Date Century Roofmg FRANIING Pass 04/28/2006 01:00 PM DAVE 04/28/2006 DAVE Sheathing built rite inspection ok new. Some water damaged sheathing to be replaced on existing portion of building south and east expossures. SITE INSPECTION Pass 03/22/2006 01:30 AM DAVE 03/22/2006 DAVE Building debris and furniture scatterd on site. To be cleaned up by 3/23/06. Dumpster to be on hard surface. SITE INSPECTION Open OS/17/2006 RONJ POSTED STOP WORK ORDER, PERMIT IS REVOKED, CONTRACTOR GAVE FALSE INFORMATION AND NOT A STATE LIC. CONTRACTOR. Time Insp Actual Date Insp NO ONE IS TO WORK AT SITE UNLESS APPROVED BY TI� HOMEOWNER. FRIDLEY POLICE HAVE BEEN NOTIFIED. CORRECTIONS NEEDED A.S.A.P 1 PROVIDEHEADER FOR LOAD BEARING WALL IN KITCHEN 2 WIRE NUTS FOR ALL EXPOSED WIRING SITE INSPECTION Pass 06/26/2006 RONJ CONCRETE PILES IN DRIVE WAY, WINDOWS BOARDED DUE TO REVOKED PERNIIT. CONTACTED CEE AND OTI�R BUII.,DERS FOR BIDS TO COMPLETE PROJECT. OWNER HAS RECEIVED BIDS FOR 150,000 PLUS. ORIG. BID WA5 AT 75,000. TOLD OWNER TO COMPLET'E EXTERIOR WORK FIST, SIDING, WINDOWS AND DRIVEWAY. TI� REMODELING ADVISOR AND MYSELF TO MEET WITH HOMEOWNER TO TRY AND GET WORK COMPLETED. 7/6/2006 Page 1 of 1 �, Page 1 of 1 Julkowski, Ron From Sent: To: Cc: Abbott, Don Wednesday, May 17, 2006 10:35 AM Ahlers, Sharie; Anderson, Laurel; Crestik, Rick; Harris, Myra; Monsrud, Mike; Monsrud, Steve; Mork, Jim; Morrissey, Mike; Prois, David; Rewitzer, Bob; Salo, Greg; Weierke, Brian Julkowski, Ron; Jensen, David Subject: Assist to Building Inspection Attachments: Don Abbott.vcf Greetings, Information from our Chief Building Official, Ron Julkowski, that he has issued a Stop Work Order for construction at ��.4 Channel Bd.,�a private residence owned by Assia Hassan. Mr. Hassan had contracted with Robert Duffy of Century Roofing to pertorm work on the driveway and other projects. Duffy was reportedly arrested by Ramsey County SO yesterday on a warrant. Also, Duffy is using the name and letterhead of Century Roofing without permission. The City has now revoked the building permit issued to Mr. Duffy. If anyone from Duffy's crew shows up to continue work, the homeowner will call police or building inspections. If you receive the call, please respond and order the contractor(s) to stop work, per the legal order from building inspections. If they present a new permit, please check the dates and verify the legitimacy of the permit with Building Inspectors Julkowski or Dave Jensen. Obviously, if work continues in violation, do what you do so well, Also, be aware that the Hassan's may find a new contractor who will pull a new permit and continue the work legally. They should display that permit at the work sight. Here are some specifics for you: City Ordinance Ch 206 adopts the Minnesota Building Code in the City of Fridley MSS 166 adopts the Building Code throughout the state and specifies conditions, enforcement, etc. MSS 16B.69 specifies violations of the Building Code (MN Rules Chapter 1200) to be Misdemeanors MN Rule 1300.0120 sub 12 requires permits before work is performed MN Rule 1300.0170 specifies conditions of Stop Work Orders. Thanks, Don Don Abbott, Public Safety Director City of Fridley Minnesota 6431 University Ave NE Fridley, NiN 55432 Phone: 763-572-3625 Fax: 763-572-3651 email: abbottd@ci.fridley.mn.us 5/1?/2006 d ;. ��—��'� �'� " ��7" �� .�- �v� -�� ra✓'� ��/�✓ � �o°a -0�;�3 ��n -��/�� y �� 9 � � � � , `� � � � ADDRESS: DATE: INSPECTION TYPE: 6599 CHANNEL RD NE 5/17/2006 TIME: SITE INSPECTION PERNIIT NO. 2006-00317 INSPECTOR: (None) NOTES: POSTED STOP WORK ORDER, PERMIT IS REVOKED, CONTRACTOR GAVE FALSE INFORMATION AND NOT A STATE LIC. CONTRACTOR. NO ONE IS TO WORK AT SITE ONLESS APPROVED BY TI� HOMEOWNER. FRIDLEY POLICE HAVE BEEN NOTIFIED. CORRECTIONS NEEDED A.S.A.P 1 PROVIDEHEADER FOR LAOD BEARING WALL IN KITCHEN 2 WIRE NUTS FOR ALL EAPOSED WIRING STATUS: INSPECTION NOTES: INSPECTOR: . ADDRESS: 6599 CHANNEL RD NE PERNIIT NO. 2006-00317 DATE: INSPECTION TYPE: 4/28/2006 FRAMING TIlVIE: 01:00 PM INSPECTOR: DAVE JENSEN 1�10TES: Sheathing built rite inspection ok new. Some water damaged sheathing to be replaced on existing portion of building south and east expossures. STATUS: INSPECTION NOTES: INSPECTOR: ADDRESS PIN LEGAL DESC PERMIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 �63) 572-3604 FAX: (763) 571-1287 REPRINTED ON 5/16/2006 : 6599 CHANNEL RD NE : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION PERMIT NO.: 2006-00317 DATE ISSUED: 02/24/2006 VALUATION : $ 74,247.84 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-4540002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH FRIDAY AND BETWEEN TI� HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED. STATE LICENSED CONTRACTOR 1 APPLICANT CENTURY ROOFING 6135 KELLOG AVE. S EDINA EDINA, MN 55424 (651) 208-0714 BC20322509 OWNER ASSIA HASSAN C�r✓> �� o�'�olo" ,��' 6599 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 da.ys or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of wor� will be compfied with whether specified herein or not. The granting of a pemut does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date BUILDING PERMIT FEE PLAN CHECK FEE STATE SURCHARGE, BLDG VALUE FIRE SURCHARGE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 2509 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 818.75 532.19 37.12 74.25 5.00 1,467.31 � CI�IYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 TO: COVER SHEET FROM: Inspection Division, City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector DATE: �`�� ' �� Page 1 of � I:_ � ►� : ; . Ii//'� E�� : - - ��:1� - �.��% N01'E: Please call if all pages have not been properly received. � Ch�nel 55432 `�'• G :1� �1 � ;5 Ce�tu�y �OOfI�� State License #BC-20322509 2717 E. 32nd St. • Minneapolis, Minnesota 55406 (612) 869-5133 • (612) 253-0103 • fax (612) ?29-8452 763-571-1635 � ----- D�oetqber 29, 2AA5 �P �Ct1�tOBP herehy to lurnlah malerlal and Isbo� — eomplsl� Iri eecardance wilh tpeciPOcaUone below, lar tAe eum ol� Ft�RTY NINE THOUSAND FIVE HUNDRED �one�e ($ �'9500"00 ►. Payment to be mads as lollows: FINANCE CHARCiES ON PASY OUE ACCOUNTS ARE ! Ya% PER MONTH OR 1896 PER YEAR. �i�� M ___ _- _ _.... . • .. w u a . _ ' ' "" _ ' IIl�� LL Yfl Ap mn�rNl I� ou��n1��0 to e� �� OSCIMA. AN wMR t0 M OMIiONtW b1 � wO/M11y/Wk� n��n�r �eeerAYp le �I�aO�►d W�eMe��. Ae� �Masllen a A�vMtls� trms tO�eMleaMem �- le� u�velvMa ��In ee�l� �riN b� u�eMW sMy uP� rN11�n eMN�. �nd wrUl Sses�a �n •■tr� eMrO� ov�r �nA �bov� �M ��tt��N. AM �4.r�n��M� eenthS�M upM �MYte�. see�- A�m� er s�ur� p�yeib ew eewuel. O+nar te e�ny fN�. tmw�de and sM�r w�e��ar M��w��ec•. Ow �erM�n �n ivpy eevH�d A� WoM�sw'� Caspem�Mew Mwt�we�. W� Asrsey �ubmll �p�cllle�llom and ��tlmaNi lor. HOU9E dt CiARA,t3E ADD1TlON: � ��r :• r;�� r � � A WhoHied $I�fine Noro: rhls 0►opo�.� may b� `�° 30 wiq�8r�wn by ue H no! �oCOPIM w1111M► d�y�. HOUSE: [ lj. Remave e�istfng secocid fla�rt� doartiec expansian [Z]. Rernwe esisting floorboe�s and insfsll widcr floar joi� (Zx 8's) [3]. It�slall 4 x 8 flcrarply9vood [4j. Frem� Z x 6 ext,etiar �vaUs end Z x 4 int�ior W alle, � [S]. Gover �iar walls wiii� 3!4' built rite [6]. It�stell roef bvsses and cavarwith 11T 0.9.B. LTI. Box in soi6esr - �ingle � [S]. Tie back roof into naw etruc�ura [9j. In�u ha�me�avneis windovre. ( l o]. Cover exteriac wi$� Tyvek hause wrep, [11]. Haul aWay all e�detit�g d�rfsead conenucl�an svaste. NOTE: iiOMEaWNEit TO PRc�YIDE ALL NEW WIND4W3. CrARA(3E: [ l J, Cutaew kerfin existing driveAVey [2j. Remove �isl�ng ccncret� [ 3], Dig and pau� i� �pt+�ved by the �ity of Frklley. [4]. Build Z x 4 wall c�on�su�an. Cwer wa11a with I/2' 0.9.B. [S]. Box in eoi6� - shingle moE [4]. Frerne in r�r rntry ir�tc� housa [S]. Ir�ll ne�v eNry d,oec, garage overhead and �eervice daor. [6�. L�tell a��i3ng m hc�use and gereg� [?]. Paurnew cement sleb and aprrxi. HOU9E REMODII.: [] j. Mav e watl behind etove [2]. Cloee out aoietang eide door eNry. [3]. Ramave basanGnt steits and 5arne new. [4]. Remave e�dsl3ng secard Qoorstairs end swraundin�wall� [SJ. Cut in ne�v aeacmd floor stAUa I67. Tape and painC �nooth all tie-ins. [7]. Hau1 aa►aq e11 canatrudian d$bris. ,�flp}��llr� Df �ippq�� — rv�..00�o �•.. �pscmcedona �nd eon011ions �n ��N�l�eloryr �na �n A�rsO� �ceov��d. You a� suthorlisd to Oo Ihe wo►k �� p�Clll�� m�n� lp � m�d� �, oufdn�8 �bov�. O�ts ol Aeesplsner � / �P . CHAD �+N tary Pubjicrtti I i Minnesota My Commission �xpires Jan. 31, 2009 �=-� ��—ti��, �-�-�-��c. / s��en�e s��n,�. All elaims, disputea and ulher malters M quesliw+s arising out of or relating to the (3uaranlee or Workmanship shall be set�led in accordance with Ihe Cans9tueUon Industry Arbitration Rulea al Ihe Ame�iean Arbitration Asaoeiatron. " Srynetur� �� L�� at �1l��`�i..-GZ .�_ � ,� � � _ - - — - .. _ _..-_._ �_ , "__ _ -____ -c4 "__ l - 1 . _- �.il� GOODIIV ��iP'��Y # ?�(1�ia�s�s��r PLUMBING • HVAC • PIPE • VALVES • FITTINGS • WATER WELL • INDUSTRIAL SUPPLIES � www.goodinco.corti `' Minneapolis St. Paul Duluth Detroit Lakes St. Cloud Brainerd Fargo Rochester / Eau Claire (612) 58&7811 (651) 489-8831 �8) 727-6670 (218) 847-9211 (320) 259-6086 (218) 828-4242 (701) 298-3210 (507) 529-1284 (7 0-1800 oUC�� C'�v 1� ��'' �0 �1-a.v.� � ��.`�► eS 11��a,�° d►� /�'� � ��u� _ .. �� r�� ,13. a�l (��3c, E� , , �-� ' - — �. , ,� : � � � I� � ' � � � � ?� � � ,� � , .� �� ^ � � � �t � , � � � M � � � � � � � �� , Y f � mi O � � � � 's�t► '', � `� � � "�" _ , �� ^ �� T � � I �� . � � m` � �. � � : .� �� 7 ��r1 u`°�'�/'� l �� i. � � � �� .. � � � � � � �� -•r ��e`u � � � 1 � �~~�v /0 fNx �,P �" � � 7 7"'�$ � i` � � ✓ � � � �°� � �� , - _ ��.�_ � � � �� '� � � � r� � � � � � � T "� � � � � :� X � � p '`i. O\ � � i e •l �� J� ce � � , l� � � �� =�= p y� — L �L � � m � � l o! � i/ Minnesota Commerce � �� . � Energy Info Cent�r � News Releases � Contact Us ( Page 1 of 1 Commerce Home � North Star Home � Commerce Site Ma� Tuesday, May 16, 20� �� _ . .. Advanced 5earch � Search Tapics ( Q All NorthStar ( Q Commerce Site Qnly' Consumer Industry Applications, info and Info and Registration, Services Services Certification License Detail Unclaimed Heating Weights & Minnesota Petrofund Property Assistance Measures Relay Here are the details for the license you are currently looking for: Licensee Name: CENTURY ROOFING INC Licensee Address: 2717 E 32ND ST City State Zip: MPLS , MN 554061906 License Number: 20322509 License Type: Residentiai Building Contractor License Status: ACTIVE License Effective Date: Apr 23, 2002 License FacpiratioNRenewal Date: Mar 31, 2007 Qualifying Person: JOHN WHELAN Number of hours of continuing education required to renew license: 7.0 Enforcement Action: No Copyright 2000 North Star, Minnesota State Government Online State �f Nlinnesota � About Us � Get �4cxobat tdorth Star is led by the Office of Enterprise Technology Reader � This site best viewsed with 1024X768 or greater and with Netscape 4.7 or Internet Explorer 4.5 or greater. https://www.egov.state.mn.us/Commerce/license_lookup.do?LIC_NLJM=20322509&LIC ... 5/16/2006 r � �CITYO� FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNI�ERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763} 571-1287 COVER SHEET �L�� . �t..�TI� � � FROM: Inspection Division; City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector DATE: �- � �- � � Page 1 of NOTE: Please call if all pages have not been properly received. " JAN-30-2007 TUE 04 � 13 PM FA}{ N0, P, O 1 � �r�� _ �io7 5. Ph�llips Avan�i�, Sioux FaNs, Si� �7iO4 �iO3 � � Na��cy L.�ibel P.4?. �o+c ,077. S�aiac Fatts, 5(� 57ii7-50i'7 Claims AnatyS! 7elcphone 60�-33t?-2608 Facsfmile 605-977-7724 n a ncy.lcibei(a7 cn � surety. ccym .f�n�t�tcy 30, �U(}7 V'xA Facsimilc ��tl� ta 7G3,57X-12$7 l�ricil�;y Muiiici��tl G�nt�.r 13iiilciii��, Tns�eclioii 1�cp� A1tn: Ron.fulkay�v��.ri, lit�ildinb UlYicial G4�! [.Iniv�rsiiyl�ve. NF. l�ric�lc:y, N1N SS�432 Rl:: ]'rincipal: Mnrk L. llans�n dba 1lansen Heating S�u•►:ty: Wcsicrn Surcty Campany Raiid l�io.: fi9978273 Clai�ti N�.: 9�3117$5 I��;�r h4r. Julkc�wslci: Wc rcGeivc.�cl yraur C��similc atlanuary 1'�, 2U07 reg�rdiu� a clai�n against the aUove rcPcrcnccc� U«nci fc�r Pcrnvt f��O+�Ci-018UG far �599 �h.�nnei Ruad NI3. �'le:�se ca�t�pit�lc: ztilcl return ihc er�elosed �:c�nt�aet Claim Questionnaire and ta ihc cx��nt yc�u havc uot cla»e so, !'i�n�ish ��.a �vnth coPie,�: af �11 c�ocumentation for ihis claini so t�1at we can ctrnduct c�ur ir�v�:sti�alion. Tt�is shaulcl includc a coPy ai`thc conh�aci r�rith aur �'rin�i��.l, a copy t�i'11zc Tiuilcii�� 1'�rniil, c�ocum�nt�lic�n to show prt�t�l'ofp�,yme�its rti��dc to our Pri11cipal, inPar1Y�aii�►n abot�t 7n� phoi�� calls �r aifticr co�m�u��icaiions wilh cy�rr Principa.l re,��rc�i�ig tl�is mattcr, a��c� onc� li�ility is c�etermi��ecl tincter ihe �wud, we will nccd cstimales !'rom �-31ice�lsed cc�nir��clors td r,t�i`Cc,'cl Qr� co(ie Vit�l�tiot�s. ii� 11�e n»�utti�nc, s��oulti yvu 1��.v� any qt�estions, ple�s� f�el frcc to cont�tct us. Wc wili cpntact otir i'rii�cipal fnr l�is ir�tcncicd re�oltitia�� uftYYis m�ilier. Thank yo�� forUrin�ing this �,t�itr, to our �E1enlicyn, W�tcm Surc:ty C".c�rnp�ti�y rescrvcs alI i-ights �nd c�cfens�s. �i��c�-clys `�(jc�/d`"1-t��c:- , t�°.��e.�'� � r��,�y ra�a�� 1111ihq�i�c�i Pci�r�;Sr.ni�tivc aF t�Vasici•n Surcly Campany F.tac:l�st�t•cs �4; Al l Cc�uttty tlacncy, Inc. l�i�.ri� G. E Iaiyscn dl�a H�insen Ydcaling A,ssia lI�ssatt i, JAI�-30-2007 TUE 04 � 13 PM FAX N0. Ciaim N'o. �A� 11��, CC�A7Tit,ACT C�AIlVI QUES"fIt,�NNAIRE Tns�ucliar�; Yn ordcr to as's�ist the su�ty in evatuation ��ihe claim �nd provide you a {'r�mawork fvr docu.meating your claim, �teas� camplete this questiormaire. Ple�s� r�turn with all necessary su.PPc�a"tin� doou�me�ts (conh�ct, I�a.Yment �vidence, and �thcr dc�GU11].o[tts S�i� �'orf1�. iri Our �:lainl �cknoWlE�.gement letter). : � �T�ma af �12�i.mant: Acicin�s�: "1`el�pl�pne Na.: Y�'a.�c W�ts ih� worlJpmjcct on yowr primRry home/asld�ess: �f not, wh�rc w�s ihe wark complet�ed: _.�, N�lii1� p�COYi�CtOC. 1�t�(1T4SS: ��,'CZ�j7�ti11e ��3.. r.IC4II1�+4 �;D. _�. Cel! �c1X � % Y'roje�t: Plca�� descrii�e the contrac� wor1� to be complet�ci by thc coniractor. Attach a c�ppy of thc ari�nai �posal, fin�.l t;omtract and cb�nge orders: ...,,.��.—�- � - ..,,�. Tc►i.11 i)oItar Gost/Agt�ecl Contiact Amount F.�yment�;: �n�unt P�.id tc� tlate: l��le;; o� 1'aymen�/A,t�tach l�vidcucc: 11.mauu�t I�Iat P�id/Chitstan,ding $ �, $ w�'Ie�.�c atts�ch p�ymcnt cuidea�ce (co�ies o�'checks, rec�ipts, et al)- P. 02 �r JRN-30-2007 TUE 04:14 PM FAX N0, �If yau assert thai the a�ntractar did substancl�rd wark, departed fxom the cant�a�t aad/or contract 1 and spec�Eicati�ns, please describe in de ': • •.••. /f �i;.�r o i 0 p-e � o < �. , d ��+ // �,. a 1 / / � ��i�s ihe �rop�rty been inspe�d by the Lacat Building Deparbneut7 If yes, ple�.se nrr�vid�o � ccynv of'the r�oark P, 03 S�Uacs �ny p�rt +nf yorur �l�im involr�e damage ta you home as a resuit oft� cv:�st�uction �rablc+�ms? If �, c3o you know ifth� cantr�ctor has ins�auce?' If so, did yau fle a claim� Yf ye�, a.lt�.ah � copy. � r)o yau have photogr�,pl�s of thc work problems? I� sa, piea.�se �tach or send vaa emaii, DGorr�r�a�;e undcr � cost�ctor surcty bond is �eneralty Xi�ni.ted to the cost to coa�ct cade vin��tiot�$, Tl�c surety deiertnines caverage ba�sed on tbe speci�ic s#ahate that requires the �ond. C�n�e cov�rage is ��termine�i, it is likcly tbat wc will xequxre two (2) writte� c��im�.ttes fram Iicense�l �nd �nded contr�ctors. "T'he bids, i�possible, should be itemized i�n � sch�duIe c�f vatue forrn�t (line by line itan� braken dawn inta items that requare cas�tit�n v�is��, itcros that need to be �o�pl�t�d tmt#er trtie ori�inal scap� of work. Ydu n�ta,y want to fi�rnish the biddi.ng condractnr with a copy of this form. �:tch 3tem Should list a seF�arate dallar vatu� for each: � Yter�ts) th�1: need #o be corrected and completed + Ztem(s) th�l: need to b� complet�ed +�hange t�r�er Items �nd an cxplan�ian for the ch�e orde�. � , ' City of Fridley Inspections List Report Permit # From: 2006-01806 To: 2006-01806 Permit Type: All Property Type: All Construction Type: All Inspector: All Status: Pass/FaiUNo Status Include Notes: Yes Permit # Site Address Inspection Type 2006-01806 6599 CHANNEL RD NE AIR CONDITIONING FINAL FURNACE FINAL Applicant Status Sched Date HANSEN HTG, INC Open Open Time Insp Actual Date Insp HEATING ROUGH-IN Fail 12/20/2006 RONJ RETURNED LETTER DATED 9/28/06. INFORMATION REQUESTED NOT RECEIVED. INFORMATION RECEIVED REVIEWED AND RETURNED WITH CORRECTIONS NEEDED. CONTRACTOR TO PROVIDE INFORMATION PRIOR TO HEATING R.I. COMPLETE ALL FIRE STOPS THRU FLOORS, B-VENT PROVIDE ONE INCH CLEARANCE TO COMBUSTIBLES AND ADD THREE SCREWS AT ALL JOINTS. pROVIDE GAS LINE AIR TEST, CORRECT PIPING AT REGULATOR. HEATING ROUGH-IN REINSPECTIOr Open RONJ 12/26/2006 Pa�e 1 of 3 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE NOTE: CONT:763-413-3375 FURNACE, A/C, DUCTING 1;0;0;0 #FURNACES CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (7631571-1287 REPRINTED ON 1/4/2007 : 6599 CHANNEL RD NE : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : HEATING - FIXTURE BASED : RESIDENTIAL : FURNACE - AIR CONDITIOI�TING APPLICANT HANSEN HTG, INC 16218 EVELETH ST NE HAM LAKE, MN 55304 (763) 413-3379 OWNER ASSIA HASSAN 6599 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days ar if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not The granting of a permit does not presume to give autharity to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction Applicant Date Bldg Insp Date 1 # A/C UNITS PERMIT NO.: 2006-01806 DATE ISSUED: 09/06/2006 AIR CONDITIONING FEE FURNACE FEE STATE SURCHARGE, MECH FLAT HEATING PERMIT FEE, FIXTURE-BASED TOTAL PAID WITH CHECK # 3210 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 25.00 35.00 0.50 10.00 70.50 r.. I -i.� - _ �� O� �� Fridley Municipal Center — 6431 University Ave N�, Fridley MN 55432 Building Inspection Department (763) 572-3604 FAX (763) 571-1287 Permit Application Information Required Date: Septerriber 28, 2006 Hansen Heating Inc. 16218 Eleventh St. NE Ham Lake, MN 55304 Re: Assia Hassan 6599 Channel Road NE Permit # 2006-01806 Dear Permit Holder: � The city building inspection records indicate you have an open permit, correction, and/or inspection that have not been addressed in accordance with Minnesota Rules, Chapter 1300. Within (14) working days after the receipt of this letter, you must contact the Building Inspection Division of the City of Fridley to schedule an inspection. Should you not schedule an inspection within that time period, your permit will be considered expired per Minnesota Rule, Chapter 1300, and all non-compliance issues for which you will remain liable, will be put in the property address file for permanent record at the City Hall. In order to.obtain a final approval for the work allowed under your permit at the above address, which would then allow the city to issue a certificate of occupancy, the following issues must be addressed: 1. Provide a heat loss and cooling load per room per IMC 1346.0312. 2. Provide ventilation requirements per MN energy code 7670 or 7672. 3. Provide a sketch of the duct design per IMC 1346.0603,2 (ACCA Manual D) 4. Provide combustion air calculations per IFGC Chapter 3. 5. Provide make-up air requirements per IMC Chapter 5. 6. Provide venting requirements per IFGC Chapter 5. 7. Provide make and model of all of the equipment being installed. i.e. furnace, A/C, fans, HRV, etc. Please complete the above corrections and call to schedule an inspection with the permit technician at (763) 572-3604. Sincerely, Building Inspector �\ �� _ �� 1 � O� FRiC7►LEY Fridley Municipal Center — G431 University Ave NL, Fridley MN 55432 Building Inspection Department (763) 572-3604 FAX (763) 571-1287 Open Pernvt Letter Date: October 13, 2006 Hansen Heating Inc. 16218 Eleventh St. NE Ham Lake, MN 55304 Re: Assia Hassan 6599 Channel Road Fridley, MN 55432 Permit # 2006-01806 Dear Pernut Holder: The city building inspection records indicate you have an open permit, correction, and/or inspection t�hat have not been addressed in accorda��ce with Minnesota Rules, Chapter 1300. Within (14) working days after the receipt of this letter, you must contact the Building Inspection Division of the City of Fridley to schedule an inspection. Should you not schedule an inspection within that time period, your permit will be considered expired per Minnesota Rule, Chapter 1300, and all non-compliance issues for which you will remain liable, will be put in thc property address tile Ior permancnt record at the City Hall. In order to obtain a final approval for the work allowed under your permit at the above address, whicl� �vould then allow the city to issue a certificate of occupancy, tl�e followin�; issues mtist be addressed: 1. Review the letter dated September 28, 2006 and respond to the requested information. ( Included with this letter is a copy.) 2. The openings for the return air in the second floor southern bedrooms aud the return air openings in the second floor hall and the SW bedroom are undersized in botli ductwork and the opening cut through the bottom wall plate. They are back to back and should be separate single returns. Two 7" flex ducts are undersized. 3. Is thc furnace that is installcd sizcd corrcctly per thc hcat loss ancl cooling loacl calculations that were requested? 4. There is no supply duct to the second floor small bathroom. 5. There is a existing supply in kitchen that may be in conflict with the plumbing that is roughed in. 6. The return air stack and boot that is attached to the furnace is probably too small as per mfg and code. 7. The water heater vent was dismantled and the water heater venting need to be addressed. 8. Is the combustion air necessary per design and installed correctly to current code'? 9. Is the furnace venting (size, # of elbows, length, termination, support) installed per mfg and code? 10. The flexible duct is not installed per mfg installation instructions and per code. 11. Does the ductwork size meet the demand for the designed heat loss and cooling load'? 12. The bath fans on the second floor are not sealed, insulated, and a vapor barrier is not installed per code. �,_. �•, 'R 13. How are the ventilation requirements bcing addressed per the energy code'? Please complete the above corrections and call to schedule an inspection with the permit tecluiician at (7G3) 572-3G04. Sincerely, Building Inspector Cc Assia Hassan �D1tE�S: 6599 CHANNEL RD NE PERNIIT NO. 2006-01806 DATE: 1/4/2007 TIME: INSPECTOR: (None) INSPECTION TYPE: HEATING ROUGH-IN REINSPECTION I�TOTES: Original failed on 12/20/2006. History: RETURNED LETTER DATED 9/28/06. INFORMATION REQUESTED NOT RECEIVED. INFO.RMATION RECEIVED REVIEWED AND RETURNED WITH CORRECTIONS NEEDED. CONTRACTOR TO PROVIDE INFORMATION PRIOR TO HEATING R.I. COMPLETE ALL FIRE STOPS THRU FLOORS, B-VENT PROVIDE ONE INCH CLEARANCE TO COMBUSTIBLES AND ADD THREE SCREWS AT ALL JOINTS. pROVIDE GAS LINE AIlZ TEST, CORRECT PIPING AT REGULATOR. Original failed on 9/28/2006. History: SEE LETTER DAT`ED 9/28/06. LETTER IN FILE. SITE INSPECTION AND PREVIOUS LETTERS DATED SEPTEMBER 28, 2006 AND DECEMBER 21, 2006. #1. THE HEAT LOSS THAT WAS SUBMITTED BY YOU INDICATES THAT IT DOES NOT MEET THE CURRENT ENERGY CODE. YOUR HEAT LOSS IS 55,882 BTUS PLUS 43% 24,029 BTUS TOTAL OF 79,911BTLTS. THE OUTPUT OF THE FURNACE THAT WAS INSTALLED IS 109,250 BTUS AND IS 29,339 BTUS TOO MUCH (MA3�IMUM AS ALLOWED BY CODE IMC 1346.0312 AS REFERED TO THE ENERGY CODE 7672.0900 SUBP 1) #2 NO COOLING LOAD WAS SUBMITTED PERTHE SAME CODE REFERENCE AS ABOVE. #3. PROVIDE VENTILATION REQUIREMENTS PER MN ENERGY CODE 7672.1000 DESIGN AND COMPLIANCE. #4 PROVIDE SKETCH OF DUCT DESIGN PER IMC 1346.0603.2 (ACCA MANAUL D). #5. PROVIDE COMBUSTION AIR CALCULATIONS PER IFGC CHAPTER 3. #6. PROVIDE MAKE-UP AIR CALCULATIONS PER IMC CHAPTER 5. #7 PROVIDE VENTING REQUIRMENTS PER IFGC CHAPTER 5. #8. PROVIDE MAKE AND MODEL OF ALL EQUIPMENT BEING INSTALLED PER IMC A1VID IFGC. (IT WAS LEFT BLANK ON THE PERMIT APPLICATION.) #9. THE GAS PIPING ON TI-IE EXTERIOR OF THE BUII.,DING IS SECURED WITH A NON-COMPATABLE PRODUCT. (GALVINIZED STRAP. 10. THERE IS NO RETURN AIR FRAME IN THE NE MAIN FLOOR BEDROOM. 11.THE DUCT (lOX8) THAT SERVES THE SOUTH END OF TI� MAIN FLOOR IS UNDERSIZED: 12. TI� RETURN AIR HEADS ON THE MAIN FLOOR OUTSIDE WALLS HAVE NO INSULATION BEHIND THE AND ARE NOT SEALED. 13. TI�RE ARE NO SCREWS IN TI� 6" PIPE TI� THE BOOT ABOVE THE TOP OF TI� BASEMENT STAIRS. 14. THE FLEX DUCT IN THE SHAFT IS NOT INSTALLED PER MFG INSTRUCTIONS OR IMC.. 15. TI� 7" FLEX IS SPLIT WITH A TEE AND UNDERSIZED TO SERVE TI� TWO SOUTH BEDROOMS ON THE SECOND FLOOR. 16. IS THE 12X8" SUPPLY DUCT AND TI� TWO 7" FLEX DUCTS LARGE ENOUGH TO SERVE TI� ENTIRE SECOND FLOOR? 17.TI�RE IS NO EXHAUST FAN IN THE SECOND FLOOR MAIN BATHROOM AND TI� FLEX THAT IS HANGING IS NOT SUPPORTED PER MFG AND CODE. 18. THE RETURN AIR THAT SERVES THE HALL AND MASTER BEDROOM ON THE SECOND FLOOR IS IN THE SAME STUD SPACE AND IS TOO SMALL. 19. INSULATE AND SEAL THE EXHAUST FAN HOUSING IN THE CEILING IN TI� SECOND FLOOR 3/4 BATHROOM TO CODE. 20. NO SUPPLY RUN IN THE SECOND FLOOR 3/4 BATHROOM. 20. "TI� CLASS B FLUE DOES NOT MEET THE CLEARANCE TO COMBUSTABLES PER MFG AND CODE. 21. THERE ARE TWO FIRESTOPS MISSING AT THE SECOND FLOOR AND THE ATTIC PENETRATIONS. 22.TI� FLOOR PLATES THAT SERVE TF� TWO RETURN AIR OPENINGS FOR THE TWO SECOND FLOOR BED ROOMS ARE UNDERSIZED. 23.THE SWPLY DUCT THAT SERVES THE BASEMENT STAIRWAY IS TAKEN OFF A 3X8" DUCT THAT SERVES THE DINING ROOM- IT IS UNDERSIZED. 24. TI� FLEX DUCT IN THE BASEMENT IS NOT INSTALLED PER MFG OR IMC. 25.THE RETURN AIR DROP IS REDUCED DOWN TO A 20X8" DUCT AND IS TOO SMALL PER IMC AND MFG. 26. THERE IS NO APPROVED BALL VALVE SHUT OFF TO THE WATERHEATER. 27. THERE IS A RUNNING DRIP LEG INSTALLED ON TI� GAS PIPE THAT IS PROHIBITED BY IFGC. 28. 'TI� T&P DISCHARGE PIPE IS TOO FAR OFF OF TI-� FLOOR PER MN PLUMBING CODE. 29. THERE WAS NO PRESSURE TEST ON TI� NEW GAS LINE THAT WAS INSTALLED PER IFGC. 30. TI-� GAS PIPING INSIDE TE-� HOUSE IS NOT SUPPORTED PER IFGC. 31. TI� MAIN GAS BALL VALVE CANNOT BE OPENED ALL TI� WAY DUE THE TT� PIPING CONFIGURATION INSTALLATION. 32. THE REGULATOR DOES NOT HAVE ENOUGH STRAIGHT PIPING �EFORE AND AFTER IT (6 PIPE DIAMITERS) PER 1VIGF INSTALLATIONS. �33. THERE IS A 6" COMBUSTION AIR IN PLACE. IT MUST BE SIZED AND ISTALLED PER IFGC. 34. TI� SUPPLY OPENING IN TI� BASEMENT FAMILY ROOM IS ROBED OFF OF TI� MAIN FLOOR NW BEDROOM. 35. THERE IS NO RETURN AIR OPEI�IING IN TI� BASEMENT FAMILY ROOM. 36. THER IS NO SUPPLY OR RETURN IN TI-� BASEMENT BEDROOM AND NO SUPPLY IN THE BASEMENT BATHROM. 37. TI-�E ELECTRONIC AIR CLEANER IS TOO SMALL FOR TI� FURNACE. 38.THE VENT FROM THE FURNACE IS NOT SUPPORTED OR SLOPED PER TI� MFG INSTALLATION INSTRUCTIONS . 39. THE OWNERS INFORMATION AND INSTALLATION MANUAL WAS NOT AFFIXED TO TI� FURNACE. (IT WAS FOUND WET ON TI� FLOOR ALONG THE EAST BASEMENT WALL).. 40. THE RETURN AIR FILTER AREA IS CURRENTLY 400 SQ IN. AND A NIINIMUM OF 940 SQ IN. IS REQUIRED BY TI-IE MFG.. IT ISN'T EVEN HALF ENOUGH. PER TI� MFG. 41. PROVIDE A COMPLTED START-UP CHECKLIST REQUIRED BY THE MFG AND LEAVE WITH TI� OWNER SO THE WARRANTY WILL BE VALID. 42. IF THERE IS A HLTMIDIFIER, THE JUMPER WIRES WERE NOT INSTALLED AS PROVIDED BY TI� MFG. 43.. PLEASE ADDRESS THE ABOVE CORRECTIONS AND CALL TO SCHEDUE A RE-INSPECTION. STATUS: INSPECTOR: INSPECTION NOTES: � �-� � � F�, �• ��2,. �,;:_;, :�:�= �Y-�. �.:;�� _� �._� ��; _`��.- �'-� � � � FRIDLEY MUNICIPAL CEN'TER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 . � COVER SHEET �� , ��9� FROM: Inspection Division, City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector Sandy Stanger, Permit Technician CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector DATE. < ' � � o b Page 1 of � NOTE: Please call if all pages have not been properly received. ��.,��-�- `��Ly - ��.�� d �' i l/�/ �"�-o�`�-��% � `� / � ��-�� . �. Permit # Site Address Inspection Type 2006-01806 6599 CHANNEL RD NE �� ' � Applicant Status Sched Date HANSEN HTG, INC Time Insp Actual Date Insp Original failed on 12120/2006. History: RETURNED LETTER DATED 9/28/06. INFORMATION REQUESTED NOT RECEIVED. INFORMATION RECEIVED REVIEWED AND RETURNED WITH CORRECTIONS NEEDED. CONTRACTOR TO PROVIDE INFORMATION PRIOR TO HEATING RI. COMPLETE ALL FIRE STOPS THRU FLOORS, B-VENT PROV�E ONE INCH CLEARANCE TO COMBUSTIBLES AND ADD THREE SCREWS AT ALL JOINTS. pROVIDE GAS LINE AIR TEST, CORRECT PIPING AT REGULATOR. Original failed on 9/28/2006. History: SEE LETTER DATED 9/28/06. LETTER IN FILE. /� SITE INSPECTION AND PREVIOUS LETTERS DATED SEPTEMBER 28, 2006 AND DECEMBER 21, 2006. #1. THE HEAT LOSS THAT WAS SUBMITTED BY YOU INDICATES THAT IT DOES NOT MEET THE CURRENT ENERGY CODE. YOUR HEAT LOSS IS 55,882 BTUS PLUS 43% 24,029 BTUS TOTAL OF 79,911BT'US. THE OUTPUT OF TI� FURNACE THAT WAS INSTALLED IS 109,250 BT'US AND IS 29,339 BTUS TOO MUCH (MAXIIVIUM AS ALLOWED BY CODE IMC 1346.0312 AS REFERED TO THE ENERGY CODE 7672.0900 SUBP 1) #2 NO COOLING LOAD WAS SUBMITTED PERTHE SAME CODE REFERENCE AS ABOVE. #3. PROVIDE VENTILATION REQUIREMENTS PER MN ENERGY CODE 7672.1000 DESIGN AND COMPLIANCE. #4 PROVIDE SKETCH OF DUCT DESIGN PER IMC 1346.0603.2 (ACCA MANALJL D). #5. PROVIDE COMBUSTION AIR CALCiTLATIONS PER IFGC CHAPTER 3. #6. PROVIDE MAKE-UP AIR CALCULATIONS PER IMC CHAPTER 5. #7 PROVIDE VENTING REQUIRMENTS PER IFGC CHAPTER 5. #8. PROVIDE MAKE AND MODEL OF ALL EQUIPMENT BEING INSTALLED PER IMC AMD IFGC. (IT WAS LEFT BLANK ON THE PERMIT APPLICATION.) #9. TF� GAS PIPING ON THE EXTERIOR OF THE BUILDING IS SECURED WITH A NON-COMPATABLE PRODUCT. (GALVINIZED STRAP. 10. THERE IS NO RETURN AIR FRAME IN THE NE MAIN FLOOR BEDROOM. 11.THE DUCT (lOX8) THAT SERVES THE SOUTH END OF THE MAIN FLOOR IS UNDERSIZED. 12. THE RETURN AIR HEADS ON TI-� MAIN FLOOR OUTSIDE WALLS HAVE NO INSULATION BEHIND THE AND ARE NOT SEALED. 13. THERE ARE NO SCREWS IN THE 6" PIPE THE THE BOOT ABOVE THE TOP OF THE BASEMENT STAIRS. 14. THE FLEX DUCT IN THE SHAFT IS NOT INSTALLED PER MFG INSTRUCTIONS OR IMC.. 15. THE 7" FLEX IS SPLIT WITH A TEE AND UNDERSIZED TO SERVE THE TWO SOUTH BEDROOMS ON THE SECOND FLOOR. 16. IS THE 12X8" SUPPLY DUCT AND THE TWO 7" FLEX DUCTS LARGE ENOUGH TO SERVE THE ENTIRE SECOND FLOOR? 17.THERE IS NO EXHAUST FAN IN THE SECOND FLOOR MAIN BATHROOM AND THE FLEX THAT IS HANGING IS NOT SUPPORTED PER MFG AND CODE. 18. THE RETURN AIR THAT SERVES THE HALL AND MASTER BEDROOM ON THE SECOND FLOOR IS IN THE SAME STUD SPACE AND IS TOO SMALL. 19. INSULATE AND SEAL TI� EXHAUST FAN HOUSING IN THE CEILING IN THE SECOND FLOOR 3/4 BATHROOM TO CODE. 20. NO SUPPLY RUN IN THE SECOND FLOOR 3/4 BATHROOM. 20. THE CLASS B FLUE DOES NOT MEET THE CLEARANCE TO COMBUSTABLES PER MFG AND CODE. 21. THERE ARE TWO FIRESTOPS MISSING AT TI� SECOND FLOOR AND THE ATTIC PENETRATIONS. 22.THE FLOOR PLATES THAT SERVE THE TWO RETURN AIR OPENINGS FOR TI� TWO SECOND FLOOR BED ROOMS ARE UNDERSIZED. 23.THE SUUPLY DUCT THAT SERVES THE BASEMENT STAIRWAY IS TAKEN OFF A 3X8" DUCT THAT SERVES THE DINING ROOM- IT IS LJNDERSIZED. 12/26/2006 PaQe 2 of 3 Permit # Site Address Inspection Type 2006-01806 6599 CHANNEL RD NE Applicant Status Sched Date HANSEN HTG, INC Time Insp Actual Date Insp 24. THE FLEX DUCT IN THE BASEMENT IS NOT INSTALLED PER MFG OR IMC. 25.THE RETURN AIR DROP IS REDUCED DOWN TO A 20X8" DUCT AND IS TOO SMALL PER IMC AND MFG. 26. THERE IS NO APPROVED BALL VALVE SHUT OFF TO THE WATERHEATER. 27. TI�RE IS A RUNNING DRIP LEG INSTALLED ON 'TI� GAS PIPE THAT IS PROHIBITED BY IFGC. 28. THE T&P DISCHARGE PIPE IS TOO FAR OFF OF THE FLOOR PER MN PLUMBING CODE. 29. THERE WAS NO PRESSURE TEST ON THE NEW GAS LINE THAT WAS INSTALLED PER IFGC. 30. TI� GAS PIPING INSIDE TI� HOUSE IS NOT SUPPORTED PER IFGC. 31. THE MAIN GAS BALL VALVE CANNOT BE OPENED ALL THE WAY DUE THE TI� PIPING CONFIGURATION INSTALLATION. 32. THE REGULATOR DOES NOT HAVE ENOUGH STRAIGHT PIPING BEFORE AND AFTER IT (6 PIPE DIANIITERS) PER MGF INSTALLATIONS. 33. TI�RE IS A 6" COMBUSTION AIR IN PLACE. IT MUST BE SIZED AND ISTALLED PER IFGC. 34. THE SUPPLY OPENING IN THE BASEMENT FAMILY ROOM IS ROBED OFF OF THE MAIN FLOOR NW BEDROOM. 35. THERE IS NO RETURN AIR OPEI�TING IN THE BASEMENT FAMILY ROOM. 36. THER IS NO SUPPLY OR RETURN IN THE BASEMENT BEDROOM AND NO SUPPLY IN TI� BASEMENT BATHROM. 37. TI� ELECTRONIC AIR CLEANER IS TOO SMALL FOR THE FURNACE. 38.THE VENT FROM THE FURNACE IS NOT SUPPORTED OR SLOPED PER TI� MFG INSTALLATION INSTRUCTIONS. 39. THE OWNERS INFORMATION AND INSTALLATION MANUAL WAS NOT AFFIXED TO THE FURNACE. (IT WAS FOUND WET ON TI� FLOOR ALONG THE EAST BASEMENT WALL). 40. TI� RETURN AIR FILTER AREA IS CURRENTLY 400 SQ IN. AND A MINIMUM OF 940 SQ IN. IS REQUIRED BY THE MFG.. IT ISN'T EVEN HALF ENOUGH. PER THE MFG. 41. PROVIDE A COMPLTED START-UP CHECKLIST REQUIRED BY TI� MFG AND LEAVE WITH THE OWNER SO THE WARRANTY WILL BE VALID. 42. IF TI�RE IS A HUMIDIFIER, THE JUMPER WIRES WERE NOT INSTALLED AS PROVIDED BY THE MFG. 43.. PLEASE ADDRESS TI� ABOVE CORRECTIONS AND CALL TO SCHEDUE A RE-INSPECTION. HEATING FINAL Open 12/26/2006 Pa�e 3 of 3 3uildi.ng rnspeciions 763-5�'12-3604 �ATE � �''� � ;rt�,�.nDxESS 6 °1 i�iLS APPLICANT IS: PROPERTY OWNER/ 1'ENAIVT CONTRACTOR SUBMTT A COPY OF YOUR STATE LICENSE WITH APPLICATTON � PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: I_: � 1 I� !� Permit No. RESIDENTIAL APPLICATION R�ive� By: CITY OF FRIDLEY �ate xec'd: �'� �� Y UR E- L ADDRESS lr�/ S�G 6a1 COvi l/�ic�'fi � r�'1 Lr�rv��' 1' i'�� ✓ltn,/I l/l� �/'.i.��a.� ❑ owNEx 1�. gotsrxa.cTOR NAME: ADDRESS: CTTY PHONE: STA'fE LICENSE il Pxo�.ts � �� -- ��3 -� /`� � � SIIJGLE FANIILY/NEW CONSTRUCTION O TVdO FAMILYMEW CONSTRUCTION ❑ BASEMENT FINISH ❑ ROOF ❑ DECK O SIDtNG ❑ SWDvIlvID�G DESCRIBE WORK BEING SIZE OF IMPROVEMENT MTMBER OF SQUARES GARAGES PROPOSED S1ZE: a°�'`�-� PROPOSED HEIG� SIDING ❑ Vinyl ❑ Aluminwn ❑ Other ❑ REMODELING ❑ HOUSE & GARAGE O ATTACI�D GARAGE 0 DETACI�D GARAGE ❑Soffit ❑ Trim ❑ Fascia wnwows W EXISTII�TG OPENINGS DYes �IVo LACATION OF WINDQWS OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPENING GHANGES & 0 'ATE ZIP CTfY STAT�IP 5�� 0 DRAIN TILE ❑ OTHER dl,��j ��- WIDTH CI HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Propased floor plan 3. List of strvcd�ral members to be aced Ft FOR NEW CONSTRUCf10N INCLUDING DECKS, ADDITIONS. 8c PORCHES Si3BNIIT: 1. Site Plan/Survey showing fhe existing strucwres and prop�sed project 2. Two sets of c:onstruction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Pertnit Fee Plan Review Fire Snrchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Emsion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ � � See Back Page for Fee Schedule � I,� JJ ,,„ �� v 65% of Building Permit Fee � �. a�i/lX_ .001 times the total job valuarion AU05 x Permit Valuation Minimum $.50 $SAO (State Licensed Residential Contractors) „�.!�� '�� ` $1550 per SAC Unit (Plans to MWCC for determinatio ft+6ft= itx$21=$ ��'�`� $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach Stiaulations TI-IIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w' requires ew and approval of plans. SIGNATURE OF APPLIC r`�- PRINT NAME `� ��d�`�h� DATE �a �J1O'C/ Page 2- Build.ing Residential Application BUII..DING PERMIT FEE SCHEDULE • C The Chief Bui.lda.ng 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 buildi.n.g 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: VERIFICATION OF FOUNDATION Permits for construction will be issued a mini.mum of 24 hours from the time of application to allow for proper review of proposed stru.cture and of the construction site. A Certificaxe of Survey of the lot, showi.ng the locat�on of the existing foundation will be required before proceedin.g with the framin.g. New Houses Onlv City of Fridley 8uilding Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 CITY OF FRIDLEY � 6431 iTNIVERSITY AVENUE NE � , FRIDLEY, MN SS432 (763) 572-3604 FAX: (7631571-1287 ADDRESS PIN LEGAL DESC PERMIT TYPE REPRINTED ON 8/9/2006 : 6599 CHANNEL RD NE : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION PERMIT NO.: 2006-00317 DATE ISSUED: 02/24/2006 VALUATION : $ 74,247.84 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF'THE 2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH FRIDAY AND BETWEEN 1T-IE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED. STATE LICENSED CONTRACTOR 1 APPLICANT CENTURY ROOFING 6135 KELLOG AVE. S EDINA EDINA, MN 55424 (651) 208-0714 BC20322509 OWNER ASSIA HASSAN 6599 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN 5TATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a pernut does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date BUII.,DING PERMIT FEE PLAN CHECK FEE STATE SURCHARGE, BLDG VALUE FIItE SURCHARGE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 2509 r ` .� �� F. t \�C\�� SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 818.75 532.19 37.12 74.25 5.00 1,467.31 CITY OF FR�DLEY r 6431 LINIVERSITY AVENUE NE � , � FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS PIN LEGAL DESC PERMTT TYPE PROPERTY TYPE CONSTRUCTION TYPE REPRINTED ON 8/9/2006 : 6599 CHANNEL RD NE : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : BUII.,DING : RESIDENTIAL : DEMO-GARAGE NOTE: DEMO OF DETACHED GARAGE 10000 APPLICANT CENTURY ROOFING 6135 KELLOG AVE. S EDINA EDINA, MN 55424 (651)208-0714 BC20322509 OWNER ASSIA HASSAN 6599 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. AIl provisions of laws and ordinances goveming this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date PERMIT NO.: 2006-00318 DATE ISSUED: 02/24/2006 DEMOLITION FEE (PROJ COST) TOTAL PAID WITH CHECK # 2509 � �,m,: ° ;�` � �.�.,;, �' � � SEPARATE PERMITS REQUIItED FOR WORK OTHER THAN DESCRIBED ABOVE. 120.00 120.00 .�' � �a � � � �--�-- ---- .,._.. _... _ � Y/`v � � � � ,� .___..� � � � k �� 0 . � �; � �-� � d c � � (€ � � � � �' � � � �� 3 � .S � 3' ._.. � � � :� � � d � \ -��, � s u � � � s � � ` � � _ �. e..... �. ...� _._._� �. � i l b� � �. �� . �� '' �; � ( �, 1 �.n � ti �� 4 1.. �� .� . � � � _ � z � � � y ._ �c _� _. 4� � � � �� ' . � �� c �=` s � � � tn � � � �? � � t ,� � \v � � � � �. �� P t M _ r°�= � � Y'� � x� �. �� - � i , �� . � �- `� �� ;. �� a 1 � ��►�q� ��'��'� �� r.aX � �� $;,, r�� , w��i�� , �an C-�+r�-�-� �+�¢_.- — ;;f.�,, 1 �. �',.�.�-�°1 ` T3°�' �,��.�- � t��. �.�► �,r�- J�a � �-�I ��s� . �/i�w;�� '`� d��-. 0 ��.,'' �r i�,,, : �' t � � �� V�� U 'r t' i ..�.. � °� 6 iP . '�f �--. �° � �. � ��ti�� .�.,�� .� ��°�� .. �Gf��n �y11,.t/ G �o. �, iyfii✓ � 1� .>�.�G � �.✓ /�''?�•�i� �i�l' \� �+ � � � � � � C � Q � .� -�� ` �'' c � Q G% G O t�'� � �fl _ �7 � � , ►P � `�----�_ -_.,__-�. ( � l �._ -- `�'�'� \ �'` ��' � � � � � � � �.. � � � � � � � � � v 1 s s � � � ;" � �r � � � � � � � �� o�" � C � � � � � S� � � 1 � 0 > � � �� ' � � � �� ' �� : � � a � � � � � � � � �� S� � �'-` � � � � � � � � � e � �. � b C .1' � � � � �� w .__._ � . 'i 5 � � � n.. � � �� C � 9 '° � � tJ� �� _ _ CtTY OF �R3DLEY Fridley Municipal Center — G431 University Ave NC, Pridley MN 55432 Building Inspection Department (763} 572-3604 FAX (763) 571-1287 Permit Application Information Required Date: September 28, 2006 Hansen Heating Inc. 16218 Eleventh St. NE Ham Lake, MN 55304 Re: Assia Hassan 6599 Channel Road NE Permit # 2006-01806 Dear Permit Holder: � The city buildinb inspection records indicate you have an open pernut, correction, and/or inspection that have not been addressed in accordance with Minnesota Rules, Chapter 1300. Within (14) working days after the receipt of tliis letter, you must contact the Building Inspection Division of the City of Fridley to schedule an inspection: Should you not schedule an inspection within that time period, your pernvt will be considered expired per Minnesota Rule, Cliapter 1300, and all non-compliance issues for which you will remain liable, will be put in the property address file for permanent record at the City Hall. In order to obtain a final approval for the work allowed under your permit at the above address, which would then allow the city to issue a certificate of occupancy, the followin� issues must be addressed: 1. Provide a heat loss and cooling load per room per IMC 1346.0312. 2. Provide ventilation requirements per MN energy code 7670 or 7672. 3. Provide a sketch of the duct design per IMC 1346.0603.2 (ACCA Manual D) 4. Provide combustion air calculations per IFGC Chapter 3. 5. Provide make-up air requirements per IMC Chapter 5. 6. Provide venting requirements per IFGC Cl�apter 5. 7. Provide make and model of all of the equipment being installed. i.e. furnace, A/C, fans, HRV, etc. Please complete the above corrections and call to schedule an inspection with the pernut teclulician at (7G3) 572-3G04. Sincerely, Building Inspector Buildir��; ; In��ecti�ns 763-572-3604 PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ❑ OWNER �CONTRACTOR �`� i � � �: .5 �� Gfi�'�rn1l�-� YriVNC: � ' � NAME: STATE LI SE # EXP DATE Permit No.. � �� Received By: Date Rec'd: � � � � ��z��s�� ADDRESS: CITY STATE ZIP PHONE SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK FAX ❑ TWO FAMILY �REPLACEMENT ❑ TOWNHOUSE PER MS 16B.665 the permitfee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for-the -_� improvement,_instaltation_Q�re�lacement of a residential fixture, excluding the fixtures. (T'his should reflect only the cost�nf lahor } Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR Pt2t3��?bI�I�I€E��R��X�S.$500, FE�S��E BASED 0N $1U�-�SR FIXTURE, EXCEPT WHERE NOTED. FI3�"PiJi€ES. (Il�?IGrA�:T{3�� NUMBER OF EACH BELOV� �BATH SINK/LAV _FLOOR DRAINS SHOWER �WATER PIPING � BATHTUB GAS PIPING � c�rruc�) _ SWIMMING POOL WATER SOFTNER ($35) _CLOTHES WASHER � KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTf�R Permit Fee TOTAL DUE � ��._nc� Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $ $ �•�'� Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 _ Tota1= $ 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 Construcrion Codes; that I understand this is not a permit but only an applicatio 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 al 'w rk which requires review and approval of pl SIGNATURE OF APPLICANT �%e' � PRINT NAME ��a � S �Z / � �� I �"DATE � l �\� � � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � s. ` l �� I-� _ CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER �� /� � jirh %�5►9�� requires that all residential building contractors,eemo eleas andSoofe sf b�tain a�state license unless they qualify for a specific exemption from the licensin re uirements. As the owner of the ro e � , �,;� g q P p rtY at � ,� �' `� ,,v = � �� , Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to seli it. I hereby claim to be exempt from the state licensing requirements because i am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forFeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being pecFormed on this property. Name_ ��i P� �-} � S� rr'�--b� -, Date � ^ �° — �� 1� G�� j��/��// �� / � � �� /�� G�`�/-� /C�� G �: 3 � �� . i Fridley Municipal Center — 6431 University Ave NE, Fridley MN 55432 Building Inspection Deparhnent (763) 572-3604 FAX (763) 571-1287 Permit Application Information Required Date: September 28, 2006 Hansen Heating Inc. 16218 Eleventh St. NE Ham Lake, MN 55304 Re: Assia Hassan 6599 Channel Road NE Pernrit # 2006-01806 Dear Pemrit Holder: The city building inspection records indicate you have an open permit, conection, and/or inspection that have not been addressed in accordance with Minnesota Rules, Chapter 1300. Within (14) working days after the receipt of this letter, you must contact the Building Inspection Division of the City of Fridley to schedule an inspection. Should you not schedule an inspection within that time period, your permit will be considered expired per Minnesota Rule, Chapter 1300, and all non-compliance issues for wtuch you will remain liable, will be put in the property address file for permanent record at the City Hall. In order to obtain a final approval for the work allowed under your pernut at the above address, which would then allow the city to issue a certificate of occupanc , the following is es must be addressed: �'�� .� �� oo�� 1. Provide a heat o�d cooling load per room per IMC 1346.0312. �� 2. Provide ventilation requirements per MN energy code 7670 or 7672. �� 3. Provide a sketch of the duct design per IMC 1346.Ob03.2 (ACCA Manual D) ��s� 4. Provide combustion air calculations per IFGC Chapter 3. 5. Provide make-up air requirements per IMC Chapter 5. 6. Provide venting requirements per IFGC Chapter 5. �� 7. Provide make and model of all of the equipment being installed. i.e. fvrnace, A/C, fans, HRV, etc. �� Please complete the above conections and call to schedule an inspection with the permit technician at (763) 572-3604. Sincerely, �`Yi Building Inspector �, --,:� ��ilding Inspections 7. 63�572-3604 DATE `/ � � SITE ADDRESS ,� THIS APPLICANT IS: PROPERTY O i. L`�� TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WTTH APPLICATION PERMTT TYPE ••- MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY '� OUR E-MAIL ADDRESS C � fP Y/ f't-�1L r�(oi ❑ OWNER OCONTRACTOR -,, N,aME: ADDRESS• �a � � �/ PHONE• lJ" � / -- b f /F' ' � .��_7 COMPANY NAME: � CONTACT PER50I�t: Permit No.: Received By: Date Rec'd: `'7 < ATE ZIP STATE LICENSE # F.XI' DATE 3 D ,wnx�ss: %d oZ /� � �p� �7'� 5`7"�.�_crrY �� •�=e s�?�� _� RE PHONE ,� �i, � _��v–�--�� '�JC — � - � `� – / / '� � FANID..Y O TWO FANIILY TYPE OF WORK: I � NEw �EPLACEMENT DETAII.ED DESCRIPTION OF WORK ❑ TOWNHOUSE ❑ pLTERATION/REMODEL � PER M5 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (T'his should reflect only the cnst of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHEKE 1-ABOR EXCEIDS $500, BASED ON $10.00 PER EXCEPT WI�R� NOTTED. FlXTURES: TOT'�L' NUMBER OF EACH BELOV+� ODEL: TU EquipmentInstalled . MFC'� MODEL: S� TV MFG: .j.V MFG: MODEL: AS RANGEJOYEN $10.00 �A/C $25.00 FIREP AS) $15.00 �W GAS GRILL $10.00 AIR TO AIlt EXCHAN S 15 VOOD) $35.00 BOILER $35.00 FURNACE $35. ' CHU�WEY LINER $10.00 GAS DRYER $10.00 POOL HFATER $35.00 �DUCT WORK $10.00 _GAS PIPING $10.00 VEIJTZI-ATOR $15.00 — _ __._.._.__ ._._..�.__.,s.,...z,.�., . ,��a.� �---�u�' _ , e .,.. 3f�"��"a '� .t . . .... �.��L^SP��,7., �YSV�'1��iV��M11�.'T. ...�:,&?�-!=�?'.4Y.9t:.!r24 �roJS^� f.!A.v.�am..w�+n . -�... ..___.. . .... . . Permit Fee $ Number of fixtures @$10.00 / x$10.00 =$ 1(�. � Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $ Number of �ixtures @$25.00 l x$25.00 =$��C� Number of fixtures @ $35.00 ,_(_ x $35.00 = $ S _ � � State Surchazge = $_� .50 Tota1= $_`lp : "�� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in confoimance with the ordinances and codes of the City of Fridley and with the Minnesota-Construciaon Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approt�al of plans. � SIGNATURE OF APPLICANT�� L� �� P�T N�8 " ` � �� DA� �' � � v City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� REQUIRED INFORMATION NEEDED TO PROCESS PERIVIIT � •- RESIDENTIAL PERMIT APPLICATION HVAC , � NEW HOMES/ADDt�'IONS ❑ EXISTtNG HOME ❑ MAKE-UP AtR REQUIRED FOR NEW/F�C�STING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel ]MC Cha�ter 7 with MN Amendmen� b. Natural Gas or PropanellFGC Chapter 3 with MN Amendments � z, �e_up Air (See note below) a. IMC Cha�ter 5 with N!N Amendments 3. Ventin.g a. Gas appliances IFGC Cha-pter 5 with MN Amendments b. Fuel other than. gas IMC Chapter 8 with MN Amen.d�ents REQUIRED FOR NEW HOMES 4. Heai loss & cooling loa.d Per room a. FZequired on new conshv.ction IMC 1346.0312 5. Ven.tilation a. Per MN Energy Cocle 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoivat Energy Mechanical Code Guidelines software may be used for � comliusfion and make up aiurr calculations : .• . � /J/�J �/ 4 /1.) � �.tz�'s� �� ,_ � �� 1 � � �' � � � o . 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Glazinq/IIOOr P�rimet�r R-�'a1UC R-value 0-valnp UA -------------------------------�_.....-��.-.-,-...... e..»s-°---..�_....-------------------- G�xT�Sta'GSe F.te3.mr.d 'F`�.tss 1260 3�.Q 0�.6 32 vrat,zs: �coa Fsame, 15" d-c. �e3z �,�.0 2.0 i�b 83MT: Conc. 7.D' ht/7.0' bg/7.4' iasul 742 10.0 0.4 A�l 931h't: Gonc� d_Ll' htlQ.O' by/4_Q' in��a�. �9� 1,O.d 8,0 27 GI,AZItJ6: Windc�wa or boors, Above Grade 265 p-�gp cj,� CL1l2I��;: W�,sit94t+a, F.41?eAd8Gj.971tr � 5.6 ft2 8 0.35D 3 �� 63 0.350 22 C�:�IAl�C.� STATY�7E�P: TPre pr+�c�spd .bvil8ing Besign de�asihed hexe is aoasiatent with the buildinq plan�� p��i�y�,Qn.g, ��1 ��hcr cai�aal�sa�inr�s BLtbml.tt� tai.th th , �6 �7e� degign a meet the requirement,a pE t1« L�(,i.nnF-94td '�11�t4Y COC9+�. tt $uildez/DBSiqn�� Date � � � J �/ i � -1_ . r l '� ..�_! V.�;�' * . � � ; �� . C �-f ��.�� L- � -� 5 P � �� ' X--r � �- c� fzi�� c� � �« � �� " �- C� � � � � � .. / � �--�.� 1 �� l� 1 j � -- -'� < ;z -�- � �-� �'-�.� �� ' ..- � j � � � _. -- � � / ^ � � o 0 0 0 a � Jfr � ' }� PL i,�-; L, ' u: Ir � �xi ' � �� r ; a ,i �. ;� �!,, CIRCULATO�:.�� « �, ; `��,. , „� iNS��t, �� . � ., �� R✓;�%� � . . . .. ,'r.iMii,4n. i3.; � �� ;,"� The yellow wire connected to the LD. �31i the pressure switch is ciosed and �rp piggybackterminal and tk��n �ca�t��'��+1 call ��►�d�:bx us��g a wir:� rr��r..k��t � natiohal codes. Conn�et the CQ�I�f'�� of the 24 VAC transfortner). ,��;� :�„.�,� „ � T�E T�I,�; ,Y� . ` h ; ; {1 , �, z �.� If heating and cooiing speeds are fiFte s�me, the �`��v��v Consult the InstallatioNOperation Mar�ual far #h� proc�tr�'�,�y;��i r tF`ti z� , i � ' �� .� ��3� �;�� ,� �� .�1+ � �'� �, � r ' � " r i x., "'"� ' s � � �A :rr—�-.--�T „ , , As a professional install�r yq�#�,kiay� an obligatior► to korpr�.th� �ddtt�i��3t b�tt�►��rl ��''� �tl, _ � •;�id ��d iierns. � �: ,` "� ; �� Prior to actual instaliat�ort, fl�qit�k�fily familiarize yourseH with thi9.l�s�ruetivn M�tit��j1 Often duri�g iost�IlaUon or.repair'it is possible to piace yourself in a,pc�s�icf�r u+fh�dh.18, �S operation. Remember, it is your respansibilik�} tu install the product safely and to know ft w811 etta�l safe use. Safe�'is a rXlatter of commo� sense...a matter of thinking before acting. Moet°d�t�� practices...follow them. The pr�autions listRd in thi� lnstallation Manual are intended as supplerrmental to exi�tin� co�lict i�tween &Xisting practices and the content af this manual, the pcec�tlfiQi Part No. 22323501 Printed in USA Goodman Company, L.P. 9810 �lson Parkway • Fayetteville, Tennessee 37334 wx�w amana-hac. com ,,.i��. �,.��.,. , .. r �a ,1- � �4 � S � { r �T1�18. ``v �r. ��x,�4 �.+�,� �a i ��tii4,{»S; �I f :�,..,s�. u y �� a� }y�* '� �� t i � 'H #h`a'��Ifitati�'i�s . ' ,rrt' a�s,v« �� ,r A v,, � �:s � �,� a.rM> kty a3 d �� . m ��' d�� ls�, i • � , FRIDLEY MiJ1�TICIPAL CENTER • 6431 iJNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/T'I'Y (763) 572-3534 September 28, 2006 Assia Hassan 6599 Channel Road N.E. Fridley, MN 55432 Dear Assia Hassan, Per your request an inspection was completed on September 28, 2006. The list of corrections are listed below. Framin� corrections: 1. Fire stop all openings through floor and ceilings. A) Supply and return chase B) Plumbing openings 2. Fire stop all dropped ceilings and soffits. 3. Finish sta.irway opening, floor and rim joist, and add studs on both sides of operung. 4. Provide 22" x 30" ceiling access. 5. Solid block above window header at main floor (front window). 6. Finish blocking above new header. 7. Add studs under double joist, new landing by electric service. 8. Replace damaged sheathing south side of house. 9. Nail garage sheathing min. 6" O.C. on a11 edges. 10. Provide roof vents, windwash, and air chutes. 11. Foam a11 openings in top and bottom plates. 12. Finish framing (opening old stairway}. 13. Remove plumbing from 2" x 6" bearing wa11 and add studs along openings. 14. Hard wire smoke detectors in all sleeping rooms on all levels of the house. Plumbin� corrections: 1. Provide information for venting off water heater. 2. Remove flex gas line from water heater and use approved piping or connector. 3. Support all gas piping per code and change out old gas valves with approved ba11 valves. ^ ' � tl �'Y�'''";. vL ��. �`.�'�t� `;a - �,�,��; � �.�r�Y'�� ' �aF�a y� ��i� t� ��' "`�r?n!4! • , FRIDLEY MUNICIPAL CENTER • 6431 LTNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/'ITY (763) 572-3534 4. Support all waste and vent per code. 5. Provide proper fitting and drain for kitchen sink (drain cannot go into laundry tub vent). Support drain line continuous if you have a dishwasher. 6. Veat all fixtures per code. 7. Provide approved fitting for 3 inch drain by water softener. 8. Use long sweep 90's for a11 waste lines and provide clean outs per code. 9. Support all water piping min. 32" O.C. 10. Re-vent existing basement bathroom. 11. Remove all dissimilar piping and use proper fittings. Please call if you ha.ve any questions. Sincerely, Ron Julkowski Building Inspector � CITY OF FRIDLEY � ' 6431 iTNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE NOTE: CONT:763-413-3375 FURNACE, A/C, DUCTING 1;0;0;0 # FURNACES REPRINT'ED ON 9/28/2006 : 6599 CHANNEL RD NE : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : HEATING - FIXTURE BASED : RESIDENTIAL : FURNACE - AIR CONDITIONII�TG APPLICANT HANSEN HTG, INC 16218 EVELETH ST NE HAM LAKE, MN 55304 (763) 413-3379 OWNER ASSIA HASSAN 6599 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date � # A/C iTNITS PERMIT NO.: 2006-01806 DATE ISSUED: 09/06/2006 �� . �"� AIR CONDITIONING FEE FURNACE FEE STATE SURCHARGE, MECH FLAT HEATING PERMIT FEE, FIXTURE-BASED TOTAL PAID WIT'H CHECK # 3210 SEPARATE PERNIITS REQUIItED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 25.00 35.00 0.50 10.00 70.50 \� ��\ e . i � `� � . ' � �� T- `�� , � �G'�-7'`i4� '-' �%�D� G��%a/� l.�v �� , - - �,� ,� � L-- � � - - � . ��•� �.. - �^ . � �, � �j _ . � �"�� . G,�y-� � G� �� _n �-- � � �O-'-.� . �� -^� L�,�� ^ , �� ,�. . �^ � _�, ,�^ . �� _� � �� , �� -= �� . ' �,��. �� -- � � �6'l��l.� �''� P 1�J/-� � �� `�� -- - -�� ,� � , !i � � � � ,, , , �i , , -- �.��'r/ �� -- � � . �� ,��i�'G�� -- �(� �i�� . �_ - ,� � �% , -�--� � � I �.. / � �/ ` �� . � �� , ��l � � �_.___ .. � 1 �� .., � � � � /'�, !�'� �"� � � _^ /� o.' �- �.�x �%r�� y�� ' �� !� �� - f \n � �i� /'�j � � `�`�r �� -�� n � � I��/' ��I � �� / / � � ` l �i�� `�� "�� v.� �� .^ ,,. � � � � � 1 _. � � � � �/ �i��/ �� ✓ ��- � � �,/�1/ �i�� 0 �� . �� .�� . �' 0� 0 f'1 ' s � � , ' ;�;' �' �' Fridley Municipal Center — 6431 University Ave NE, Fridley MN 55432 Building Inspection Deparnnent (763) 572-3604 FAX (763) 571-1287 Open Permit Letter Date: October 13, 2006 Hansen Heating Inc. 16218 Eleventh St. NE Ham Lake, MN 55304 Re: Assia Hassan 6599 Channel Road Fridley, MN 55432 Pernut # 2006-01806 Dear Pernut Holder: The city building inspection records indicate you have an open permit, correction, and/or inspecrion that have not been addressed in accordance with Minnesota Rules, Chapter 1300. Within (14) working days after the receipt of this letter, you must contact the Building Inspection Division of the City of Fridley to schedule an inspecrion. Should you not schedule an inspecrion within that rime period, your permit will be considered expired per Minnesota Rule, Chapter 1300, and all non-compliance issues for which you will remain liable, will be put in the property address file for permanent record at the City Hall. In order to obtain a final approval for the work allowed under your pertnit at the above address, which would then allow the city to issue a certificate of occupancy, the following issues must be addressed: 1. Review the letter dated September 28, 2006 and respond to the requested information. ( Included wifh this letter is a copy.) 2. The openings for the return air in the second floor southern bedrooms and the ret�un air openings in the second floor hall and the SW bedroom are undersized in both ductwork and the opening cut through the bottom wall plate. They are back to back and should be separate single returns. Two 7" flex ducts are undersized. 3. Is the fiunace that is installed sized correctly per the heat loss and cooling load calculations that were requested? 4. There is no supply duct to the second floor small bathroom 5. There is a eacisting supply in kitchen that may be in conflict with the plumbing that is roughed in. 6. The return air stack and boot that is attached to the furnace is probably too small as per mfg and code. 7. The water heater vent was dismantled and the water heater venting need to be addressed. 8. Is the combusrion air necessary per design and installed correctly to current code? 9. Is the furnace venting (size, # of elbows, length, termination, support) installed per mfg and code? 10. The fle�cible duct is not installed per mfg installation instrucrions and per code. 11. Does the ductwork size meet the demand for the designed heat loss and cooling load? 12. The bath fans on the second floor are not sealed, insulated, and a vapor barrier is not installed per code. 6 e 13. How are the ventilarion requirements being addressed per the energy code? Please complete the above corrections and call to schedule an inspection with the permit technician at (763) 572-3604. Sincerely, Building Inspector Cc Assia Hassan � �• F F �i � Fridley Municipal Center — 6431 University Ave NE, Fridley MN 55432 Building Inspection Deparhnent (763) 572-3604 FAX (763) 571-1287 Pernut Application Information Required Date: September 28, 2006 Hansen Heating Inc. 16218 Eleventh St. NE Ham Lake, MN 55304 Re: Assia Hassan 6599 Channel Road NE Permit # 2006-01806 Dear Pernut Holder: The city building inspection records indicate you have an open permit, conection, and/or inspection that have not been addressed in accordance with Minnesota Rules, Chapter 1300. Within (14) working days after the receipt of this letter, you must contact the Building Inspection Division of the City of Fridley to schedule an inspection. Should you not schedule an inspection within that time period, your permit will be considered expired per Minnesota Rule, Chapter 1300, and all non-compliance issues for which you will remain liable, will be put in the property address file for permanent record at the City Hall. In order to obtain a final approval for the work allowed under your permit at the above address, which would then allow the city to issue a certificate of occupancy, the following issues must be addressed: 1. Provide a heat loss and cooling load per room per IMC 1346.0312. 2. Provide ventilation requirements per MN energy code 7670 or 7672. 3. Provide a sketch of the duct design per IMC 1346.0603.2 (ACCA Manual D) 4. Provide combustion air calculations per IFGC Chapter 3. 5. Provide make-up air requirements per IMC Chapter 5. 6. Provide venting requirements per IFGC Chapter 5. 7. Provide make and model of all of the equipment being installed. i.e. furnace, A/C, fans, HRV, etc. Please complete the abwve corrections and call to schedule an inspection with the permit technician at (763) 572-3604. Sincerely, Building Inspector �, wo ,�� , , � . � FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTD/TTY (763) 572-3534 December 21, 2006 Hassan A Ali 6599 Channel Road. N.E. Fridley, MN 55432 Dear Hassan A Ali, Mark failed to submit information requested on our permit application. He also failed to submit the information requested in the letter sent to him on 9/28/06. The heat loss calculations confirm that the furnace is too large. The heat loss requires 55,882 BTU's. The furnace installed is 115,000 BTU's. The duct design is incomplete and will have to be redesigned for proper size furnace. Both the letter and permit application have the code sections required to comply with the minimum standards. Please understand that we need this information prior to the rough-in inspection. If you have any questions, please call me at (763) 572-3602. Sincerely, �-, �� ` Ron Julk Building ADDRESS: 6599 CHANNEL RD NE PERMIT NO. 2006-01509 DATE: 12/22/2006 TIME: 09:00 AM INSPECTOR: RON JULKOWSK INSPECTION TYPE: FRAMING REINSPECTION NOTES: Original failed on 9/28/2006. History: SEE LETTER DATED 9/28/06. LETTER IN FILE. 1) FIRE STOP ALL SOFFITS, AT FLOOR CEILINGS AND ATTIC. 2) PROVIDE WIND WASH AND 1 INCH AIR SPACE IN EACH TRUSS SPACE. 3) PROVIDE 1 INCH CLEARANCE AROUND B-VENT. FIltE STOP AT FLOORS AND CEILING. 4) ADD 1- 2' X 6' HEADER OVER INTERIOR STAIRWAY.. 5) STAIRWAY WALLS --- FRAME EVEN WITH STAIRWAY OPENING. INFILL NOTCHED FLOOR JOIST. 6) BRACE ROOF TRUSSES. 7) PROVIDE ROOF VENT, WIND WASH AND AIR SPACE FOR ROOF OVER BASEMENT STAIWAY. 8) PROVIDE POINT LOAD FOR MICRO LAM BEAM 1N FIRST FLOOR TO FOUNDATION. 9) NAIL SHEATHING ON GABLE END - FRONT PORCH 10) ADD HEADERS FOR GARAGE WINDOW AND DOOR 11) PROVIDE STUDS FOR DRYWALL IN GARAGE FIREWALL AT SEAMS AND NAIL. 12) FINISH ALL FRAMING IN THE HOUSE, SOFFITS ANG BACKING. 13) FINISH ALL EXTERIOR SIDING, DECK AND BLOCK FOUNDATION. 14) STAIRWAY FROM LIVING ROOM TO BASEMENT BUII,D TO CODE. STATUS: INSPECTOR: INSPECTION NOTES: I JAI�-30-2007 TUE 04 � 13 PM FAX N0, P, O 1 � �r,%�� _ �io� S. Fl��!'ip� Av�rni�. StQCrx F�lls, Sp 57iO4 �"iO3 ^� Nancy �ei6e! P,Q. Go+c 5077, ,S�q1a Fnl1., 5(? 571?7-SOi7 Clairns A�77lySf r��ho� so�-s�o-asae Fac,rimiJe 605-977-7724 nancy.lclbelQ�nasurety,com J�trit�ti�r 3�, �007 'V'TA Facsi��tilc (�nl� to 7G3,571-128? 1�riril�;y Muuicip��l Ccnt�,r 13uilciin� Ins�eclialY Dc:p� At1n: Roc�.�ulkur�vs�ri, Huilclinb Otficial G4� 1 Llniv�rsity dAvo. NE. ��ric�ic:y, Ml`d SSA��2 Rl:: ]�rincipal: Mark L. .�tans�n dba 1lansen Het�ting Su�•�ty: WcSicrn Su�cly Campatly Aond hio.: 1y9978273 Cla�n� N�.; 9��11785 ��ar i44r. Julkh�vslci: VVc rcceivecl y�our fa�simile at]anuary 17, 2U07 reg�r�liu� a claim againsi the abov4 rctcrciiccd U��nti ('t�r Pcrn�it f�2Q{l{'i-p18U6 ior GS9� Ch.lnne] Rc�ad NL:. I'ie:�sc c.a��plalc: �l�lc1 rcturn thc: �nclosccf �Gcmt�-�,ct Cl�.im C�uesCiannaire anc3 to #hc cxtent y�u h�ivc uot cic�iYC so,1'itiniish t�.� �,v�t1� copies af a11 c�oc�amentation for this claim so tliat wre can cot�dt�ck aur invi;sti�ali�n. This shoul<1 includc a ca�y oi'thc canh-�.ct with our �'rinoi��l, �, copy oi'11�c liuii�in� 1'crrriil, clocutn�ntali��n to show prc�a!"ofpayments macicta ourPri��cipal, intc�ru�aiion al�vt�t �ny ph�nc calls �r oit�cr communicaiions wilh c�ur Principal re�;ardiiy� this m<�tter, a�zd oriC� lial'iility is deCermi�zccl undcr ihe boi�d, we will nccd cstimates from 2-3licensed cc�ntr��lurs td r.c��rc,�ct tlic c�de viplatioi��. tii the m��ultitna, sh4ulti you l�1vc; ai�y qt�estions, �leasc fc;cl frcc to cvnl�ct us. Wc wili cantact ot�r 1'riijcipul Far 1�is int�ncicd re.�saluti�u oFtlus m�.lt�r. Thank y41� ftrr Uringing tliis ��t�i�n to our �Eienlion. W�tc�n S��rcty C".omp�»y rescrvcs all ri�;his and dcfens�s. Sii��G�-Cly: `�''�'�r�r-��. c�.r,l��' _� n��,�y r�� A�llhqri�ccl P.cl�rc5cnt�livc af WGSicrn Surcly C:ampatiy F.t�c:lo��t�res cc: hl l Cc�ut1ty ��cn�y, ino. M�r�; t,. E I�tiscit dba 13�insei� Yl�Ling Assia fIass�it � JRN-30-2007 TUE 04�13 PM � ! } � , . Claim No. 9A� j (-� �';� _ CQl'��C�` C�AIM QUES'TItJNI�TAIRE Tnstnactioris; Yn ar�tCr to as,�ist the suY�ty i.n evaluation o�the claim and provide yau a rr�iltlWdZ1C �Or flOCtltIlCtT11� jiOli[ C1a1'R1, pleasse completie thi.s questionnaire. Ple� rei�t�rn with �l� nec.�ssary suPParting d�ncuments �contr�ct, l�yment evidence, and �ther d��'u�me�ts s�� ortlz in our �:laim ackno�wledgem�nt Iett�rj. 9 I��t� of Clai.mant: �CiS/-i'r" �` � � ��' � � �'�� At�c�ra;ss: - � � � � +'� �,� �'� � ��,' f'� a-�y! �I,i►-' �'S�t-3�- _ - 'rei�pl�t�ne No.: ��3---- r � r 6 � �° � Y,�� ' �' - � �! --- � W�s ih� work�i�rojcct on yowr prim�y homeladdress: ��' S l'f not, wherc w�s the work compl�t�d: .. _..._.�. ,��+�--- P, 02 � � N�un� a.�conttactor. 1� t�,Y' �-. o-�i%�n �� ° e'�-�',� Adtim�ss: � 7, st� � � a '.�cl erh�nn� Na.: 7� 3---��..�� Fax Li��n.:�; No. ��; � � �7`�T� ��w� Gr�r.Y�'R� �C�/ �ic. �� 1�1� ?.�- ➢ rirojecl: Plcase describe the contrac# w�ork to be complet� by thc contr�a.ctc�x. littach �. cs►py of tho ore�nal �xoposal, final cantra.ct and ct�nge orders: Tc,i�n1 J)oila� �ost/Ag�eci Cont�t Amount Fzyments: Arn�unt 1'aid to date: l.�a�e;s o� I'aymen�lA.ttach �vidcncc: �Ynowat Not Paidlthltsi�n,ding � �.�� - � �� ,-r� $ " t'1e�.5c att��h �ayment cvideuce� (ca�ies d�checks, receipts, et al). � JAN-30-�007 TUE 04�14 PM FAX N0, �If you assert t�►si the contr�ctor did subs�tanc�rd work, departed from the contract �d/or �contract 1 and specificatimns, please describe in de ': - �� - /r�'.�'/�-T'/�s�J l ��— 0 ��ias ih� �rop�rty be�a insp�:cted by tbe Local Buildin� Deparbnet�t7 I�' yes, ple�.se nrnvicl� a cn�v n�the �r� P. 03 �l.lcacs any �a�rt c�f,��ur c]�im involrre damage ta you home as a result qf t� co�stntction �roblcros? !f sti, c�0 �C3ti I�110W 1�f�� COIII�CtUr �S in��ner7 If SO, did you file � c2ai.m? � ., _._� Yiye�, alG�.ch ti copy. Y I')0 �►UU havu photo�,phs of�llv W otk p�qble�ris? I� S�� piea,se �#ach or send vaa, email. �Ca�r�ria�e �ndcr � contr�ctor surch,� bo.nd is �enerrillty limii�d to the cc�st to corr�ct cade v��l�iit�t�s, Tlic �urety determines ccrvcra�e based on the speci �ic st�te that requires thc l�t�ttd. O�t�e cov�rag� is d�termined, it is likcly tl�at wc wiu �equue two (2) writt+:n ��i�ates i"rani licengad and bonded cantractors. 'I�e l�zds, i�'possibl�, shauld be itemiz�d in � schu�uIc� c�f value forr.nat (line by lin� iteznj brok�n dawn into items that requxre cc�rt��tion versu$ it�ms #hat need to 1� t�n�plet�d unc�er the or�ginat s�cope of work. Yau n-t�,y wa�nt io fiunish the bidcii.ng conV�racior with a co�y of this farm. ��Gi�. item should list a se�►�raxe c�ollar va1.u� far each; « Ytem(s} th� need #o b� caaected and completed � Ztem(s) th�l: need to 1� ccampleted e�hange Oreier Iiems �nd an cxplanatian for tha chan�e order. � �. � ADDRESS . PIN . LEGAL DESC . PERMIT TYPE . PROPERTY TYPE . CONSTRUCTION TYPE . CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (763) 571-1287 REPRINTED ON 2/28/2007 6599 CHANNEL RD NE 133024240016 UNAVAILABLE LOT 4G BLOCK 1 HEATING - FIXTURE BASED RESIDENTIAL NEW INSTALLATION PERMIT NO.: 2007-00266 DATE ISSUED: 02/28/2007 NOTE: ISSUED THIS PERMIT TO REPLACE PERMIT 2006-01806 DUE TO ISSUES WITH CONTRACTOR. NO FEES CHARGED. APPLICANT CATfiIES HEATING & AIR PLUS 5324 76TH PLACE BROOKLYN PARK, MN 55443 (612)221-6050 C�I:j�l �:7 ASSIA HASSAN 6599 CHANNEL RD NE FRIDLEY, MN 55432 AGREEMENT AND 5WORN STATEMENT This permit becomes null and void if work or construcrion authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and larow the same to be true and correct. All provisions of laws and ordina.nces governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construcrion or the performance of construction. Applicant Date Bldg Insp Date PAID WITH CHECK # TOTAL SEPARATE PERIVIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT NO.: 200�-00266 6431 UNIVERSITY AVENUE NE ,�� FRIDLEY, MN 55432 DATE ISSUED: o2�2s�2oo� (763) 572-3604 FAX: (763) 571-1287 REPRINTED ON 2/28/2007 ADDRESS : 6599 CHANNEL RD NE PERMIT APPLICANT: PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE INSPECTION TYPE HEATING ROUGH-IN HEATING FINAL INSPECTION COMMENTS: : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : HEATING - FIXTURE BASED : RESIDENTIAL NEW INSTALLATION CATHIES HEATING & AIR PLUS 5324 76TH PLACE BROOKLYN PARK, MN 55443 BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEI�AYS: 8 AM TO 5 PM DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE PO5TED AND VISIBLE AT ALL TIIVIES UNTIL WORK IS COMPLETE. _ CITYOF FRIDL�.Y FRIDLEY MLTNICIPAL CENTER • 6431 IJNIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 COVER SHEET � TO: FROM: Inspection Division, City of Fridley, 7.63-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector Sandy Stanger, Permit Technician CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector _ / � � DATE: � ��l� "l�7 /` � v Page 1 of �- REMARKS: ,//L�� v�Z��`/l'?� �-� % �C� ��' - � �� j � ��l�L'��► NOTE: Please call if all pages have not been properly received. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE f �Ci7� M�K�)�r I�l.xi f ��c�Cl��j FURNACE, A/C, DUCTING 1;0;0;0 # FURNACES CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 572-36U4 l+'AX: (763) 571-12i37 REPRINTED ON 2/28/2007 : 6599 CHANNEL RD NE : 133024240016 : UNAVAILABLE : LOT 4G BLOCK 1 : HEATING - FIXTURE BASED : RESIDENTIAL : FURNACE - AIR CONDITIONII�TG APPLICANT HANSEN HTG, INC 16218 EVELETH ST NE HAM LAKE, MN 55304 (763)413-3379 OWNER ASSIA HASSAN 6599 CHANNEL RD NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construcrion authorized is not commenced witin 60 days or if construcrion or work is suspended or abandoned for a period of 120 days at any time atter work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date # A/C LJNITS PERMIT NO.: 2006-01806 DATE ISSUED: 09/06/2006 AIR CONDITIONING FEE FURNACE FEE STATE SURCHARGE, MECH FLAT HEATING PERNIIT FEE, FIXTURE-BASED TOTAL PAID WITH CHECK # 3210 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 1 25.00 35.00 0.50 10.00 ?0.50 Building �C�IC�, Pernut No.• Inspections RESIDENTIAL APPLICATION Received By: �- 763-572-3604 CITY OF FRIDLEY Date Rec'� (<� �� DATE YOUR E-MAIL ADDRESS STl'E ADDRESS �D �1�� C �.v+ln,�' � O � � THIS APPLICANT IS: ❑ OWNER �CONTRA(�TOR PROPERTY N�: ��E� ADDRESS: CITY STATE ZIl' TENANT PHONE: CONTRACTOR COMPANY NAME: �-' +�' S ��i a.i- e��^� �i'i ,r' �IU g SUBMIT A COPY OF CONTACT PERSON: C� w�� o " YOUR STATE STATE LICENSE # O�� a� �o% EXI' DATE o� 3 � LICENSE WITH �DRESS: S � a �"( � L+�'�' �� CITY r � o �G � ��. � STATF� � (�ZIP s.S �i �� APPLICATION pHONE j�/.2 �a.l l�� O FAX Z7 PERMIT TYPE �SINGLE FAMII,Y O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � �W � �P�'CEMENT �ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �' � S c7tiv+0 i�lr �� v� .�! � 5�11 �'► C� 1n� r*� �- 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, insta.11ation or replacement of a residenrial fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. La.bor cost between $300 to $SOU = cost of labor x.OS = FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WFiERE NOTED. FIXTURES: (1NDICATE TOTAL NUMBER OF EACH BELO� Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: S1ZE/BTU A/C $25.00 FIItEPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIIt TO AIIt EXCHANGEER $15 ��' �PLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII ER $35.00 ACE $35.00 GAS UNIT HTR $10.00 CHIIvINEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $IO.QO GAS PIPWG $10.00 VENTII.ATOR $I5.00 , . - �� , y . , r: =w , , � ,: � , ,�*xr �� '� `r� - >. � �� - . , . � ., . , � u � _..�, � �. , , ;, � a� �.,�.�..�- ..��,.,.� . ,- _. _ _ - � Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERNIIT-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 Conslruction 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 work wh'ch requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME l 7 P`�° �� 1�/ a.✓'v S O Vl DATE v �� - �: , .- � = � - � _��: City of Fridle� 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 PERNIIT 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 Amendmettts b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Cha.pter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Cha.pter 5 with MN Amendments b. Fuel other than gas IMC Cha.pter 8 with MN Amendments 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. -�— ;� - :�, DA� t i �!* S�Rli10E ❑ W14� �ALL - PHONE N E � 9N3TqLL ❑�ELIV�R ADDRE � � � � � � � � � � { _ �8 � - �`+� � �- � � _ ,�J ITEM TO BE SERV Ep '� W ;' �„ �u ��'ED c�u,4tv, � � C! � � L-°�� ouES , DESCRIPTfOlV OF RART'� pg� M�4 A, �bL911'� r�� : .�` � �� , �� r �.�, announr� _ _ � �� - � ��, - �,,� � ' �� : � �, �,� ��,� �' , - � �, , � _ �� .� � i� ,� } .,�. L4BOR PERFORMED _ $ � • � � l� �, : � �� , ,�' � � � � � �: _ ,- .� � ( : ,s i :�. � ; r TOTAL . LAB,OR �ATE WANTED � � DEPO TOTA� � RECEIVED gy ��UNT ` �snnnarE ' �R ��/]AGE CAUSED B . Y FIRE, THEFI; WE WILL NOT : TESTING OR q�yy pTHER C �E RESPO ' � AUSES B�yQNa�S1BLE FOR ipSS; �UR CQ�p� :, ��ec� AUTHOAIZED BY: aIOB W��K �F��ER � ; •'`\ TERMS - NET CASH Dl1PLiCATE ? NO GOODS HELD OVER 30 DAYS ' ,� � � - i i � c �- � � GOODI N COMPAN ?�(i�ia�esa�e�s PLUMBING • HVAC • PIPE • VALVES • FITTINGS • WATER WELL • INDUSTRIAL SUPPLIES www.goodinco.com Minneapolis St. Paul Duluth Detroit Lakes St. Cloud Brainerd Fargo Rochester Eau Claire (61 Z) 58&7811 (651) 489-8831 (218) 727-6670 (218) 847-9211 (320) 259-6086 (2181828-4242 (701) 298-3210 (507) 529-1284 U15) 830-1800 (� .� q� � �„�.�.�.,� � �d � �.�s �r /��'P � �r1�,te� �� a— �``�� i��(v � --�---°—°—"""'.. .� _ ......._.....____..._... _..._.____..._..__..__ , ---...__._.._..----•-�- �—' � � �,i.,�F!',�;�,p � �� 8FO �`�:�� p, V �y � '!'8i ��f �S'�°+� 9 � � � � �� 5��..1,1 (Le �� i� �. �� ly �� . _ `� �° -��, � h��, �� -� e ��P�� .� �, � ,�s ��a ��,� � � �'��. � �� , :rY� �� ?' .r_-:�� i -j ..} �� :' ,,,,`� _�I I�IEIL HEATIl�C7 & AIlZ CONDITIOI�TING IN�. �.o Box 29292 APOLIS, � S�TA 5 5429 763-786�5530 a __ _ _..�.__. _M _._.�._____--- - . - - i�:{�OA � �g I�d@ � �i '� � C�QiI a��► A1ter+igs t�dgn Tp ('� � 20 � fl M � �i t�� • 50 � �e,�e �pdte) - ze H�►� c-4u��r c:oouN� ��xu��nrr ,T��,. �� H��f�a � SFace tl�n� �.0 A�UE 0 Bdth 0 6�h 0 'F a� �swh ROOM NHAAE � �i t�+�r k�c�!'dur� t�ed 3 �� bed b b� 8 � [I8 b�ttt � � �10 #11 92 13 14 15 16 � sio 374 121 121 �10 a10 1�! 70 42 40 954 13� � 3a � 132 � T�sde � �� atent t�oafii� r� ��fio�r tr�tor l.�d se�te t� r�a i�� ..._� 15�8 1�4 6� �31 � 6948 1771 �7 848 �07 339'1 2443 1276 1� 0 �� J"7 6�.i ,� 2887 : 1284 9"!S 1747 ?217 8ai 147 2Att � 1313 907 288 432'Z 12B0 B 0.0 EER 0 8t+d+ 0 8�th 0 $i�+ 0.� t�miBtuh Htg ;VF efm �I�e.a�. Adn. e..n �r er.� P� � b�t ACCA to n� Ap n�� af M�1t�1 J 7�1 Ed En�re Hau� d V�n Sir � �� .tro tts� TOTALS �431 87318 0 2431 8�396 :� � ' �._�� 33U53 3S7 ste 138 52 67 123 137' �41 19 �2 74 78 �B 28 35 Q � � �� .�...� � 395 1 �3 . 69 S2 � 119 3� 8 11 � ?e 48 16 84 67 16�tS 1�49 1549 15a9 < .' Date: 2/26/2007 Revision Date: 2/26/2p07 Site Information Address 1: 6599 CHANNEL RD NE Address 2: City: FRIDLEY MN County: Aapl�cation Infarmation Business Name: CATHIES HEAT & AIR PLUS. Existing Construction: Pre 1994. Project #: 2U06-01806 Lot: Block: Subdivision: MN Contractor License #:ST LOUIS PARK # 00012267 Contact Person: GREG OR CATHIE Office Ph: 612-221-6052 Fax: 763-560-8275 Celf Ph: 612-221-6050 Address 1: P.O. B4X 143175 City: BROOKLYN PARK State: MN Zip Code: 55443 Combustion Appliance Water Heater: Natural Draft Input BTUs: 70,OQ0 Independently Vented Fur�nace/Boiler: Power Vent Input BTUs: 90,000 Independently Vented Make-Ua �►ir No Make-Up Air Required by Code Combustion Air Round Rigid Required: 8 inches ar Insulated Flex: 9 inches � Applicant Name (print): � Signature/Date: � �� Code Official {print): Signature/Date: � 2Q04 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 r Date: 2/28/2007 Revision Date: 2/28/2007 Site Information Address 1: 6599 Channel Road Address 2: Ciry: County: Application Information Business Name: Cathies Htg Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: Zip Code: Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Combustion Appliance Water Heater: Natural Draft Input BTUs: 40,000 Independently Vented Furnace/Boiler: Power Vent Input BTUs: 90,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 50 Make-Up Air No Make-Up Air Required by Code Combustion Air Round Rigid Required: 7 inches or Insulated Flex: 8 inches Applicant Name (print): Code O�cial (print Signature/Date: Signature/Date: OO 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 1 ,� u � -_�, . ,. � �, ��, � !I/ �� ,�. . � ��£i�% �C-.�s��5' �� ,--� '`� ��or�r�� %�i�1X �.�"� = ��O .S,oa / � _� f� % Z- ��1� �ar��'y°. �.izi��- -.�, �� ov�-,e�s-��,✓�� , � � �i �� ,� . �� , ,�� ' � z � �� ,� �, �� ,� �, �� 1 �. � �� , ,, ,� � _� � ��, � ,� �-. � ; �,/ ,r/, � �� o �� . � �� '�o�� :�� . �� £�� r�. ,� �� --� � � �a�r�� ,��,� ��.�� -- � r;! •F; '~ :.: �..R °.,�^� p . 4_ R'"•+g� _-'�-"� ._.d_s �'°',-�.'m �`� 6` `` e..,`� t � . _ - . ��. `��_' } \� .J. pt.. _ * si�� '��! _ , , � _ J.�'�,,,�' 4 .,� . �A °' . _ ' �-�;�� _ � s.� �` a �_ "b: '`-� a,� e"y: •,.�''�.q . � .� s�a�`'�'� � � i`'. � � . �,� s 4 � a. ? ; • � ��" ,swa.. 1q =�a =� �a �: �.'' ' � � -i =;. � ' �a° � ';a b - a -a a '" � a •� . �-•-.'4 '°__ �, ..q"° .! - . .� E`."+ � � �... �a�, � .a ....e�Nb`�'.►_.-_:. -. - ' __'° a p `.`1. e .�l _:f�-.�D". ,� _5 , '� ' �!, � c_'_? e `� ' , , > . . °� . _ g „� 4 i- �3 a-+ \ ' _. , �.. _ ; �. ..`.,�'��* _�,�, ..._ � • - � ai . 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G% `q� 3 _b . !e_ l \ q � _ . _ . . . . " � g _� \i,_� S . ` � �.._'�_ � �� , e..,. Y f'..-_� E t, ° ' t' � . � _o'�'`� y� `-�� . '� R . _ ��-_J `� - ° � � �'�. .. � �r —� v - - o 0 � �� '''�! � � � �,� �� - � 1 � /'� � � � I � �J �� ---f MAR.-26-20�7 MOM 04�46 PM FAX N0, P, O1 �ir�� .�,.^ .� �D15. t'�uffi(i� AvonUa, Si�iux fatls; SD �`10�-6703 �� IY�nCy Leibe! F� f�. C=cx 5D77, Sroux ia�Us, 5� 579 f 7 50'T7 Cl�ims Anatyst r�lephcane so�-asa��08 Facsimita 6U5-�77-772�4 ns�ricy.leibe! a'�,'�cn�su�ety.cam M<srt�l � �S, 2U07 �l�ss��►� Ali �C �1.ssi� IY�.SS:�n bS9� Channc:l Ku�rl N�. rri�ilay, MN 5�432 Ri?; Prinrip�l: lt�f�,rk T... H�uiscri dl�� Hansct� ��e�.lin� Surc:ty: 'Wesi�rn S�crcty Cc��npany 13o�id 1�Tc►.: t,99782"!3 Cl�im I�c�.: 9;13117ftS '1't-r:�rik yau for se�zcli�� us tlle c:5tirinatc: ta carr�ct tlic ccxlc vic��atians of H�nson Hcatin�� F+,S;Ci�'18CCI l� i1 R.��L�'t5C �ll+d A�SS:��1]117C1iL fC1T[rl F4C j�pUT Si�*[111,UP1,'S. i'le�s� si�;n this fonn �nd retunl it to Wc,strrn �urcty Ca�}�P��Yy cith�er vis facsimile to G05-�77-7724 or maal to Elie �bovc address. C}ncc w� rcccive the si�ncd ltc:lc�,.� F�rr��, we ��,n iendcr a check payable to Hassan �tli & As.sia 1[;�s5at� iy� ilYa �nt�tm[ ol' $5305.U0, Tf yau have any qucstions, plcasc let me knariv. Si��eciuly, •,�''�� c�.`'.C�fi�9 �� Nancy i.�ib�l �tut��ori;►.�:cl i�c�.�rescntalivc; of VJ�strn� Surcly C:Qml�any �.liG�p�U i'CS c�: Ran 3�flkovt�ski, City c�f Fridlcy wia fa�:.~imilc ta 763-571 �1287 � ta ��tic�i�l l ass�n Fridl,:y3.36-07.dac �:'(�PY' MAR-�6-2007 M�N 04:46 PM FAX N0, P, 02 Cl��eim Nv. ��311785 RF�f.FA�T: ANI� ,A,SSiGNMFNT �nr lhe �rc;coi}�t pf FIV�-THQUS�aND TTI'RL�E-HUNDR�D AND �'IVL� �LL11RS (��,305), th� unr�crsigncd, Flas;�a�i �1i and Assai .�:Cassaii of Fridlcy,lVYinnesota, dacs hcrcby rctc:l�c W};S7`��'EtN SU�sI'Y t��MPANY oF Sioux Falls, Sauth I�aJcata, f'rorn a�zy an+� all ii��l�ilily n�w e�;islii�g, or wluch. ma,y aris� herea�er or be discovered Uy reasoii af the said W1'sS'1'�'s�N �Uitl:'!�Y CaMP�►NY laavi�,� l�oi�cled Mark L. Ita�zseii dba. �iai�.seii Ileatuizg imdcr },3onc� Nc), �997$273. A� C�i71:1'I 1 i:� CC71�ISyi7�I�.A't l�N for said pa}�ne�t, tlic iindci�signec� does he:rcby scll, assi�;n, tr��r�.�fer, ducl s�l c�ver ur�tn WES7`:FRI�1 SLTI�FTY C4MPANY its c�use c►r eailses of ,zctic�i�, e]t�i��, �ict d�n��.i�d a��insl M�rk I.. Ha�1w�i� dba H�n�en Heating to sue in its +awn nainc s�� 1 sl.cad tcr thc extcr�t o f tltc p��ytnci�t. , C)�tc;cl this ----- ctay a�" , Ylassan Ali �nd Assia Hassan W11'1VI;SSLS: . F� _ CITYOF FR[DLEY FRIDLEY MU1vICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 COVER SHEET � / �� f FROM: Ir��spection Division, City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector Sandy Stanger, Permit Technician CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector DATE: � �' � Page 1 of _ r;��r;i,�:�� .. � � f � � ` NOTE: Please call if all pages have not been properly received. FEB-2'7-�2�i07 13 � 35 RAM5EY CQUNTY HUMAN SERV � � F�ssan All 6598 Cha�mel RD AtE. FridMay� MN 55432 � 651�66�495 P.�1 , � � � ,� ,• w �' � � i I" I � , i T�z Ron Julkow��ki , From Has�n Aii � 763,�71-1287 Paga� 3 , Pha�n� 763-572-3602 ; D�: �/27t�0(?7 � R�: Warn,�en H�adng �C; � un�ent ❑ rw Re�te.MV o PI� �nn�t ❑ Ple�s R+B�q�y � Pl�a �Cle • Comrr� Hi Ron tt�is is tl�e documer�t tha# I w¢s t�lking abaut ave� the phone �a pl+�ase �end t,� aPpr�e cfaims departrr�nt ' � TF�IMIKS, � Hasssn Ali , i 65712B6-3749 � ' , , i � ' i , h I � � � � � ; I ' ' I , ' � � i � � I � ' � � , � e � t FEB-27—�007 13 � 36 RAM��EY CDIJNTI' HUMAhI SERV d ' a�et ,�� O�Fll+le� L Cf�EC� �CAU # 12i0(S) . P�v�SSr JBdAL A MA99EN Purc.7aa5r Aeeaunl: 3ST42B7010 bperetotl.D, CM97B3 paYro-ry�a�oF **'''�-iAh1SEiV HI:ATIIVG�'** � ***Faur thous�nd doliars and nv c.�ernts�* w�u.s aa�a a co�tuaY �a 4F4 d1QNYCiOMFRY F+TRE'c � SAN FAAtii:ISCO. CA 64t63 PAYA9LE AT NIELL$ FAR(s8 BANj(, NA FOR INQU�R�6S CJ1LL (480) 3943122 � � � m�,�tctr,os� �rns vas'r�w��r �s �osr, 91'O�LN Oli DE9TitOVEO, ,Yp�J ?�fHY t�QUEST CANCEC�AT� MID RP-I�SUANC6. RS A CbNpIT1QN TO CANCEtIA710N ANb R�139UANCE,IM1lELL$ FAR/'sQ � CON�'ANY MAY �MPOS@ A FEE AND R6ptHRE AN I� tY qC�EN�WT' A{Vp gpi�. PurcMa:,�r Ca►�y osea� „� ��ICd�, �;�E�9�'► 4�itd AU # t21�(8j . Pu�M1888f: JElBAL A MAS'�EN , P�at�asork�u+C 39'tMr9;'Ot0 Oa�t�etor I.D.; r�ao�e rrreuaa.s�. , ��Y�-a n�e e�� or� *'�F�ANS�N HEATlNG"'��' , *''�`Tnre� #ho;�s�nd f�v� hundred c�ali�rs e�r! n� �;.: �ais�`* WEI.LS FAR�'�O A� GQa1PANY ISSU6R �.24 l�ON7GOMERY STREET 3A{� pF1A1SC{3CU. G4 $4183 PAYP,Bl.E AT W�LLS FARGO BANit, NA. FrJR Ih1�UIRIES CALL (4A0} 3,44.9122 �� 1/�iG3 FIpT1C$ Tp 1'l1R�i1ASER—IF THGS fNb'�AUMEM Is l,Q5T, E�70[.EN OR bES'RiS]YED, YpU ABRY RE4UEST CAFJCEUAT1t]N p�ND REIBSUMNCE. AS a CONOITKSN Tb CauCEU.A�it�l AND F:F.1.R3LI�IHCE.1IIt�RL3 FARt'0 8 G�lAdpp�pfY MhV IA�b9E A FEE AND REOUII� AN II�tO�iVi^�' AORF�MeNiAND BWVD. Pt�� s��Y 6512664495 P.�3 � ; � ; ; 1 S@itIAL #: 0958704T92 I ' , ACCOUNT#: a8S7-5a7275 � ! �ptember 08, �QQ6 , , . ' ; ; ; **$4,000.0�"� , j ' i va�o�FOVEHUSS a,000,00. , Nt�N-NEGOTIABL� • ', , � � . � � , ' � ��ra.#:� oe+�3oa,�. � � , i ACCOUNT41: 48B9-50i'275 � � i , � , Se�#{B1�I�r �'4r .�4� ; ,�'"�3�500.��'`' � ' � VGID IP GVER U8 S 3.5�1,06 � � � Nt�N-NEGQTIA�L� � I t i I I i � � ' TOTAL P . �73 , t � r _�::� ,�,��_.:..�;: a_�.�;,�- �-y=�= - �Y =� F�___ �y= � �� FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 COVER SHEET '�� ,:� ,:-s �y� FROM: Inspection Division, City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector Sandy Stanger, Permit Technician CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector _ DATE: � � �7 Page 1 of � REMARKS: �i�L/�57i/�T—��* __ - NOTE: Please call if all pages have not been properly received. � - Licensee . HANSEN HTG, INC 16218 EVELETH ST NE HAM LAKE, MN 55304 License Expires . 04/30/2007 No.: 2006-00242 Date: 09/06/2006 In accordance with provisions of the City of Fridley Ordinance(s), the above-named licensee is granted the following license(s): License Type . HEATING CONTRACTOR LICENSE CONTRACTOR LICENSE FEE Tota1 Fee Paid 35.00 35.00 - NOT TRANSFERRABLE - This Certificate of License is hereby issued conditioned that said licensee shall comply with a11 the requirements set forth in the City Ordinances, pertinent Building Codes, and the laws of the State of Minnesota. A License issued under this Certificate may be suspended or revoked for violations thereof. Ron Julkowski, Building Official �ITY Ol� FRIDLEY INSPECTIONS DNISION 6�3 I University Avenue NE, Fridley, MN 55432 (76.� j 572-3604/ Fax 763-502-4977 CONTR.ACTOR LICENSE LICENSE TERM: May 1, 2006 to Apri130, 2007 APPLICATION FOR CITY LICENSE -$35 LICENSE FEE EACH � Blacktopping ❑ Chimney Sweep ❑ Excavating ❑ Gas Services Commercial or Specialty AC ❑ Masonry O Oil Services 0 Plastering � Roofing O Sign Erector ❑ Wrecicing REGISTRATION FOR STATE LICENSED CONTRACTORS — NO FEE ❑ Electrical ❑ Mobile Home Tnstaller O Plumbing ❑ Residential Contractor O Moving •� ❑ Well Driver TO THE HONORABLE CITY COUNCIL: I herewith submit an application for license to perform construction within the City of Fridley in accordance with the City Code of said City regulating the same. I am over twenty-one years of age. Submitted herewith is a Certificate of Insurance evidencing the holding of Public Liability Insurance in the limits of $50,000 per person, $100,000 per accident for bodily injury and $25,000 for property damage, and Wonders Compensation as required by Minnesota Statute 176.182. ATTACHED ARE COPIES OF CERTIFICATES OF INSURANCE FOR LIABILITY AND WORKERS COMPENSATION �/� d+-� � 7� � � �i�- � Name of Liability Insurance Co any � �� Name of Company to be Li sedlRegistered Liability Insurance Policy Number . Policy Term Name of Workers Comp. Insurance Company WC Policy Number Policy Teim "` Minnesota License # * ATTACH COPY OF STATE LICENSE int # � /.a � Name of ontract Person (First/Last Name) �G�i� E � �-�.� � � � Address of Company �%� %� � G��, 53`�3 a `� City/State/Zip + 4 digits -�6.�� /� � � � � � Business TelephoneJBusiness Fax FILL IN REVERSE SIDE OF FORM � � �' �� co��i �,1� Date ___ � �� N n N < o� �d � � �pq �p �. N y o� o� � � 0 �� r �, °' e A � z� �� A Cr7 0 .. 7 � �� rr �� C C�7 � m � � m � oa � 0 �� z �o N � J W � � � y C � O �.. A � �e � e gt� �: �, �ay. a c�D `e y o � �n��s p � � v1 °rr'1 :; o. A W � p veoi . � � p7 r a �'. � � " N� O � n� "C'1 O A� � A�°Q`' � o ° v' � ?: � y. � ►� �. r/ D eo `� � � ��.. v D a¢ ►.� 0 �, x 3 � �� c°rr o� �� x x $� a o f° � e c m m a O 8' � � p� a o� �O � aa o � � Ci v � � � A � 4 �m �w � � o � � a �. 3 5 �Q�,�� 0 � fl �3a,°, � w�e €A � a�p B. r Q, _.. � �G m Rt y [' . � N � T � �s : S , �so�� Ao� v�a C�e, A � ^ C S� z ,� '� � � � » 8° ,o Q . / - �� 3� � � a�� Depactrnent of Administratian �UIlDfNG CODES AND STANDARDS DIVISION �08 Metro Square Building 121 �ast 7th Place� St Pau1�. MN 5.5'L0.1-2181 i5L296.4838 �'AK: 651.297.1�973 TFYt 800.627.3529 vwHC:b4ildinpaod.es.admii�nn:us 346): BOND K1UM'�ER: 69978273 Amount: 525,000 t) EFFE�TII/� DATE: �Pt��r 21, 2005 �'1 dba H�nsen He�tizlg as Principal. 16218 Ett�leth st. N. E. , xam L�ake, NW 55304 . , company phone nuinber. and ,;�, a r.o�r�tlts�`�t�at��d iq.hansad a surety business in the State of ;i11iQS Ave., Sidwc Falls, SU •57104-6703 .s are held and firmiy bound, jointly and se�erally, to the State of Minneso� sf thls band for paymerrt in the amount of Twenty-Five Thousand Dollars ; bond is for tfte benefit of persons suffering finandal loss by reason of the te Mediarrical Code (Minnesota Rules, Chapter 1348) when perfortnin� .. �' ��,�M'nt�., . .;.y!% r.i.'. . . ' '+, : ' � ' �tb do g�s, t�ee'�ng, verr�tatibi►, t�oliiig, air condhioNng, fuel buming, or il faithfully complies with the State of Minnesota Mechanicat Code ar� ie Prindpal frqm ar�y loss or damage occasi.qned by tha failu� of. the • �; of Mirtnesot�, ttien no oblig�aii'�n under this bohd shall �a�; atf�enaise, �. : sub�nitted to Building�Code+� �nd <St;��dartls?C�(vtsion. Renewal is due n certfficate. The aggregate liability ofthe Su��y, regacdless of the �s the bond rer.�ains in fotce, shall ln no evQnt sxceed 325,000. by.g�ving written natic� by Cer�tified;Maih .addcessed� to the Principal at the ng itandatds Division, DepartmeAt�of Ad�1i��a�on as the eddress appears pea � boad shaU be null.�nd,�+did ss to �y liability thereafter arising, the Nons, and proWsions ofithis bond, far any and all ac� cover�d by this APPLY INSURANCE 2p 05 COMPANY SEAL ,S PRINdPAL TFJRE , � nTLE Y�ES'I��T SLJRE'ZY �A�IY WITNE88 SURET! �P p � N�. �'�'t� l�sr�`�.�ea. ;;;: �� , a.,,� „ .: . ., , .:.. ,,, . , ,.. _. ,.. ��:�.,��,.��.�:�, :��:� �� .;:';;�..� , _,:� � . Mail the following ttems to: Depar6nent of Administ�tion, Buildin��odes a� �ta�dards Division� 4Q8 Mstro ,Square Bullding, 121 East 7th Place, St Paul, MN 35101-2181. After these ftems t�`� been pr�ed, your company natne wil) be posied on our website ac�d.�ou will:taecels�e:a.cert�i�t� in the maii vali�l for one xear. _ Page 1 filled.out completel.y ittcluding all signatuc�s-a�d�insurance �qmpany se��"'��nbossed or stick on). Page 2 with the apprQpriate �r�sic�ss AcknoMtle�g�ime�t:a�nd Surety./kaknowledgeiri�nt with ali signatures. �ValidPower�otA�m�k �i�a ,.: ��k f�r �4�'i-��,�, ;�"�� A��l��`a :St�te Treaatur;�r. Gh�ks ret�med for non-pa�ent wiil be charged a a2U fee. �1.51, �p4.1d3, s�bt1:'��:��t�,��'►.A�rwebsite in the Bond L'rsL BC3D-c3looe 3/1/05 Page � ( From: AII County Agency Page: 2/3 Date: 9/6/2006 2:05:31 PM 9/6/2006 2:02 PM FROM: All County Agency TO: 9,7635029977 PAGE: 002 OS 003 rI�I1V GV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED fdAMED AB01lE FOR THE POLICY PERIOD INDICATED. NOl{MTHSTANDINO ANY REQUIREMENT, TERM OR CQNDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSl1ED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS MID CONDITIONS OF SUCH POUCIES. AGGREC3ATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R D �u��6� POUCY POLICYEXpptATiON LU�Ili8 ��'��m enc�+occuw�HCe S 1, 000, 000 A X cor�acw�cer�tn��u�eam CM20607 07/06/2006 07/06/2007 P��S ��e g aaa�n+nne �X ocara r�o�capvyoner�) s 5,000 P�soNa�aAOVw,tuRV S 1,000,000 Gen�wu.AO�r�Ga� $ Z, OOO, OOO c�AC�aEC�n�urournaaueSP�t Pitopucrs-con,�roaACC3 S Z, OOO, OOO POL�1' � LOC AUTOMOBB.E LIABLLITY B nr�rnuro 42-110-141-00 11l12/2005 11/12/2006 �e� � � $ X ALL OWt�D AUTOS X scr�ptn,Epauros t�e�-��rson�j Y 8 250, 000 wr�o auros NON�OWNEDAUTOS �gr��Y $ SOO,OOO o�med Pcivete Pass. Autos ��oa�trDnMnGE g lOO,0O0 Qmed Auloe O/T @[iv @eaa. �(Q� �� AUTO ONLY • EA ACCIDEN� $ ANY AUTO on� n�rw . Ea aoc s AUf00NLY. A� � EXCESSJUbBRELLA LIABILRY EA(�i OCCURRENCE S OCCIA� � CLAlMS MADE AGGREGATE $ $ DEDUC7I�.E $ RETENTION $ $ WORKERS COMPENBATlON AND WC STA'RL O1H. EhIPL0YER8' LU18LL17Y ANYPROPI2�TOR/PARTNERtEXECUTNE E1.EACHACCIDENT $ OFFlCERiMEMBER p(CLUDED7 yes� E.L. DiSEASE • EA EMPLOYEE $ SPE(�AL�PR�0I�ONS belorv EL. DISEASE - POL(CY LIMIT $ 0'fHER DESCRIPi1pN OF OPERATlONS! LOCATIQNS! VEFpCLE8/ EXCLU8ION3 ADDED BY EN�ORSEMEIJT/8PECIAI, PROVISIONS CCBTICICBTC YM ACD _ . _. __. . _ ___ _ _ City of Fridley 6431 University Avenue NE Fridley, MN 55432 763-502-4977 (2001/08) SHOULD ANY OF THE ABOVE DE8CRIBED pOUCIE9 BE CANCELLEp BEFORE THE EXPIRATIQN DATE THEREOF, THE ISSUWO If�URER WILL ENDEAVOR TO MNL ppyg W� NOTICE TO THE CERTIFICATE HOLDER NAMEG TO THE LEFT, Bllr FAB.UR6 TO 00 SO 8MIN.L �E NO OBUOA710N OR LIAB�RY OF /WY FpNp UppN '�6 p�l�, ITg ppp�g OR AU7HQRIZED REPREBENTATNE From: Ail County Agency Page: 3/3 Date: 9l6/2006 2:05:32 PM 9/6/2006 2:02 PM FROH: All County Agency TO: 9,7635024977 PAGE: 003 OF 003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy�es) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and condidons of the policy, certain policies may require an endorsemeni A statement on this certificate does not confer rights to the cerbficate holder in lieu of such endorsement(s). DI8CWMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s}, authorized representative or producer, and the certificate holder, nor does it affitmatively or negatively amend, extend or aRer the coverage afforded by the policies listed thereon. � � _ ci�nroF F1Z[DLEY FRIDLEY MITNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 TO: COVER SHEET �/ �� - ��5 � FROM: Inspection Division, City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector Sandy Stanger, Permit Technician CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector Terry Overacker, Plumbing Inspector _ DATE: � . � � Page 1 of �- REMARKS: NUTE: Please call if all pages have not been properly received. MEMORANDUM DATE: June 27, 2003 TO: All Municipalities, Building Officials, and Mechanical Contractors FROM: Thomas R. Joachim `� State Building Official SUBJECT: Statewide Surety Bond and Filing Fee Requirements for mechanical work per MS 326.992 in Minnesota. Law effective: July 1, 2003 The State Legislature passed a law effective July 1, 2003 requiring anvone who installs gas piping, heating, ventilation, cooling, air conditioning, fuel burning or refrigerarion (G/HVACR) equipment to post a$25,000 bond and file with the Department of Labor and Industry, Construc�ion Codes and Licensing Division. This bond is for the benefit of persons sufFering financial loss by reason of the coniractor's failure to comply with the requirements of the State Mechanical Code. Furthermore, a sta.tewide surety bond will eliminate duplication of multiple bonds required of inechanical contractors who work in more than one jurisdiction. The bond in the amount of $25,000 and a$15 filing fee must be filed with the Minnesota Department of Labor & Industry, Construction Codes and Licensing Division prior to commencing with work covered by the bond. � Minnesota Statute 326.992 [Bond requirement; gas, heating, ventilation, air conditioning, refrigeration (G/HVACR) contractors.] (a) A person contracting to do gas, heating, ventilation, cooling, air conditioning, fuel burning, or refrigeration work must give bond to the state in the amount of $25,000 for all work entered into within the state. The bond must be for the benefit of persons suffering fmancial loss by reason of the contractor's failure to comply with the requirements of the State Mechanical Code. A bond given to the state must be filed with the commissioner of Labor and Industry and is in lieu of all other bonds to any political subdivision required for work covered by this section. The bond must be written by a corporate surety licensed to do business in the state. (b) The commissioner of Labor and Industry may charge each person giving bond under this section an annual bond filing fee of $15. The money must be deposited in a special revenue fund and is appropriated to the commissioner to cover the cost of administering the bond program. Mail the bond form and the $15 fee to: Department of Labor and Indushy, Financial Services, 443 Lafayette Road N., St. Paul, MN 55155. The Mechanical Surety Bond and Fee forxn may be found on the Web site at: www.doli.state.mn.us, Construction Codes and Licensing Division, right column under Quick Links or by calling the Departrnent of Labor and Industry, Construction Codes and Licensing Division, (651) 284-5068. Revised June 26, 2006 0 o�� o , � �- �'a �� ,r `-�''� � v � C �� " r, -� —t- d� r-....� �'s5 � r� � c' ca o t� �i� !� la� � a��. � f"�—��--t �3 �� a.�- � -�� .�� '� 4 �' � �—_� �' �� C�-�' z��.�/��'� �� 1�t� �/ 7°�Lz�. �j�. ,� � l� e� d .iv,� �' � S {-�'.� r.,� � ��F�� 7—'%,�—�� i'�q > �� -� � �,�� „ c�� l�,l-�'d � f��%'l >\ '.I� 2/ %�'—�t r� C� � L..�.�il z L.P I � �/ � C D � � � %i�i .A > S' �t� � -� o � . , .� � _ � � � %N.e.,,�. ; � ; �� .�;�`:'_ �._,,. .Fr; f Y�ua, 4" ?f°� SPECIAL INSTRUCTIONS FOR PROQUCTS INSTALLED IN THE STATE OF MASSACHUSETTS The following instructions are to be followed when installing a side-wall vented fumace in the state of Massachusetts. These instructions are for horizontally terminated vent/combustion air installations and do not apply to vertical venUcombustion air installations. Further instructions are found in the applicable Installation and Operating Instructions for the furnace being installed. / ,t 1 a►e��7�I /� y�.� DISTANCE BE7WEEN COMBUSTION AIR � U�TAKE AND 6RAD8 , j +�r � J ��,r VENT/FLUE TEE i DISTANCE BETWEEN VENT ANO 6RADE VENTICOMBUSTION AIR TERMINATIONS LESS THAN SEVEN �%� FEET ABOVE GRADE For installations where'the venUcombustion air terminations are less than seven (7) feet above grade, the following require- ments must be satisfied: • Carbon Monoxide (CO) detectors and alarms must be installed on each floor in the living area outside the bedroom. The CO detector and alarm must conform to NFPA 720 (2005 Edition) Codes. • A CO detector must be installed in the� same room as the appliance. The CO detector must: a. Be powered by the same electrical circuit as the appliance, b. Have battery back-up power, c. MeetANSI/UL 2034 Standards and comply with NFPA 720 (2005 Edition) Codes, and d. Be an approved and listed CO detector by the Nationally Recognized Testing Laboratory under 527 CMR. • This fumace requires a vent termination, and in some cases, a combustion air intake. Installation of this fumace must be in strict compliance with the supplied Installation Instructions. • A metal or plastic identification plate with the following words, "GAS VENT DIRECTLY BELOW KEEP CLEAR OF ALL OBSTRUCTIONS" must be permanently mounted to the exterior of the building at a minimum height of eight (8) feet above grade and directly above the location of the vent terminal. The print size must be no less than one-half (1/2) inches in height. VENTICOMBUSTION AIR TERMINATIONS GREATER THAN SEVEN �T� FEET ABOVE GRADE For installations where the venUcombustion air terminations are greater than seven (7) feet above grade, the following re- quirements must be satisfied: Carbon Monoxide (CO) detectors and alarms must be installed on each floor in the living area outside the bedroom. The CO detector and alarm must conform to NFPA 720 (2005 Edition) Codes. A CO detector must be installed in the same room as the appliance. The CO detector must: a. Be hard-wired and/or have battery back-up power, b. Meet ANSI/UL 2034 Standards and comply with NFPA 720 (2Q05 Edition) Codes, and c. Be an approved and listed CO detector of the Nationally Recognized Testing Laboratory under 527 CMR. This furnace requires a vent termination and, in some cases, a combustion air intake. Installation of this fumace must be in strict compliance with the Installation and Operating Instructions for the furnace being installed. Goodman Manufacturing Company, L.P. 2550 North Loop West, Suite 400, Houston, TX 77092 www goodmanmfg com 10-271 O 2005 Goodman Manufacturing Company, L.P. 10/05 � � ■� . � . � �.IIVIITED W :ANTY .,. . ,�� . Models: GDT, GMT, GMNT, GDS8, GHS8, �GAiIV8, GMS$, GMS9, GCS9, GCV9, GMV9, GMS95 �a�� GMU95 Thts heating or air conditloning p�oduct is warranted by GaAdrr�an " Manufactu�ing Company, L.P. ('Goodman°) to be free from defects in meterlals and workmanship under narmal use and maintenance, as described below: , • The HEAT EXCHANGER is warraritetl•�or,the: LIFETIME of the original purchaser and hts or her sPouse, orfcjrso{oa� as either of them owns the home in wh(ch it was:�rigiqally inst�lfed (whichever ends first), except as provided trelouJ. 'Flowever, this lifetlme warranty appiies only if: (1) The unit (s installed in an owner-occupied, single-family residence, and (2) The unit is registered with Goodman within 60 days after either the original installation or the ciosing on your home (if the product is instalted in a new home). Registratlon can be completed onitne at www.qoodmanmfg.com or by filiing out the card accompanying thls warranty. • If the lifetime wananty on the HEAT EXCHANGER does not apply, the HEAT EXCHANGER is wananted tor 20 YEAR3, except as provided below. • Ail remaining parts are warranted for a period of 5 YEAR3, except as provtded below. Neither warranty conUnues after the product is removed trom the iocatlon where it was originally installed. Neither warranty applies to, and no warranty is offered by Goodman on, any product ordered over the Internet. Regardless of time of registraUon, the warranty period begins on the date of the original installation. If that date cannot be verified, the warranty period beg(ns three months after the month of manufacture {indicated by the first four digfts of the serlal number (yymm)). As its only responsibUity, and your only remedy, Goadman wiil fumish (i) a repla�ment part, without charge for the part only, to replace any part that is found to be defecUve due to woricmanship or materials under normal use and maintenance, or (ii) for a heat exchanger that is covered by the lifetime warranty and that fails in the first 10 years, a new, equivalent fumace. For warranty credit, the defective part must be retumed to a Goodman heaUng and afr conditloning products disUibutor by a state certified or licensed contractor. My paR replaced Owner Name Address of Installation City/State/Zip Installer Name City/S'tate2ip Phone # / Fax # PaK No. PW-327C P�inted in USA 10�D5 pursuant td this warranty is warranted only for the unexpired �rtion of Ehe wamanty term applying to the original part 1'hese warrantiss do not apply to iabor, freight, or any other cost assodated wfth the service, repair or operaUon of the product. These warrantles are in Ueu of all other express warrantles. ALL IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE, ARE UMITED TO THE DURATION OF THIS WARRANTY. Some states do not allow Iimitations on how long an implied warranty lasts, so the above limitation may not apply to yau. GOODINAN SHALL IN NO EYENT 8E LIABLE FOR INCIDENTAL OR CONSEQUENTIAL DAMAGE3, INCLUDING BUT NOT UMITED TO EXTRA UTILITY EXPENSES OR DAMAGES TO PROPERTY. Some states do not allow the excluslon or limitation of incidental or consequentiat damages, so the above exclusion may not apply to you. Goodman. fs nbt responsPble for. 1. Damage or repairs required as a consequence of faulty installaUon or application. 2. Damage as a resuit ot floods, fires, winds, lightning, accidents, corrosive atmosphere or other condl8ons beyond the control of Goodman. 3. Use of components or accessories not �rompatlble wtth this unit. 4. Products installed outside the United States or Canada. 5. Normal maintenance as described in the instellatlon and operating manual, such as cleaning ot the colls, filter cleaning and/or replacement and lub�icatlon. 6. Parts not supplied or designated by Goodman. 7. Damage or repairs required as a result of any improper use, maintenance, operation or servicing. S. Failure to start due to interruption and/or inadequate electrical service. 9. Any damage ceused by frozen or broken water pipes in the evenf of equtpment failure. 10. Changes in the appearance of the product thet do not aHect its pertormance. This waRanty gives you specific legai rights, and you may also have other rights that may vary from state to state. Distributor Name City/State2ip F�hone # / Fax # Model # & Serial # Installation Date For further information about this warranty, contact Goodman Consumer Affairs at (877) 254-4729 or by mail to 7401 Security Way, Houston, Texas 77040. 0 2004-2005 Goodman Manutacturing Cpmpatry, L.P. :� � ' ;:� �+ GAS-FIRED WARM AIR FURNACE USER' S INFORMATION MANUAL A WARNING IF THE INFORMATION IN THESE INSTRUCTIONS IS NOT FOLLOWED EXACTLY, A FlRE OR EXPLOSIOH AAAY RESULT CAUSINO PROPERTY DAMAGE, PERSONAL INJURY OR LOSS OF UFE. — DO NOT STORE OR USE GASOLINE OR OTHER FLAMMABLE VAPORS ANO UQUIDS IN THE VICINITY OF THIS OR ANY,OTHER APPLIlWCE. - WHAT TO DO IF YOU SMELL GAS: • DO NOT TRY TO LIGHT ANY APPI.UWCE. • DO NOT TOUCH ANY ELECTRICAL SWITCH; DO NOT USE ANY PHONE IN YOUR BUILDING. • IMMEDI�I\fELY CALL YOUR GAS SUPPLIER FROM A NEIGHBORB PHONE. FOLLOW THE GAS SURPUER'S INS'fRWCTIONS. � • IF YOU CANNOT REACH YOUR GAS SUPPLIER, CALL THE FIRE DEPARTMENT. — INSTALIATION AND SERVICE MUST BE PERFORMED 8Y A QUALIFIED INSTALLER, SERVICE AGENCY OR THE GAS SUPpLIER. lnstaller - Affix this manuai, Insfallation Guide, and Warranty adjacent to the appliance. Owner - Read snd keep al/ producf liferature in a sefe p�ace for fufure reference. . ��ItFi4�iNt�l� SHOULD OVERHEATING OCCUR, OR THE GAS SUPPLY FAll. TO SHUT OFF, SHUT OFF THE AAANUAL GAS VALVE TO THE FURNACE BEFORE SHUTTIN(i OFF THE ELECTRICAL SUPPLY. Part No. HI-115 Prir�ted in USA - �� ENER� A WARNING TO AYOID PROPERTY DAMAGE, PERSONAL INJURY OR DEATH, DO NOT USE THIS FURNACE IF ANY PART OF THE FURNACE HAS BEEN UNDER WATER. IMMEDIATELY CALL A QUALIFlED SERVICE TECHNICIAN TO INSPECT THE FURNACE AND TO REPLACE ANY PART OF THE CONTROL SYSTEM AND ANY GAS CONTROL HAVING BEEN UNDER WATER. A, WARNING PRODUCT CONTAINS FIBERGLASS VYOOL DISTURBING TME INSULATION W TH1S PROOUCT DURING INSTALLATION, NINNTENANCE, OR REPAIR WILL EXPOSE YOU TO FlBERGLASS WOOL. BREATHING THIS IAAY CAUSE LUN(i CANCER. (FIBERGLASS WOOL IS KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER.) FIBERGlASS WOOL AdAY ALSO CAUSE RESPIRATORY, SKM, AND EYE IRRRATION. TO REDUCE EXppSURE OR FOR FURTHER INFORMATION, CONSULT MATERIAL 8AFETY DATA SHEEfB AVAILABLE FROM ADDRE33 SHOWN BELOW. A RECOGNIZE THIS SYMBOL AS A SAFETY PRECAUTION. Due to policy of continual product improvement, the right is reserved to change specifications and design wifhout notice. 02�4 Coodmen Company, L.P. EHecitve: June 2004 Se►�err s��►� wo�g Dear Homeowner, please recognize the following safety informa- tion. This information will alert you to the potential for personai injury. AWARNING - Indicate hazards or unsafe practices which COULD result in severe personal inJury or death. ACAUTION - Indicate hazards or unsafe practices which COULD resuit In minor personal injury or product or property damage. A WARNING THIS PRODUCT CONTAINS OR PRODUCES A CHEMICAL OR CHE�ICALS WHICN MAY CAUSE SERIOUS ILLNESS OR DEATH AND WHICH ARE KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER, BIRTH DEFECTS OR OTHER REPRODUCTNE HARM. 3. Do not use the furnace closet as storage for brooms, mops, brushes and oily rags or cloths. The area must be kept clear, clean and free of lint. Fumace must be kept free and clear of exposed or loose insulation materials in the area of installation. Examine the fumace area when the fumace or additionai insula- tion is added since some insulation materials may be combus- tible. 4. Make sure the fumace is always connected to an approved vent, in good condition, to carry combustion products outdoors. 5. Familiarize yourself with the controls that shut off the gas and electrical power to the fumace. If the fumace is to be shut down at the end of the heating season, tum off both the gas and elec- Ulaal power. For safety, always tum the gas and electrical power off before pertorming service orm'aintenance on the fumace. 6. Establish-a requ��r maintenance schedule to insure efficient and safe operatio� of'tMe fumace. The fumace should be checked at the beginning of each heating and caoling season by a qualified service technician. A WARNIIdG � W�NING TO AVOID PERSONAL INJURY OR FIRE, MINIMUM CLEARANCES TO TO AVOID POSSIBLE EQUIPAAENT DAMAGE, PERSONAL INJURY, FIRE OR COAABUSTIBLE SURFACES MUST BE FOILOWED. DEATH, THE FOLLOWINO WSTRUCTIONS MUST BE OBSERVED REGARDING UNI LOCATION, AIR REQUIREMENTS AND OPERATING PROCEDURES. 7• MBIC@ CeP�lfl tIl@ 1'@QUIf@CI CI@8(811C@S fOP tllB fl1ff18C@ 8�B 8IW8yS rr��i�ia.ine.d, These �I.�earance� �re li$ted on the fumace clear- A WARNING HEATINl3 UNIT SHOULD NOT BE UTILI2ED WITHOUT REASONABLE, ROUTINE, INSPECTION, MAINTENANCE AND SUPERVISION. IF THE BUILIDNG IN NRIICH ANY SUCH DEVICE IS LOCATED 1M1fILL BE VACANT, CARE SHOULD BE TAKEN THAT SUCH DEYICE IS ROUTINE�Y INSPECTED, MAINTAINED AND MONITOREO. IN THE EVENT THAT THE BUILDING MAYBE EXPOSED TO FREEZING TEMPERATURES AND WILL BE YACANT, ALL WATER-SEARIN(i PIPES SHOULD BE DRAINED, THE BUILDING SHOULD BE PROPERLY WINTERIZED, AND THE WATER SOURCE CLOSED. IN TNE EVENT THAT THE BUILDING b1AY BE EXP03ED TO FREEZING TEMPERATURES AND WILL BE VACANT, ANY HYDRONIC COIL UNRS SHOULD BE DRAINED AS WELL AND, IN SUCN CASE, ALTERNATNE HEAT SOURCES SHOULD BE UTILIZED. IMPORTANT NOTE TO THE"�WIYER It is important that you fill out the owner's registration card and mail it today. This will assist us in contacting you should any service or warranty information change in the future. When filling in the registration card, be sure to include the Model, Manufacturing and Serial Numbers, plus the installation date. If the registration card cannot be located, please call 1-877-254-4729 to register the fumace. Your warranry certificate is also supplied with the unit. Read the warranty carefully and note what is covered. Keep the warranty certificate in a safe place, so you can find it, if necessary. Before using thls manusJ, check the serlal plate for proper mode! identfflcation. The installation and servicing of this equipment must be performed by qualified, experienced fechnicians only. UNIT LOCATION 1. The fumace area and the vicinity of any other gas appliances must be kept clear and free of combustible materials, gasoline, and other flammable vapors and liquids. Also, do not store or use flammable items such as paint, vamish, or lacquer in the area. 2. Do not store or use chiorine or fluorine products (bleaches, ce- ments, strippers, aerosols) near the unit. They can corrode the heat exchanger. an�'labi�l. Ifi'�ny qLestir�n de�eldps, contact the installer of the furnace, or another qualified servicer. UNIT INSTALLATION Examine the fumace instaliation to determine the following: 1. All flue prodwet earrying passag�s extemal to the furnace (i.e. chimney, vent connector) are clear and free of obstructions. 2. The vent connector is in place, slopes upward and is physically sound without holes or excessive corrosion. 3. The return air duct connection is physically sound, sealed to the fumace casing, and terminates outside the space coniaining the fumace. 4. The physical support of the fumace is sound without sagging, cracks, or gaps around the base so as to provide a seal befinreen the support and the base. 5. There are no obvious signs of deterioration of the fumace. 6. Check for proper burner flame performance. Flame should ex- tend directly outward from burners without, curling, floating, or lifting off. AIR REQUIREMENTS � WARNING TO AVOID PROPERTY DAMAGE, PERSONAL INJURY OR DEATH, SUFFICIENT FRESH AIli MUST BE SUPPLIED FOR PROPER COMBUSTION AND VENTILATION OF FLUE GASES. MOST HOMES REQUIRE OUTSIDE AIR TO BE SUPPUED INTb THE FURNACE AREA. Improved construction and additional insulation in homes have reduced the heat loss and made these homes much tighter around doors and windows so that air infiltration is minimal. This creates a problem to supply ventilation and/or combustion air for gas fired or other fuel buming appliances. Any use of appliances that pull air out of the house (clothes dryers, exhaust fans, fireplaces, water heat- ers, non-direct vent fumaces, etc.) increases this problem and appliances could be starving for air. If fuel-burning appliances are starved for air, the flue gases which these appliances produce as they operate may not vent outdoors properly, but remain in the home instead. These flue gases may include carbon monoxide. �� . . � ' '� '` ��:�'��' �� i; �; �._ L � �4��ti� •:�� CARBON MONOXIDE POISONING HAZARD Speelal Warntng for Installation oi Fumace or Air Handiing Units In Enclosed Areas auch as Garages, Utilky Rooms or Parking Areas Cerbon monwclde p�oducing devieea (sueh as an automoblie, space heater, ges vrater heater, ete.) should rrot be operated In enelosad ereas weh u unventllated Aarages, utility rooms or parking ereqs be�use of the deng� of cerlron mononida (EO) poisoning resutUdg'fronl the ezhauat emissiona. If a fumaca w alr handler is Installad In an encioaed erea such as a garege, utility room or parking area and a earbon monoxide produeing devlee Is operated therein, there must be adaquate, direct outaide ventUatlon. Th�s ventllaUon Is neeessary to avotd the danger of CO poisoning whlch ean oceur If a asrbon mono�de produeing devlcs coMlm�� to o�rate In tha ancloaed erea. Cerbon monozlde emtsstona ean ba (re)circulated ffiroughout the strueture i( fhe fumaes or alr hendier is operetlng in amr moda. CO can eause aerious iliness including pertnaneM brain damage or death. B10259•218 Carbon monoxide or °CO° is a colorless and odortess gas produced when fuel is not bumed completely or when the flame does not receive sufficient oxygen. Be aware of these air starvation signals which indicate condi- tions that my result in carbon monoxide or that carbon monox- ide may be present: 1. Headaches-Nausea-Dizziness, Flu-like symptoms. 2. Excessive humidity-heavily frosted �vindows or a moist "clammy" feeling in the home. 3. Smoke from a fireplace will not draw up the chimney. 4. Flue gases that will not draw up the appiiance vent pipe. COMBUSTION AIR The airfor combustion and ventilation can typically be obtained from the surrounding unconfined space or louvered closet door. Observe the following precautions concerning air availability: • When a fumace is installed in a closet and the closet door is louvered, DO NOT OBSTRUCT LOUVERS. Louvers must be open and clear to provide combustion air to the furnace. • When a furnace is installed in a confined space within a home and the air for combustion and ventilation enters the space through ducts from the outside, be sure to routinely check the entering and outlet, grilled openings to verify that they are al- ways clear and clean. • Do not partition off a small area around the fumace utilizing a non-louvered door. This could obstruct the combustion air from reaching the furnace. INDOOR HUMIDITY Relative humidity is the amount of water vapor in the air relative to the amount the air can hold at the same temperature. The colder the air; the less moisture it can hold. As air is warmed, its ability to hold moisture is increased. Relative humidity is important to your health and home as proper humidification helps reduce respiratory difficul- ties and helps improve the indoor air quality. A good relative humidity is ane just high enough to barely start candensation along the lower edges or lower corners of the win- dows. More than that can be damaging. Frequent fogging or excessive condensation on inside windows indicates the indoor humidity level is too high for outdoor weather conditions. Damage to the building may result if the condition persists. Condensation on inside of storm windows indicates loose inside windows. Adding weather-stripping to tighten inside windows usually carrects this problem. The foliowing table shows the recommended maximum indoor humidity in relationship to the outdoor temperatures. Table 1 FOR PROPANE �LP� GAS (NSTALLATIONS ONLY For furnaces operating on propane gas, please review the following warnings before use. A WARNING TO AVOID PROPERTY DAMAGE, PERSONAL INJURY OR DEATH, DUE TO EXPLOSION OR FIRE, INSTALL A GAS �ETECTING WARNING OENCE. S�NCE TF ODORANT IN PROPANE GAS CAN BE REDUCED BY IRON OXIDE (RUS�, A GAS DETECTING WARNING DEVICE IS THE ONLY RELIABLE METHOD TO DETECT PROPANE GAS LEAKS. A WARNING IF THE GAS FURNACE IS INSTALLED IN A BASEAIENT, /W EXCAVATED AREA OR A CONFINED SPACE, IT IS STRONGLY RECOMMENDED TO CONTACT A PROPANE SUPPLIER TO INSTALL A GAS OETECTING WARNINO DEYICE fN CASE OF A GAS LEAK. • S�NCE PROPANE GAS IS HEAYIER THAN AIR, ANY LEAKING GAS CAN SETTLE IN ANY LOW AREAS OR CONFlNED SPACES. • PROP/lNE GAS ODORANT MAY FADE, MAKING THE GAS UNDETECTABLE EXCEPT WITH A WARNING DEVICE. A WARNING AN UNDETECTED GAS LEAK WILL CREATE A DANGER OF El(PLOSION OR FIRE. IF THE PRESENCE OF GAS IS SUSPECTED, FOLLOW THE INSTRUCTIONS ON THE COVER OF THIS MANUAL. FAILURE TO DO SO COULDRESULTIN SERIOUS PERSONAL INJURY OR DEATH. � THERMOSTAT FUNCTIONS There are many types and styles of thermostats but the operation is usually similar. BE SURE TO BECOME FAMILIAR WITH YOUR THERMOSTAT. The simplest type of thermostat only starts and stops the fumace to maintain the desired roam Yemperature. The most widely used types will control both heating and cooling func- tions and will have a Fan Switch with Auto and ON settings. On Auto, the circulating air blower will cycie onloff with the fumace but if switch�d to ON it will run continuously regardless of whether or not heating or cooling is being provided. In addition, there are thermostats which automaticaliy switch from heating to cooling mode and those with night set back capability. The night set back, or muitiple set back, type allows for a different temperature at night or during the day when no one is at home. Programmable thermostats will allow tor more control and tailoring of the heating and cooling functions. The level of this control will depend on the type of thermostat applied. i� __ __ '� � �p � d.� FURNACE OPERATION A WARNING ELECTRICAL COMPONENTS ARE CONTAINED IN BOTH COMPARTMENTS. TO AYOID PERSONAL INJURY, ELECTRICAL SHOCK OR DEATH, DO NOT REMOVE ANY INTERNAL CObIPARTMENT COVERS• CONTACT A QUALIFIED SERVICER AT ONCE IF AN ABNORIdAL CONOtTIQN IS NOTICED. Keep both doors in place exceptfor inspection �nd maintenance. An interlock switch prevents fumace operation if the blower door is not in place. FURNACE START-UP 1. Close the extemal manual gas shut-off valve. 2, Tum off the electrical power to the furnace. 3. Set the room thermostat to the lowest possible setting. 4. Remove the bumer compartment door. 5. This fumace is equipped with an ignition device which automati- cally lights the bumer. Do not try to light the bumer by hand. 6. Move the fumace's gas valve ON/OFF switch to the OFF posi- tion. 7. Wait five minutes to clear out any gas. Then smeli for gas, in- cluding near the floor as some types of gas are heavier than air. 8. If you smell gas following the five minute waiting period in step 7, immediately follow the instructions on the cover of this manual. If you do not smell gas after five minutes, move the furnace's gas valve ON/OFF switch to the ON position. 9. Replace the burner compartment door. 10.Open the extemal manual gas shut-off valve. 11. Turn on the electrical power to the fumace. c�as ve��a OrdoB Seiecmr `�1 Swud� � INLET� b � � O � a11LET Whfte�I�odgers Nlodel 36F22 (Single-Stage)1 c� ve�ve o�ro� se�o. sv�ccn «,�.�� ° �►►�-� ! � ..White-Rodgers Model 36022 (Singie�Stage) �...,s� ,�� c�imun�Tn m�°•+r�c.vl �dunw�.rm Ima.wwtwl / � Isa.aY.hy White-Rodgers Mod�� 36E54 (Two-Stage) Furt�uac� �Mi4'r .F3own� To shut down you�'fuftiace, follow the steps listed below. 1. Set the thermostat to the lowest setting. 12.Adjust the thermostat to a setting above room temperature. 13.After the bumers are lit, set the thermostat to desired tempera- ture. 2. Integrated control closes gas valve extinguishing flame. 3. Induced draft blower is de-energized following a 15 second de- lay. The circulator blower is de-energized following a 60, 90, 120, or 180 second delay period. 4. Remove the bumer compartment door. � 5. Move the furnace's gas valve ON/OFF switch to the OFF posi- tion. 6. Close the external manual gas shut-off valve. 7. Replace the bumer compartment door. LocKOUr FtESer Furnace lockout is characterized by a non-functioning fumace (circulator blower may be rw�ning continuously) providing a one flash diagnostic LED code. Lockout results when a fumace control detects abnormal conditions. If the fumace is in "lockout°, it may be reset by any of the following methods: 1. One hour automatic reset. Control will automatically reset itself and attempt to resume normai operations following a one hour lockout period. 2. Power interruption. Interrupt 115 volt power to the fumace for befirveen 0 and 20 seconds. 3. Thermostat cycle. Interrupt thermostat signal to the fumace for between 0 and 20 seconds. If the condition which originally caused the lockout still exists, the control will return to lockout. If your furnace ftequenUy locks out, a problem exists which must be corrected. Contact a qualified servicer. ROUTINE MAINTENANCE Maintenance is to be performed by a qualified service technician only. User maintenance is to be restricted to frequent air filter changes and to ensure the warnings and notices found elsewhere in this manual be followed. We recommend that at a minimum system maintenance be pe�Formed by a qualified service technician prior to the beginning of each heating season, and if equipped with air conditioning prior to that season. A WARNING PERSONAL INJURY OR DEATH NIAY RESULT FROM IMPROPER MAINTENANCE PERFORMED BY UNTRAINED PERSONNEL. CALL YOUR INSTALUNG DEALER OR OTHER qUALIFIED SERVICE COMPANIES TO PER�ORM THE MAINTENpNCE I INSPECTION. � WARNING TO AVOID PERSONAL INJURY OR DEATH DUE TO ELECTRICAL SHOCK, DISCONNECT THE ELECTRICAL POWER BEFOAE PERFORMING ANY MAINTENANCE. ANNUAL INSPECTION The furnace should be inspected by a qualified installer, or service agency at least once pe� year. This check should be pertormed at the beginning of the heating season. This will insure that all furnace components are in properworking orderand that the heating system functions appropriately. Particular attention should be paid to the following items. Repair as necessary. • Flue pipe system. Check for blockage and/or leakage. Check the outside termination and the connections at and internal to the fumace. • Combustion air intake pipe system (where applicable). Check for blockage and/or leakage. Check the outside termination and the connection at the fumace. • Heat exchanger. Check for corrosion and/or buildup within the heat exchanger passageways. • Bumers. Check foe proper ignition, bumer flame, and flame sense. • Flames should extend directly outward from bumers without curling, floating or lifting off. � Wiring. Check electrical connections for tightness and/or cona sion. Check wires for damage. • Filters. Check that fiiters are clean and in the proper placement in the fumace or duct system. ChKltbhmlrlWlrfQ 1. OaaJ � 1!d!►. �oR a�tl OYn i NalarMp, SoAnp,s►pYq aR Burner Flame FILTERS A WARNING TO AYOIO PROPERTY DAMAGE, PERSONAL INJURY OR DEATH, DISCONNECT ELECTRIIIAL pOWER BEFORE REMOVING FILTERS. NEVER OPERATE fURNACE WITHOUT A FILTER INSTALLED BECAUSE DUST AND LINT WILL BUILD UP ON INTERNAL PARTS RESULTINli IN LOSS OF EFFICIENCY, EQUIPMENT DAMAGE AND POSSIBLE FIRE. A return air filter is not supplied with this furnace; however, a means of filtering all of the return air must be provided. Your installer will supply filters at the time of installation. Become familiar with filter location and procedures for removing, cleaning and replacing them. If you need assistance, contact the installer of your furnace or another qualified servicer. Filters must be inspected, cleaned or changed every two months or as require�l. As a homeowner, it is your personal responsibility to keep air filters clean. Remember that dirty filters are the most common cause of inadequate heating or cooling performance. FILTER REMOVAL Filters can be located in a central return grille, a side panel extemai filter rack (upflow only), or intemally. To remove filters from an external filter rack in an upright upflow installation, follow the directions provided with extemai filter rack kit. To remove all other fllter configurations, follow the directions listed in the Instailation Manual. If using Media or Electronic Air Cleaner, follow the directions provided with the air cleaner for proper filter removal, cleaning, and replacement. FILTER CLEANING AND/OR REPLACEMENT Disposable �Iters must be replaced with a filter or filters of the same size as that which is removed. Filters mu'st comply with UL900 or CAN/ULC-S111 Standards. Permanent filters must be cleaned, washed, and dried as specified by the filter manufacturer. If it becomes necessary to repiace a permanent filter, it m ust be repiaced with a filter or filters of the same size as that which is removed. Filters must comply with UL900 or CAN/ULC-S111 Standards. When reinstalling filters, be careful to maintain correct airflow direction. SAFETY LABELS NOTE: If safety labels are missing or illegible, contact the installing dealer or our Customer Service Department for ordering information. FOR YOUR SAFETY � READ BEFORE OPERATING � WARNING: If you do not fdlow these instructions expbsion may r�ult causfng property damage, e i I s il' . A. T}da appGarxe does rat have a pHot it is equipped wrih an ignidun dev(ce which eutomaBcaQy lighls Ihe bumer. Do uo1 Uy to 6ght the bumer by hand. e. BEFORE OPERATWG smeU all eramd 1he appliance erea for gas. Be sure to smeil next 10 lhe floor because some gas is heavier than atr and will setlie on itre fioor. WHAT TO � IF YOU SMELL GAS • Do rrot try to Itght any a�l�nce. • Do not lwch eny electr� swUch; do nat use any phone � your buildtng. • Immediataiy eaq your ges suppA� from a rretghbors phaie. Folbw ihe gas supplier's iretr�8ona. • It you canrrot raech your gas aupplier, caU ihe 8re d�artmenL C. Use only yoir hand to push in or Lun the gas cordrd lever. Never use tods. If lFre lev� wW irot push in or Wm by hand. danY try to repair fl. caA a qualifled sarvice technlc�n. Farce w attempted repeir may result � e flre or exploabn. D. Do rrot uae 9�(s appliance if any part has been urWerwatat Immediate(y cap a quaGfied service technidan lo inspecl tlie appGarke and !o replace any part of fhe oontrol system er� any gas cw�trol whieh has been underwater. 1. STOPI Read fhe safety information above o� this label. 2. Set the fhermostet to bwest setting. 3. Tum oft all powar to the apptlance. 4. This applience � equipped wrih an igniFan. device which eutomaticelly Itghis the bumer. Do mt try to 6ght fhe bumer by hand. 5. Puah ihe ges mntrol laver to °OFF' Positlon. Do notforce. 8. Wari fire (5) minutes lo clear out any gas. Then smel tor gas, irclu�g near fhe floor. H you th� amell gas. STOPI Fo6ow "8" � the affiely. i�dartnatlon ebove on lhis label H you donY smep G� gas, go to next elep. INLET 7. Push gas control lever �� to'ON°. 8. Replace access panel. ARRIVEE 9. Tum on all electrk DU GAZ pow� W the app6ance. tO.Set thermosfat to desired settfng, � 71 Jt the appliance w81 not operete, foCow tl�e irelruct�ns'fo Tum Off Gas To Appliance' and call your s�viee techNdan or gas comparry. - LIRE AVANT DE METTRE _ EN MAI�'CH;EURE AVERTISSEMENT: Quicont�ue ne respecte pas � la lettre les instructbns dans le pr�ent manuel r�que de d8cl�her un incendie ou une explosion entraYnant des dammages mat8riels, des IAsions rl A C� appareA na com�rte pas de vei�use. II ast munt d'un �spos�(f CaUumege qui aqume auMmeGquement Ie brWeur. Ne pas tenter d'aAumer le bruleur rtmnuellement B. AVANT DE LE FAIRE FONCTIONNER, renifler tout euRpur de Pappariel pour d�elar urre odeur de gaz R�dfler pt9s du aendier. car oertatns gaz sont pl� bures cp,e rah ec peuveM s'acwmuler au nhreau du so.l QUE FAIRE S'IL Y A UNE ODEUR DE GAZ • Ne �s tenter d'aliumer I'appariel • Ne toucher eucun E�tercuptew �lectrque; n'u�iser eixun tAlAphone da� le b�Hm�L • Appeler irrm�diet�nent le foumisseur de gaz � empioy�t le tA�phone dun vo�in. Reapeder A la bttre lea I�VUCBrnm du foumisseur de gaz. • Si peraonrre ne tBEwnd, e�pel� le service des incendiea. C. Ne po�serou bum� le levier d'�Jm(ssiondu gaz qu'81a mein; ne jamata emptoer d'ouUl A cet eflet Si la mmrette r�te cab�cAe, ne pas lenter de le rA�rer, appelelir�nd�hNden qaaB6A. Quieonque tente de fo►�r te manelte ou de le reparer peut d�lencher une e�losbn ou un 6icendie. D. Ne pas se serJu de ml appareii s'A a 8t8 plaigA dans 1'eau, campt0lemenl ou en partie. Appeler un tachNaen quaUfiA pour inspeGer I'appareii el remplacer tout partle du systAma de contr8ie et wute commande qui ont At6 plorg�a de� I'eau. 1• ARRE7ERl Lisez les UisMuctlons de sAaritB sur fa portion supArieure de cefle �tiquetle. 2. RBgler le th�mostat � la tempbratu►�I�.plus besse '3. Couper i'a8mentation Alectrique de l'a�{�ce0. 4. Cet appareil m8nager dtant dotd d'un sys(Ame d'aliumape autometique, ne pas easayer A aAumer le bruleur marwe0em�t 5. POUSae le levler du mntrble du gazA °OFF/ AFtRET" posidon. 6. Att�dre d� (5) minutes pour laisser achapper tout le gaz. R�ifler tait autour da I'appareU, y compria prAs du plancher, pour dSGSler une od�r de paz. Si c'est le cas, ARRETER! Pesser A I'Ampe B des instrudicns de sAarieA aur Ia portion supArieure de cette 8liquette. S'� ny a pea d'odeur de gaz. passer A tbtape suivent6. 7. Pousse le levi� du oontr8le du gaz A"ON/MARCHE° position. 8. RemetUe en place le panneau d'accAs. 9. Mettre I'apparell sous tension. 10. RAglar le thermoslal A la temp8rature desirQe. 11. Si Pappar�l ne se met pas en marche, sufyre les InsWctlonsinUtulses. Commentcauplerl'admis�bn de gaz de I'appereil et appeler un technicien qualNiA ou le fourmfsseur de gaz �TO TURN OFF GAS TO APPLIANCE POUR COUPER L'ADMISSION � DE GAZ DE L'APPAREIL 1. Set ihe thertnostat to lowest setting. 2. Tum off all elactric power to the appliance if service is to be performed. 3. Push the gas control lever to "OFF° Position. Do rmt f�ce. 4. Replace �ntrol access parrel. 1. R@gler le thermostat A la temp8rature la plus basse. 2. Couper I'afimentation 8lectrique de I'appareil s'il faut procEder A des opArations d'entretien. 3. Pousse le levier du contr8le du gaz d"OFF / ARRET° p�dion. Ne pas fwcer. 4. Remettre en plac�e le panneau d'acc�s. � +�ms�oT � SAFETY LABELS � r • w • � ..a,,. �s.:•",.,°r„�77r,�. � v... ' .i�ty.w� �t,. :�.✓�y,:. �,'.,iy�4� i�t�� .�' ti,y. �� {`Ty� �. i'Iv�y.t''Q�`4'�t•� . i''w J't' '��ff��a tf:. CARBON MONOXIDE POISONING HAZARD Special Waming ta Installation of Fumaee orA�r Handlinp Units in Enctosed Areas such as Garages, Utility Rooms or Parkinp Areas Carbon monoxide produeing devieas (auch as an automobile, space heater, gas water heater, ate.) should rwt be o�reted In ancloaed areas such as unvenUlated B�9es. util�h� �ms or parking areas beeauso of tha danger of earbon monoaida (CO) polsoning rasulGng hom tha exhauat amisslons. It a tumace c+etr handler la Instatled In an anclosad ema aueh as s gerage, utlltty room or parking area end a earbon monoxide pmdueing deviee (s opereted tharein, thara muat ba adequele, direct outslde ventllallon. This venUlatlon Is nacaesery W avo�d the danger of CO polsontng whlch ean xeur It a earbon monwclda productng devise contlm�es to operata in tl�e onctosed erea. Carbon monoxlda emieslons can be (re)elreulatad throughout tha slweGUe if She furnacs a atr handler la operaUng �n eiry mode. CO ean eauae saHoua illnass ineluding pertnanerrt brain damage or death. `810�5,8?R78 A WARNING W PECTION�MAI H�NTENANCE AND UIPRVI310N.OIF T E BUI�LDI�NG IN WH�ICHE ANY SUCH DEVICE IS LOCATED WILL BE VACANT, CARE SHOULD BE TAKEN THAT SUCH DEVICE IS ROUTINELY INSPECTED, MAINTAINED AND MONITORED. IN THE EVENT THAT THE BUILDING MAY BE EXPOSEO TO FREEZING TEMPER- ATURES AND WILL BE VACANT, ALL WATER-BEARING PIPES SHOULD BE DRAINED, THE BUILOING SHOULD BE PROPERLY WINTERIZED, AND THE WATER SOURCE CLOSED. IN THE EVENT THAT THE BUILDWG MAY BE EXPOSED TO FREEZING TEMPERATURES AND WILL BE VACANT,ANY HYDRONIC COIL UNITS SHOULD BE DRAINED AS WELL AND, IN SUCH CASE, ALTERNATIVE HEAT SOURCES SHOULD BE UTILIZED. 814933206 WARNING: IMPROF'ER INSTALLATIpN, ADJUSTMENf, ALTER- ATION. SERVICE OR MNNTAINANCE CAN CAUSE PROPERTY DAMAGE, PERSONAL IWURY OR L0.SS OF UFE, EXPOSURE TO SUSTANCES IN FU0. OR FROM FUEL CAMBUSTlDN WHICH CAN CAUSE DEATH OR SER� WS ILLt�38. AND W W CH ARE KNOWN TO THE STATE Of CAUFORNIA TO CAUSE CANCER BIRTH DEFECTS, OR OTHER REPRpDI�TNE HARM. REFER T07HE USER'S WFORMAT�N MANUAL PROVIDED WRH THIS FURNACE. UJSTALLATION AND SERVICE MUST BE PERFORMED BY A OUALIFIED INSTALLER, SERVICE AGENCY OR THE GAS SUPPLIER. FOR YOUR SAFETY DO NOT STORE OR USE GASOLWE OR OTHER pLAAAMABLE VAPORS AND LI�UIDS IN THE VICNITY OF THIS OR ANY OTMER APPLIANCE. SEE WSIDE SURFACE OF LOWERED DOOR FOR UGHTWCifOPERATIN(3 WSTRUCTIONS. AVERTISSEWENT: UNE INSTALLATiON, UN F3EGLAGIE� UNE �DIFICATION, UNE ENTRETIEN, OD UNE MqIN'fAWANCE PJCORRECTS PEUVENT ENTRAWER DES DOMMA6ES AMTEFtIALS, DES LESIONS COR�RELLES OU LA PERTE DE VIES HUMAWES• CONSULTER LE MANUEL DES USAGER FOURNI AVEC CE GENERATEUR D'AIR CHAIA• L'INSTALLATION ET L'ENTREf 4EN DOIVENT ETRE EFFECTUES PAR UN INSTAUATEUR QUALIflE lJ� ORGAWSME DE MAINTENANCE OU LE�FWRNISSEUR DE GAZ. AVERTISSEMENT NE PAS EMREPOSER M UT�USER �E L'ESSENCE NI D'AUTRES VAPEURS W LIQlADE3INFLAMMABLES OANS LES VOISINAGES DE CET APPAREIL. W DE TOUT AUTRE APPARdL. LES WUICATIONS PW R L'ECWRAGE ET LE gERV�CE gE TROUVENT A LA SURFACE INTERIEURE DE LA Pd2T A JALOUSIES. -_--- --. — _�' � #. �. � ' ', kµ: . ,. . . F��n P� � i `w5 . , • •t1` 5 � � � 4 � a � S . . e{ i::. . +L ..� . y� ft `'7+�� i�t?. �ROUBLE�OOTIFl�i � BEFORE YOU REQUEST A SERVIEE�;CALL �� ,, 4i �• � , � s � � k. If y�, �imac��iot ope ��.� y, , �ig improperly, take time to pe�form the foilowing checks before requesting service. A couple 0 1;nple checks� ma�'aMci ; r; ,��i ., ' Ifthe following steps do not reso{ve the problem, contact a�ualified servicer for ' fi��'�t�oubleshoo�ir�g � `r' f Do .�ot a oubleshooting beyond that which is outlined below. Do nat attempt repairs yoursslf �� yt . , � x . -��.� ' � '�,� • . '�� .� s°a . - °�a� •� Ch e. b1 .� J� t, k��l� If LED is �shir�g,.record the �umber of flashes see� ��ence, st�utdown your unit as, � -� ��? �` ; ,,,, ,.j ta�ct aFs�ualified servicer for further troubleshooti��°�/or r�1es. Refer to Instalta- . �. i�.�t��i��t'c��, �hP�, ��inue wjih checks. ` � �: � q �� . �;�� . ,1 �; � , r" � �j+,, ,, Lf��r�pbcat� 'at it is.set or�-�T and that tempe�ture`(above room t�mperature) setting is . � �5�., _�.,. � '' ,� b . e. � ;� .'::q ., .r , � v' . � .. M Ci� ' .`, � breaker {n fumace elect ca�circu�t. Replac:� as n ,ary, t . ��,- . „ �� Ctieck to s�e Y" manu y ux-off valve'extemal to the fuma ' 9� �4�J position If t�a{ve is in the OF� position, tum :t�e gas` ON #oilowl�fi�ie s dures outlined in the "Furr�a f��fi.qn. �`� •' ;i y Check for dirty filC�r(s). 7his in �most common cause of improper f ei�ation. Replace vr ciean filters as�tt° sary. ,. ` �'Che�t for blocl�c� retum�ir or suppiy air gi�lles`thtoughout you home. Gfil�es may be blocked �� jatiaiture, drapery, clothes, carpeting, etc Clear'any biackage. ��. ` � � �:;�; r " '�� Most q. ns c�n be �n�svyered by your local deale�. :M�or �additional`�formation, piease call: •\` � ,� ffi � , � . `� � � �� ,, _ :°�, ,� . ��15U� QRMATIQN UNE`�-"��`�� ,. ` �-:' � �x �.. � , : . 1-STf-� � iJ S. at�i� "� ° 4;� email us a4: cu�tom' (�goot�r�a��n#g.com x:.� ♦ ,f �* , s�yq . ' ��Q... .'U$ 8l. '. .� �56� I�Z r �.{°%' .. '' '':,, . . , (Not a t@ ,a�s�sistance lir% fqr dealsrs.). ,, �z , � . , '� ; ...., � , . • Outside ` .S., ca111 713-8�1:-2�00 ' `w� � �,... (iJot a technicai asgistan�e liQ� � •_c�ealers.) � �'3 � Your telept�,qn,,� company�will bil� fior the ca1L g' , .. ' . , � � 0 P� y '�, . _.,�,' R A: E�"� . 6� _. . . Y N�J y, � To obtain the proper labels, the Model, Ma�uta�turtng Number and Serial Numb+ar af , , ' the unit must be supplied. These numbers, a�tl recocded�n the nameplate of the .� : . fumace. For convenience, record this fnformation hers� �1 �.� �. �, �5 � � ,� . � e ,. � MODEL NUMBER: ". ��,�;_ �,, � �� ;; � • �. _ - MANUFACTURING NUMBER P F "' h� , . �; ' SERIAL NUMBER: — — — — — — — �� `�'�` ��' , . — — ,- . � ,�k,,�s ' ,�� -------- � a� �,,_ - �� t � , ` - • �,� ° �wa bz. !: � ''�, � . .._ ..,Y�R(K•. � ��. � � y,� .�� x�� M c �:;�.�.�. g �..,., � � . � , � � g �� '�i ��;i �:� . +� � �±j''; �, � n. � < ; �! r;�i .w � �P� CS�2�4 Cioodmall Company, LP. EffecUve: Jwe 2004 li :k , 42I2112446 14:32 FA}t 651 222 7824 Mhl JOIhIT UNDERWRITERS Named In�ured: Minnesota Jaint Underwriting Associa�an Pianeer Post Offi� Box 17�0 St. P�ul, MN 55101 �51�222-0484 or 1-8Q0-552-0013 Fax: 851-222-78�4 CEI�TIFI+�ATE [3F INSURANCE CENTURY R�FING, INC 8135 KELLt��G AVENUE S EDINA, MN 55424 f�p0114a1 This cert'riicate of insuranae is issued only tv confirm that the palicies of insuranc.� indicateti belaw have been issued ta the N�xmed Insured shvwn �b�ve, and that s�uch polieies in�tude the limits of liability, �nd �re effectiVe during the coverage periods, indic�ted l�eiow. This c�ert'�'ic� �nfers no rights upon the c�ertFFicate holder. The terms and ao�nditions c�f c��erage afford�d by th�� policies indicc�tte�l are not amended, aftered, or extended by this c.erti�icate. In the everrt of c�nc�llation, the certific�te holcier will receive a 10-d�y written nofiae. Policv # Policv Period �pe af lnsurant.� Limits of Liabil'�tv Q5Q04� 7/1/2003 — 7/'f /2006 Ceneral li�bility $500,�OU per ciaim - claims made fc�rm $1,000,000 annual aggrc�ate The Minn�ota Joint Urtderwriitiflg Aasoci�tion is prohibit�d by law from offering coverage f�r prvducistcample�d aperatian� �nd enviranmental impairmer�t (pollution). Certificste Holder: CITY OF FRIDLEY sa3� uNivERSirY AvE NE FRIDL.EY, AAN 55A�32 Issued by: �arrie Eulbe Und�rvvri r ACENCY: UNIf3A�E ifdSURANCE 575 UNIVERSiTY AVENUE ST PAUL, MN 5S'103 FAX: 763-571-1287 ATi'N: T,4iUIMY Date Issued: 2/21/2006 APR-18-2��7 WED 10:4� AM ' I FAX N0. P, O1 , � i � � ��.�V�� I, , pf Oi S!'l�itljps Avcnuv, SmkiX �a!!�, SQ' .ri T70-3�6J03 ..^ r.U. ��+r Sd�, Sioux F�!!;� SD 571 t�'�077 ', I � � / � C��S,�"�-�� ! , /t�sri! 18, 2{}�7 � Msrrk T.. ZI�r�sci� db,� � irins�,7ltc�titi,� 1G�1 � rv�:leih S!. i�. P.. Arttlr�vc•r, MN 5�3A�-S�i77 , tti:; Pri�tcipai: Mnek ��, f-]�ses� dUa I�I�nsci� I�Ic�tin,� S�trcly: � Wcst4a-n St►rcty C'om>>�m�r [�and �Tc�,: � GS�7$�'�3 '�, �"lain� N�.: i '):i.�11!7fF� i L�car Mr. fI�rtscii: N�ncy Leiti�! _ ,�.'— C��ims An�lyst Tetephan� 605-33L1-P&�8 �acsimi�e GQ5-�77-7724 nancy.leibel� cnasur�ty. com 'UV�sic:nY Surcly Cc��i�►�uy p�jid �2�CA5.t30 to A�si� F�assaiz under iiic surely bc�nd iss�rr..� an yc�ur l��:h:�if. Thc ��ttym�r�t u'�s m�cic in titc claim�n� t�4c�usc yo�ti �'ail�;c1 tc� �rovide ihc: sur�;ty',with � hc�i�:� rct�� cl�Fensc:, ';i3��losc�i i:a a uapy ofthe Pa�rriicnt tr�lnsmitia] to tlie cl�ima�zt. W� l��tvc als� zic�tiCcd i1�a C'ily o!`��ritllcy. , j Wc;stcrn Suruly CUtt��:�ny is!e��titT,��i to r�iml�ttrscn�cnt oFit:; �oss front yo�n, Ttzc tota] loss due Wc�icrti Sair�iy Ca�i�any is'�.Z3,GU5.OU. Ple�s�c n-�ak� yuur chcck }.�ay�.bl� ta Wwicr� Surcty C`an�g�:itity aEtt� iQiw'tuc! iG ia: ' 1Vi5. Dot�nnl(��tcrnlai��1 , C`.iti1A �urci�r Cor��. -- al Sputh 33:� �. ��'al��sl� Ava Chic��c�,1i: GUGU� if y�u �rc ui�t�.blc to icncicr f`t�ll P:��mlc»t �t this tirne nud woulci like to ciitcr into a repxymcnt rila��, �Ic:iSC CCf111.:1Ct DCt11ilA C�.,t��rrnaan at (� 12) F�22-2G75 Uy M�ay 1 S, 2U(}7. if wc: cla not hear froin y�ou Uy tl�is d�te, wc hs�v=� rYp altcrl�ativ� l�n� to scck lhird party intcrvef�tion. Sinc�a�cly, ' ', . � `�1.�/�'?-.t" ��°.�_-.�- .�'�'E'.,i� ' �" N�i,cy r.c;it�cl rtiutl�ai�i.cct rc1�c4'��`a�4stive caf tiVcstcrn �urciy (�ompany Cuclf�sur4s ' cc: 1t11 Cc��iaty A�,ci�cy, l'nc., City af [�r�ciley ,AT'CP3: R.on Jullcowski vi� facsimilc to 7G3-571 �1287 GOPY li:t��sct�-ilass�ui•'�-Ifi-O"l.dc�c � ;� . � • Compliance Certificate Report Date: 02/22/06 Data filename: C:\Program Files\Check\REScheckUobert.rck Energy Code: 2000 Minnesota Energy Code Location: AnOka Co�ur � _ Construction Type: Sing e amily Glazing Area Percentage: 11 % Construction Site: Owner/Agent: Designer/Contractor: Ceiling 1: Flat Ceiling or Scissor Truss: Wall 1: Wood Frame, 16° o.c.: Window 1: Above-Grade:Vinyl Frame:Double Pane with Low-E: Window 4: Above-Grade:Vinyl Frame:Double Pane with Low-E: Wall 2: Wood Frame, 16° o.c.: Window 2: Above-Grade:Vinyl Frame:Doubte Pane with Low-E: Window 3: Above-Grade:Vinyl Frame:Double Pane with Low-E: WaII 3: Wood Frame, 16° o.c.: Window 5: Above-Grade:Vinyl Frame:Double Pane with Low-E: Wall 4: Wood Frame, 16° o.c.: Window 6: Above-Grade:Vinyl Frame:Double Pane with Low-E: Window 7: Above-Grade:Vinyl Frame:Double Pane with Low-E: Floor 1: Other:Over Unconditioned Space: 720 192 11 11 240 18 18 240 11 192 11 11 720 38.0 0.0 19.0 0.0 19.0 0.0 19.0 0.0 19.0 0.0 22 10 0.300 3 0.300 3 12 0.300 5 0.300 5 14 0.300 3 10 0.300 3 0.300 3 0.030 22 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection �cklist. � o � �Uf 00if'iYl .t. ��o � Builder/Designer _ � Company Nam Date ` '�_ --�-- �• � 5 Page 1 of 3 ��"" 5. Date: 02/22/06 REScheck Software Version 3.7.3 REScheck Inspection Checklist Plan Review and Inspection Issues This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with ` apply only to detached one- and two-family residential dwellings. Plan Review Issues Foundation Inspectton: ❑ Foundation wall insulation R-5 minimum. ❑ Foundation insulation extends from top of wall down to top of the footing. ❑ Exterior foundation insulation is covered by a protective coating finish. Concrete Slab or Under-Slab Inspection: ❑ Slab on grade perimeter insulation R-5 minimum. ❑ Slab insulation extends from top of slab to design frost line or top of footing. ❑ Floors over unheated space R-30 minimum. Windows / Doors / Skylights: ❑ Average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows). ❑ Window U-values consistent with building plan and REScheck Certificate. ❑ Window and door areas consistent with building plan and REScheck Certificate. Mechanical Ventilatlon Issues: ❑ Residential mechanical ventilation system provides adequate ventilation per code requirements'. ❑ Fumace efficiency is consistent with REScheck Certificate or building plan. ❑ Protection against excessive depressurization is installed per code requirements'. Envelopa Insulation for Plan Revlew: ❑ Interior basement insulation R-5 minimum (if no exterior insulation). ❑ Ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate. ❑ Wall framing and insulation level is consistent with building design and REScheck Certificate. Inspection Issues Concealed Insulation Framing and Sheathing: ❑ Wind wash barrier installed at attic edge. ❑ Exterior wall comers framed so that insulation can be installed after exterior sheathing is installed. ❑ Intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed. ❑ Gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly'. ❑ All penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed'. Interior Air Barrier: ❑ All flre stops are air sealed. Page 2 of 3 0 ❑ Pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed. ❑ A sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas *. ❑ Air barrier behind tub and shower is sealed and protected. ❑ Recessed light fixtures are sealed. Envelope Insulation: ❑ Basement insulation R-5 minimum. ❑ Wind wash barrier on wall separating house and garage is sealed. ❑ Loose flll insulation is prevented from entering the eaves. ❑ Insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side. Attic Insulation: ❑ Attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel. ❑ Attic card attached to framing near access opening. ❑ Notification of attic R-value and date of installation posted near building permit inspection card. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710. Page 3 of 3