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AF - 42223.�,- SUBJECT P N O. c�ty of Fridley i3344 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � ECEIPT NO. � ; y _.___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � 1 = � i--N A ��"�' �,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV L � � 812-580-3050 910-F15 12/31/75 � � JOB ADDRESS 1301` Fireside Drive N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 Auditor's S11b. #�.29 (Parcel 920� SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Swedish Builders 8804 Lexington Avenue 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D. W. Construction 8804 Lexington Avenue, New Brighton 784-0938 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING IlllPl@X 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK constru�t a 47' 8�� x a9 � s�� nuPi� ana a ao � x 30 � Garage —16�POR1'ANT--- DIVISION REGARDING CURB 8 CHANOE OF USE FROM �VIJICN SAF TY 0� T� TO b0 NOT PLART OR Pi�,ti[ n^:r• I�1T Di'i1VEWAY OPCNiNGS. .,_, .. . . _ , STIPULATIONS pro�fi.�'�h�iaT� �{�i"f�c����i�reway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATION: 31' North of Manhole (10" Line) North Invert 880.94 Approx. 12' deep. 5tubbed to property Wye Elev: 881.02 Top of Footing: 884.02 �,�q � �,�,��,�,*A WATER LOCATION: 14.2' North of sewer (was used by former owner) �'`�,���{�����;��'�'�� 6efore tlig�e�g c�li local ut;i�fi,� TElEPHOPvE - ELECTReC - GF,S E �, SEPERATE PERMITS REQUIRED F4R �i11Rl�tG, REC�t�iP�� �'�. �„���,�,,° HEATIIVG, PLUMBING AND SIGNS. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI FT3ID@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 1440 + 600 4O�H�.I. -I- G� OO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 �� _p WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $77�0�.0.00 y�`4�..G9 �� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU ��pON OR TH�� �P�`� RFO MAN E pF CONSTRUCTION. � $�.O%.4% ��, 4I $650.00 � l�,�,`,G' /iP �.��,��� PLAN CHECK FEE TOTAL FEE �,�; �Zk._ ���- ���� $799.16 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPEHLY VALIDA�TE�D THIS IS YOUR PERMIT � �2��..� �J�-C�4./�J�2� � ' a � ' �-�-- SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG �NSP �ATE p. , ' � /3d� �i�E s�v E. ,��. ��it! 3 � ��' �/ �� � �, �a � , . 6 �.z _ �� :g� �9,��� �7,�' °.� 3� . � x `�i. � =-" _ � I�2 9��y � � �X 8' _ // .3 3 � _ JI� l g . � 5� z Z � � 3 � � �g.7° = /yii ��.k � - � 1 , g� -7 .,p�' 1 r � � - �''� / 3T' '�S�/ 7 k z z, a `� 3�, 6 z`� .� �� �.�'j� x� z.� a �,��`�1 yJ � � /�s� x �%g� � �� � � _ , z ,S z , � � ���ie � A � �- ' � � � 0 �� �� �ti . �' � � !� . .e � .��` �, � c�:� � �. - � � � �l o, 9 , . �: .. . p y .., � i � � �t a wr ,,t,� �- s �: "rGa,�*e,pr .�' y�y . c r � a . ,-.� - • . �jrSw�� '.�: y f �� �', � , u. �a� i r� ; 'Xtv : � f.:M1�"� 2`r ,' � N �,�'� �. 4 "�rr i�k`, �': %f �' , N: � ��.n$a'�i = .'Y �ro i��'�y�.� ��� F^Ibrh 5 '�I�,a'�"v �. �tt y t+"F7� S'���..yc,��¢�-. � y� 4+{ .,fi� .,k,d � y� � �* w�a �.,a., q ��,� 'D' C � 9�= �i�4 �i"; ij S n�1 d,. �i ,1 �{ y4 �� /�i� 1 �-. s.��_ i a�., r.,,� � r, r��t ��� �,���{ :y7p r jT) # Y..�i� �r _� i `� 7� f:.�' d 1';{ ��� �.�. ey : �4 �! 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Minnese�ta 55428 ��trvp�nrs �r�i�fir��� � �� � �. 6917 IR/rH0 AVE. N. . ItRQO1SLYIV PAR�. A(INN:, MINiV. REG. NO. 6y43 INVOt�E NO. �2i� F. 9, NO. s�; ' ' � SC�41,� f'" � .� � `' � (,`,i ---� p�EfaUFC-§ tRC�t�1 i t ! ��. ' ! `� -'^6:fiii�,r ,e 'r`�'�::{{� �1�$:; . ty!- �� l.� •� ��: ..a . .e .'. Y!. � ..\ 3 : -i., .1 z �� _, ___. ._�.. _� __.,. "' �I�• t'� ' '' .�/r'�'�,.�`.�',�.� ,,,��`r'��'.� A •� , �� f � ��� ��I . ��'�� � , � II '�P� � �F , � r' I + I � ; � � �� �1► . , .. �< . • . �� �he� East 9C�.0� .feet oi' t�e 6i��s� lui.�U fee��. of Ls�t 1,1., Au�i�s�r's � . , � , aubdz;visicar�. I�o. �.29. Anoka G4un�Y, . i�r�n�sota. • " � _ � - . . �- -. Revi.s'�id to st�aw founda�ion 9��.3/?6 . �' V'klfw �a6y ur,H{�r �6at fkic� it. s ina snd corraet r�srn�nfatio� � �i'. r� of. �. be►vod#n� af ib. .�ou. d.serit�d ,E.nd nad ` - ��leal�ii� aiF a11 b�iAdi�y1 +nNl visibi� �aerwahe� ti : etry, a�� � �ra�ta: n.�� W+9 �. - � � . '�xwr�,�t 6�r u�. #1►�,, :�� �+r �. . � �!� _.�.. �9.�'� .. � . . , _: _ �.._. ... �. . � .. ... .. : � � �, , �.. . ..: . _ . � �- . ��,, >y . d,�'� �' �', ,, ',� _� ,� � � �:,•�'� =�� � �'�"��'' � � ��i $� :: ���� '� : , , , - -- : _ . ,.... ; . _ _ . . .;_.:�I AP.PLICATION FOR T.ESIDENTIAL, ALTERATION, OR AllllITION BUILDING P�P.MIT CITY OF FRIDLEY, MINNESOTA OWNEIt' S NAME : 1e� ��., _ �,t_� BUILDER t . ADDRESS • t� ADDRESS • ��� �1���'-�� �--�- NO : �.3 � I S TRE�T :�_,, � a�, ._.P s �, , LOTe /� BLOCK:��r�,.�,,1�..e A��.�,,, �ADDITION:� °L, g �'�'�[.¢.�+ ��2 a� CORNER LOT: Ji INSIDE ZOT: SETBACK: ��� � SIDEYARD: %� a� Applicant atia.crz to this form 7.tao Certificates o� Survey of Lot and pxoposei � building location drawn on these Certificates. DESCRIPTION OF BUILDING To �e Used As: q� � � �� �� �/� �� � � Fron� : % De tl �� � p }-c ,°,� % Height : �,f 1 ��• . Square Feet: %� �0 Cubic Feet:��0 g��I �� � � Fro�.t : e�o Depth : �i� He3.ght :� Squaxe Feet; � C�� Cubic Feet • �n �CJ(� 2`ype of Constxuction: � Esti.mated Cost: oo - To Be Completedo � � � � � �� � `�i ,� f ,� p ` - � �'�, � � � . d0 The u�dersigned hereby makes applicatinn fox a pes�ni� for tl�e wo k herein speci�ied, agreeing to do all work in stxict accordance wi��h the City of Fridley Ordinances and rulings� of the Department oi Buildings, and her�by declares that all the facts and representati s stated in this application axe ti-ue and correct. ��),���` . DAT� t SIGN�TUItC : tl /`",�'l/' o���c�� (See Reverse Side For Additional xnforma�ion.) p�,�/�'1 /% . � • �u� - e. -- ,..._' � G,��r G, ���os / � 7� �/. QD : � 'J'7�!•�� 39� s�y �- �.�a�_ �i.�� - ��v, o0 �- _-� � u ��� c1 � ��� _ ,. � A •� �:a €�� � �� E� � � .. �BUILDING PERMIT FEE SCI-iEllULE SECTION 2. The Inspector of Buildi.ngs shall, before issuing permits for the erection of any building ox stxucture, or for any addition to any existing building or structure, or for any alteration or repaixs to any existing building or structure, upon application therefore, require tha payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: UNIFORM BUILDING CODE: Z`ype l, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Tyge 3& 5-$1.85 for each one thousand cubic feet. AllDITIONAL INFORA4ATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered fxom a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface or �o the average:� �height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an ex isting structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fractiolz thereof in the cost of all proposed woxke In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the ioundation, once it has been constructed, will be required before proceeding witli the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate ot Occ:upancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � ' '' . .7.LLI29 - 1'LV�Q�«, wa;. ia` e., /_-�r , y.�y''4'�' .�, _!et �'. s•.N .R � r '��i �. ' �,�{n`" ih-.r � .� . : 4 � ^ni"-! ARr.+..Y�a .� . d � . .,�..,.. . �'� �,�j r h 3 r� f S+ J! _ -*t �i '<` g 8 ( �'� a • � a. * a � �j , '4+;'„ � =7.. .�v � F. �.. � . j s -�`- .s - 4 � /} �q .. �.-'v` TM� q�� ai� t t � e 1�- - .,� .0 a �,� .. t� <z �.} _ : � UZ'.! �� JG�l S �` i �. _ . . . . '' �ft'�i :�3 d T,.�.� �! � . .�V:V�Q L'... �_ - �. R 3., r q l , F �r ; l7 V` �t� - . Fi "; s i� - ����,� PS t 7 �, � 1 , f _ t� , �_ . � ,- (.��..$ � • ra �• �� ������� .. � ,. ' • +s' ):� ' sr . � . , . . P . :_ • a x � F .,�+ � - LAidO 8 �.-: � ` - . , _ . . _ " �. i� . '.�: 't M . �• . . .. .. .. �� ... '.�.' . 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Z N�W ii [Tl �� a W p� p W � f�D m M a~ � � m M~ F�-� h7 H H G� r (A W • M M ¢� M M R� ; v 9�� o h1�.. `c�r "a in�u�ro � rtc�r�o H a a^� � '''�� r�e m m°o w~ °N°rt � o o� on� :v o o�� :� 7e � to � r� o 0 0 o n m o cr •• � a r+ � � o� fDOO bm o°-°°or .. f°��o£ �mm�£ � � � r N o 'd 0 � O H °z � r � � � � �f om m° mK .my°oyW°o �ro c`�x' cairo x r � O q C O 71 y fI � O� H O (n � � pi � � w . 1D C� p' b+ G C a v, m a M ►m7 ao o ao m a � m �� C o 0 o C/1 -1 m ��v u�io o vio = O �* � � °o ° °o o° ° m z `� a I I I � ° � � � o � � �n a � � � xxx � v' i' r r N r o r w o 0 0 61 J A N °oo°OO o° °oo° °o°o°o°o v� tn tn t� tn tn tn tn tn ' in . 0 � a � � n � r cai �w xf � � � I ti fD m m� z °' .�_ a N �Q � . ;* y � � O :-' � ro �' o °' �a I K I � fi � z N � I �C � a � O M C � A F+ _ I � � a � fD z - G) ID M 0 � � , �, � � ��rtp 9 y H z° x M M w � R �` '� � o a a � � � K � I O � iP �l �i �P N 0 0 0 0 0 00000 t� +n +n tn t� tn v► tn tn +n tn tn +n � � i � � � n G y � � � H 0 �ryy � H O �(\ aii ! � . : � � Y � � r� 0 � 0 � C H � a E ,�„ m �''�N� � y a -v 000o tr� •• � 0 0 0 0 � a n � tn tn t� �n O N Z H C D H -i � 9 ►+ r o x [+7 K a Q 7' ~ 'C �N z W rw � u�,r�i, g.. p, a�, �a r� K� � M 0 W M W W � M r°n m" "' o m"' � � � � � � � � � � w Fw, p�f x p, ro O H � � �ro w ��° � m �h � ` � �oa�� , � r�-� a�nX�O � .0 � w � � . �J � ���o . ro � � ro r a a o w y � rt n aa � ���ro � � � � W d E � � � r- o ��M � � �� a t�„r W � O R't X � � G�� ���� � � .� Z a � � N GZ') -G � � 3 O y y r � z � y' C � , � r� < � � m � � � \ V% Y � -� . � o w Z . � � m �� � � � • � , m a � -i \ o Z �, a � e n � O T T � d r � 1978 i ���� �� ������� 8A31 UNIVERSITY AYENUE N.E.. FRIDLEI(, MINNE80TA 534$2 TELEPHONE ( 812)571-3450 � . T .".. . .Mr. Don Wehlast D: W. Construction Inc. 8804 Lexington Avenue New Brighton, Mn. 55112 Re: Final Inspection at 1302-3.303 Fireside Drive N.E. ' Dear Mr. Wehlasto The final inspecti.�n was made on Jarsuary 12e 1978 of the above address and the following items were noted which mnst be crompleted before the structure can be finaled out; l. Repair masonry hole by the chimnay by February 1, 1978. 2. Complete hea.t duct in 1301 by February l, I978. 3. Secure furnace vents in both units by February 1, 1978. 4. Suppor� last stud in stairwell on 1301 by February l, 1978. 5. Cover electrical outlet in living room by February 1, 1978. 6. Need verifying survey for 1301-03 and 1321-23 Fireside by February l, 1978. We will expect the above items t4 be completed by the scheduled date when a rei.nspection will be made to det�rmine compliance. If you have any questions on these iteas, please contact me at 571-3450. Sincerely, DARREL G. GLARK Com�nunity Development Ac�. DGC/mh SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � 1 y�_��� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � i--._� ��"' �'� CITY NALL FRIDLE� SS432 NUAIBEH pEv i 612-571-3450 910-F15 JOB ADDRESS 1301-1303 Fireside Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION oescA. Lot 14 Auditor's Sub. ��129 DATE I PAGE Of 6/8/98 / / 2 PROPERTY OWNER MAIL ADORES$ ZIP Gary Muske 1301-1303 Fireside Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP Same 2321 Stinson Parkway, Minneapolis, MN 55418 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK MAIL ADDRESS ❑ NEW ❑ ADDITION ❑ ALTERATION 8 DESCRIBE WOF;K Reroof Duplex (24 Sq) Tear-off 9 CHAN(iE OF USE FROM STIPULATIONS TO 26166 RECEIPT NO. ���� APPROVEO BY SEE ATTACNED SHEET 781-1340 PFIONE LICENSE NO. 781-1340 PNONE LICENSE NO. ZIP PMONE LICENSE NO C� REPAIR' p MOVE O REMOVE Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, MEATINCi, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY TNAT 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 WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY T'O VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE RFORMANCE OF CONSTR CTION. SIG ATURE OF CO � RACTOR OR A HOR12ED AGENT IDAT6 � �OATE� OCCUPANCY(3ROUP NO. DWLG. UNITS 2 STAILS ���� IT FEE 2.25 OCCUPANCVLOAD CU. FT. f PARKING GARAGES �Ijl] e SC $2.00 FEE .25 IS YDUR 9€QN�y NEw ADDN ALTER [] [l �� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: /�c� j — / Legal Description: Owner Name & Address: Contractor: �g-,� � �,� ) Address: � �� i ��;� ,,� . LIVING AREA: GARAGE AREA: DECK AREA: m Effective 1/1/98 �0 � ��1 ��� � Tel. # %� � — /3'��C7 MN LICENSE # % � �l� Tel. # ��! —l3 � Attach to this application, a Certi�icate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: 83. go � �t000.ao , Construction Type: Estimated Cost: $_ //,�� OB �� (Fee Schedule on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �� APPLICANT: Tel. # 7�1-13 5� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ a .rx� �P v v� $ $ $ $ $ $ $ ,. �-.� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII..DING PERMIT FEE SCHEDULE The Chief Building. Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $SO,Q00 $50,001 to $100,000. $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minunum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1, 000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof _ � DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width� plus 6 feet times $13.�. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. 1 A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �, :-�. * � D � �. � O � _ � � �• � N � N. � O N � n �, a> -� � O � � 0 Q� 0 �• � �• nt � n cD � a o �� � �' N � � O � � � � � Q � � s 0 c � D � � 0 m a W � � m z � � m � O Z T m m {�H � V O 0 \ 2 � D � X � � � �. � � 0 c � � � +' � v � C�D � m r # T � � � ' a� m �� � , �� . � �-' o cNn � � 1 o � oi � � m o, C O � D = � �. a�' � f) N O � 0 � o � D CD r � m � r n � � OC m {i9 Eff �} � � � � o 2 � � N � D a �. � � � � m � y°�=� L� �" m m � o Q � c� � h'� � � o m � oa y W � (p N -• �� O' •- � �: °� � '� � O � �_ �- °Q a cr ���o� � �►��'� � v,' p� v, o' g � �1 � 7 � N � � � � �'� �. Q N � � � � A. V D = � � � 3 �- o m � � � � � m a � o � � � � � � ��an, d � � y �-�j N �� � Q � � � ' . r+ o °*3�, � ��,�o � - S rt .n.r � (D 7' , a ��g g ��o v y � � � �m m a y m � �. � D � _ � � "�, � < fD � � y � m � � O � D �' � N a f�o a>' D � � �� O .�; � o � � O N �� � -� 0 Z W D c� � .., D � n 0 � a 0 � � OC D � N � y � a1 N � �G m � 4� � N � cn o o° °o <•A E!9 {� � � C � � m --I � a m z � � 2 � m 0 � � N m z � � D"*�e�p tn N O � Q. � � �� � d � j '�. (n tD � rt m � � � cn ci � � z � � m � � � �' �1 � Q . � � o � .+ Q � � T � � — c � ? O � � � 3 � � G � � W � o � � n � �` v �.'''i � W � c � � � � 4f� � 0 0 0 b9 "T� W --I Z � -1 � O — C °- o m �, � _ C� � � m � Oq Q �� � y � t 2 o � n � �. n � O O I > > � fp .f�+ ^ m � a �� o m � n� mz� Q 0 �o,� 2 0 � d � v .. � 3 D � v i� {y9 � w 0 0 °o °o � m {�9 b9 � �' a r rn Cn � D -i m � C'� 0 � �� � m � � , � � Z O V � � � i .� � m N n _ m v C r 1�f ` c � W � � � Z p � � c m � � m � � � � I � � � � � � �- � � .� �.. V � � n .� � w � I--� � � � O v � n���•-n w Z m � � � � � �'�c m W < � N m Z z� m� m C7 -� � Z � < � a � � z '� r �� �O � Z m .,, a� -� � O � Z � Z � v .� a� �Z ON vz .� v o= zm Z -Di '� Z � A �O N O aZ z� v� vZ < -� n � N O Z m m � < m O � L � _ � � �, � - N O O N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCATION 1MLL BE RETURNED COMMON VENT NT ONNF T[�R AND �MRlIST10N AIR RIFI _ATinl` When _r� �n_acing an pxi '� f�rance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( No () The venting system is plasticJPVC and meets all current codes and manufacturer speciflcations including sizing, length, number of elbows and termination. Yes () No (� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted �nd natw�l draft a��li�nc,�s_ - - The pY��ng cemh ��en air is sized and installed to meet the current codes and manufacturers specifications. When required to in�tal� a n w_emb �e+ion air�it will be sized and installed to meet the current codes and manufacturers specfications. Wh211 inetallinA a n_w v ntin���m, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manuf�cturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent conne�tors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes �PS� ( Yes�o � Yes No ( ) Yes ( ) No� Yes � ( ) � . . , � - . - . � . - . � � � � . � - � . � • - � . � � - h . � . r � � . � . � Appliance #1 Type BTU Input Fan Assisted or Nat Appliance.#2 Type BTU Input Fan Assisted or Nat � ,4ppliancs �,3 Ty�� BTU ln�:at Fan Assi�ted ar Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in . Type Appliance-#3 Vent Connector Height ft Length ft Diameter in Type r r • ► � - r . - • � ' �'' .l r1-�I.�u 1 " - � _ _, . - . f!� i � ,��.��: � - - . � - r - Buil�iri��° MECHANICAL Inspections RESIDENTIAL APPLICATION 763-s�2-3604 CITY OF FRIDLEY 763-5�2-4977 FAX EFFECTIVE2-19-09 SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT ��� �r =� c-. :� ��� �� . ��. ■• • , „' � CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTON PERNQT TYPE I 11`� ���) �li:I�7� C�1 COMPANY NAME: CONTACT PERSON: STATE LIC�NSE # PHONE �_ YOUat E-AQAIL �NGLE FAMILY ❑ TWO FAMILY ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK Permit No: CITY STATE ZIP. �A7>�• � � - /�/� �� � %J � � Z,'1� r � ■ • � ■ a :� 1�• •� 'ATE���IP, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU • MFG: MODEL: SIZFJBTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRiLL $]0.00 BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.U0 CFIDVAIEY LINER $10.00 �GAS DRYER $10.00 . _POOL HEATER $35.00 DUCT�WORK $10.00 _GAS PIPIlVG $10.00 _VENTILATOR $15.00 � THIS IS AN APPL1CATlON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appl' tion for a perm' and work is not to start without a permit; that the work will be in accordance with the approved plan in the case 1 wor whi h r ' es review and approval of pl t � I _ — � SIGNATURE OF APPLICANT PRINT NAME � DATE � — City of Fridley •� d d � y�' Building Inspections Department _,/ � b 6431 Universi t y Avenue NE, F ridle y, MN 55432 S��P� 763-572-3604 FAX: 763-502-4977 ... City of Fridley Residential Mechanical Application Page 2 �' REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS � EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1 � Combus�io� Air (Se�nate below)- — - - - - a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Cha.pter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REOUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Veatilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manua.l D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.