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AF - 46578Surveyors C��tificc�te COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors 1446 County Road J, Mpls., Minn. 55432, 7849346 Lot aurvey and house loca�ion Searvey for: Lots 45 and 46, Block "H", Alex Barna Riverview Heights, 560 Hu�o SC. Citq of Fridley, Fridley, Minnesota Anoka CounCy, Minnesota � � O S�RE�r. _� NUG o � / N s� ��s �, y5 . -{ �� � ;,.�t�� ���°�e�`A� � ` ✓ 1�� exrs��n9 ' J��� o�se ' � `� h •"��� Zn � � ��.� � � � o �p ogn� � � roP o o � �� add'�f`0 � J_ � ��"V � �N � J ;Z��,,� ,- �z.� — o�� ��� :en��ooc � 2•8 � == '-. % /n�� " b �(3 o��e�a���ng e� � �� o GI � i �e^� �, � %�9 Z �� � / � ,%" �. so �� Description: Lots 45 and 46, Block "H", Riverview Heights, Anoka Connty� Minnesota. Subject to easeiaents of record. SCALE: � �. ° .��% � ' ��! 0 � • de�ofes iron monurrier�� fovnd p dPnefes iron inonument sef I hereby certify that this survey, pla.n or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. '���� ��� � Z, 0 � 3�� :� /,�___.�,�!eiz���Z[/ 10832 Sept. 25,' T4 3k34 . � � Reg. No. Date Job No. e��' a �� � 13 ` � //� s 1 � � r'�� � �'"1 ��✓� _ ��� . � i o, / 9 ? � / C 6 � ��..,�- �.;a .� Jo�' --,�-�. Q�� �-�-e� `� c.� Cf�1t- • ; �.,2 �u /�...eB� �/�- .� � � � _ �. � �-v �-�, — �,,�' �—� , v� . � �� ���. -� `���-� ° �..R.. c�� .� � � zd:.?.,�.. �h �yt� � ,,�- ��h �ir���— ...�� -r�� %.e�=�� � i`���� �_ � �?�� �-�a.�-a / !� ��°� �' � � c� �e��-� i,�C.�.�' c..�..� �.,�;�. �.�.�- � � i o�-.�--.��, ��.. _ !"��- i� � � � � � ,,Q� L� c..c.d� .,�.�.,D `�.�.�i.�-�. � - � �,. G�� � �� �� d � � �- _ �, . `� !� -� - �-��.�..� . C� ✓3 Z�� / � 9�4 u �-yl�� c_.eJ�.-�✓ i i 1��..w.°-�i� ' /��- � �;�y� _ �� � ,�' ,�-- � � � �� � .�-�. �� �� ���� � � � � � � V :e U � �%�!�/—��lo� �� i� � �' � � G���� . �: � � �� � � �� � . �/!� �6 u S ..��5..� � � �` � �t �,,�o L, � �" � 7`� C �� �� � � � � � / �� �� �����y �r �����.5�� �i��'la'�D� �T' 3ro0 MG/(, O S� /��°. /���, � �� � ���� � ;r�N� , �viniGWR" ycy/�H �� � SO ��� ������ a � Iy , .3�� / �r�,��i�� i ���os�� ����, �----- � p, --- �� 3� IS / I 6�� � �,� ° �'�'�°� r� �' �T I � ���� ��R� e/FYZA�k' \ SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ;, � � � ; L _.�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. , i ; i--_.� �"'1,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE i ' � s�2-ssasaso 910-F15 10/18/74 JOB ADDRESS 56Q Hugo Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 45, 46 H Riverview Heights Addition 2 PROPERTYOWNER MAILADDRESS ZIP Alex P. Barna III 560 Hugo Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP 5 ENGINEER MAILADDRESS 21P PE 12770 R� 7���5 PAGE OF APPROVED BV � / , SEE ATTACHED SHEET PHONE a PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW I� ADDITION ❑ ALTERATIOId ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct a 24' x 23'8" Addition onto back of dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS glacktop driveway to be i.nstalled by October l, 1975. Electrical work to be either done by an electrical contractor or owner is to submit electrical plan before electrical permit is issued. SEPER�17'E PERMITS REQU1RE1� FQR �/I�IfUC� HEATING, PL�JMBiN� qNp 5��1�So SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. WOOCI FiaIIl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNINC3 THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11�9�-3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $3O.SO � r � � / � �UREOFCONTRACTORORAUTHORIZEDAGENT �DATE) �i!!�/�j�aCT6Y-r'� vKY ! � i' _ �I�SRE FOWNERUFOWNERBUILDERI ' IDA 1 � ' �;� OCCUPANCY GROUP IOCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX 5.96 SACCHARGE NA TOTALFEE $36.46 RLY VA,J��TED THIS IS YOUR PERMIT � » F r AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR AvvITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA i OWNER' S NAME :��?C f' i.�,�l�c' /V�U BIIILDER :�L �' x/� �i4R �V� 1..I.� ADDRESS : S�Q�J l�G�'�� S% , JVi= , ADDRESS : 5�D �t��� � f� N�: . NO : . �t O STREET : LOT: �59� �� BLOCR: ��/� ' � ADDITION: I�/d�� J� V/� y�i P�/�'/GtiTS CORNER LOT: INSIDE LOT: �� SETBACK: ✓�D f SIDEYARD:%3 -/�.� Applican� attach to this form Two Certificates of Survey of Lot and proposed bu3lding location drawn on these Certificates. � 0 HESCRIPTION OF BUILL'ING To Be Used As: �'�,�/�'/� �� Front : � y� � Depth : � 3 � � �� Height : Square Feet ; J'� yd Cubic Feet : � � � - � �� Froat: Deptb: Height: Square Feet; Cubic Feet: Type of ConsCructions �r�n/� ��'���I� � Estimated Cost: �, s'd ��, �' d ,, �, Fr� � • To Be Completed: ' �` o l T'he undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordanee with the City of Fridley Ordinances anii rulings of tha Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. naz�: dc� !7, / 9�y szGr��: ��`�,� ��r��, f1 , (See Reverse Side For Additional Information.) � �, �,,, . �r�� � \�- � � � � � P, F.�P !�,```�-,D'ti14s' ��,,� � � , , � _ � __ _ � . . �...--., , �` ���' ' :� '_ ... , _. � � � . _! f _ _ , ,�:�_� � � - w.�_ � ��', � N ___ � _ � t. � ` �. � � � � ��:� �� � . �t7. . � `1 . �� � � � i � 1 � _ � • _. _ � ° � ��a _ 0 � � _ . k°''` �.: _ � � BUILDING PERMIT FEE SCHEDULE SECTION 2o The Inspector of Buildings 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.repairs to any existing building or structure, upon application therefore, require the payment by the applica.nt for such permi.t of fees to the amount herein below set forth and in the manner herein provided to-wit: .,, UNiFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cub3cal contents. Type 3& 5-,51.85 for ea.ch one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of camputing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point si.x (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average:` height of the roof surface of the ma.in gable of a gitched root. For repairs or alteration�s to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Sectio�. 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction wi11 be issued a minimum of 24 hours frrnn the time of application, to allow for proper review of the proposed structu.re and of the construction site. A Certified Survey of the lot, showing the location of the found�tion, once it has been constructed, will be required before proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any stru�ture 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. �.- •- ,, 'y'' `�` e ' �, t aY��wtiy'" e � `' '�'�} S `'r s h. >3° �y'�` ' b �, '�' . +�,�'4:-.�• L,1�-.;s K �` �Si t+++ -- ;y �T ;s �9„ k��..a��t � i �' 1. 4 ��` "y��' yy .' � },Y $ � � � �'���,`�� �%�� � r L� �� ���� a s1� ,�S�iy. �n x � ��, ��x .# ��'�.:;� �'° A'�'� ` � t � - � n�- �S ,T ' P._ � '(�`�y�,X��' a.M,�-.ya�'���i �kj�'" n��r}k v" _�y,w. 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E .�, x z �� R '' �- �.�. � -� R �::�3 � .. - ��.i t�� ��i � `g: #y ;��v a��..n�' H .b'��' . �x.'�,'s`f�� �'-����. .4",3 fi.. t '�' J "°y 'S``1'::.t fip y, E, e : `� y4 ° ! ?'-.`;_,,, � • "'y .-t�- �.-:�_ y1 ., � �'.tr .a�p..,A,.,S a'�"�- � a i: -k � r � ,f SUBJECT City of Fridley . 13885 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � `y ____�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � v �' i ' _---� �"�'1,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV ' � si2-sso-saeo 910-F15 11/30/76 � � JOB ADDRESS 560 Iiugo S'�'�t N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 45,46 H Ri.verview Heights Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Alex P. Barna III 560 Hugo Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDIN(i Residential 7 CLASS OF WORK ❑ NEW O ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Renevaal of Bu:i.ldin Permit #12, 770 for an addition to structure 9 CHANGEOFUSEFROM TO STIPULATIONS glacktop driveway to be installed,by July 15, 1977. � �-IMPORTANT-- �EPERAi'E P�RM9TS REQU�RED Ft�R �VIRtMGt NOTIFY TWE Ft�iQL�Y �N�r;. DIWISION f�EGARL?lPv� G�:Ji;d N�ATIN�G, P�IJI��e�B� 1�IVD SiGNS. ftEMOVAL AND F�E�Ll�CEMENT AT DRIVEWAY OPENINGS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� Fi3IIlE3 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AL� 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 S6�OOO � NONE 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. � yfi�.S. ZS PLAN CHECKFEE TOTALFEE $15.25 ^ _ SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN ROPERLY VALIDATED THIS IS YOUR PERMIT :�,��'�� ��— /f- 30 ,'� 6� IcQ�,� // �'0- i �; .a SIGNATUREOF OWNERIIF OWNER BUIL�ERI IDATEI BLOG iNSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, , ADDITION, OR REPAIR BUILDING PERMIT OWNER' S NAME : ,�G��?C /� �F� �I►//� /7Z BUILDIIt : s A ��•2 ADD?tESS :,�64 �Ci6o S✓� A/ �a . G�'/i>L�X ADDRES S: s�v nn i� � �98Y- S5'6 8 � NO :. �'6 a S TREET : /�� G G S 7', �{/ �, LOT: �f S� `r 6 BLOCK: /`� ADDITION: f'����a�Vi�y,2 /��i6�rs l�7�A, ;�- C�RNER LOT: iNSIDE LOT: �/ SETBACK: 3 5� SIDEYARD: / 3° . Applicant attach to this form 7tao Certificates of Survey of Lot and proposec� building location drawn on these Certificates. To Be T,Jsed As ; �-- ___ �Ql� 1+/r't��� P�R r�+ � 7- �1� o. ia >> � ' _ _..� .___ - - �---- I��-��RTPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front�: Depth: � Height: Square Feet; Cubic Feet: Type of Construction: F�J�� �/�-po n Estimated Cost: $�, Do�d� To Be Completed: The undexsigned hereby makes applicatinn for a permit for the work herein specifi.ed, agreeing to do all work in st°rict accoxdance with the City of Fridley Ordinances and rulings of the Department oi Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � ` �' ' .i`�� /.!''�i� � � � � (Sea Reverse Side For Additional Information.) �,,�� ��5, ��°- �.�j�1c ' � T' � � � �- �-�.� C �� � i � �� �'�D�� � ^�.°� � � �:. ��.6.: ��i � ��� ' , �: r d -.��•� �� i 5-� . 3 � ���_ ��.. .� 13UILllING 1'LI��(IT rEE SCIIL•llUL� SECTION 2. The Tnspector of Bui]dings shall, betore issuing permits for the erection of anq b�_iilding or structure, oY for any additi.on i:o any existing bullding or structure, or for any al.teration or repairs to any existing building or stcructure, upon application therefore, require the payment by t11e applicant i'or such permit of fees to the amount herein below set forth and in. the m�nnex herein provided to-wit: %TEV7 COP1STRtJCTIOi�: Si.nq7.e Family Homes and Garages: $�}.00/1000 cubic feet PLAtd CHECK: 25 percent of building permit fee. ADDITIONAL IIVFORi�1ATI0N �or the purpose of computing fees for building permits, the cLbical contents or any builaing or addition, is determined by multiplying the ground area covered �r�m a point six (6) inches Uelow the floor line of the basement ox tlze cellar to the average heights of the upper surface or to the average.� height of i:he roof surface of the ma.in gable of a pitched roof. For xepairs or alterations to an existing structure, the fee shall be at the rate of $3e00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed worke Ir no �case shall the fee charged for any permit as set forth in Section 2 be less than $�.50. ° VERIFICATION OF FOUNDATION , NOTEs Permits for construction will be issued a minimua► of 24 hours from the tim� of application, to allow for proper �review of the proposed structuxe and of the consL-ruction site. A Certiiied Survey of the lot, showing the location of the foundation, once it has be�.n canstructed, will be required before proceeding with the �raming. CERTIFICATE OF OCCUPaNCY Application for a Cextificate of Occupancy 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 occup�ed until a Certificate of Occ:upancy has been issued. ' .� ��, 'A' �� rOµ� CpV� . j1 �+�e�� �\ ,�-. ^F p M�'�'NESOS COUNTY OF ANOKA UrbBn Anoka Counry Community Deve/apment B/ock Gtant COURTHOIISE ANOKA, MINNESOTA 55303 612-421-4760 May 22, 1992 Ms, Donna Mattson Anoka County Community Action Program 1201 89th Avenue N.E., Suite 345 Blaine, MN 44323 Re: Housing Rehabilitation Grant Request 560 Hugo Street N.E., Fridley Dear ponna: After a walk-through of the above referenced property and discussions with Clyde Wylie, Fridiey Building Inspector, I am concurring with ACCAP's denial of a rehabilitation grant to make repairs to 56� Hugo Street N.E., Fridley. Knowing that the homeowner had asked the City buiiding inspector to look at the property, I called Clyde Wylie for his opinion on the condition of the house. I told Clyde that the $9,000 we could spend on that property would not be anywhere near enough to bring the house to code. He agreed, s atin hat base on his obser ations noth�g in the house met code at this point �,, ;� �f �e�,� �-�%- ��/ ���� . �r� e�� c�[�,,�d:P.�L4� . With regard to epairing just the roof, there are two factors to consider.. First of all, this would � not qualify as an emergency repair, given that the deteriorating roof has been a long standing � problem. I believe the property owner said it has been leaking for seven or eight years because of improper construction technique. Secondly, if the leaking had just occyrred, this would not �=Z�-�f � be a simple reroofing, but according to the contractor you consulted, would require rebuilding the roof which currently has no support. I believe the contractor also said there is no sidewall support to tie into. Although the homeowner is income-qualified for the program, the property does not meet the guidelines. The goal of the rehab program is to preserve housing in Anoka County that would be affordable to lower income persons. Because of the current condition of the property, we cannot use CDBG funds toward that goal at this time. Si cerely, (% /� oAnn O. Wright Community Development Manager JOW:sw cc: �de Wylie, City of Fridley Affirmative ACtion / Equal Opportunity Employer �.��,-�, , 4 . 1 ��.R' r q � �� ��� �(?.+; � �� • , FR[DLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55�132 •(6121571-3450 • FAX (612) 571-1287 December 9, 1993 Alex Barna 560 Hugo Street N.E. Fridley, MN 55432 Dear Mr. Barna: This is a follow-up to my October 20, 1993, correspondence concerning the HRA's interest in potentially acquiring your home. At our last meeting, the HRA expressed interest in purchasing your home, subject to a number of conditions. Those conditions are as follows: 1. That the acquisition be on a voluntary basis. That is, the HRA would not pay you any relocation benefits. 2. That an appraisal of the property be conducted to determine its current market value. Again, I want to emphasize that the HRA would only buy your home on a voluntary basis. If negotiations fail to reach an amicable agreement, the HRA would not proceed any further. If you are interested in pursuing this matter, please call me by Thursday, December 30, 1993. I can be reached directly at 572- 3591. If you are interested, we would obtain an appraisal of your home in early January. An offer to purchase the property would only be made after the HRA has an opportunity to review the appraisal. Sincerely, Grant Fernelius Housing Coordinator GF:ls C-93-285 $U�1diIIg . Inspections � . 763-572-3�60� . � 763-502-49'�7 �F,�X . � �. dai�� � "''.1.Q1- O . '. S11'E ADDRES3 : �� � � TFAS A'PPLlCANT IS_ �" � OWNER' PR�PER7'Y.aVdV1�iERJ" .3VAM�:_, ER TENANT . • � � ADDRE53; , ' � . � �RHONE:�, From: 612 754 5026 Page: 1/1 Date: 8/20/2008 8:58:11 AM ��.. . � Bi�i:DIl�G � � R►�SIDENI�AL A�'PLI�,A.TI0�1T . � � � CITY'� _t���-�`�IDI1�Y . � � � , YOUR E-MAIt ApDRE53 � �_ . .�.,'� cox�uc�eoa p►nnRe�s:_ —�, � q . ► c� SUSMIT A CAPY OF . �¢� �� �� XOI:TR STA7E i.10EN5E. • STATE W�ENS'� ��;, P'ROPERTY TYP � o �nVO� �n�in.YMevy c�S7' • . . :. i�•T4fl0:PAMI�.YINE'.Wt�rIJS'kit PERMY!' TYPE � . ' . N' i7 BASIIv1�1!t�: FW ISH • .. . . ..E].p�CK _ • . . . . DL�SCRIBE WpR�K SEMG 13 ��� � � � i%R�L.�!�� �' i , , . • �,l%�- :�. . i !� �:" , s :� � �: � � . , � - . . - FAx �C..�►_ 1 S��`t --.o� �t, t'S ..-_-,.. - ...._�. ,�,��,�, �XP DAT� • � � . ;stZ�:: .. . . . � uCYtEat�t • • � � :: S'�ap.1BS ° � . �F ... . !1 DitAM 1'1,Lfi �'S�1NCi � � � � . � 03'H&R Q3 'POOL � ' �Q�E�.tHC�... _ . .� -- •S1Z&.OF lli�q►ROVBM6NT . � � �. . _ . qy�.ry ; � , ' • „� H •�� � • ' � .. . j�IpU3E ONLY. . � ' • fJ fFOUSE.� �3kRA�3B ` �s�: �� .�� ���3�.� a�n,����� pR�n tl�cwi'r: . � 4 D�rnCt� qanAt�- t� . �'1 ��� . � • • . . O A�nm ' '� ,� , � �a�it C] Other . �a�la . TN� QPENMOS dYd�:C1No ` WCA79t11V�OF.WWDOWS .. • ORFO/t NBW OABNINti&U�RiBE SiZE OF .• . or�vmv c�wt��s,� . � . : . � ,: " . . TY� OF WrMDOW 7'O B$ IlVSTALLEQ �� l�it7turtve nc u►nu�v►we •. Pe�nit FCC : Plan RevI� , � � Firb Surcharge . Su�harge , Licenss Swcl�ge $AC Charge {,1s�h Cut Ea�rov� � Ernsion Corttrp]' Park Fes � . Sevrred- Maim Cl�arge . � HEi.OHT ' � .. � �• � ��s � w�, z. Properroe fl�r pla� . 3. L�st of� tr�'s ta be i�ed, . �� FOR A�EW 130NSTRUCl1QN IIJCLUDINLi DECKS. ��..d4'�S3��s�1�� . 1. . she P�rrl�►ey.�sUowMg e� �ing etnecturcs � and proposod pmjecc ` _ 2. Two sets of ao�on p4ens • � 3• �81� CeJculatioi�. • . �tv�w����r�•�uB�;�,+%s.�,��� . - ----_...__�. � (J� � � : . occu��uvcv� �E � „� ��a �,� '`�B �Hf�i '� fD7' �'CE .�"iP�li{ti+C ' 6S'/o'iDf.Bisilsi�pg'p8m�it�Fee. • . . � � ��� � .001: tInieis;t#� tot�l� jpD'vAl�tiun �. . � ��� • ..0005 x �r;�a�it:Yt�ation Mininnt�t �.50 . ° �,��� $S.t10:(S�te�l� Re�idet►�[.�;antrsetors) . '.$182� �r SAC Unit (Plans to.MWCC for dt�rmi�t3on) � St6Ra ftxS2i =�$� �45�O�os�se�vatioA�l�Ia� R iew .' . . , � � _ Fee. � b�yr �i�ii�ni�g • . • . . . • �� ��y.( ' i Nbn ATecessa�ty ( . } : �. : o�i vua S � ,� � � M�ce�.chi� �e*sbfe to� C'it�►� uf F'r'Idlov Attaeti S�pulat#oris . .'i3�1$ !S AN APPLiCAT10N i+0at A PBRMR'-D�iOT VA41D iR�TlL PRbGP.�Eb • � . � I�Y �'PI�Y �r a buitdia8 Pqtmit mAd !�caawlad�e tin� !Aa infar�edo�n abovQ is c�p�te and �. thet Um �rork' wi{{ be in confatmanoe wlt4� tRe ordfnances a�t codas of tl�o Csy of Fridtey e� with �10 C�nstrue�i Cfldes: ! uaderatand .ihis is �t a pe�mit bpt cnEy an appiicet� fo► a perrait' and wo.rk i� not to stert wf�out a permif..o�a 3ius; thst � w�tc wllt•ba u► � . apPrpvad . eA•m tde � of �!i woalc t�A�ch n�qnhr�sr revtew and �pt val otpTahs. . SIGTdATURE OF AA �. PRII3T N�4.ME ��ir1►�� .� ���i�►�. v� DAT � r APPROVED BY � ' � • G,; ' • � . . . . � • . ' • - --- • � � � � � DA � ,�` . � Builditlg MECHANICAL Permit 1vo.: � v1 Inspections RESIDENTIAL APPLICATION 1�eceived By: 763-s�2-3604 CITY OF FRIDLEY ��Aa 763-502-4977 FAX EFFECTIVE 1-1-08 ����'� ��uo DATE YOUR E-MAIL ADDRESS SITE ADDRESS � THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME: OWNER/ qpDRESS: %� CiTY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: s% NOTE: SEPARATE CITY CONTACT PERSON:,������ U LICENSES ARE STATE LICENSE # EXP DATE REQUIltED FOR GAS /� AND HVAC. �DRESS: �ll�Q G�c1� e,pv CITY � f�c STAT�ZI� SUBMIT COPY OF BOND pHONE �.f.� ��S? S�� � FAX �S s� 73'� o•?� %� ANDINSURANCE PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK• � �W ❑ REPLACEMENT �ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �c,� � � .p y .� ,,, � . t� ,� � ' a0 tr a� �.. PER MS 16�.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR L.abor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVi� Equipment Installed MFG: �� �an�- MODEL: ��� SIZEBTU �� � MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WQOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 �FURNACE $35.00 GAS UNiT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $ I 5.00 Fy �;:: � ��(' -.,...k...^r,^53��.. y .«, � � ��'Y�� -:: i � Fi....�;.� H` �`� Y..'iF a x rk5.' ..,���'��`�1� ��P...�:. ,..� � :.� � � �.. Permit Fee $ Number of fixtures @$10.00 x$10.00 °$ Surchazge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MI1vIMUM $15.50 Tota.1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with [he ordinances and codes of the City of Frid ey and with the Minneso nswction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a pemtit; that th rk will be i rd ce wi the roved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICA T PR1NT NA���_� ���,v DATE APPROVED BY DATE ���u� a� ,�,, "��+� � .�.� � � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOT�: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.