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SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
i �
� �` ___�_ COMMUNITY DEVELOPMENT OIV.
� v � PfiOTECTIVE INSPECTION SEC.
r � ,
� . ,
� � �'�"1 � CITY HALL FRIDLE� 55432 NUMBER REv
�""'�'� ,'� 612-571-3450 910-Ft 5
JOB ADDRESS 570 Hugo Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
oescA. 43,44 H Riverview Heights
2 PROPERTV OWNER MAIL ADDRESS
David Cullen 570 Hugo Street N.E.
3 CONTRACTOR MAILADDRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL AODRESS
DATE
7/2/9Q
ZIP
PAGE OF
� �
�2045
�R€GEf�TNO •
•R
3 � ��y
APPROVED BY
SEE ATTACHED
SHEET
PHONE
780-�6323
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO.
8 USE OF BUILDIN(3
Residential
7 CLASS OF WORK � NEW O ADDITION O ALTERATION L� REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside and Reroof Dwel
9 CHANGE OF USE FROM
TO
STIPULATIONS Roof can be 2nd layer but not 3xd�
On all ne�v roefs or-fea�-o�€� ahd repracement roofs.
State Code req�ir� f�� ������ �� Y5 ��� �e�"�,
mopped tagetfier, f�' ins�aitc�d top a potnt 2� iecches
up from exteri�r �l' {�tief or ttie �se ct other
approved und�jl���� membianE.
TYPE OF CONST.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL APID VOID IF WORK OR CONSTRUCTION ZONING
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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOYERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-� 3OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE �R CANCEL THE pERMIT FEE
PfiOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINC� CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 53.�..00 _
OF CONiR TOR O A TMOR12E0 AGENT IDATEI
�.,.��o.�c�uucoauunF IDATEJ. - .�
DCCUPANCY GROUP OCCUPANCYLOAD
SO. FT. CU. FT.
STALLS
OFFSTREET PARKING
GARAGES
SURTAX
$.65
FEE
L�65
IS YOUR PEFMIT
/ �� �V
�ATE
NEW [ ] Effective 1/1/90
ADDN [ ] R-1 AND R-2
ALTER [ ✓� Building Piermit Application
(br�struction Addres.s:
��� 1
Lagal Description: �'S � �j�
� � ��'a C� �
le�� � R � .�r..�� ���� �r �
� N� & �..�: ���., G�,l � s �� �� d � v �. # 7g� �.� ��
—�.
contract�r: � w r..�r � . #
a�
. �:
Attach to this application, a Certificate of Slirvey of the
lot, with the propased construction drawn on it to scale.
. �Y��;..�•��,y��+,�y
LiVII�G AREA: Lerigth Width Height Sq. Ft.
C�R�GE ARF�i: I.erigth Width Heic�t Sq. Ft.
DECR AREA: Ieslgth Width Hgt/Gro�ur�d Sq. Ft.
OTi�R: � Slc�� �' � d`Bd� ��.�l�r�
Corner Lot [] Inside Lot [] F`t. Yd Setback Side Yazd Setbacks
Type of Construction: Estimatecl Cost: $%� O�
Approx. �npletion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ S
Width + 6' See Hack Page
�: ��ar �o ��: � �. # 7���-�3a�
Permit Fee $ � � (�C�
State Surcharge $ � �
SAC CYiarge $
Driveway ��c,�ow $
Park Fee $
Sewes Main Charge $
To►r� s � � �
CP / . ��
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CITY USE �Y
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Ehgineerinc!
Agreement Necessazy [ ] Not Necessaiy [ ]
.
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:�1 � � � •':il'i � " 31` >4:I:H� 1 .
�e Chief Building Official shall, before issuing p�rmits for the er+ection of ariy
buildisig or structure, or for any addition to ar�y existing buildirig or structurn, or
for ariy altQration or repair to a� existing buiidinq or structure, upon application
therefore, require the payment by the a�licant for such permit of fees to the amount
herein belvw set forth and in the maruier herein provided to-wit:
�rAL VA1�JE
$1 to $500
$501 to $2,000
$2,001 ta $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
���
$15 (Minizmun Fee is $15 plus surchar.ge)
$15 for first $500 plus $2 fo� each additional $100 or
fraction thereof, to arid including $2,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, t.o arid including $25, 000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$414.50 for fiYSt $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and iricludirig $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1, 000 or fraction tiiereof, to arid includirig $500, 000
$500,001 to $1,000,000 $2039.50 for the fiYSt $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and ir�cluding $1,000,000
$1,000,001 arid up $3539.50 for the fizst $1,000,000 plus $2 for each additional
$1,000 or fraction thexeof
DRIVEi�IY DEPRE.�SION ESC[idW
(Concrete Curb Streets On1Y)
Alternate ��A�� ; Remaval ar�d replacement of curb arld gutter only - Driveway width plus
6 feet titnes $13.50.
Alte�nate "B"s Remaval and replacement of curb and gutter arid install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet tin�es $15.75.
' �• ■ v• •� • � • � u • �;
P�ermits for oo�nsttuction will be issued a minim�.un of 24 ho�rs frcan the time of
application to allaw for proper review of the praposed structure and of the
�onstruction site. �
A Certificate of S�axvey of the lot, showirig the location of the f�ation or�e it has
it has been constructed will be required before proc�ding with the fiaming.
s�
� �
sue�ecT PERM __ ,_.
City of Fridley � � � � �1
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
r
� �
� �
� • COMMUNITY DEVELOPMENT DIV.
� LV ������,
r � � PROTECTIVE INSPECTION SEG ,��� �
i �
� ' /"�1 � CITY HALL FRIOLE� SS432 NUMBER pEV DATE PAGE OF APVROVED Bv
�----'�: `•� 612-571-3450 910-F15 8/29/94 � �
JOB ADDRESS 570 Hugo Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �F3, 44 H Riverview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Dave Cullen 570 Hu o Street NE 785-8g26
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIIADDRESS Z�P PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a ZO' x 20` Gara e -
�-
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 CERTIFV THAT I NAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAf;AGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN Ofi NOT. TNE GRANTING Of A PERMIT �6, 744 �3.37
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $90.00 Fire SC �C).7�F
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
�1��.11
S�GNAT . OF CON7RAC?qaoa � r+ Ri2EDAGENT �DATE� yy AOP lY IDATED THIS IS YOU PERMIT
V/q� � o �� � � Q
( � SiGN UREOFOWNERiiFOWNEABUILDERi �DATE� � LOG INSP qFTE
NEW
ADDN
ALTER
��
{]
��
CiTY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-Z
Building Permit Application
Effective 1 / i/94
�� 3� n
,�
Consrruction Address: ��D ��u i D �}� 2.� �-
Legal Description:
Owner Name & Address: � � C�JI,`� �1 Tel. # �$ � '� � ��
Contractor: N c�,.� MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to dus application, a Certificate of Survey of the
lot, with the proposed constn�ction drawn on it to scale.
DESCRIPTiON OF IMPROVEMENT
Lengtb Width Heigi�
Length :l.,o ' Width �.o � Height
L�ngth Width Hgt/Ground
Tel, #
�. Ft.
Sq. F� � o
�. Ft.
Corner Lot [] Inside Lot [� Ft. Yd Setback Side Yard Setbacks
Type of Construction: \,Ja� � f ��.� Estimated Cost:� _. �� , % `� , UC�
Approx. Completion Date:
(cost on Backj
Driveway Curb Cut Width Need�: Ft. + 6 Ft = Ft x$ =�
DATE: � i � � APPLICAIVT: Tel. # �
��s�- g�a�
��. . ��� �'�
Permit Fee �a- o$��- Fee Schedule on Reverse Side
Fire Surcharge $ �=� ���`�.O(11 of Permit Valuation (lllOth�)
State Surcharge 3� 37 S,� $•501$1,(l00 Valuation
SAC Charge $ � �r SAC Uait
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$
�
$
$
$ /C�C�� �l
$5.(m (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Al�ve
$450.00 Conservation Ftan Review
Fee Determined by Engineering
Agreement Ne+ressary [ ] Not Necessary [ ]
QUiLD[NG PERMiT FEE SCHEDULE
"i'he Chiel� t3uilding Ol�ticial sfiall, t�efore issuing permits for the erection of any building or structure,
c�r for any addition to any existing building or structure, or for any alteration or repair to any existing
building or struclure, u�n appl�cadon therefore, require the payment by the appticant for such permit
of tu:s to thc amount hercin t�clow sct forth and in thc manner hereia provided to-wit_
"1'O"I'AL VALUE
$1 to $s00
$SO1 to $2,Q00
$2,001 to $25,0(?0
$25;001 to $50,000 -
$50,001 to $100,000
$100,001 to $500,000
$SOO,OOi t:o $i,ppp,(�p-
$1,000,001 and up
rr_cs
$15 (Minimum Fce is $15 pius surcharge)
$15 for firsf $SOp pius $2 for each additionai $100 �or
fraction thereof, to and including $2,Opp -
.$45 for first $Z,ppp plus $9 for each additioaa! $1;000
- or fractioa thereof, to and including $25,ppp •
$252 for first� $ZS,ppp p1�s $6.50 for each addifional $1;000
or fraction th�eof, tv. and including $50,000
$414.50 for first $SO,OOU plus $4S0 for each additional
$1,000 or fr�u�ton thereof, to -and including $100,000
$63950 for S�st -$lpp,ppp plus. $3.50 for each addirional- '
$1,U00 or fradion ti�eof, to aad including $SOt3,000 .
$2039.50 for die first $�0,000 plus $3 for each additional
$1,000 or fraction th�eof, to and including $1,000,000
$3539_SO for i�e 5rst $1,pQp,ppp plus $Z for each addifional
$1,000 or fraction tliereof -
DRIYEWAY DEPRESS(pN ESCROW
(Concrete Ct�rb Streets OnIY)
Alternate "A": Removal and replacement of curb aad guttec on(y _ Driveway width pius b feet times
$13.50_
Alternate "Q": Removal and replacement of curb and gutt� and install a 3 foot wide
approach with 6 inch depth - Driveway Width pius 6 feet times $1S_75_
VERIFICAT[ON OF FOUIVDAT[ON
Permits for consiruction wil! be issued a m�inimum of 24 hours from the time of ap�tication to allow
For proper rcvicw of the pro�scci stzucture and of the construction slte_
A CertiCcate of Survey of the lot, showing the location of the founciation once it ha� it has been
coasiructeci will be rc;yuirecl before proceedi�g yy�th ih� firam[ng_
f . � y
_ Surveyors C�e�^ti ic�te
f
� AVIS, INC. Consulting Engineers and Land S
' 1446 County Road J, Mpls., Minn. 55432, 784-9346
locaCion Survey for
"H", Alex
.
. o�u��� c��ld ssaccates, . �r°d
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LAND SURVEYORS T
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AI1 Garages Include:
ted Bottam Plate Wi1h SIII Seal • 2" x 4" Studs,l6" On Center
• pre-Hu� Sarvlce Door With Keyed Lock • Garage DooKs)
• 16" On Cenler Roof Raflers Or Menards • Roo1 Edging
Preeislon Engineered Trusses .�� �uik & Roo1 Cemarn
2y' On Center
• 20 Year Warrenty Shfngles With Feit • Slding _
.
\
-*'aNY �
�I p�� Slzes From ' „
12'X20'TO� X�
���� , Also On Salel
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.u�i��;���a_ . � '�a��. a� ��r,�"�,"��,:�.. � .� . �e��.c.��
1�8 B These economical garages are designed with a
�E, 9 12" overhang on sides only. Ineludes primed hardboard
�,x.�� siding, steel service door and a 16' x T steel ribbed
° ;� .'- garage door. _ �es2e�a
,. Wfth Rafte►s , With Trusses
' 2a• X sa� ,�-�,4. �� ...... $2,429* _.�s2,589*
w'
�$���_� ' �' zs• X 30� ;��. 4� ..:�. a2,939* 53,069.*
i�"� seas us ea so� X ao� ,�-��. �4� ._.... $3,869* : a4,109*
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� . � . I�i � 'I �I I .I
o � � � ��� � `�`�`� �: � � �4� X z4�: � ��I��f ,, � � � :
� Y�. � � ��, f ' ' ` ` :� Woodsman Ga�age .. � . t r � }
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. y3, � � . p ry� �;,It���fr ��fw�� � 1 �''-. �. ' 1 �i�.. ,p �' <F" d> :,
` � a�' � f7 4X �f4�.�1,a/ I�bB�%�a�BQe i {c�, . '� T: �'�'�"''- ^7
��: APPfOX. r -� �'@ { �1 ,•^�E
� 9 $Z,30���Y
: �� ��. � ��- .� ���:.,��&.
, ..�- s��� r �. � �,�,� ,�' , , : Sale Price _ � �e�ets`ns,i.mm
1eprex a^, N x�. ,p Wlth Tnt�es S' � �
i e Priae :�� t Asusted ` Woodsman garages feature rus�tic plywood siding a stee
�`� �,�;�¢�� t:�� � . ' 2.� verhang aU � pre-hung sernce door, a ranch window und and 16 �t 7 stee
z•craftsma�, ga�a�eis�,9��..�����dow,:�Jar, e f n��g�gedoor.l2' overhangonthelsidesoniy::te5-2s43; µ,�
way �iound �teel, se , c+a;doo.r�xr 9 '' ��� � TN�•
x 16 �iancn'sty!e;�vindor�� � g�rla+�►dow: arad `: :: -�witl, Ratte.s 5 *
� x r �, ��►� � � ;; � ���,� ���.. . 52 309* � � s2;569 _,
i : � ,,�u F� � ; . ., ..� ���� ,a�ws4 219* � sa x xa ,es-� ...s , * �,_, s * . f
; za� 30 ,9s-a�� ..,3i�99� .���.�� � �. �^ : ze• x so• ,�-�,8 �, .;.. 2,889: .: � .'s3;259* , ,
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� 30' x ,95-� �485
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:.Eave enUY e:clast9n�>..la�ge� 9 � �Ore.;all iho�e , ?: �(,�. "�� :�
� ' i �; ezuas: Can �nwnh,,fa�ltes„exted4; wa1is arai e doors m� pPPnr. .� ^ ,
, ,.aa�mmodate'boats; 1k�;;:-Mate�als ,�i�e; pd�ed tt � . 6 ::35:9,. �
1� � Sale Prloe �' � � �
' hardboard lap siding,*(3) :�c�:rzsteel � �age d� , �. _ -,._,
� � ° double hung window steetbservice doorrand detailed Plans
., ���16 ;`� n � � 1 ; u Add a country look with this garage. Includes materials for
�. • _ 4��,� ,�: • '�`�'`��e�'% * r, .a second floor loft and work are�, dormer, plywood siding,
�� 30 x.36' 9 Walis �7,�5-7�p:.�.,.C.» „�':,;.�»i'��:�:��049 � (2)-9' z 7' �aised panel steel garage doors steel service d�r.
�? - (1) 9 , x 8 �nd (2) S'tix�7rt,+geira9e doois• . , :� ►�'`'-� � h .(3�-daubie hung windows and deteiled plens i&5�2b42 '?�'`'`'t` � . .
. ��r •t� :f. �m x ao io� w.""ii�����° ;�.�.�' . '�'' "�`a5,559* j2a� x se• ,�s-��::s6,539
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4
MATE FOR e
LEN
AGE
��i STAfVDARD, MIV 55��5
785-8926
Estimate From
• � �
53�1 CENTRAL AVENUE NE
FRIDLEY, MN 554�1
PHONEa t612) 571-8689
MASTER SKU 195-1792
94 EBTIMATED BY a RRW
DESCRIPTION
6" X 5U� SILL SEALER
FOAM
`X4-16� GREEN TREAT
�X4—�O� STD+BTR SRF
2X4-9� 5/8�� STUD GRADE
iX8—i�� #k3 STAIdDARD BOARD
2X6-12' #1e+BTR SPF
CX6-2t7� #2+BTR BF+F
2X4-7� STUD GRADE
CX12-16� CONSTRUCTION LHR
�X6-8� #k2+HTR SRF
QTY TO
, ORDER
�
4
8
7C�
�
��
4
J
2
i
UNIT
PRICE
5. 95
6. 59�tt�
7. 15
�. 29*
�. �9*
6. U7
13. 21
1. 77*
�6. 53
4. ��
PAGE i OF 3
EST I MATE #�
5�9497
EXTENDED
PRYCE
11.9�
�6 . 36
57. ?U
16�i. 30
i �. 56
194. �4
52. 84
8. 85
53. Of�
4. 2�
�1761 2X6-10' #�2+BTR SPF 1 5.19 5.19 ��
�
•�728 7/ 16"-4� X8� ORIENT 8TRA{VD 15 9. 49 14�. 3S i
BOARD(WAFERHRD)
�139G 7/16"PLYWD .CLIR ALUM 25/B 3 1.37 � 4. 11 ��
S54BUpC �
� 1789 SH I NOLE UNDERLAYMENT . � � • 7. 60 15. �a ;
4 SGlUARE ROLL � j l�
•�788 CLASSIC �OYR FHOL8 16 6.25 100.OG ' p
ONYX BLACK ` � � � F �
• 11 �C3 i t��, sTYLE D , ROOF � EDRE ;, . • 9 `: ' 1. �A : ' 16. 9� - �'
980D"OALV � .:; .
1389 16� X7� STEEL QqRAQE DOOR ;��� 299. 99 ', �99� 99
WHITE= I�IBBED _ 4�' ` i ; _ - � �°
1159 i:X6-16' .#�3 STANDRRD* B�OARD �. � 4 1�, �;� .4. S9a� z'k , 4� 59
T � �
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Building MECHANICAL
Inspections RESIDENTIAL APPLICATION
763-572-3604 CITY OF FRIDLEY
763-502-4977 FAX EFFEC77VE 7-1-2010
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS
Permit No.:
Received By:
Date
THIS APPLICANT IS: O OWNER OCONTRACTOR
PROPERTY NAME: `
TENANT ADDRESS: CITY ° �STATEMr°ZIP��' �
PHONE: �� ��r Q���s'�
CONTRACTOR COMPANY NAME: tJ ° , 1r
SUBMIT A COPY OF CONTACT PERSON:
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH pDDRESS: �9�� `� s� 40(�' CITY ' STATF�ZIP _ss�
APPLICATION pHONE T��T9 ��_,���_ FAX
PERMTT TYPE
TYPE OF WORK:
�SINGLE FAMILY ❑ TWO FAMILY
O NEW �REPLACEMENT
DETAILED DESCRIPTTON OF WORK
❑ TOWNHOUSE
❑ ALTERA7'ION/REMODEL
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI�
PROVIDE HEAT LOSS CALC'S PER MANUA J 2006 SHRAE HANDBOOK.
Equipment Installed MFG: l�6� MODEL: SIZEBTU !�SpiJ/'i
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZFIBN
_A1C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGF/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GR1LL $10.00
_BOILER $35.00 �F[JRNACE $35.00 _GAS LJNIT HTR $ ] 0.00
CHIMNEY LIAIER $10.00 T GAS DRYER $10.00 POOL HEATER $35.00
_DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00
THIS IS AN APPLICATION FOR A PERMIT-NOT VALiD UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all rk which req ' eview and approval of plans.
SIGNATUREOFAPPLICANT PRINTNAME�(�� �Q�/'SQI/�/ DATE 'v�o� p�D�O
APPROVAL
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 MN Rule 1346 Sec. 501
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
4. Heat loss & cooling load per room
a. MN Rule 1322, Sec. N 1104.4.13
5. Ventilation
a. Per MN Rule Chapter 1322. Sec. 1104
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.