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AF - 47604City of Fridley, Minn. BUILDING PERMIT N° 526 � nat�: ._.._�Jw_,"""`�.! '"'.' Gp.� ____--_._.. _� � Owner: _... �._._ ._�__��. ...z� . tulder . _._. __ . _ . ---�......------......_._.--•.._...____ Address....._...._.._.._...._.........__.._..___�.�_..._.___....._.._.._...._.._..._...------_ Address __.....__...�..._._..._.._.___.---._._._._.__.....__._...._..._.._..�..._.� % � LOCATIQ . F B G No. :QR � -._._._ treet _.__ . �j_''� . . Part t ----_..._-----;�.• _� Lot ��.. ` ._._. lock .- ----_-_-__• -----....__.... Addition or Sub-DivisiQn .. ..... - _. _. _..__ ._.__ � �r – r� • �----•• � Corner Lot ..._._.......---.._....._ Inside Lot _.-----..1!''-.._..----.------ Setback _.��.....__.__._ Sideyard �...----.�...�......___._.._.______ Sewer Elevation _.__....--_-_----__.._w......____._....__._._..._.._---�-•_--_--- Foundation IIevation DESCRIPTION OF BUILDtNG T U ' , ..... .._ Front _.�'l � � . Sq. Ft �.Y Cu. F _� Depth _��: _ Height _ .. .. _ ..__ n,�.�..�...._�_ Depth _.��� Height �__�.�.�� Sq. Ft. ii�.-� _`Cu. F� � Type of nstruction _._��.,,„.�.!� ::.i21!�.Q•., Esk Cost ... .. _...._..----• o be Completed .----.....__.__..._._..__.._...�_ 1,��...��-,r- Ea consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. �_.._._.. _..—. .�.,...r....r In co�nsideration of the payment of a fee of ._..�...__. ._.._.., permit is hereby granted to....._. ....._._....._.._..._.._..__.__.......__.._.._.._. to construct the building or addition as described above. Thispe rmit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in a.II work dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinga withixx the city limits and this permit may be revoked at any time upon violation of at�y of the provisions of said OTd1II8I1CR& ..r�. _ w 'l i �� NOTICE: This permit does not cover fhs eonstrue�ion, installaHon for wiring, plumbing, yu hsaling, ssw�r or wN�r. B� sun to sN 1hs Building Inspseror for s�paraH p�rmib fo� th�s� items. • � `�` � .._p _ -�- . - - APPLICATION FOR BUILDING Pk�MI? CITY OF FRIDIEY, MINNESOTA Owner's Name ` �,,�,�:�.,��-' Builder �/� .G� /� _ Address _��� f v-►�— ✓�-.� Addresa J` No. LOCATION OF BUILDING ��9 �4 � s li i�C L F Fart ai Lot Lot �f�/ z : (/ �� Bloak . � Addition or Subdivisioa / [�F/21��,��,�,�'S Corner Lot Inside Lot � Setback `� Side-Yard T� SEWER ELEVATION FOUNDATION ELEITATION �pplicant attach to this form Certifica.te of Survey of Lot and proposed building� location. DFSCRIPTION OF BUILDING To be used as: /� � / Front_,,�„_Depth �� Height Sq. Ft. 1��i � Cu. Ft. Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein 8pecified, agreeing to do all work in strict accordance with the Cit� Ordinanees and rulirig of the Department of Buildings, and hereby declares tha.t all the facts and representations stated in this application are tsue and correct. _ � /% .7 i , f%>_ . (A Schedule of Fee Costa can be found on the Reverse 3ide.) , • Y� l �> � City of Fridley App�ic.a�tio� for P'I�umbing and Gas Fitting Perm�it - Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK ,., Number, Kind and Locatioa of Fixtures Locatio � N � N � Z • ` WATER HTR. W�'�' �� xw z =s zz �n pz V z ox � U�' z � O � � � � Z `�� � 0 = O� <�� rj`Z <aO..'�Z< `2a F N GAS ELEC. �� 7 C� m Uf � 1-� � LL V1 LL n U m �� C� ` C� OC C� O Base " / _ ist � � 2nd _ 3rd _ _ 4th • Future Coanection Openings CoanecYed with I Sewer � * New Fixture, Old Opeaings Cesspooi � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAi. Number Fixtures ......................� x $1.50 $ Q � Future �xture Opening . . . . . . . . . . . . . . . ..—�- x 1.20 $ � � � New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTfJ) ...... x 2.00 $��._ New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GA3 FITTING FEES: NO. RATE TOT � lst 3 Fixtures .......................... x$1.50 $ % s Additional Fixtures .. .. . ................ x .5U $ Gas RanBe to 200,000 BTTJ . . . . . . . . . . . . . . x 2.00 � REPI�IRS & ALTERATIONS—Refer to Coda Description ................................................$- 1.� TOTAL FF.F. $ City of Fridley: �i r� ,� � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department oY Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed about Estimated Cost, $ �' � Old ew. ilding Permit No._�(� Permit No. '� Signe By Business Phone No. ROUGH FINAL a a 4M 7-59 . � � � � Application for Pawer Pfe�nts and He�ing, Cooling. Ver�titation. Refrigeratio�n ca�d Air Conditioning Systems and Device�s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TO___ TAI�_ Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ � Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alteratians each add. �50b.Q0 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,QOQ BTCT . . . . . . . . . . . . each add. 60,000 BTU .. ..................... Replacement o4 Furnace ............................. Repairs & Alterations—up to $500.00 . .. . . . . .. . . . . . .. . Repairs & Alterations each add. $500.00 .............. C� 8.00 $� 2.00 $______._. 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Fumace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour-5ee Fee Schedule �m��..— GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $�— �AS FITTING FEES: NO RATE TOTAL ,. lst 3 Fixtures ......................�_ x $1.50 $� � Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS � REPAIRS See Fee Schedule TOTAL FEE $-���-=— ���� Dept. o# Sidgs. Phoae SU 4-7470 Location �Z�l� r/ fir /��= S' l�1 L�� - City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �-�• Fridley, 1VIinn. „��- �/ , 1� t �O / O 6 6wner --�-.4 � GC��4 — 195— Kind of Building� -?/f�I�� 195_ /1 ) � /l / 6 Used as To be completed about /� �� 0 � Estimated Cost, $ ����`— Permit No. � � 6 DESCRIPTION OF WORK / HEATING or POWER PI.ANTS�team, Hot Wa Warm ' No. Trade Nam , Size No. ���'�O �% Capacity Sq. Ft. E.D.R. BTLT H,p, Total Connected Loa °'2� Kind of Fuel /v.4/.� ��.J` BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BTU H,p, REMARKS: 11 pOST 1M-12-58 "fRANK'S HEATING AND SHEET METAL Signe 2505 MAR sy Business Phone No. / J �°�C � �QL lt/%LLii��,s .. . . � D46 �s � y� �-,�,�Fs�<«� �,�,o« HEAT LOSS CALCULATIONS ?i DEPARTMENT OF BUILDINGS y��• Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Wind s Doo Reference Out. Wall Int. Wall C,eiling Roof Floor Kind How Applied Y No I —No 19_ Fl.� �'�/ Room � Length Z, Width f Height % Fl.� Room Length /�Width //Q� Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vidth HelBht No. of Llneal ft. Area Width AeiBht No. of Lineal ft. Ares No. of pane of pane lights o[ crack aq. ft. No. ot pane of pane Ilghte of crack eq. tt. 1' �� - -8 � .3 O d a y i i o. G r � ..r . / Z� ;2 D Z S /Q y Coef. Btu Coef. Btq Infiltration y J 3 ,3 � Glass ,3G Exp. wall '1 y Net exp. wall / /9�' O Int. wall Ceiling � Y 2 ��f a Fioor � ► % Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� /�' Room � Length/ ` idth /% ight 8' Windows and Doors—Crackage and Area Width HeiBht No. o[ Lineal ft. Area No. of pane ot pane llghta ot crack eq. tt. . Z- L-8 P ,8 �.� z.o s. , Za, 3- / ! �• ! , 3 7 Coef. Btu In6ltration Glasa � � Exp. wall � � L,3 y Net exp. wall f � � Int. wall � Ceiling � 1�( I O O �Q7I � Floor �� 11/I � �Q Total Btu. ,� Required sq. ft. E.D.R. or sq. ins. W.A, Leader area Fl. Room �Length „3 Width %� Height Windows and Doors—Crackage and Area Wldth Height No. ot Lineal tt. Area No. ot Dg�e o[ pane lighta ot crack aq. ft._ ^ Coef. Btu Inhltration � ' � l�laas ' � Exp. wall 3 q, Net exp. wall Int. wal{ Ceiling 1� loor 1 Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Infiltration Glass Facp. wal� I�c-I� Net exp. wall Int. wall Ceiling �d�( � Floor I � Total Btu. a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.� Room I 1..ength Width Windows and Doors—Crackage and Area Wtdth AefBht No. o! Ltneal Lt. Area No. ot pane of pane If6hta of crack __ sa. tt. � I _ Infiltration Glass Exp. wall G � Net exp. wall Int. wall Ceiling x � Floor ') �a 'Total Btu. � 1 Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area F7.� Room I Length Width y Height Windows and Dooro—Crackage and Area Width Height No. ot Llneal [t. Area No. of Dane ot.Dane lighte of crack ea. tt. Infiltration Glass Exp. wall /�_ Net exp. wall Int. wall Cei�ing � � Floor � i 'fotal Btu. IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area � Btu 08% 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 : 648 JANESVILLE ST NE : 033024230142 : UNAVAILABLE : LOT BLOCK : HEATING : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.: 2004-00262 '� � �I � DATE ISSUED: 02/24/2004 , VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A REPLACE FURNACE (WARM AIR, CARRIER, 66,000 BTU'S) VALUE OF APPL OR WORK 0 # FURNACES # GAS DRYERS APPLICANT SUPERIOR CONTRACTORS INC 6121 42 AVE N CRYSTAL, MN 55422-1601 (763) 537-8491 OWNER HANSON TAMMY J 648 JANESVILLE ST NE FRIDLEY, MN 55432 0 # GAS RANGES 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 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 re�g con�truction or the performance of construction. FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 16375 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 0 30.00 0.00 0.00 0.00 0.50 30.50 Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE - Fridley, MN 55432 " APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 ' ' JOB ADDRESS (g �� TR N�S�91 LG c� S� 'v'L RATE SCHEDULE Residential Furnace Shell and Duct: Work, Burner - Also Replacement Furnace (Side Vent - Fill. Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer . *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1%0 of Value of Appliance or Work Commercial/Industrial 1.25 Jo of Value of Appliance or Work Rate TOTAL $ 30.00 $ �-� $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. OWNER �A'H,�t � �i9-�%SO� BUILDING USED AS � ��iNd �' ESTIMATED COST �5�� PERMIT N0. �CC�'� ' �+��:��'.� ��CRIPTION OF FURNACE AND OR BURNER No. of Heating Units� Circle One (Steam) (Hot Water (Warm Air Trade Name���r Size No. S$��A-� Ia BTU � � HP EDR Fuel N G Total Connected Load Burner Trade Name $ BTU HP $ $ .50 �� Size No. EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. SUPERIOR CONTRACTORS ING L! 612142ND AVENUE NO DATE ���'� 7 CRYSTAL, MN 6642� H EATI N C Signed � FAX # Approved By Rough-In Date TEL # 7�-53'I-�Y`l�/ Final Date� FILL OUT BACK SIDE F�R STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPLICATION WILL BE RETURNf D C�MMnN VFNT� VENT CnNNECTnR AND C�MBl1ST1nN AIR V RIFI .ATInN When ►+� �n a_in0 an eYistin� furan __, 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�(�1 No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specificatians. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The pY �t�n�me���t�en 9ir is sized and installed to meet the current codes and manufacturers specifications. Wi1611 feqUlfed t0 inctall a npw cemb�ctien air�lt WIII b@ SI'L@d 8fld I(lStall@d to meet the current codes and manufacturer's specifications. Yes ( 1 No � Yes�lj No ( ) Yes ( ) No �' Yes �' No ( ) WhBn jpS�jjpa a new ventina��j, t�e undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes� No () �.. .� .- .�. .����.� -� .�. -� .��- . � ..��. .� Appliance #1 Type ����✓R�� BTU Input � an Assisted N Appliance #2 Type �/�- BTU Input �?_ � an ssis ed a Applia�ce #3 Type BTU Input Fan Assisted or Nat Total Appliances � Total Btu Input �!� Common Vent Type �C�S �i 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�► �- ..,- HEATING CO: Signed By: Date : �— v`�3 —�? � SUPERIOR CONTRqCTORS INC 6121 42ND qVENUE NO. CRYSTAL, MN 55422 Building o�° Inspections � �� � '� 763-572-3604 -- ��r - SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ T�vArrr BUILDING -�-` � i � } � RESIDENTIAL APPLICATION CITY OF FRIDLEY YOURE-MAjL.� DRESS ,Q.✓!GS V,' IL� �� /l.� O OWNER ,j�EONTRACTOR ,�E: %r4�+'�i''i `� /�iJ9-/�f/.S6/1 ,Permit No.: i, n �l �� �c�. Received By Date Rec'd: I.0 � i �i �; ADDRESS: �J Y � S �n�V � 11e- $ �- ��- CITY /���90� �� �/ STATEr="Zll' SS5�3Z PHONE: 7� �_ 7�O '" O�i 3 5 CON112ACTOR NA�: /�'pr�-ti b e,r l�nd �.��e�-✓or�` SUBMIT A COPY OF STATE LICENSE # Zo `lYZ 1 Y 8 EXP DATE J' 3 1- O 7 YOURSTATE LICENSE ADDRESS: ��� �q4�� ���g ���• CITYS�/'/<<.ug��'' STATFX� SSOPL WITHAPPLICATION pHONE 6Sl-�39-/Jla g� 6 S�- yss�t -���/ PROPERTY TYPE PERMTT TYPE TYPE OF WORK: O BASEMENT FIMSH �"ltOOF ❑ DECK �SIDING O SWIlbA9 DESCRIBE WORK BEING DONE: �e -.�'oo F e� /Ze -��ld e-- OF � DRAIN TILE ❑ OTHER HEIGHT ❑ HOUSE ONLY NUMBER OF SQUARES � '�-HOUSE & GARAGE BASEMENT REMODELING SUBM[T: �RAGES �"ATTACHED GARAGE 1. Existin� Floor Plan PROPOSED SIZE: � DETACHED GARAGE 2' PmP°sed fl°°rplan PROPOSED HEIGHT: 3. List of sauchual membeis to be used FOR NEW CONSTRUCTION INCLUDING DECKS, Vi�l 05offit ADDITIONS. & PORCI�S SI7BAI�I'T: ❑ Alumiaum O Trim 1. Site Plao/Survey showisg the erci�ing stzuduros O Other ❑ Faacia and pm�waed pmject. wixnows 2. Two s�s of con�cuction plsns IN EXISTING OPBNINGS OYea ONo LOCAITON OF WINDOWS 3. Energy Calculstions OR FOR NEW OPENINGS-DFSCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION SIN �.��% /°7° J$•C F� O C�IJP� Y TYPE Permit Fee Plan Review Fi�e Surcharge Surcharge License Surcharge SAC Charge Curb G�xt Fscrow Erosion Control Pazk Fee Sewer Main Charge Dne $ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ '� . .001 times the total j ob valuation $ .3 . 4 .0005 x Permit Valuation Minimum $.50 $ _S, C� $5.00 (State Licensed Residential Coutractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21 =$ $ $450 Conservation Plan Review $ Fee Determined by Engineerirtg $ Agreement necessary ( ) Non Necessary ( ) $ 1'1 O• 0 o Make checks pay�ble to: City of Fridley Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALm UI3TIL 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 conforma.nce with tl�e 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 a11 work which req s review and approval of plans. SIGNATCTREOFAPPLICAN�!�� %h�---" PRIlVTNAME�I�%�'�� JvKUSO'�'J DATE ��`�` '�� Building ``q '� Inspections Cw 763-572-3604 763-502-4977 FAX DATE 7 ' � " � � SITE ADDRESS ��^t� ' THIS APPLICANT IS: PROPERTY I•IAME: OWNER/ ADDRE; TENANT � PHONE: MECI3ANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 YOUR E-MAIL ADDRESS ❑ OWNER K7CONTRACTOR ,a ��:���. �.- � �,� ; a, TY Permit No.: Received By:_ D��'d1�' �. A CONTRACTOR coMPwNYNa,ME: CENTERPOINT ENERGY SUBMIT A COPY OF coNTACT PeRSON: JOANN ZINKEN YOUR STATE STATE LICENSE # BOND 220133 EXP DATE � � LICENSE WITH ADD�ss:9320 EVERGREEN BLVD NW SUITE B ciTYC00N RAPIDS STATE MN ZIP55433 APPLICATION pHONE 763-757-6202 FAX 763-757-6701 PERMIT TYPE TYPE OF WORK: �ainiGLEFAMILY OTWOFAMILY ❑ NEW CYREPLACEMENT DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE O ALTERATION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: i�C�t�C`�PJ�i MODEL: ��'�o'L� SIZElBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU �A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN 510.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL 510.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR S 10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER 535.00 _DUCT WORK 510.00 _GAS PIPING 510.00 VENTILATOR SI5.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VAL1D 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 caseT�all work whi h r uire review and approval of plans. SIGNATURE OF APPLICAN ��' �` � PRINTNAME ROGER HOFFHEIN DaTE ^-� _Co' p�I 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 0 NEVV 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 NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.