PRE 2010 DOCSCITY OF FRIDLEY �> z z 8- y
APPLICATION FOR
POWER PLANTS
AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
3 G• �r,. %y
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & DuGct Work
$12.00
$
Replacement of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations -up to $500.00
4.00
$
City of Fridley
Repairs & Alterations each add. $500.00
Tel. #571-3450
MECHANICAL WARM AIR:
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
/ t ' �'�
specified agreeing to do all work in strict accordance with the City Codes
each add. 50,000 BTU
4.00
$
Y. 0"o
and rulings of the Department of Buildings, and hereby declares that all the
Replacement of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
7.00
$
i , L
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn. 19_
� ° � r°^ -- � �U /
STEAM OR HOT WATER SYSTEM:
OWNER n ✓
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 BTU
6.00
$
% ®/ % /•%
TO BE COMPLETED ABOUT
QIL BURNER- to 3 gal. per hour
$10.00
$
ry a j
each add. 3 gal. per hour
10.00
$
ESTIMATED COST / l J
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00
$
L. d
/ 7
OLD-pBUILDING PERMIT NO. PERMIT NO. (�r2
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures _� x $ 3.00 $ 3_ j ✓
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 $
AIR CONDITIONING -\1 $
FAN HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS $
ALTERATIONS & REPAIRS $
State Surcharge $ .50
TOTAL FEE $ L 9 . S-4
ROUGH INSP. REINSPECTION FEE
Date s (.$10.00)
FINAL INSP., - / - ? C
Date
APPROVAL FOR PERMIT;g r
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. loe
Trade Name Iq 1.11, G. Size No.
Capacity Sq. Ft. EDR /0S�u BTU HP
Total Connected Load o G Kind of Fuel 4;_�5 , lo,
BURNER - Trade Name
Capacity
Size No.
Sq. Ft. EDR BTU HP
Company
y p p I ned By
GEfl. SEGG�!',�K �9EP,,l�ir - ;o �Tti1 Tel. No.
1r,Ol XCNIA- MIN 5541
` INNEAP04 . , 1
d
HE4T LOSS CALCULAT9pi% !!!�
*eat -heist ri psA•S.H.V.E. HEATING& AIR CONDITIONING CO. MI POLIS, MINN. +
s
Wires :�� ecmtrLetian No.
DOOM Cut. wall 1�:1at6an
Yes.._, Reference int. Mail Ceiling Roof c;
do j Yes–No
tB_ i How Applied
' FI
t rs '� L Roam Length width '
f<'Jirxy,s and D - Heig,t
yrs–Craekage and Area i F% d77`, Iii yrs Roan width
% Height
Vo. 3 of pane °;ghis Lf efalCiC• sq.ea y ` V'JtndGn&s slid DOLNS Cf-acka
! ge and Area
0. N,a. I W:.:.. t-,Pght . of
of
Linea ft. of pane r/y�:rh=s ! of crack sq. ft.
I
Infiitratior !Coefi Etu
GlassCoef
Infiltration Btu i
Exp. wall
Net exp. " . 4'�,S
f p• wall Exp, wall �� -
r
Int. wall F Net ex p• +tea,; -
Ceiling:rf
a `f✓� Int, wall
Floor � -�� � CeiIingr�
Total Btu. Floor _
r
Required say ft.
a _E.D.R.oA. Total $tu.sq i W _
Leader area
F1 s'r? oom Length width Required sq. ft. E.D.R. or sq. ins. W.A.
f Height Lea area
VJirldows and Doors–Crackage and Area j Fl. Room ? Length „ Width -
No. E wiGd!{ Height Windows a Height
NC• of Lineal ft. Area and Doors–Crackage and Area
r of ane of pane fights of crack sq. ft.
No, oDa l Height No. of Lineal ft. Area
of pane lights of crack s
t`
�a ft.
-27
tnfi ltration Coef Btu _
--Gly+ Infiltration P C Btu
Exp. wall f / :. Glass CID _
Net exp, wat f 7f Exp. wa i 1
Int. wall Net exp. wall
Ceiling 7 �. _ Int. wail —
`floor °� `� <`? Ceiling
Total Btu. Floor X'2 _
Required so. ft. E.D.R. orsq. ins. W A. Lea r area Total Btu. _
Required sq. or sq. ins. W.A.
Rom Length �r Width "" HeightLeader area
ftJindaws and Doors–Crackage and Area F1.� e,. 'S� R°°n' Length 1� wi
dth Height
" ofoeze i of pane No, of Line ft. i Windows and Doors–Cracks e
sht5 i of crack Sa. ft 9 and Area
No, w.drn
{ t of Carte<,gnt ; No.cf i Lineal ft. Area
I ®n•s of crack sq, ft•
1
Rf i Itra t i a1 Coef, Btui #
l
bass l Infiltration ICSBtu
. Walt i Glass
c
v
exp. wail '` Exp. wal l17
�,
i
�. teratl —i f-- � -__ r,.� _I'-� 1'e1 exp, Wal!
4-11,ng �� - Int. wall
Ced it
iaf Btu. _ Floor
fu+reC sa. 't. F.G a ,,. i `7 Total Btu:.
HEAT LIM CALCULATIONS HEATING&AIR
. ,,
r t:
4, 1 , - I - , 6, � M
V': L,'� !:,,I
Weal 1%o- strips A.S.H. v.E• Construction No - - - - - - - - - - -- - - - - -
I�ulation
YNirtdaesJg Doors Gutde Out. Wall,Int. Wall Cell"
Reference F on Roof Hoar Kind How Appg
Yes --No Yes -No 19 i
Room j L
4- ength r WII p7-. Height Ft, zcorn t Length Width Heipt
VJin011 and Doors-Crackage and Area i Windows and Des-Crackage and area
Height No. et Linea tt. e� j
c' r -a -,e of pane lights ; of crac. sa. s+, + +;.�, 1 W�drh -� s -t i No. of tinea, h. Area
of pane ' ;arm + lights of crack sq. ft.
�. i � '' 1
'Coef
1 of i Itrat +sem
!" i
Glass
Btu
Coef:
Infiltration i
Btu
r
Glass
Exp. wall , f
' 40
Exp. wall
Net exp. watt
Int. wall
Net exp. wall
Ceiling
Floor��
Total Btu_
Int. wail
Ceiling
Floor
Required sag- ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
Required sq. ft. E.D-R. or sq. ins. W.A. Leader area
FI. Room I Length Width
Height
FI.I -
Rout Length Width
Height E
Windows and Doors-Crackage and Area
No. Merh Height No. of Lineal ft. Area
of re of pane lights of crack sq. ft.
Windows and Dwrs-Crackage and Area
€
No. Width f+rgnt No. of Lineal ft. Area
of pane of lights of crack sq. ft.
l
6
Infiltration
Glass
Exp. wall
'vet exp. Walt
Coefl Btu
C
Btu
Inflttiattota
Glass
Exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
Total Btu.
Total Btu.
Required std. ft. E.D.R. or sq. ins. W.A. Leader area
Required sq. ft. EXJR. or sq. ins. W.A. Leader area
Fl. Room ILength Width Height
g
Fl, Rron•i Length Width
Windows and GLorS-Crackage and Area
Height
Windows and Doors-Crackage and Area
No• W Cth Height No. cf Line alEi3
of pa;.a of pane lights of crack sq. ,• I
W oth
%,. � No. of Linea. ft_ Area
of pane c' t: �-e lights of crack sq, ft.
j
iCoef,
IrfiltratIon
Glass i
Exp, wall t
'Coef' Btu
Btu
}
lrff i prat i or i
,
GlassI
Exp. wail ?
!vet exp. wali
Niii exp, welt �
_
I-tt. wal!
lit. wall I
Ceiling
-�
Floor
?
-Ceiling r '
Floor` `�---
Total Btu.
Renumed ", flE.D.R. or so. ins. W.A t P?ftPr 1fl
Total Btu.
GEO. SEDGWICK HTG. &. AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS 5d/1' CITY
OCCUPANT VOWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By ~� '' ii fi
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. _-UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model 10S 6 104- Model
Serial Max. BTU Rating
INPUT 0 MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug
Valve " ifO 0
Limit 5/0 6 Y4
Limit Setting /R
Fan Setting d® 130
Pilot Type
Pilot Make
Vent Size -S
KIND OF LINER Zfl.;� SIZE 6 NONE
Draft Hood &Z6L1 (_./_ Regulator
Filters Size, ! r2_crz Number
Chimney Location Inside 4"'0'- 1 Outside
Chimney Construction
Pilot Model Smoke Bomb Wiring
Pilot Timing Y -® Draft CLQ Test Tag
L.W. Cut Off- ��� 3 Door Pressure Lighting Inst.
Pressure 3.7 Percent CO 90 X6 % �' Date Tested /V m — 7
Input CFH ! ®S Percent 02�•O �' 67 Company Testing
Stack Temp. ���� Percent CO O.D c,`' C' ® Name of Tester
Form 235
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
�_ x
$3.00
q.
NO.
RATE
>,
m
% x
m
$
o
_ x
x
N
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
a
y
O
100,000 BTU to 199,000 BTU
y
01
w
C
x
Heater
d1C
C,
-1
a+
k
.�
$5.00
N
a
Electric Water Heater
H
•� ro
c
to
3
o
N
u•.c+O4
ro $4
P.
ovroi
c
x
c'
N
.� 7
O
0
ci
i0,
z of
14
W
to
N
toa
ro
►+ o
❑ W
C
W
W
ro ro
U W
D ro
S
ro
U.i
-�
ro
+'
O
as
lec
N
U
7
W
m
y
3
1st
2nd
3rd
Sth
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
�_ x
$3.00
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
% x
$3.00
$
Future Fixture Opening
_ x
$2.00
$ , 0-0
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
�_ x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
�_ x
$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ • aS - -
REINSPECTION FEE
($10.00)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this applicat' n are true and correct
ey, Mn. , 19?_
OWNER P::12 /'/ 6
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO.
ROUGH INSP.
Date
Company A('
Signed By
Tel. No. 17('-V— Y7�
FINAL INSP. 16 - -7- Z
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
City of Fridley
SUBJECT
kPE
113678AT
THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
• ______ COMMUNITY DEVELOPMENT DIV.
r L PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-580-3450
910-F15
18/3/76
JOB ADDRESS 301 Liberty Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
1
Spring Brook Park 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
The Rottlund Co., Inc. P.O. Box 32082, Fridley, Mn. 571-2060
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESSzIP PHONE LICENSE NO.
L" SAFETY CONTROL ZONE"
VISION
OR Pi ACE ANT,
6 USE OF BUILDING L)U JIM pLAN:g
UT AP4
INORifl
THING F a+
ResidentialpgoOF THE CITY OF
7 CLASS OF WORK
1 . NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ EMOVE
8 DESCRIBE WORK
Construct a 28' x 36' Dwelling and a 28' x 22' Garage NOTIFY THE FRIDLEY ENGR.
S PERRTE P`ER( IT5 REQUMED FOR WIRING, E VAL AND REpLAGEMENT
REMOMO
9 CHANGEQFmE4fflNGv PLUMBING AND SIGNS.TO AT PENINGS'
STIPULATIONS provide a hard surface driveway.Provide sod in the front and side yards.
Provide a verifying survey before capping. Provide City with copy of truss design.
SEWER LOCATION: 47' West of Manhole (W. Inv. 844.64) (Top Manhole 854.54 Approx.)
WYE ELEV: 844.89 at centerline
TOP OF FOOTING: 847.89
WATER LOCATION: Approx. 37 feet West of Manhole
THE CITY OF FRND * DOES NOT GUARANTEE THL 'WARNING
ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS.
THIS DATA IS FOR INFORMATION PURPOSES ONLY AND Before digging call local Wi#ies
PERSONS USING IT SHOULD VERIFY THE INFORMATION TELEPHONE • ELECTRIC - GAS Etc.
ON THE SITE.
rOUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood TP*ra--
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
R-1
1104 + 512
21,304+5120
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS 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.
$34, 585
$17.29
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$105.73
$350.00
STRUICTION O HE PERF RMA CE OF CONSTRUCTION.
III of t9za> 7-7'/eY' ,
PLAN CHECK FEE
TOTAL FEE
L -7
26.43
$499.45
SIGNATYREOF CONTRACTOR 6R AUTHORIZED AGENT (DATE)
HEN PERLY VALIDATED THIS IS YOUR PERMIT
at ®�
BLDG. INSP DATE
• SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
m
r
5ewec o
4#7 ' 4,jesr OF m I-1
pppoow 37' a). aG /4/1.4.
S*o£ivxn R L'of v
rv. /h. 1.4
vi.Vuw. Al •/�. x' 16
GvY� 8oV
int,3. ?aP aoc Foorm) d. 84/17.89,.
THE CRY OF FRIDLEY DOES NOT GUARANTEE
ACCURACY OF UTILITY LOCATIONS AND ELEVATIC
T DATA IS FOR INFORMATION PURPOSES ONLY 4
USING IT SHOULD VERIFY THE INFORMAT
ON *E SITE
,1.
CITY -OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
`-p-r'
ADDITION, OR REPAIR BUILDING PERMIT
OWNER'S NAME :df �F1Y 1,J 01 _ BUILDER: 7,1, II /,I c{ Chi ,
ADDRESS: ADDRESS : A O SOX 3 2 Dg:2--'
NO:. .3®% STREET : �/, P r• %'"y Al. E.
LOT: BLOCK:_ ADDITION:A`%ck-!a
CORNER LOT: INSIDE LOT: SETBACK: 3,S— SIDEYARD:/,7 ! -1.-
i °
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: S 141,a .e
#6 vS e- Front: Zg ` Depth: 36, Height:
_A,
Square Feet: // O Y Cubic Feet: 310 54
todA A
Front: 2 $' Depth: Z Z Height:
Square Feet; .;:& Cubic Feet• �, Z d
Type of Construction: ry-A" -e- Estimated Cost:
To Be Completed: AI/ors. 197k �✓�� �d
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
o DATE: `% % 74; SIGNATURE: iJv pS,
v
(See Reverse Side For Additional Information.)
Xadeac c pry 0+rAt a of
mit=s� ¢� ,
�
EXTERIOR
ENVEjLOAPE
AVERAGL•' "U" C011IPUTATI014
—
•
<" "-.-- //
` 0
�
S• M
S T"v Epp
O'tJ:3Ef:: DATE ___'7=_.15 -
SITE ADDRESS. �0 � i.! lr�rX ST. _ PRONE: 6-7— Zo60
Total exposed wall area above floor =
a. Total wall window area .....................•..........• I�9
b. Total door area ........
c. Totalsliding glass door area. .........................
d. Total fireplace wall area.. ............................
e. Total wall framing area (average 10%) ............... i
f. Total ILM joist area ..................L--` 6.0
g •_-rN5vde%--e d
gall
area above
CONTRACTOR: -j'h -e. %�OTi � U N
�0 • N ,
h. /1ve f
wall.
Determine
workin¢�q�iare footage of each
3`
•
1. Total exposed wall area ...:..
_15 _y yj 1 sq.
uIPTe
floor.zN.s .............
j v r' -
wall
2. Toal roof/ceiling area ......
1 Ci of ,nn sq. ft. x .05
= Srd
Total exposed wall area above floor =
a. Total wall window area .....................•..........• I�9
b. Total door area ........
c. Totalsliding glass door area. .........................
d. Total fireplace wall area.. ............................
e. Total wall framing area (average 10%) ............... i
f. Total ILM joist area ..................L--` 6.0
g •_-rN5vde%--e d
gall
area above
floor f���t t2�s' .�v�t K.: T:..... .
h. /1ve f
wall.
area above
floor.^l5&47-J ..............
1.
- a 3� 00
•
wall
area above
uIPTe
floor.zN.s .............
j v r' -
wall
area above
floor =!�5u� °T`.�r.............. • .
Total exposed foundation area =
/f t,4f4 Ir.,l � D
k. Total founc�ati.on window area ...........................
1. Ti'otal net foundation area above grade ................. _ 76.67--
Total
6-bZ
Determine "U" value of each wall segment
(e.g. window, door, each separate wall section)
a. 9�5 9/ X "U"
b.
d. — X Hull _ A. 7d
e. � �•X ];ull
f . _ 9� • o o X "il" —2057
h. na X „U„
If item #3 is the sar►e as,
j. �• o U X "tt" _ 0 — - _ �• 9'' or less than item #A, you
have mtat tlic intent. Elf
czBr C,00G (c) 2.
1. -7 G, C) z- X " -7 =
3. ................... To Lal _
Yv�
v-�
Exterior Envelope Average "U" Computation
Total exposed roof/ceiling area = 400
m. Total skylight area ............................
n. Total roof/ceiling framing area (average 10%) ... / 00. $O
o. Total net insulated roof/ceiling area........... 2'0 7.,2 O
Determine "U" value for each roof/ceiling segment
"U" _
M. X �j /
n. /00, b 0 X stuff 'e),3 v .�. 6
o. 70 7, ao x ',U„
4 ........................... Totai = 3 /. 7 L/
n,-- 1 —F A
Page 2 of 4
If total of #4 is the same as, or less than #¢2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelcpe system method, the values established by the
items #3 and #4 shall not be greater than the sum of items ¢1 and #2. r
1. 3 3•�3 + 2. 50. V 0 = 2. _
3. 324. #g +4. 31. %4/ � •
J3-, 9 z T;'
• OG2 U
of
(:S/aYA9e wAI
�NT�rcor Arm f`r lM
.i NTS,
Jnr A rr /M
• %Z
,jC/
IS. )
aha%rr
- rr7�
7
Ao-- Ft 1AA
• �"��
/y y8��'
J3-, 9 z T;'
• OG2 U
of
OAtJ/ Aye -A
�NT�rcor Arm f`r lM
6 �'
IS. )
Ao-- Ft 1AA
• �"��
/y y8��'
•06'7 /
Uze 10% of opaque wall area for
r f-rame construction
EIALL
FIG. 91
FRMB i TALL
Page 3 of 4
Construction
R -Value
1. Interior air film
0.68
2. l� cSI(ri-T ro ek ya
3.------------
j YAnn iN y y _
3
4.
I
5. IN !p
6. Exter br air f ilm 0.17
Total $ gS A�
•��3 v
1. Interior air film 0.68
2. A
3. c3 yd
4.
5• L NSa/i'7Y Si�i.v
6. Exterior air film 0.17
Total /S J O /�,
•abs v
1• Interior air_ film 0.68
2.
3.
4. 3a
5. �//
J2
6. Exterior air film 0.17
Total , 7 , R
U
1. Intorior air film 0.68
2. 3 Yi
3. a' 'D
4. �r 11,E • / %
5.
6. Exterior air film 0.17
Total /
U
e, li!
i
NOT)": Indicate 1.ne, r,v.31uc, dcntL and
•_ ROOI'/CEILING
1'entEd Lleat flow
r
1 up
FIG. 5
Tamil"-��:�_._-�__::�_.=�•___�— `'�tc•r�-4.t^��
Meat_ flow up vented
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• Hent
• flow up
P�an of 4
Page 4 of 4
Construction
R -V_ slue
1. Interior air film
0.61
2.
3.
d.av
4. Exterior air film (still)
0.61
Total 3/. 77,'?
'03/ fJ
1. Interior air film
2. 0.61
3 . ..L
.11�t��l rf�T rL 7 7
4. Exterior air film (still) t
Total
•o36u
I. Inside air film
— 0.61
2, .
3.
4.
5. Outside air film
- - 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
SUBJECT
-
P O.
a City of Fridley
30923
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
1
i �_ �� __ COMMUNITY DEVELOPMENT DIV.
n
r PROTECTIVE INSPECTION SEC.
tL
�
1 ; i
N ;O A
REV
DATE
PAGE OF
APPROVED 8Y
1 "'1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/9/00
JOB ADDRESS 301 Liberty Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
Spring Brook Park 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jacqueline Barragan 301 Liberty Street NE
763-783-5888
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION] ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Interior alterations to basement
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
S BERATE PERMITS
QUIRED FDR:
BIG(; HEATING
PL MWIRING
SaG
SEPARATE PERMITS ARE Rg.OUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 CERTIFY 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
$1,500
$.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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
PLAN CHECK FEE
TOTAL EE
$ .25
SIGNATURE OF CON TRACTOR OR AUTNORiZED AGENT DATE-
ENP P R LIDAT HIS IS YQJAELP IT
SGNATURE OF OWNMIF OWNER B ILOER, iDATE
8406 NSP
pA TE
It
NEW [ ] Ef%ctive 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 J
BUILDING PERMIT APPLICATION
Construction Address: -90%
Legal Description:
Owner Name & AddresszTel. # '7(0.x-,72'3 -6-S'R-d'
Contractor.
MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: ke/voot/ Estimated Cost: $ 7/3-0U . CSV
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:ITel. #
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ �x"�'/ • 00 Fee Schedule on Reverse Side
Fire Surcharge $ j® .001 of Permit Valuation (1/10th%)
State Surcharge $.50/$1,000 Valuation
SAC Charge' $ $1100 per SAC Unit
License Surcharge $.
Driveway Escrow
Erosion Control
$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
Park Fee $
$450.00 Conservation Plan Review
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
. . n
CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS 30/
RATE SCHEDULE
OWNER —,&
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.Dpjer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 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.
TOTAL v
BUILDING USED AS_�j:
ESTIMATED COST �rJ PERMIT N0.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ Trade Name Size No.
BTU HP EDR
$ Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
$2,�
HEATING CO,�-
Signed DATE 7�
Approved By Rough -In Date Final Date
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ( )
2. Is free from rust or deterioration
3.
4.
5.
6
Has no foreign objects lodged within
Is securely supported
Meets all current Code requirements for size
and total BTU's connected
Has total heating BTU's of
Yes () No ( )
Yes () No ( )
Yes () No ( )
Yes ( ) No ( )
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes () No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
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% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 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.
Effective On May 10, 1999
JOB ADDRESS_;
OWNER
TOTAL
BUILDING USED AS�.�:`�,
ESTIMATED COST PERMIT NO.__=�1 l
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units ircle One (Steam) (Hot Water) (Warm Air)
$ Trade Name -sem + !` -_ _T_ Size No.
BTU HP EDR
$ Fuel „uL Total Connected Load
Burner Trade Name Size No.
$ BTU HP 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are•true and correct.
HEATING COG
Signed DATE
0__�
Approved By Rough In Date Final Date
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that.the existing
chimney or stack:
1. Has been carefully examined
Yes ()
No ( )
2. Is free from rust or deterioration- ::
Yes
O
No ( )
3. Has no foreign objects lodged within
Yes ()
No ( )
4. Is securely. supported
Yes
O
No ( )
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:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes ( ) No ( )
Yes () No ( )
Yes () No ( )