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PRE 2010 DOCS��� a �� Village of Fridley, Minn. BU DING PERM" 920 Office of HiSPECTOR OF BUHMINGS Owner -N, r Architect Fridley, e,2 Builder LOCATION OF BUILDING No'. Street —Part of Lot Lot BIG Addition or Sub -Division r DESCRIPTION OF BUILDING Front -.�/-- 'Depth —:� L"' Height— Stories of Constructlon--,,-L' To be used 2"?o To be completed p Estimated Cost— Permit is hereby granted to the building— described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. nspector,,of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state 'and say that the facts stated by me and contained in the above permit are true as therein stated. b VZ z7 Subscribed and sworn to before me at Fridley, Minnesota, this A N, day D. 19L— "0 City of Fridley, Minn. BUELDING PERMIT N® 3945 Date: .... Y!� .. .. .�. v ... (...... . Owner ®-�'. ... ..... Builder ........................................... Address ...................................... Address .......................................... LOC T OF BUILDING No. .30.01. Street . !... .. .. ............... Part of Lo ... . Lot. l / :.. l �. Block ... �... Addition or Sub -Division Corner Lot ............ Inside Lot ... ...... Setback ............ S eyard .. ....................... DESCRIPTION OF BUILDING t'�:J��7•S.Si:�;..�"��:�3[J:SiL���Y."i 51�1�wT�tii�llr��11 P - Depth /w Type of Construction t To be Completed In consideration of the issuance to me of a permit to construct the building desribed 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. y V In consideration of the payment of a fee of "�mWbe�rebyranted to................ ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done 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 buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said. ordinances. v Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $� Replacement of Furnace ............................. 6.00 $A Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Limps—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule PCPO GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ ✓�' over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $� Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL fio -' / d � See Fee Schedule , TOTAL FEE $ Dept. of Bldgs. Phone 560-3480 City of Fridley: The undersigned hereby makes application for a permit for the work herek 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, Minn ® 19 �7 Owner Kind of Building b /7n Used as To be completed about 2/ Estimated Cost, $ Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO$lJW,,ER�PLANTS—Steam, Hot Water, Warm Air—/No Trade Name LAS' ��^���1 Size No- Capacity o Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Me ® , 1!20 0 Kind of Fuel BURNER — Trade Name Size No. /® 0 Capacity Sq. Ft. E.D.R BTU H.P. Signe ft441 ILI 1 a By <a Business Phone No- (REMARKS—OVER) o- (RE {MARKS—OVER) F CI YOF FRIDLEY FRIDLEj( MgUUS C,� LlbbWFER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 - FAX (612) 571-1287 Duane Kanada/Charles Curry 303 Longfellow Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 303 Longfellow Street Dear Mr. Kanada and Mr. Curry: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 303 Longfellow Street revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Fridley City Code requires that all vehicles must be currently licensed, street operable, and kept on a hard surface parking area if they are stored outside. I observed an improperly parked vehicle at this location. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or shortly after September 6, 1996, to determine compliance. If you have questions or would like to discuss this violation, please contact me at 572- 3595. Thank you for your cooperation! Sincerely, Kurt Jensen -Schneider Code Enforcement Officer KJSAs CE -96-300 sueJECT T N City of Fridley 25846 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. rr ______ PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/12/98 JOB ADDRESS 303 Longfellow Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11-12 6 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Ranada 303 Longfellow Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc 289 Liberty Street NE, Fridley, MN 55432 780-3561 3112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR D MOVE ❑ REMOVE B DESCRIBE WORK Partial Reroof (5 Sq) Part Shingle Tear-off; Part rubberized membrane 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $750 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STAT OR LOCAL LAW REGULATING CON- Fire SC $.75 STRUCTION CE OF CONSTRUCTION. $29.25 PLAN CHECK FEE License SC $5.00 TOTAL FEE $35.50 SIGNATURE OF CON' RACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP VALIDATED THIS IS YOUR PERMIT Aarl, •OG INSP GATE SIGNATURE OF OWNER iIF OWNER BUILDEPo IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 5 ? / /o ConstructionAddress: Legal Description: Owner Name & Address: Contractor: S�oc ,C" %acs d Address: 2 x � A--G- 15�7- Tel. # MN LICENSE # �;7 /%Z Tel. # 7efO ' 3 s 6,/ 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER:�1 fSt�,cJ� Sq. Ft. Sq. Ft. Sq. Ft. 6d Construction Type: 6 el A Estimated Cost: $ 7i5,6.�. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 12- APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # -7fi' - R5-6 CITY USE ONLY $ oZ 9,2S- Fee. Schedule on Reverse Side $ 19S- .001 of Permit Valuation (1/10th%) $ S-0 $.50/$1,000 Valuation $ $1000 per SAC Unit $ X06 $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 [ ] $ 35. 0 sueJEtr NO. City of Fridley 29230 CONSTx THE TOP OF THE TWINS BUILDING PERMIT � t RECEIPT NO. COMMUNITY DEVELOPMENT DIV. j PROTECTIVE INSPECTION SEC. �/GI NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/16/99 JOB ADDRESS 303 Longfellow Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12 6 1 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Kanada 303 Longfellow Street NE 780-9808 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside front of house; install two windows 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. , CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $900 I $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .90 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. $32.00 Fire SC $ .50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE PrOTAL FEE $33 40 NATURE OMATE,FCON'RACTQaQRAUTNOR12E0AGENT ATEI EN OPER IDATED T IS S Y U�T }1 IIF OW NER BUILDE IDATEI B G INSO f)ATE NEW ] CITY OF FRIDLEY ADDN [ ] ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : 3O Effective 1/1/99 Legal Description: Tel. Owner Name &Address: i �rwae �a�AflA . sA„a� ' MN LICENSE # Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4, AL0q9 - ` APPLICANT: Tel. cmcc 7�;-/Sv lc) DESCRIPTION OF IMPROVEMENT Permit Fee LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft: OTHERS $5.00 (State Licensed Residential Contractors) License Surcharge $ Estimated Cost: $ �©®- 05016 Construction Type: C�DAA Alt. "A" or Alt. "B" Above Erosion Control - $450.00 Conservation Plan Review Park Fee (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 4, AL0q9 - ` APPLICANT: Tel. cmcc 7�;-/Sv lc) "TOTAL STIPULATIONS: 7® CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side of Permit Valuation (1 / 10th %) Fire Surcharge $ .001 State Surcharge $ $.50/$1,000 Valuation SACC Charge' $ $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) License Surcharge $ Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J "TOTAL STIPULATIONS: 7® P] SUBJECT P IT NO. City of Fridley 29753 AT THE TOP OF THE TWINS BUILDING PER M I T COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ��� NUMBER REV DATE PAGE OF APPROVED BY 1 = 1 CITY HALL FRIDLEY 55432 612-571-3450 910415 6/22/99 10B ADDRESS 303 Longfellow Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 11,12 6 1 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Kanada 780-9808 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Exteriors 9701 Penn Ave. S. Ste 107 Bloomington 55431 881-8232 4289 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 ❑ ADDITION ❑ ALTERATION 29c REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CON T. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2010 $1.01 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- Fire SC $2.01 STRUCTION OR THE PERFORMANCE/OF CONSTRUCTION $83.25 PLAN CHECK FEE TOTAL FEE License SC $5.0,Q $91.27 SIGN A TUBE OF CON TRACTOR OR AUTHORIZED AGENT [DATE, WHEN PROPER ALID TED THIS IS YOLLq PERMIT C S,GNATURE OF OWNER -IF OWNER BUILDER, IDATEI 'BDG INSP - nATE P] qS3-6 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ y}s SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION i, ��q Construction Address: 303 Legal Description: b Owner Name & Address: oo �: Tel. # 9S®— 9 ROS Contractor: MN LICENSE # Sc? Address: f 2 i Tel. # �d �s% , ga 3Q Attach to this application, a Certificate of Survey o the 5� 4 3l lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT 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: P'1 Estimated Cost: $ "k / 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, =9 DATE: 6 -a� - APPLICANT: � /� , Tel. # 8a/4c30 STIPULATIONS: 4 CITY USE ONLY Permit Fee $ (63 2 Fee Schedule on Reverse Side Fire Surcharge $ 9,o/ .001 of Permit Valuation (1/10th%) State Surcharge $ a < $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ /. ,2 2 STIPULATIONS: 4 Building MECHANICAL Permit No.: ofl- Inspections RESIDENTIAL APPLICATION Received By: 76.3-572-3^-604 CITY OF FRIDLEY APR 30 9 i 03=5 Oc DATE K- 0` 01K YOUR E-MAIL ADDRESS SITE ADDRESS `—OnQ44' . � 10 �.') S� r t° -e THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME: S� er o OWNER/ ADDRESS:` ..,J lv� CITY STATE �NZIP SS�3a TENANT / `1�3 "�Slo • � � a PHONE: CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN 71 INKEN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BrrY'-COON' °RAP.IDS sTATE?4N zIP55433 APPLICATION PHONE 763 — 757 — 6202 FAX 763--757--6701 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK r� Cts -e j r- d 4 I PER MS 1613.665 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) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: �t� �+� MODEL: UjNfNgSIZ BT S MFG: MODEL: SIZE/BTU l z. MFG: MODEL: SIZE/BTU _\_A/C $25.00 _FIREPLACE(GAS)$15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 TFURNACE $35.00 _GAs UNrr HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 $10.00 GAS PIPING $10.00 VENTILATOR $15.00 _DUCTwORK s fr`p - trF ";r "t' - a..'+'tY� ��` p*v 's ti#.,`•,i`_._, "!�1 'i`, ,��.'•, Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ &S ZD Number of fixtures @ $35.00 1 x $35.00 = $ .00 State Surcharge = $ .50 I Total = $ 0.SO 6 THIS IS AN APPLICATION FOR A PERMrr-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 work which requires review and approval of plans. en. �' �\O y 10S�cl SIGNATURE OF APPLICANT v NAME ROGER HOFFHEIN DATE City of Fridley Building Inspeetions�Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 r- City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS >KEXISTING 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 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. From: unknown„ Page: 1/1 Date: 8/22/200810:34:09 AM �•• M" p) r v � i t v r v r r r r c i Date: 8/22/20DB Revision Date: 8/22/2008 Site Information Address 1: 303 Longfellow St NE Address 2: City: Fridley County: Apoltcaiion Information Business Name: CenterPoint Energy Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: Zip Code: Existing Construction: Pre 1994. Project * Lot: Block: Subdivision: MN Contractor License #: Combustion Aimliance Water Heater: Natural Draft Input BTUs: 40,000 Common Vent Furnace/Boiler: Fan Assisted input BTUs: 50,000 Common Vent Make -Up Air No Make -Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Met. Applicant Name (print). Signature/Dat110 e: gi �kAL� -/-4 Code Official (print): I Signature/Date: 03- !�-d2.- �'97? -0 0 2004 CenterPoint Energy Minnegaseo. 2004 Mcchnnical Code Guidelines. Page l