Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: MAY 24, 1966 =1 , _ t_a HOMEDALE BUILDERS N° 8856 Address Address 3017 LYNDALE AVENUE SOUTH MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 7428 street MELODY LNEKIk9a DR lg-E- Para of Lot Lot 21 Block 4 Addition or sub -Division BODY XQ$,, A'S'H ADDITION Corner Lot , Inside Lot X setback 35 _ sideyard 10 sewer Elevation _878-5 __._...__._ .____ Elevation _881.5 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: 24/30 DWELLING Front 40 Depth 27 Height 20 Sq. FL 080 Cu. rt 2�,,,,CQO GAGE Front 14 Depth 24 Height — 10 Sq. Ft. 336 Cu. Ft.._.1s10 Type of Construction ERM Est Cost _ $17s5-QD-..M_ To be Completed SEWER LOCATION - 162' N.E. of Manhole WATER LOCATION - 172' N.E. of Manhole In consideration of the issuance to me of a permit to at building described above I agree to do the proposed work in accordance with the description abo a se and in com with Z provisions of ordiaanoes of the city of Fridley. In consideration of the payment of a fee of S 25.00 , permit is hereby granted to HOMEDALE BUILDERS, Me 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= thereof, shall conform in all respects to the ordinances of Fridley, MUmesota regarding location, construction, alteration, maintenance, repair and moving of buildings within city limits and this permit may be revoked at any time upon violation of any of the provisions of ordinances. eaYd WILLIAM H. SANDIN Building InspectOW NOTICE 1bb permit den cot cam dw eondme0m, 1mla0dbn for wiring, phmbine, ea hestiee, serer or wda. Be era to as tba Boifdi" bwectw for "pasta pwa fq for thea hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY., MINNESOTA ADDRESS ADDRESS/ , LOCATION OF BUILDING N0. STREET PART OF LOT .i LOT a*'-/ BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT �V SETBACK 315 SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION 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; Z Front Depth Height. ® � Sq,.Ft. Cu. Ft, 0 0 Front', loe DepthHeight .46 Sq. Ft. /P Cu. Ft. oli -� O Type of Construction_, Estimated Cost s To be completed 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. DAT �i-r G, (� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 0 It 1 r� y�jy,y� 6875 Highway No.65 N.E. Land Planning su,�u,'IG(J'T.Gn , • • Minneapolis, • `.land Surveying �� :.:Solis Testing "w� ) P�nC' Minn.--SS432 ` ;• Civil -Engineering Telophorw 784.-6066` tMunkipal Engineering Engineers & Surveyors Area Code 614 Mortgage Loan Survey for,reveq GCA i? • 'j tech = 3 0 t ,:� Lo -T- 2i BLoct- 4., ANELooy. INS ros Nap, 41-1-1-rT�c�vlot COUNT;' OF A\W0t<A - .This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or an said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of suih mortgage. It is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this IA46day of MV! -V -C 14 A. D. 19,1j_ SUBURBAN ENGINEERING, INC. L,V2q Enginao o Sury y M 'L'L •_• by T _ U - Application for Power Plants and Heating, Cooling, Ventilation, ReFrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ qw� each add. 60,000 BTU 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace 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—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ......... x $1.50 $ Additional Fixtures ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ J� ROUGH FINAL Dept. of Bldgs. Phone 550-3450 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 pAe true and correct. Owner Kind of Used as 19 (� To be completed about Estimated Cost, d -d C) Permit Permit No. No. �6 DESCRIPTION OF WORK HEATING or P R PLANTS—Ste Hot Wa �WamAir o Trade Nam 4­5� (24� Size No :eO Capacity S . Ft. E.D.R L�r7j BTU H.P. Total Connected 7 Rind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. (REMARKS -OVER) RAY �N.. WELTER HEATING CO. _ ByWNNEAPOLIH 7. MINNE®OTA .3<.O. 42 Business Phone No. 6""4-4 % City of Fridley, Minn. 6 10966 BUILDING PERMIT � Date: March 26 1971 Owner: James Dahl Builder Same Address 7428 MP -Indy Trriyc- N_F.- Address Same _ LOCATION OF BUILDING No. 7428 Street Melody Drive N.E. _ part of Lot Lot _ 21 __ Block 4 Addition or Sub -Division . Melody Manor 4th Addition Corner Lot — Inside Lot X Setback M._ Sideyard 6.9 ' Back 6.4' Front Sewer Elevation _ _ _ _. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addn. to Gara>;e Front 81 Depth 24' Height 10' Sq. Ft, 192' Cu, Ft. 1920' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ $1200 - 00 To be Completed EAh-alary, _ 1 A72 In 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 forth and in con fiance Ath ail ovisions of ordinances of the city of Fridley. v In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to James Dahl to construct the building or addition as described above. This permit is granted upon the eFress condition that the person to whom it is granted and his agents, employees and workmen, in all work doneFridl, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any tune upon violation of any of the provisions of said ordinances. 4k=&`AdingInspector CLAItENCE BELISLE NOTICE: ihis permit does not cover the construction, Installation for whing, plumbing, gas heating, sower or water. Be sore to see the Building Inspector for separate permits for these hems. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:7Z /7% F S Dfq BUILDER: ADDRESS:—'7OK rh re Lv 1) v DR. . . ADDRESS NO • .`'1 �' g STREET • VO e L LOT: o % BLOCK: =Z ADDITION: (y� A Mt)n� �l I4ciN CORNER LOT: INSIDE LOT:_SETBACK; SIDEYARD: 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: 64d', Front: Depth: c,7/ZZ Height: Id G3 Square Feet: l Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: / Estimated Cost:_��� d To Be Completed: �- / — 7c--�2- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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. DATE: ` % / ' SIGNATURE. (See Reverse Side For Additional Informat on.) Land Planning solo Udwit 6875 Highway No. 6S N.E. Land Surveying• • AIM. Minneapolis, Soils Testing 1,ablWWWr AIM. Minn. 55432 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Code 612 Mortgage Loan Survey for Jp,,-�Es D/a.HL_ �rX 0�Inr3� . 04 OQ �U Lc) -7 21, BLocw- 4- -N\ELoDy MANOR 4T`-' Orr loN Cau"T- 01= %Notca� This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this 1101day of ' e.j A. D. 19_1L. SUBURBAN ENGINEERING, INC. M1 Enby e��a, Sur _ ' CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow PrevenytiYes No ( ) Type 7 $ 5.00 •$ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /5"150— Effective Date May 1, 1988 Job Address �� e / �� � j a 4 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 application are true and correct Fridley, Mn. 4/ L� , 19 470 OWNER KIND OF BUILDING USED AS a esl6e'h/ "C' l TO BE COMPLETED ABOUT �[ �� ? ESTIMATED COST GO, OLD - NEW BUILDING PERMIT NO. PERMIT NO. 16 Company &%s C P V ►tib i C . Signed By ' 3? 8+--'' - Tel . No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT�� MINIMUM FEE FOR ANY PLUMBING PERMIT I $15.00 PLUS THE $.50 STATE SURCHARGE m >, W U X W Water ro E, r. N 04 wf� Heater .11 W Nb r. N -P i .0 9 �g N ro [ o t S a w bi ciN 3 o as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow PrevenytiYes No ( ) Type 7 $ 5.00 •$ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /5"150— Effective Date May 1, 1988 Job Address �� e / �� � j a 4 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 application are true and correct Fridley, Mn. 4/ L� , 19 470 OWNER KIND OF BUILDING USED AS a esl6e'h/ "C' l TO BE COMPLETED ABOUT �[ �� ? ESTIMATED COST GO, OLD - NEW BUILDING PERMIT NO. PERMIT NO. 16 Company &%s C P V ►tib i C . Signed By ' 3? 8+--'' - Tel . No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT�� MINIMUM FEE FOR ANY PLUMBING PERMIT I $15.00 PLUS THE $.50 STATE SURCHARGE CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 May 17, 1999 Steve Price 7428 Melody Drive NE Fridley, MN 55432 Re: Final inspection at 7428 Melody Drive NE Contractor: Dependable Indoor Air Dear Mr. Price: A mechanical permit was issued on May 6, 1998 for the property located at 7428 Melody Drive NE for a new furnace and air conditioner. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, /17 `G, Bary Riesch Building Inspector CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE ,r Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner —rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $®• �� representations stated in this application are true andcorrect. (Side Vent — Fill Out Back) �� � 6 ,199A Gas Piping (Needed with new furnace) $10.00 $ �cn - OWNER K:J sL Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST ���J �.00 PERMIT NO. *Air Conditioning — All Sizes $ 25.00 _ $00 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units / Circle One (Steam) (Hot Water) arm�Air Trade Name �Q/'1®/ Size No. Commercial/Industrial BTU '"2:3, ® U ® HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load *\44ttJ_� State Surcharge $.50 i TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 REINSPECTION FEE $42.00/Hr Burner Trade Name BTU HEATI Signe HP Size No. EDR Approved By ltw Rough—In Date 'Air Conditioners can not be placed in alside yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining propi#ty owner. REPLACEMENT FURNACE Final Date 21 NEW [ ] CITY OF FRIDLEY ADDN k4. 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Addre Legal Description: Effective 1/1/2002 (763) 5722604 Bldg Insp (� Owner Name & Address: Skfty\ f r r°C if 7 `l 1zq Wye 10 j y br; Tel. # -765- 7 3S -A 7 y Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length t' Length l Length DESCRIPTION OF IMPROVEMENT Width Ar Wdth & Height_ Height Width Hgt/Ground Sq. Ft V cp-q) 0�� Sq. Ft Sq. Ft Construction Type:1 4 L h�� Estimated Cost: $ ® Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: �I _ oZ %- (� APPLICANT: Tel. # 76 �' 7 �S"'�1t� 7 Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $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 [ ] TOTAL $ o 0 STIPULATIONS: MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 4-23-2002 COMPLIANCE: PASSES Required UA = 114 Your Home = 113 0.9% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 504 38.0 0.0 15 WALLS: Wood Frame, 16" O.C. 436 19.0 4.0 22 BSMT: Conc. 7.0' ht/5.0' bg/7.0' insul 626 10.0 0.0 46 GLAZING: Windows or Doors, Above Grade 58 0.350 20 GLAZING: Windows, Foundation, <= 5.6 ft2 12 0.350 4 DOORS 18 0.320 6 COMPLIANCE STATEMENT: The proposed buildinggn described here is consistent with the building plans, specifications, and other calculations submitted wit a permit application. The proposed building has been designed to meet the requirement a Minnesota Ene Code. Builder/Designer Date �% '7 — ®o� susJEbT IT NO. City of Fridley 32573 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. "I PROTECTIVE INSPECTION SEC. r 1 . � .."'S CITY HALL FRIDLEY 55432 NUMBER REV DATE' PAGE OF APPROVED By � 612-571-3450 910415 5/8/02 JOB ADDRESS 7428 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Price 7428 Melody Drive NE 763-785-2074 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ck ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE , ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 28' Addition to Dwelling and an 18' x 14' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARN11% BefOre digging cell for all utiI4 location SEPARATE PERMITS o02 REQUIRED FOR: EQuIR4E ® BY LAW WIRING HEAMNGG������ PJAIMBINd AND SI6t1� SEPARATE PERMITS ARE REOUIRED 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 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 $33 765 $16.88 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 LAWGULATING CON- @ Fire SC $33.77 STRUCTION OR THE PERFORMANCE OF $482.15 7�� PLAN CHECK FEE TOTAL FEE $532.80 AGENT S� OF CTRAR R TAGENT ,DATE, ONC OAUH ZED X 1 EN R P ALIDAIK THIS IS V9UR PERMIT� 5 i , fA'-\ NATURE 0F OWNER ,,F OWNER BUIL ER, DATE G iNS� MATE NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: d cr re Legal Description: [ IJ u' Kor v Owner Name & Address: 6fieq-eV �r71"ke etc Iub Tel. # 763-7 rY- 2.O "] y 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 19 Width ' Height J Sq. Ft GARAGE AREA: Length Width 1 `% Height , Sq. Ft Sv2 DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: %I Le `l ���y F LtY� �� Gtwr°��a S� LI Construction Type: Estimated Cost: $ zZO, 6 ri Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: ? -1 t - O;, APPLICANT: Tel. # Call (763) 5722604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge E CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined byEngineenng Agreement Necessary [ ] Not Necessary [ J TOTAL $ STIPULATIONS: MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-16-2002 COMPLIANCE: PASSES Required UA = 132 Your Home = 124 6.0% Better Than Code Permit # Checked by/Date COMPLIANCE STATEMENT: The proposed building. described here is consistent with the building plans, specifications, and other calculations submitteda permit application. The proposed building has been designed to meet the requirements of the Minnesota E gy Code. / Builder/Designer Date %— b " Area or Perimeter Cavity R -Value Cont. R Value Glazing/Door U -Value UA CEILINGS 568 38.0 0.0 17 WALLS: Wood Frame, 16" O.C. 564 19.0 4.0 29 BSMT: Cone. 7.0' ht/5.0' bg/7.0' insul 626 10.0 0.0 46 GLAZING: Windows, Foundation, <= 5.6 ft2 12 0.350 4 GLAZING: Windows or Doors, Above Grade 58 0.350 20 DOORS 18 0.320 6 FLOORS: Over Unconditioned Space 64 30.0 0.0 2 COMPLIANCE STATEMENT: The proposed building. described here is consistent with the building plans, specifications, and other calculations submitteda permit application. The proposed building has been designed to meet the requirements of the Minnesota E gy Code. / Builder/Designer Date %— b " 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 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 TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge JOB ADDRESS -7 t;I,F ("tt f OWNER Sit%�e-N BUILDING USED AS ESTIMATED COST Effective On January 1, 2002 Y1 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. TOTAL FEE $ V J 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. HEATING CO b`J -I'-`' Signed FAX # Approved By Rough -In Date DATE 11/- D", TEL # Final Date5 a 0,5 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT, VENT CONNFCTOR ANn COMMISTION AIR VFRIFI CATION When re la _ing_an existing furance, 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( ) No( ) The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The exiatingsembustinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When .required to install a new rnmhnstean air�it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When installing a new v _n ingnystpm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type 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 HEATING CO: Signed By: I Date :