PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: August n, 1965
Builder
Homedale3uilders
2eQ 6 7
N? 8344
Address Address 3017 Lyndale Ave. So.
Ninneapolis, Ninnmesota
LOCATION OF BUILDING
No. 7475 Street MELODY DRIVE N. E. Part of Lot
Lot 6 _ Block 5 Addition or Sub -Division Melody Manor lith
Corner Lot _ Inside Lot X Setback 35 Sideyard 10
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Dwelling Front 46 Depth 24/26 Height 20 Sq. Ft 1052 ct. Ft. 21 0 0
Garage Front 20 Depth 24 Height 10 sq. Ft. 80 cu. Ft. 1800
Type of construction Frame Fit. Cost—$17s�2•-0 _ To be Completed
In consideration of the issuance to me of a permit to construct the building des crl above I agree to do
the proposed work in accordance with the description above o and in comp with a'!1 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 26.0O , permit is hereby granted to HCHCDALE HL1�8
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
within the city limits ns permit may be revoked at any time upon violation of any of the provisions of said
ordinance.
ALLEN G. JE1+1SE11T Building Inspector
NOTICE:
M perms don not corer Ho candruction, brslaiiation for whin& piumbine, en bestbre, sewer or. water. Be euro to ne
the Buibl108 brsp•eIor for "paste permhs for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER��
ADDRESS ADDRESS
LOCATION OF -BUILDING
Street ��P1 /f,�il�r-� . dart of Lots
Lot Block _��Addition or'Subdivision
ori
Corner Lot Inside Lot—.I/—Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant•attach:to this form Two Certificates of Survey.of Lot and proposed build-
ing location drawn on these.Certificaies.
DESCRIPTION OF BUILDING
To be used as:
Front Depth f- Heighty�
Sq.. Ft.` � %✓` 2 . Cu. Ft.
Front % Depth Height / y
Sq. Ft—Cu, Ft.
Type of Construction', Estimated CoAO'l 7
To be Completed z:�� /
1
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,
Schedule of Fee Costs can be found on the
e Side).
SUBJECT
P
City of Fridley
G 0 7 3
�2;;
AT THE TOP OF THE TWINS
BUILDING
PERMIT
ECEIPT NO
�
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i ,,� CITY HALL FRIDLEY 55432
Alf
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
-._-
L 612-571-3450
910-F15
8/21/89
10B ADDRESS 7475 Melody Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DE$CR.
6
5
Melody Manor 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jerry Wiss 7475 Melody Drive N.E.
784-0552
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Pleasant View Construction 8310 Pleasantview Drive, Moundsview, MN 55112 784-0328
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
Construct a 14' x 16' Porch Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan
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
SQ. 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
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
$4800
$2.40
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.
P AN CHECK FEE
TOTAL FEE
$74.40
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY
VA ATED THI IS YOUR PERMIT
t
BLDG INSP
� �
qaT
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI I
NEW [ ]
ADDNj
ALTER [ )
Construction Address:
COW
M
Effective 5/1/88
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
EES Rtof n REMM
LTM G AMM: length Width Height Sq. Ft.
GRPUAM AREA: Length _ Width Height Sq. Ft.
EECR AM: Width Hg Qm, d Sq. Ft.
oma: x 1 l� l0'a y
22yx al,� Z "8.0y
Corner Lot [ ] Inside Int p� Ft. Yd Setback Side Yard Setbacks
Type of Construction. l _ Estimated Cost: $
Approx. Cc upletion Date: 0 Ss 9' 86G
Proposed Driveway Width If New Opening Is Desired•��—n. $ $.
ti Width + 6' See Flack Page pa
DAM: Width
Tel. #
CITY USE C[i A
Permit Fee $ 7zlod
State Surcharge $ r�
SAC QkuVe $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL $ 7Y.
sT�UTATICM:
1ci,g6
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Necessary [ ] Not Necessary [ ]
r
4811 0
2o0 gS.00
N
(9'a&tr6a1iL O' -y 04 Aft
's'rY
' ENGINEERING, INC.
Ahrf !-lOdi
-- If
En yineer s E Surveyors ---
cestificzfe of s u*ve le: 140M£OALE BU11.��QS
r pR\V E
M�L�p�
.etas
oDENOTES, IRON— — "- - DENOTES DRAINAGE AND UTILITY EASEMENT
LOT 6' BLOCK S, MELODY MANOR 4TH ACI T I ON
ANOKA COUNTY
� Ib>�y urfi�y � � a o bw � �epre.�.r� �'e �y e'er I w.ad�rirs �'�Ye .1�.r .bri+►/Me ir�d,.ad
Or Avvitmv 4'a ems, #saw. dPdd# A* �„�,� . �'.y, fm w-mAndlad As �n�ad► �,eAe � d,,,y
/���nmbRT AS It".
TTT - StldIIIQBNV fII WMEMINO, INC.
SUBJECT
PE IT NO.
City of Fridley
20079
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
RE T NO.
• COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
1
t CITY HALL FRIDLEY 55432
,
NUMBER
REY.
DATE
PAGE OF
APPROVED BY
L
612-571-3450
910-F15
8/23/89
10B ADDRESS 7475 Melody Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
5
Melody Manor 4th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jerry HTiss 7475 Melody Drive N.E.
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Pleasant View Construction 8310 Pleasant View Drive, Moundsview, MN 784-0328
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 EX REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroo;� Dwelling C23 S.quaresl
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be. 2nd layer but not 3rd. Install ridged
galvanzied valleys.
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
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
$l,1QQ
$.55
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-
$27.00
STRUCTION OR THEPE OR E OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
It
�
$27.55
S GNATURE OF CONTRACTOR OR AUTHORIZE GENT IDATEI
WHEN PROPERLY VAT
ATED THS IS YOUR PERMIT
�IA
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI -
BLDG )NSP
NEW [ ]
ADCN [ ]
ALTER [ ]
construction Address:
Legal Description: _
Owner Name & :
Contractor:
Address:
R-1 AND R-2
BAlding Permit Application
iM zZw,
Effective 5/1/88
Mb Mor,
r
Attach to this application, a certificate of Survey of the
lot, with the p=posed am structicn drawn on it to scale.
DMQtIPt. OF II Tl'
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: length Width Height Sq. Ft.
DECK AREA: length W' r-nff F— '.. /GYrnuxi
Corner Int C ] Inside Lott'[] ,Ft. Yd Setback Side Yaind/Sent�bac�s
Type of Construction: Estimated Cost: $ //yv'`�"
Approx. Cmpletion Date:
Proposed Driveway Width If New qpening Is Desired: Ft. $ $
Width + 6' See Ba Page 2
DATE: APPLICANT: Tel. #_ 7/
Permit Fee $ C-2 % 6 �
State Surge $ 1 S
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
$ �:2 % .SS -
sTlpUTATIONS:
C1'1'SC DBE QiIIY
Fee Schedule on Reverse Side
$.50/$1,000 valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Ems; *+ori
Agreement Nay [ ] Not Necessary [ ]
#ld f 7?
It
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDElrTL1L
RATE
TOTAL
Job Address
Furnace Shell and Duct Work,/.
Burner (Also replacement furnace) $
20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432
City of Fridley
Gas Piping $
10.00
$
Tel. 1571-3450
(piping needed with now furnace)
Gas Range $
10.00
$
The undersigned hereby makes application for a permit for the work herein
Can Dryr $
10.00
$
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.
• Air Conditioning (all sizes) $
10.00
$
Fridley. Minn. , 19
All Others/Repairs and Alterations
OWNER 77-,ffAA% (,/I S S
1t of Value of Appliance or Work
$
KIND OF BUILDING 0;r ^-1 -?1-As"t%-
COMMERCIALIINDUSTRIAL
USED AS
It of Value of Appliance or Work
$
TO BE COMPLETED ABOUT /3d/�/
ESTIMATED COST
State Surcharge
$ .50
'
I=
TOTALlit
$
OLD - NEVI BUILDING PERMIT NO. PERMIT NO.
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACIVBURNER
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00•
PLUS $.50 STATE SUI(CHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
HEATING or POWER PLANTS, Steam, Not Water, flail Air- No.
Trade Name G/-9AtA/L size No. -T99X060"
Capaci ty 6 �s OPV � 8q. Fc. eDR
Total Connected Load
BTU HP
Kind of Fuel 6�-qS
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU up
Iy�
Company -Y V:7% -7
Signed By
Tel. No.
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing
chimney or stack;
I.
'Has been. carefully. examined.
Yes (,)
-No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects lodged within
Yes (j
No ( )
4.
Is securely supported
Yes ()
No ( )
5. Meets all current Code requi*events for size and
total BTU connected Yes () No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company _
Signed By
Lia to
d�
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
RATE
SCHEHLE
PLUMBING FIXTURE RATES:
N0.
RATE
m
New Fixtures
rd
5.00
Ux
Future Fixtures
_ $
w
$
Water
_ $
1.50
$
Beer Dispenser
$
4.00
w
e
$
a
$
Catch Basin
_ $
5.00
a
Rain Water Leader
_ $
ut
u
m
S
5.00
$
Sump or Receiving Tank
-4
m
$
Water Treating Appliance
41
w
w
Hot Water Heater
$
Heater
$
Gas Range
$
10.00
$
Gas Dryer
$
10.00
$
�
Yes ( ) No (
)
Type
$
5.00
$
$4
w
It of Value of Fixture or Applian.:e
,q�
$ P W
g
v
Reinspection Fee $
TOTAL FEE
$ /
s
-1i
N
ro
roto e
w o
v)
-VU)
3
o
U
D
W
3
O N
N
W
U
as
lec
1st
2nd
3rd
4th
(R) Future Connection Opening
Connected with Sewer
(*) a New Fixture, Old Opening
Water
RATE
SCHEHLE
PLUMBING FIXTURE RATES:
N0.
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
S
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 Preventer Required. . .
Yes ( ) No (
)
Type
$
5.00
$
ALL OTHERS AND/OR REPAIRS AND
ALTERATIONS
It of Value of Fixture or Applian.:e
,q�
$ P W
State Surcharge
$ .50
Reinspection Fee $
($15.00)
TOTAL FEE
$ /
Effective Date May 1, 1988
Job Address / 5- -/� 'c 4 .
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing tc 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. 19
OWNER
&0
KIND OF BUILDING
USED AS
TO BE CO
7/
ESTIMATED COST �lv� &0 J {�
OLD - NEW BUILDING PERMIT NO. // PERMIT NO. / /CJ [) Q
Company ,2dab / `C `d" c J� V �u/77ilJt �-y
Signed By
r
Tel. No.
ROUGH INSP.
Date
FINAL INSP. [�6- q
Date 6
APPROVAL FOR PERMIT A
MINIMUM FEE FOR ANY PLUMBING PERMIT IS E15.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT
PER,
City of Fridley
17312
WI
AT THE TOP OF THE TNS
BUILDING P E R
M I T
r
L
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
GATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEV 55432
612-571-3450
910-F15
8/19/98
JOB ADDRESS
7475 Melodv Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
5
IMelodvManor 4th
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jerry Wiss7R4-0592
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Renewal by Andersen 350 73rd Ave HE -Fridlk-y MN 99439 502-4777
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
Replace 3 windows in home with pocket insert windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State ili>xg Building Code - in each
sleeping room and on each level of house.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
$1709
$.85
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.
$56.75
FireAc $1.71
PLAN CHECK FEE
TOT FEE
Lic $5.00
.31
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
OPE V A
tQSPIF
DAT THIS IS Y UR PER
,
�Y —d,9-
OATS
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
SIGNATURE
.1 1 W
NEW [ ]
ADDN [ ]
ALTER [
ConstructionAddress:
Legal Description:
Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2�
BUILDING PERMIT APPLICATION ���/
Owner Name & Address:
��%,-11' l�� �7y? S rYV-jCd v( 'DV Tel. #
Contractor: MN LICENSE # L QLo3Q
Address: —� 3 Ss4Tel. # SC&-t-i'Z ^11
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �p n�(,1(�, Inl IMU NS In V`l )IMC � (XY -P4-
� ��_ IYI���� ln► l� �111>_S
Construction Type: Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ _ $
DATE: t1 3 �/ APPLICANT: Tel. # �__C/
CITY USE ONLY
Permit Fee $ S -U :? S
Fire Surcharge $ I . -7
State Surcharge $ . 1SS
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Fee Schedule on Reverse Side
.001 of Permit Valuation (1%10th%)
$.50/$1,000 Valuation �
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary. [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
sueJEtr
IT NO.
City of Fridley
29591
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
r 16. COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
f
'
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L j\ 612-571-3450
910-F15
6/2/99
JOB ADDRESS 7475 Melodv Drive NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DescR.
6
5 Melody Manor
4th
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Jerry Wiss
784-148 0552
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Ea leview Constr. Inc. 2937 1753-5469
20067043
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 ❑ ADDITION ❑ ALTERATION 6X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (30 Sq) Tear -off
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 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
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
$2622
$1.31
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
TOTALFEE
License SC $5.00
$92.18
4TURf OF CON7RACTOR OR AUTHORIZED AGENT 10 TE.
WHEN PROPERYVftALIDATED THIS IS YOUR PERMIT
c
SIGNATURE OF OWNERof OWNER BUiLDERI �DATE�
BLO iNSP
rA��
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 Gr
BUILDING PERMIT APPLICATION
Construction Address: % 7 S-
Legal Description:
Owner Name & Address: Vyi 5 5 Tel. #
Contractor: 4;e A'Le452.< . MN LICENSE # --.)-00& 70 c/3
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. # ?S 3 —SM 71
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: JSa.,A� -14"v-e Estimated Cost: $
Ql�c
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Ft x $
DATE: Zv Z 7 APPLICANT: Tel.
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /.
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ (, 0
$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
$ 4 C l o
STIPULATIONS:
SuBjECT --
. RMIT NO.
City of Fridley
32193
AT THE TOP OF THE TWINS
BUILDING PERMIT
__�_�_ COMMUNITY DEVELOPMENT DIV.
v
572-3504
RE
RECEIPT NO.
E E
/�' 411?
r PROTECTIVE INSPECTION SEC.
i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
19/24/01
JOB ADDRESS 7475 Melody Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DEscR.
6
5
1 Melody Manor 4 Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerome Wiss 7475 Melody Drive NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Advance Home Products 3770 West Broadway, Mpls., MN 55422 763-521-9211 2332
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION Ij REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Cover soffit & fascia with aluminum trim
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide soffit ventilation to meet the State Building Code.
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
$2,100
$1.05
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.
$83.25
FirSC $2.10
STRUCTIOLN Cp THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TO AL FEE
Licen C $5,0
91.40
GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN PROP VALID TIVD THIS I$UE
�V
-
S-GNATURE OF OWNER IIF OWNER BUILDERi IDA FE -I
Bl -NSF' - FATE
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: , a '�f ®I' i -eI ®�� _ k")?, A) k' <07 o d le
Legal Description: J `
Owner Name & Address: Z ZO J2 ,.. ,P A 1; S S Tel. # �
Contractor: f/ �o L ] �;��, e :2� ����. 5 ja a MN LICENSE #
Address: a9 ?0 ��� �T6 AA1k �2dI �i� Tel. # S Z / 1 Z//
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.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
FACa,—L
Construction Type: Estimated Cost: $ C2� 0
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: APPLICANT:. ez"Az # 9's Z 9y® 8'5L�
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$ 63_o?S—
Fee Schedule on Reverse Side — —
Fire Surcharge
$ -lO .001 of Permit Valuation (1/10th%)
State Surcharge
$ l d
$.50/$1,000 Valuation
SAC Charge
$
$1150 per SAC Unit
License Surcharge
$ -OD $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
$
STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
4)72-3(3U4 YAx: ( 703) 571-1257
ADDRESS : 7475 MELODY DR NE
PIN : 113024120057
LEGAL DESC : MELODY MANOR 4TH ADD
: LOT 6 BLOCK 5
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT NO.: 2004-01724 Ca r%
DATE ISSUED: 10/05/2004
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
WISS JEROME M & ROSEMARY
7475 MELODY DR NE
FRIDLEY, MN 55432
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 119132
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
regulating construction or the performance of construction.
Applicant Date
Bldg Insp.
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
JCC(A-�r�qic)NEW �-��
[ l CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:? g7j5 Melt dm bn'veV G , mnl4 mi i C -r -u -z n
Legal Description:
Owner Name & Address:7,0se YwwL4 �1SS Tel. #j �-'QS�=
Contractor: U6� 17 MN LICENSE # I1
.13
Address: q7q �L `�_L� w4ps ni ss 01 Tel. # t9sl-7� i
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 Estimated Cost: $'5
J
ete+reh.
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ -
DATE:
APPLICANT:
Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
$
Plan Review
$
Fire Surcharge
$
State Surcharge
$
SAC Charge'
$
License Surcharge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 $ STIPULATIONS:
Building
PLUMBING
Permit No../MO8' ()0610
Inspections
RESIDENTIAL APPLICATION
Received By: n?
763-572-3604
CITY OF FRIDLEY
Dc,JAN 24 2009
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE / " Z-9 - d '?� YOUR E-MAIL ADDRESS
SITE ADDRESS -7c/ -7S - /1& loolq Y'•
THIS APPLICANT IS: ❑ OWNER .IXCONTRACTOR
PROPERTY
NAME: � Y•r %%i 5S
ADDRESS: CITY STATE ZIP
OWNER/
TENANT
PHONE:
CONTRACTOR
NAME: ^�--} oKg,w �,�/� /,e%,
STATE LICENSE # $-V'91.70 EXP DATE 12--3)_09
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
STATE BOND # �% �I / Sr Z EXP DATE I Z . 3' _ o�
CERTIFICATE OF
ADDRESS: i Br 740 346`6 5 Sf • CITY iiA- STATE�ZIP �$W
INSURANCE
PHONE % (93 - q Z - F- 3 2- 1 FAX 7 (p 3 - 2 2-
PERMIT TYPE
IS SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
)(NEW ❑ REPLACEMENT
/
DETAILED DESCRIPT ON OF WORK S
e+ a i 5". -kc
PER MS 16B.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 = plus .50 surcharge
.0
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10000 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
Z BATH SINK/LAV DRAINS SHOWER _ WATER PIPING
_FLOOR
I BATHTUB_ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK T WATER CLOSET _ BACKFLOW PREY. ($15)
_ _
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_
WATER METER _ OTHER
-,i i
ry� n�^ Ty
,u} IT
Permit Fee $
Number of fixtures @ $10.00 __ x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
OR Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ .50
MINIMUM $15.50)
(MINIMUM $15.50) Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 on site; that the work will be in accordance
with the approved plan in the c € e all rk w ich requires review and approval of plans..
��- NAME �uwd1 L ` i `� DATE - 2'
SIGNATURE OF APPL ANT PRINT
APPROVED BY DATE
t Y
ELM
+� City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
$j- ,Pj', �f S'
BUILDING
Plan Review
Permit No.: 00
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$
CITY OF FRIDLEY
License Surcharge
Da 'PIAN 1.4 2000
763-502-4977 FAX
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
EFFECTIVE 1-1-08
$
$450 Conservation Plan Review
DATE ZL/-0 S.
YOUR E-MAIL ADDRESS
SITE ADDRESS / !�'7 S
% '/cclCj lo' -rd-r
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ '7o.
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME: -� . �,, .� Lx J i S
ADDRESS: �/ 7 S- 0'YC� / y CITY
—STATE AWOZIP
TENANT
PHONE: -7
NAME: tot �rr5 res Cc'S
CONTRACTOR
ADDRESS: l J;Ic° a /��r''� CITY J;AryA, r- STATEkl-ZIP sfy3"/-
SUBMIT A COPY OF
PHONE wi 2 Z % C_!` 6 7 FAX
YOUR STATE LICENSE
STATE LICENSE # 20 S I Z i / (o EXP DATE 3 0
PROPERTY TYPE
',K -_SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR {'REMODELING
DONE: P" i &f Iti
DESCRIBE WORK BEING
ca
45
SIZE OF IMPROVEMENT_
LENGTH `l WIDTH "29
HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
I. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS. & PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Trim
and proposed project.
❑ Other
❑ Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE 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:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ 1 r OZ --)n _ Cro OCCUPANCY TYPE
Permit Fee
$j- ,Pj', �f S'
See Back Page for Fee Schedule
Plan Review
$ ?S, M
65% of Building Permit Fee
Fire Surcharge
$ % . ao
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ '7o.
Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in accorSlmqe with the approyed plan in the cue oWork which require review and approval of �s.
f
SIGNATURE OF APPLICANT � r ..>' T NAME kfa:y 10 DATE/-
... 0 J11L��� �
il I S
Parpet
Mark Anderson
7300 University Ave. NE
Fridley, Minnesota 55432
763-571-4846
FAX 763-571-9492
4--
=�1I C�s�,
Ao
Building
r7.9®f MECHANICAL
Permit No..
Inspections ��
RESIDENTIAL APPLICATION
Received By:
763-5723604
�� CITY OF FRIDLEY
DAV42 7 201
763-502-4977 FAX
EFFECTIVE 1-1-2010
n � y
DATE` ` YOUR E-MAIL ADDRESS
�,/ r���
�/ /
SITE ADDRESS / / P OL O PY DA -
A'THIS
THIS APPLICANT IS: ❑ OWNER *ONTRACTOR
PROPERTY
NAME: _170hR)e W IS -5
ADDRESS: CITY STATE ZIP
PHONE: 7 6 3 . 78 Y - 04r.5"a
OWNER/
TENANT
CONTRACTOR
COMPANY NAME: F1,AXQ `�B/KI TrAlC
CONTACT PERSON: 601% R'tdr
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: '?-go I 1n `)MOOR `I &VO- Al CITY 60e,OiZ✓VOLL-OYSTAT IFo S 77
APPLICATION
PHONE 763'S`CIX-U6G FAX rJ63-j;y.1-3/01
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK 915,P1,"Pe 174(5 ?,✓v C )!�uAAII' Goe v—' AzG
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK
Equipment Installed MFG: G AAR I /L MODEL: -S-9 ptvcd 60 SIZE/BTU 6 0OU 0
MFG: 6AAA(M MODEL:)L /A fA..Z'% SIZE/BTU �t [c�YO o G
MFG: MODEL: SIZE/BTU
XC A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_
_BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
_DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $25.00 x $25.00 = $S, O
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ 5,4 Q .50
INIMUM FEE $35.50 Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application fbAl 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 rk w 'c a%y�u�ires jeNiew and approval of plans.
�f I r
U r -A dtt�
MIA#I
SIGNATURE OF APPLICANT PRINT NAME DATE /
I ®� j
APPROVAL INSPECTORS SIGNATURE (r °' DATE �7 �Z� l l �/
PLEASE NOTE: SEPARATE PE -ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
1_'\) City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
RHVAC - Residential HVAC Load Calculations Elite Software Development, Inc.
Flare Heating & A/C Inc. WISS
GoIden•Vate . MN 55427-3700 Page 1
Project Report
:.General Project Information
Project Filename: S:\FHDATA\PROJECTS\MIKE\WISS.rhv
Project Title: WISS
Designed By: Mike
Project Date: Tuesday, July 20, 2010
Client Name: Jerry Wiss
Client Address: 7475 Melody Dr.
Client City: Fridley, Mn. 55432
Client Phone: 763-784-0552
Company Name: Flare Heating & Air Conditioning
Company Representative: Mike
Company Address: 9303 Plymouth Avenue North
Company City: Golden Valley, MN 55427
Company Phone: 763-542-1166
Company Fax: 763-542-3101
Company Comment: You Can Feel the Difference
Design Data-
Reference
ataReference City: Minnepolis, Minnesota
Daily Temperature Range: Medium
Latitude: 44 Degrees
Elevation: 834 ft.
Altitude Factor: 0.970
Elevation Sensible Adj. Factor: 1.000
Elevation Total Adj. Factor: 1.000
Elevation Heating Adj. Factor: 1.000
Elevation Heating Adj. Factor: 1.000
Outdoor Outdoor Indoor Indoor Grains
Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference
Winter: -20 0 0 72 0
Summer: 95 75 50 75 36
`Check Figures
Total Building Supply CFM: 504 CFM Per Square ft.: 0.219
Square ft. of Room Area: 2,300 Square ft. Per Ton: 1,444.849
'Buildin ;Loads
Total Heating Required With Outside Air: 49,907 Btuh 49.907 MBH
Total Sensible Gain: 12,907 Btuh 68 %
Total Latent Gain: 6,195 Btuh 32 %
Total Cooling Required With Outside Air: 19,102 Btuh 1.592 Tons (Based On Sensible + Latent)
2.065 Tons (Based On 75% Sensible Capacity)
Notes
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
S:\FHDATA\PROJECTS\MIKE\WISS.rhv Tuesday, July 20, 2010, 1:06 PM
S:\FHDATA\PROJECTS\MIKE\WISS.rhv Tuesday, July 20, 2010, 1:06 PM
RHVAC - Residential HVAC Load Calculations
Elite Software Development, Inc.
Flare Heating & A/C Inc.
WISS
Gallen Vallb , MN 55427-3700
owl
Page 2
[System 1 Summary Loads
Component
Area
Sen
Lat
Sen :.
Total
Description
Quan
Loss
Gain
Gain: -
Gain
4A Window Double Pane & Storm Clear Glass Wood Frame 85
2,666
0
1,720
1,720
11C Door Metal Polystyrene Core
20
865
0
222
222
12D Wall R-11 + 1/2" Asphlt Board(R-1.3)
1051
7,734
0
1,983
1,983
15F Wall 5' or More Below Grade 8/12" Blk+R-5
1292
7,012
0
0
0
16F Ceiling R-26 Insulation
1150
4,020
0
1,923
1,923
21A Basemt Floor 2' or More Below Grade
1150
2,539
0
0
0
Subtotals for structure:
24,836
0
5,848
5,848
People:
6
1,380
1,800
3,180
Equipment:
300
1,200
1,500
Lighting:
0
0
0
Ductwork:
0
0
0
0
Infiltration: Winter CFM: 130, Summer CFM: 65
12,798
1,547
1,391
2,938
Ventilation: Winter CFM: 125, Summer CFM: 125
12,273
2,968
2,668
5,636
Sensible Gain Total:
12,907
Temperature Swing Multiplier:
X 1.00
System 1 Load Totals:
49,907
6,195
12,907
19,102
Check Figures
Supply CFM: 504
CFM Per Square ft.:
0.219
Square ft. of Room.Area: 2,300
Square ft. Per Ton:
1,444.849
System Loads
Total Heating Required With Outside Air: 49,907
Btuh 49.907
MBH
Total Sensible Gain: 12,907
Btuh 68
%
Total Latent Gain: 6,195
Btuh 32
%
Total Cooling Required With Outside Air: 19,102
Btuh 1.592
Tons (Based On Sensible
+ Latent)
2.065
Tons (Based On 75% Sensible Capacity)
Notes
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
S:\FHDATA\PROJECTS\MIKE\WISS.rhv Tuesday, July 20, 2010, 1:06 PM