PRE 2010 DOCSCity of Fridley, Minn. ° 8683
Scl, 417�
BUILDING PERMIT
Date: FEBRUARY 24, 1966
Owner: Builder HOMEDALE BUILDERS
Address Address 3017 Lyndale Avenue South
Minneapolis, Minnesota
LOCATION OF BUILDING
No. 7482 street MELODY DRIVE N.E. - Part of Lot
Lot — 32 __ Block 4 Addition or Sub.Division MELODY MANOR 4TH ADDITION
Corner Lot _ Inside Lot — % Setback 35 Sideyard 10
Sewer Elevation , . ...... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
DWELLING Front 40 Depth 24/30 Height 20 Sq. Ft. 1,032 Cu. ft 20,640
Front Depth freight Sq. Ft. Cu. Ft.
-Type of Construction FRAME Est. Cost _ $16, 000 _ To be Completed I .
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 set f and in compliance with ail,�'� ons of
ordinances of the city of Fridley. IT � .� �f%
In consideration of the payment of a fee of 21.00 , permit is hereby granted to HON]DALE
BUILDERS 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
�city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ALLEN G. JENSEN Building Mmspedw
NOTICEt
'lids pumb don not aowr tho contra w, hwhils w for whhm plumbing, an hoadng, omm or water. Be wn to iso
the Building kqm ter for aparab p wnft for thea hams.
0
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS ADDRESS
LOCATION OF BUILDING.
P
N0, STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION.
CORNER LOT INSIDE LOT V' SETBACK 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;
FrontDepthAW
e Height 10
Sq. Ft. %/'. � Cu. Ft .-
Front Depth Height
Sq. Ft.
Type of Cons
To be completed ,f2g/✓, /
Cu. 'Ft.
Estimated Cost
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.
(S
SIGNATURE
e found on the Reverse Side).
City of Fridley, Minn.
BUILDING PERMIT
Date: May 15, 1967
Owner:
Address
Alvin Sadecki
7482 Melody Drive
N9 9239
Builder Western Garages
Address 3017 Lyndale Ave. So.
LOCATION OF BUILDING
No. 7482 _ Street — Melody Dr. — part of Lot
32 Melody Manor 4th Addn.
Lot ._.._ __ Block 4 Addition or Sub -Division .__.._._._.. —.
Corner Lot . Inside Lot _._. x Setback 10' to houMmeyard ..... 3
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 20 ' Depth 221 Height 1W Sq. Ft. 440 Cu. Ft. X 00
Front . _ Depth _ _ Height Sq. Ft. _ _ Cu. Ft.
Type of Construction Frame Est Cost «$1300 _ _ _ To be Completed 30 Days
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 set forth and in compliance- with all provisions of
ordinances of the city of Fridley. ��t!
In consideration of the payment of a fee of $ 7.00 , permit is hereby granted toWestern
Construction
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 and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building Inspector
NOTICE:
We permit does not cover the construction, histallation for wiring, plumbing, gas heating, sewer or water. Be sun to see
the Building Inspector for separate permits for these Nems.
r
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME AA S )k UILDER
ADDRESS %�� �" �f ADDRESS
LOCATION OF BUILDING
NO. t/ STREET —f' ® ��. PART OF LOT
LOT L BLOCK DDITION OR SUBDIVISION
lop
CORNER LOTINSIDE LOT SETBACKfffIDE
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
DESCIPTION OF BUILDING
To be Used as:
Front Depth
Sq. Ft i' Cu. Ft. L'14 'a4
Type of Construction
To Be Completed
L Height J d
Front
Sq. Ft.
Depth
Cu. Ft.
Estimated Cost
Height"
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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE
SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
52-84-s915.51
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone 860-3450
DESCRIPTION OF WORK 7482 Melody Dr
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg. ............
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 199,000 BTU ..............
Gas Dryer
REPAIRS & ALTERATIONS—Refer to Code
— x $2.00
$
_ x $1.50
$
— x $1.50
$
— x $3.25
pZ
LL
Q� Z Z
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Q�
J
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U� <
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Z
n a
Cl O
,
P
.
N
WATER HTR.
GAS
ELEG
Base
r
1st
2nd
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
Connected with
I Sewer 0
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg. ............
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 199,000 BTU ..............
Gas Dryer
REPAIRS & ALTERATIONS—Refer to Code
— x $2.00
$
_ x $1.50
$
— x $1.50
$
— x $3.25
$
x $3.00
$
— x $3.25
$
_ z $2.00
$
NO. RATE TOTAL
— x $2.00 $
—x$.75 $
— x $5.00 $
1 5.00
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 2-19-68 19—
Owner Al Sadecki
Kind of Building
res
Used as
To be completed about 2-21-68
Estimated Cost,
Old—New. Building Permit No Pe t No.
S' •
By
Business Phone No
ROUGH
FINAL
Description ...........$
TOTAL FEE $ 5 OQ .011110.
42
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
P E 193
05R
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
L 612-571-3450
NUMBER
910-F15
REV.
DATE
12/21/87
PAGE OF
APPROVED BY
JOB ADDRESS 7482 Melody Drive N. E.
1 LEGAL
DESCR.
LOT NO.
32
BLOCK
4
TRACTOR ADDITION SES ATTACHED
Melody Manor 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
Al Sedecki 7482 Melody Drive N. E.
ZIP PHONE
784-8808
3 CONTRACTOR MAIL ADDRESS ZIP PHONELIC NO.
Roncor.Construction Inc. 9029: Dupont South., Bloomington 55420 8882fglE
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 12 REPAIR 11 MOVE ❑ REMOVE
❑ NEW ❑ ADDITION ❑ ALTERATION
8 DESCRIBE WORK
Reroo£ Dwelling (.17 Squares)
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$850
SURTAX
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
OR THE PERFORMANCE OF CONSTRUCTION.
PERMIT FEE
$16.00
SAC CHARGE
�UCTION
-1 21
PLAN CHECK FEE
�L
TOTALFE
Y 690
SI NATURED C O UTHORIZED AGENT (DATEI
WHEN PROPERLY A DATED THIS IS YOUR PERMIT
BLDG (NSP
�
/ ATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI
NEW [ ]
ADDN.
ALTER. []
Construction Address:
Legal Description:
Owner Name & A ess: J
Contractor: Rdn e-.
Address: C)
City of Fridley
FR -1 AND R-2
Building Permit Application
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Effective 4/1/86
Tel. #
Tel. #
14c2z
LIVING AREA: Length
Width
Height Sq. Ft.
GARAGE AREA: Length
Width
Height Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground Sq. Ft.
I /
U )RcL r�
OTHER:
Corner Lot [ ] Inside
Lot [
] Ft. Yd.
Setback Side Yard S /back•
7
Type of Construction:
Estimated Cost-i",
Approx. Completion Date:
Alt. A Alt
B
Proposed Driveway Width
If New Opening Is
Desired: $ $
See Back Page for Explanation
5��
DATE: 1AZt APPLICANT:
Tel. #
CITY
USE ONLY
Permit Fee
rr
$ b ��
Fee Schedule on Reverse Side
Plan Check
$
—
25% of Building Permit Fee
State Surcharge
$
�®
$.50/$1,000 Valuation
SAC Charge
$
-
$ 525 per SAC Unit
Park Fee
$
`
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [
]
TOTAL
$ _
---
STIPULATIONS:
•��
`� _1
.. _ A io
SUBJECT
M
City of Fridley
27980
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
L______ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
e ��
6
j I PROTECTIVE
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED By
= CITY HALL FRIDLEY 55432
' 612-571-3450
910-F15
9/25/98
JOB ADDRESS
7482 Melodv Drive
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
32 4
Melody Manor, 4th Addifinn
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Al Sadecki
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Roncor Construction 1288-7j)42
2337
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
B DESCRIBE WORK
Reroof house and garage 22 S 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
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 BO DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
f
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1885
$.94
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
$59.50
Fire SC 1.88
PLAN CHECK FEE
TOTALFEE
License
SIGNATUREOF CONTRACTOR ORAUTHORiZED AGENT IOATEI
WHEN PROPER VALI ATED THIS IS YOUR PERMIT
BLD Ih SP
- OATE
S-GNATURE OF OWNER,IF OWNER BUILOERI IDATEi
5th -'-1 b-17 Jti
NEW [ ]
ADDN [ ]
ALTS []
Uy=1�11> F -RUM I.iIY OF FRIDLEY TO
ConstructionAddress:
Legal Description:
Owner Name &Address:
CITY OF FMLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUII.DING PERNIIT APPLICATION
8880755 P.03iO4
Effective 1/1/98
Tel. # aLl—,
Contractor:,MA / �/��,�G C'A%i/l MN LICENSE77
Address: o'2V( aX1,01,4 A G6. -r� "-�"-)o Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlMPROVEMENT
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: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 7 F APPLICANT: (714U Tel. # ?� �
CITY USE ONLY
Permit Fee
$
59 6�
Fee Schedule on Reverse Side
Fire Surcharge
$
/- 9�
.001 of Permit Valuation (1110th%)
State Surcharge
$ -9z
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
S -
$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 $ 6 �c
STIPULATIONS:
CH Y OF FRIULLI IIVSf-Ll, I Ivly UIV
6431 University Ave NE
Fridley, MN 55432
(763)572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTt1RFS Tn RF IN-qTAI I Fn nnf Genu ci nno
Eltectivc Un Jan 1, 21.102
PLUMBING FIXTURE RATES
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas"
Gas Range"
Gas Dryer""
Back Flow Preventer Required ( )Yes () Nc
Type
NO. RATE TOTAL
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge .50
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Building Used As O22
Estimated Cost PERMIT NO. /3?/2
PLUMBING COMPANY _ ,by d ���// .
SIGNED BY TEL N0.
FAX #
Approved By Rough -In Date Final Date���~
MINIMUM FEE FH'OR ANY PLUMBING/GAS PERMIT IS
TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
Z.
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When rapla .ina an pxictinn f "ranna, 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 plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (-�'N o ( )
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 (\-4o ( )
The existing rnmh1 istinn air is sized and installed to meet the current codes
and manufacturer's specifications.
allo
Yes ( )
When required to install a nein camblistion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes (q No ( )
When inctall4n8 a new yantingglia pm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
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.
Appliance Tvna and Size/Ciamman Vent
Yes ( )
and Vant ConniiactnrInfonnation
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: Date :
From: City of Fridley To: 7173949 Page: 2/3 Date: 8/22/2006 4:33:29 PM
Binding
MECHANICAL
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By -
763 -572-3604
CITY OF FRIDLEY
Date Rec'd: o
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: ❑ OWNER NTRACTOR
PROPERTY
NAME;
OWNER/
TENANT
ADDRESS: 2�<-_C1TY STATE ZIP
PHONE: D L4li�
CONTRACTOR
COMPANY NAME: 4-
CONTACT PERSON: dY
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATEAl
LICENSE WITH
��
ADDRESS: L- ` 2' � '_ CITY �, � 1 STATE I `V X 31 ,
&S
APPLICATION
PHONt- c 3� FAX � I? _
PERNIIT TYPE
GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
NzlTYPE
OF WORK:
❑ NEW LACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK- �A_ Q _
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 =
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: MODEL: lJvIZEBT
MFG: MODEL: SIZE/BTU
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 FURNACE $35.00 UNIT HTR $10.00
_GAS
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00
_POOL
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
::..:::.:......:.;:..:-::::::::::::.::........,...;..............::....:......•....,.,.:........:..........,;..:......::
I�$OrI�SI r'T
Permit Fee $
Number of fixtures @a, $10.00 x $10.00 = $
Surcharge
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures (a7 $25.00 x $25.00 = $
Number of fixtures (a, $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a buildin permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with th in ces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but o y an lication for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan* the a of 1 work which requires review and approval of plans.
SIGNATURE OF PRINT NAME�1 Y
{' ATE
:ITB»>::: :. :::.::. > .; •..::::: .. ::::::.:::
:6A:7�ilbT#Il~1.C�..:$i.��`i'.Il���.:AN1�:1ANT�';A:I::>.'4�'�12:i�::<>::::::<:::
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
From: City of Fridley To: 7173949 Page: 3/3 Date: 8/22/2006 4:33:30 PM
s
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
0 NEW HOMES/ADDITIONSEXISTING HOME ❑MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.