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PRE 2010 DOCSCity of Fridley, Minn. WELDING PERMIT N? 3729 Date: .......................... owner ....................................... Builder ..... .... Address ...................................... Address ............................................. LOCATION OF BUILDING No. � /... Street .0QrQ.�i.4.. Part of Lot .. . ....... ...... . . ..... . Lot ....�.... Block .....�.......... IPP4."441 tion or Sub -Division ��... . . Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING T,06be Used i .. .... Front Depth .°� �f... �P Height ; .O Sq. Ft. / ��. R af Cu. Ft L .�.��� ` CPO 0 s/� .. From /3�a Depth �o�-%D Height ��P®Y Sq. Ft. 0/ .. Cu. Ft.4Q! d.' ..... .. ...... ........ . Type of Construction ................... Mt. Cost ... t34;710.� ... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribL11 above, I agree to do the proposed work in accordance with the description above set and in with,,all provisions of ordinances of the city of Fridley. _...................... In consideration of the payment of a fee of $.?)/ ....... permit Is hereby granted 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. W141iii.— 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. City of Fridley Application for PkmMng and &n Ming pen * .915.51 Dept. of Bldgs. Phone 560-3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: qq Number Fixtures ...... .. ....... x $2.00 $ ,� Z r 8 t�7 O}�p`y{{ yS��gJ a (Z�i yui Ig • • N WATER HTR. GAS ELEC. Base New Ground Run Old Bldg. x $3,25 $ Electric Water Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .......... , ....... x $ .75 $ lot x $5.00 $ 1 •00 161 oni i C aic atoringr e- -- 2nd _ 3rd -- 4th ' Future Connection Openings e Now Fixture, Old Openingsftwor I Connected with ❑ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... .. ....... x $2.00 $ Future Fixture Opening ... ...... x $1.50 $ New Fixture Old Opening ..... x $1.50 $ Catch Basin .. ... ....... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $3,25 $ Electric Water Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .......... , ....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1 •00 REPAIRS & ALTERATIONS—Refer to Code Description ..............................................; TOTAL FEE Locasip-pi St. 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, Wnn- 91 Jill - _ 1s_ Owner Jerome Gravelle Kind of Building fr Used as res To be completed about 25 Jul Estimated Cost, $ 5•©o Old—NSXKBuilding Permit No. p® x®. By Business Phone No ROUGH SUBJECT PENO. City of Fridley 11471 AT THE TOP OF THE TWINS BUILDING P E R M I T _ r RE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. gp 1 � ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6 4/86 JOB ADDRESS 8131 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome Gravelle 831 Mississippi Street 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard-Hastings Bldr. 6331 Riverview Terrace N.E. 574-9966 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 ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Dwelling. 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged galvanized 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 $1 �� $. 65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE .1 � 6/1 9f. $22.65 SIGNATURE OF CONTRACTOR ORIPTHFRIZED AGENT '(DATE) - WHEN PROPERLY TED THIS IS YOUR PERMIT PD BLDG INSP r) E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] L R-1 AND R-2 j ALTER. 17 Building Permit Application Construction Address:_ _ 4?3 ' ss. Legal Description:— tot /y aL6c� L AAEAdaw (_Aj< f Ad X owner Name & Address: ���otic Ay E LL E Tel. # Contractor: A ' c `, � z p AAs :: KtS Tel . Address: 4_33 ( R, J c Pc V i a L j 're e 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. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: C, C Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ /36a- 00 Alt. A Alt B See Back Page for Explanation DATE: APPLICANT: Tel. # '66 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge Fff4f:." STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT P City of Fridley 23601 3d_7 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � - ------ � PROTECTIVE INSPECTION SEC. r 4�;?qga NUMBER REV DATE PAGE OF APPROVED BY �' 1 CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 8/3/95 JOB ADDRESS 831 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I 10 2 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Gravells 831 Mississippi Street NE 571-2184 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Builders & Remodelers 3517 Hennepin Ave S, Mpls., MN 55408 827-5481 1100 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 Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,689 $2.35 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 $99.75 Fire SC $4.69 PLAN CHECK FEE TOTAL FEE License SC $5.00 111.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WHEN PROP LY VAL ATED THIS IS YOUR PERMIT P r - BL G INSP eA�SIGNATURE 19TE _ OF OW NER OF OWNER BUILDERIIDATEI NEW I ] ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE VAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: 831 Mississippi St Effective 3/1/92 Legal Description: Owner Name & Address: Jerry Gravelle 831 Mississippi St Tel. # 571-2184 Contractor: Builders & Remodelers Inc Address: 3517 Hennepin Ave S Mels M1V 55408 NIN LICENSE # 0001100 Tel. # 827-5481 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCEPTION 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: residing Corner Lot t ] Inside Lot t ] Ft. Yd Setback Type of Construction: Approx. Completion bate: 8/14/95 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ 4689.00 (Cost on Back) Ft x $ = $ t DATE: 8/2/95 APPLICANT: CLZ:Tel. # S2 /?' Permit Fee $ 9, Fire Surcharge $ State Surcharge $ ? J-5 SAC Charge $ License Surcharge $ e�L� Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $700 per SAC Unit $5.Oo (State,, Licensed residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement kece§sarj [ ] Not Necessary [ ] NEW [ ] Effective l/ 1/98 ADDN[ ] ,. F ;, . CITY, OF FRIDLEY ALTER [ ] SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION onstructionAddress: C �l Legal Description: Owner Name & Ad s: Tel. #. Contractor: 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 I. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Wi th gt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: (Fee Schedule, on Back) Drivewav Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: / APPLICANT: ft Permit Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: no CLQ ee Schedule on Reverse Side Tela $ 1, L .001 of Permit Valuation (1/10th%) $ 6'�, _3 $.50/$1,000 Valuation $ $1000 per SAC Unit $ 5 $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 [ ] , 1.r City of Fridley SUBJECT PER I O. 2 $- AT THE TOP OF THE TWINS BUILDING PERMIT r ' , R T NO. COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. �® �� NUMBER REV GATE PAGE OF APPROVED BY i1 i CITY HALL FRIDLEY 55432 •� L 612-571-3450 910-F15 7-9-98 JOB ADDRESS 831 Mississippi St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome Gravelle 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service, 6391 Monroe St NE Fridley 55432 571-3220 20136792 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 M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof house (20 Sq) - Tear-Off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Codes. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,668 $•83 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 L L LAW REGULATING CON- $54.00& $54.00 Fire SC $1.66 STRUCTION THE PERFO AN NST TION. PLAN CHECK FEE TOL FEE - = �� Lic C $ .00 SIG�NATURCOF COATRACJ00_4THORIZEDAGE iDATEP NMPr oA, ALI D THIS IS YOUR PEfiM1T , SIGNATURE OF OWNER iii OWNER BUIIDERi IDATEI8 G IN GATE Al 41 CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 5, 1999 Jerome Gravelle 831 Mississippi St NE Fridley, MN 55432 Re: Final Inspection at 831 Mississippi St NE Contractor: Home Energy Center Dear Mr. Gravelle: A mechanical permit was issued on February 5, 1998 for the property located at 831 Mississippi St NE for a replacement furnace and air conditioner installation. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. 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, BARRY RIESCH Building Inspector I CIT$0F FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE • Effective On January 1, 1997 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,�fj REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - All Sizes $ 25.00 $ 5 • �� All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ 50 TOTAL FEE $�.5 ---.5-0 MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 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. Z — Z ,199 OWNER. C R AV 1 I_Q_ r Al BUILDING USED AS ESTIMATED COST PERMIT NO.C' J DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (St Trade Name I C BTU j C�,p,pp(D HP am) (Hot Water)arm Air) Size No. 10-0 EDR Fuel C—A-S Total Connected Load -79(,,36 Burner Trade Name ) C P Size No. 1 QPv c9z) BTU 9 Q m o U HP EDR . HOME ENERGY CENTER 15200 25TH AVE. N. #128 HEATING PANY ` A PLYMOUTH, MN 55447 Signed By LaAAA 4A Tel No. -1`Q (tqC) Approved By Rough -In Date Final Date :3 - FILL FILL OUT BACK SIDE F R STACK VERIRCATION ON REPLACEMENT FURNACE % CHDdNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes o No ( ) 2. Is free from rust or deterioration Yes,(-') No ( ) 3. Has no foreign objects lodged within Yes ,fipp No ( ) 4. Is securely supported Yes, 4 No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (� No ( ) 6 Has total heating BTU's of /d o 0 0 / All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: . List ALTERATIONS Being Done: EA- -c�, F A- 7Qd HOME ENERGY CENTER 15200 25TH AVS N. 11123 HEATING CO: PLYM0LTHy 10N5s�417 Signed By: Date:d— RIGHT -J LOAD AND EQUIPMENT SUMMARY File name: default . BLD For: Gravelle 831 Mississippi St. Fridley MN By: Home Energy Center 15200 25th Ave. N. Plymouth WINTER DESIGN CONDITIONS Outside db: -20 Deg F Inside db: 70 Deg F Design TD: 90 Deg F HEATING SUMMARY Bldg. Heat Loss 73636 Btuh Ventilation Air 0 CFM Vent Air Loss 0 Btuh Design Heat Load 73636 Btuh INFILTRATION Method Simplified Construction Quality Wthr Minneapolis/St.-Paul-AP Average Fireplaces Zone Entire House 0 HEATING COOLING Area (sq.ft.) 1768 1768 Volume (cu ft.) 14144 14144 Air Changes/Hour 0.8 0.4 Equivalent CFM 189 94 HEATING EQUIPMENT SUMMARY MN 55447 2-2-98 Job # Wthr Minneapolis/St.-Paul-AP MN Zone Entire House SUMMER DESIGN CONDITIONS Outside db: 95 Deg F Inside db: 75 Deg F Design TD: 20 Deg F Daily Range M 0.00 Rel. Hum.: 50 % Grains Water 33 gr SENSIBLE COOLING EQUIP LOAD SIZING Structure 21145 Btuh Ventilation 0 Btuh Design Temp. Swing 3.0 Deg F Use Mfg. Data n Actual Heating Fan Rate/Swing Mult. 1.00 Actual Cooling Fan Total Sens Equip Load 21145 Btuh LATENT COOLING EQUIP LOAD SIZING Internal Gains 1380 Btuh Ventilation 0 Btuh Infiltration 2120 Btuh Tot Latent Equip Load 3500 Btuh Total Equip Load 24645 Btuh COOLING EQUIPMENT SUMMARY Make Make Model Model Type Type Efficiency / HSPF 0.00 COP/EER/SEER 0.00 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 1131 CFM Actual Cooling Fan 1131 CFM Htg Air Flow Factor 0.015 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sens Heat Ratio 86 MANUAL J: 7th Ed. RIGHT -J: VI 3.0.17 S/N 11089 Printout certified by ACCA to meet all requirements of Manual Foran J j default Job# Zone: Entire House 2-2-98, Printout certified by ACCA to meet all requirements of Manual J Form MANUAL J:/m ria. KRInr-J: ..v.ir-�riv iivo� 1 NameofRoom Entire House Gravelle 2 Running Ft Exposed Wall 172.0 Ft. 172.0 Ft. Ft. Ft. 3 Room Dimension, Ft. 0.0 t. 52.0 x 34.0 Ft. x Ft x Ft. 4 Ceilr*s,Ft Condit. Option 8.0 d 8.0 heat/cool TYPE OF CST HTM Ams Btuh Area Btub Area Btuh Area Btuh EXPOSURE NO. Htg Clg Length Htg I Clg Length Htg Clg Length Htg Clg Length Htg Clg 5 Gross a 12C 8.1 2.1 1376 ••** **** 1376 Exposed b 0.0 0.0 0 wwww wwww p wwww wwww wwww wwww wwww wwww Walls and C 0.0 0.0 0 wwww wwww p wwww wwww wwww wwww wwww wwww Partitions d 0.0 0.0 0 wwwr rwww p wwww wwww wwww wwww wwww wwww a 0.0 0.0 0 wwww wwww p wwww wwww wwww wwww wwww wwww f 0.0 0.0 0 ••'* **** p ®www wrww wwww wrww wwwr wwww 6 Windows and a 2A 42.8 ** 118 5045 "www 118 5045 wwww **"" wwww Glass Doors b 0.0 •* 0 0 •*'* 0 0 ***" *•'* "" Heating c 0.0 ** 0 0 **" 0 0 d 0.0 " 0 0 ••** 0 0 **** *'** "•• e 0.0 ** 0 0 ""* 0 0 ***' '••* "'* f 0.0 •* 0 0 •••• 0 0 7 Windows and North 31.0 38 '**' 1178 38 **'* 1178 '••• *•*' Glass Doors NE/NW 0.0 0 *'** 0 0 **'* 0 *'w* "•• Cooling ENV 89.0 12 •*•• 1068 12 *'•' 1068 SE/SW 0.0 0 •*•' 0 0 •*•* 0 South 48.0 68 **•' 3264 68 •*'* 3264 w**p •""°" Hoa 0.0 0 *'*' 0 0 www* 0 8 Other doors a 1OF 28.8 7.6 42 1210 317 42 1210 317 b 0.0 0.0 0 0 0 0 0 0 9 Net a 12C 8.1 2.1 1216 9850 2583 1216 9850 2583 Exposed b 0.0 0.0 0 0 0 0 0 0 Walls and C 0.0 0.0 0 0 0 0 0 0 Partitions d 0.0 0.0 0 0 0 0 0 0 a 0.0 0.0 0 0 0 0 0 0 f 0.0 0.0 0 0 0 0 0 0 10 Ceilings a 16C 7.9 3.7 1768 14003 6457 1768 14003 6457 b 0.0 0.0 0 0 0 0 0 0 C 0.0 0.0 0 0 0 0 0 0 11 Floors a 19A 14.0 0.0 1768 24823 0 1768 24823 0 b 0.0 0.0 0 0 0 0 0 0 C 0.0 0.0 0 0 0 0 0 0 12 Infiltration a 117 13.0 160 18707 2079 160 18707 2079 13 SubtotBtuh Loss -6+g..+11+12 '*** 73636 **** "*" 73636 •*'* **** *+•* +*** wwww 14 Duct Btuh Loss 00/ 0 wwww p0/ p wwwr % wwww o/ wwww 15 Total Btuh Loss =13+14 **** 73636 **** **** 73636 wwww wwww wwww wwww wwww 16 Int Gains: People@ 300 6 *"' 1800 6 ***' 1800 *'•* •••" Appl. @ 1200 2 ••*" 2400 2 **** 2400 "*"• **"' 17 Subtot RSH Gain=7+8..+12+16 "°•* ""* 21145 **** *"'* 21145 18 Duct Btuh Gain 00/ **"* 0 00/ **'* 0 0/ wwwa 0/ wwww 19 Total RSH Gain-(17+18)*PLF 1.00 **** 21145 1.00 '*** 21145 reww wwwr 20 CFM Air Requved *"" 1131 1131 **•* 1131 1131 *'*• **"" Printout certified by ACCA to meet all requirements of Manual J Form HOUSE HEATING TEST RECORD �Y'__q Y / 3ig s / Q 0 � 1� I �'` � ,-a r ADDRESS ` 1 SS1� ( P Pl 1 _ APT. FLOOR CITY OCCUPANT Ay Q I —OWNER HEAT LOSS DATE HTG. INST. SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTIR Electrical Work By HARRISON ELECTRIC Gas Line By TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER Model. Serial. INPUT. THERMOSTAT Heat Plug_ Valve r N Limit % IA^ e -e Limit Setting / F0 Fan Setting " i Pilot Type /-/o cud 1L 0 - Pilot Make LU 2 Pilot Model [.. Pilot Timing L.W. Cut Off Pressure '� . Percent CO2 Input CFH Percent 02_ Stack Temp. f sf_ Percent CO. Form 235 No MAKE OF BURNER _ Model Max. BTU Rating MAKE OF FURNACE Model Vent Size A d -s KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size Number Chimney Location Inside -` Outside Chimney Construction 5 U. -e yr t Smoke Bomb Draft Door Pressure_ Date Tested Company Testing Name of Tester_. Wiring Test Tag Lighting Inst. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK All IMRFR n1= FI)M IRFC Tn RF INSTAI 1 Fr) ON FACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS fg&C atZl. I IZ New. Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 / 20 61 Rain Water Leader $ 7.00 GRAVELLE, DOROTHY , Sump/Receiving Tank $ 7.00 831 MISSISSIPPI STREET NE FRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner. (763) 571-2184 Water Heater -Electric $ 7.00 Water Heater - Gas** _� $10.00 _ Building Used As Gas Range"* $10.00 � 13//0 � Gas Dryer** $10.00 Estimated Cost PERMIT NO. // Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY o���iZU/✓���+r� Reinspection Fee $47.00Mr SIGNED BY WykL, TEL NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMU FEE FJR ANY PLUMBINQTGAJS PERMrr IS $20.00 TOTAL FEE PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Land Planning cfa 370Miss1ss1ppiSt. KE. Laird Surveying MrnreeaPols 21, SoilsTestiny ENGINEERING, INC. Minncs l,7 Owl b- WlwvPal SUnset 4 6066 tflTnecni q Engineers Survecyors certificate of survey CO3 INC, �3l s 712- TSP /hereby cerliry 1W this rs o true and corMd rePresen&f ion 00 curvet/ q'fhe bo ndorles elhe oboir oksrArd /acrd, and o//lr /acvfion o,'ol/ buildings, *reon , &-moll risib/e mavac imenh , !/ a? . frarri or arrvid /and. As survecJed q me fhrS -day o� 4G to de �- A.0.191`8 . SUB URBAN ENGINEERING, INC. Engineers Sur>'e ors .r 0 443 Lafayette Road N. St. Paul, Minnesota 55155 www.doli.state.mn.us August 3, 2007 Dorothy Graville 831 Mississippi St. Fridley MN 55432 RE: Chair Lift MINNESOTA DEPARTMENT OF LABOR & INDUSTRY Residence: Graville, Dorothy Res. 831 Mississippi St.] Fridley 55432 Dear Sir/Madam: - Elevator ID#-13287PT06-28R (651) 284-5005 1 -800 -DIAL -DLI TTY: (651) 297-4198 Minnesota Statutes Chapter 16B provides that the Department of Labor and Industry, Building Codes and Standards Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODS ND STANDARDS Mark A. John§ n State Elevator Inspector maj/rsg (CE -2) c: Julkowski, Ronald, BO, City of Fridley Arrow Lift Accessibility ElFormCE2R This information can be provided to you in alternative formats (Braille, large print or audiotape). An Equal Opportunity Employer ilding PLUMBING PermitNo.:20 -hit ections F77-572 RESIDENTIAL APPLICATION Received By: -3604 CITY OF FRIDLEY D 11JUIL. 3 200 763-502-4977 FAX EFFECTIVE i-1-08 DATE -7-31-63 YOUR E-MAIL ADDRESS j SITE ADDRESS '331 MSG LS5 I i �� N� F� t � U (y S �4 3 THIS APPLICANT IS: OWNER OCONTRACTOR PROPERTY NAME: ADDRESS: t 1. a " 1 St CITY E;:. °1 sTATAiil ZIP 3e - OWNER/ TENANT ® PHONE: c ?<- 7f - Zf � L[ CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS:. CITY STATE,--ZIP— TATEZIPINSURANCE INSURANCE PHONE FAX PERMIT TYPE XINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK W"A C -Q iq I V(S - 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 OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. SINKILAV DRAINS _ SHOWER _ WATER PIPING _BATH _FLOOR —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ 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 a case of all work w1 ich requires review and approval of plans. SIGNATURE OF APPLICANT PRINTNAME Jae �fe`DATE APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 .ding spections 63-572-3604 763-502-4977 FAX BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-2010 Permit No.: Wwm�i3 Received By: DatRdAPR DATE q j l Z /,20/0 YOUR E-MAIL ADDRESS S. L, 8 nr, o K Lthvn oie 3uliXer, . C. -o SITE ADDRESS 9,3 / THIS APPLICANT IS: ❑ OWNER P(CONTRACTOR PROPERTY OWNER/ NAME: rr i d I"v N R Ar ( Pool ` TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: Seam Le r,n o It SUBMIT A COPY OF STATE LICENSE # ../O & JOY 7 EXP DATE 3/3112011 YOUR STATE LICENSE 2 �{ Ave— ,,yY1� 1401incWA) A k4 AND CERTIFICATE OF ADDRESS: 3 C coot V itwl CITY STA T E i ZIP 545 112, INSURANCE PHONE —(e/Z. FAX ) 74 3 - ? 9 Z - q3 S/ PROPERTY TYPE ® SINGLE FAMILY/NEW CONSTRUCTION SIZE 1060 34L C ❑ TWO FAMILY/NEW CONSTRUCTION STORIES_' PERNHT TYPE IWADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR SREMODELING DESCRIBE WORK BEING DONE: A oido r.& Ret 5 i A t Un 5'44x. i i a w J 2 C 4 r L 6 S w/ noIOM3 5 SIZE OF IMPROVEMENT LENGTH /Cy WIDTH Cy HEIGHT SQ FT GC RROOFFING_ ❑ HOUSE ONLY NUMBElt OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: _4 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans 3yJ "-OWS 3. Energy Calculations IN EXISTING OPENINGS UtYes ❑No LOCATION OF WINDOW FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF ge s•em e n MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED Mair v*. n NUMBER OF WINDOWS o2 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge ANCY $ Ll M 115 See Back Page for Fee Schedule $ j2). 65% of Building Permit Fee $ .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ f5()D $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ f +6fft= 6x$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 5 I S5 Make checks savable to: Citv of Ftidlev Attac 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 accordance with the approved plan in the case of�gall ' work which uir s re 'ew and approval of plans. SIGNATURE OF APPLICANT ds"r�`' M PRINT NAME eo''J -�` "46= DATE O I PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING. ELECTRICAL AND MECHANICAL WORK I ' BU 1 T BATH SINK/LAV I BATHTUB PLUMBING Permit No.: 'wru Ins '' RESIDENTIAL APPLICATION Received By: 763-4 _ WATER SOFTNER ($35) CITY OF FRIDLEY i�eY 1 763,077 FAX V EFFECTIVE 1-1-2010 DISHWASHER DA1 _WATER HEATER ($35) YOUR E-MAIL DRESS SITE z WATER METER c 4 a THISgffiNT IS: ❑ OWNER CON TOR RTY NAME: ADDRESS: CrIT STATE ZIP_ ER/ 'ENANT PHONE: C UB SUB RACTOR NAME: � d STATE LICENSE ', - M EXP DATE Y K Si TEOF UK LIC ENSE BUND AND C F STATE BOND # 27_)'N1 ADDRESS:� p EXP DATEERT( ��_ I J STATE ZIPy MSUIRANCE I —7 —� �`� FAX - PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW 71 REPLACEMENT DETAILED DESCRIPTION OF WORK p� IE /P Evan n A P ` I C _ jv( n v\ Aliinn t1 _M . FEES ARE BASED ON $10.00 PER FIXTURE_ EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. T BATH SINK/LAV I BATHTUB _FLOOR DRAINS _ SHOWER _ WATER PIPING CLOTHES WASHER GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) KITCHEN SINK WATER CLOSET_ BACKFLOW PREY. ($15) DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER 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 cafe of al I work which requires review and approval of plans. SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 1-1-2010 i DATE_0 " Q YOUR E-MAIL ADDRESS �✓1 SITE ADDRESS THIS APPLICANT IS: O OWNER DCONTRACTOR PROPERTY NAME: Le -W, 6A, OWNER/ ADDRESS: i -I o-rtiPJ.zt') CITY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: ✓ Th we s < a r ' SUBMIT A COPY OF CONTACT PERSON: rt c.)"'N STATE LICENSE # M8L 5q3 EXP DATE -23 - zo J l'r YOUR STATE LICENSE WITH ADDRESS: t. /Gi 0 I CITY AA�KiX STATE/ ZIP J �3�%� APPLICATION 6 13 S69 ' t PHON FAX PERMIT TYPE c� SINGLE FAMILY D TWO FAMILY D TOWNHOUSE TYPE OF WORK: D NEW D REPLACEMENT ALTERATION/REMODEL DETAILED DESCRI�P�TI/O-N OF WORKAdd 6� ti• J a i 2oV-e I M lksr. Rim 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: MODEL: SIZEBBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU _A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 O AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 ER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 4EY LINER $10.00 _GASDRYER$10.00 _POOL HEATER $35.00 A WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 �V�� � € ^J=: `�' R..� P, +. i ' ,'F_ _ ve`e -; z� f eY+ R€,... 6 :. d 'eV k:: Lam` L �` • k�LS i # %a �' � �MP''%�fi �� � k ! W 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 emit 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 wor which res review and approval of plans.1 f ✓ hh &41 SIGNATURE OF APPLICANT PRINT NAME DATE APPROVAL INSPECTORS SIGNA RE DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977