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PRE 2010 DOCS1. BUILDING PERMIT Village of Fridley,. Minn. � 2158 Date .... .. . Owner .. .. .. .. .. .... Builder ... Address......................................... Address ...................... CATION OF BUILDING No. ..... 11.Q ,,,... Street ... ......... . ......... Part of Lot ..... ............ . Lot ....... iR..... Block .... ....... Addition or Sub -Division ... Corner Lot ............ Inside Lot .... Setbacks .. Sideyard ...................... DESCRIPTION OF BUILDING To 'Used as: ... ........ ... Front .. ..�.. Depth Rq. Height .6 ..... Sq. Ft. . .................... nt ........ DepthHeight ......... Sq. Ft... Type of Construction .. ....... Est. Cost .fiA ........... To be Compl� .... Cu. Ft........ . ..... Cu. Ft......... -ted I 1�0......... In consideration of the issuance to me of a permit to construct the building descri ed above, I agree to do the proposed work in accordance with the description above set forth and in complian with all provisions of ordinances of the village of Fridley. ....�...................:...... ............ In consideration of the payment of a fee of $ %.+ d ,' permit is hereby granted to .. .. . . ....................... to construct the building or addition as described above. permit i gran upon the express condition that the person to whom it is granted and his agents, employees d workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all resp s to. the ordinances of Fridley, Minnesota regarding location, construction, alteration, aintenance, repair and oving of buildings with- in the village limits and this permit may be revoked at any upon violation of any of the provisions of said ordinances. ..f:.... ...... ... ..... uilding Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing; gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. 52-84-5915.51 City of Fridley Application for Plumbing and G, n luting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 112 Panorama Ave Number, Kind and Location of Fixtures Location �ei rn NO. RATE TOTAL Number Fixtures ...................... x $2.00 a�11 Future Fixture Opening ................ x $1.50 Z�zn °�Z � G <�ri V � < (�'� °1 (�9 0 Z 0 O • R • N WATER HTR. GAS ELEC. Base $ Electric Water Heater a $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 $ Gas Dryer 1st 5.00 2nd 3rd 4th • Fugue Co —sedan Openings New Fixture, Old Openings I Connected with Sewer � Cesspool 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 a $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 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE5.00 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. 10-31-67 Fridley, Minn 19— Owner ilex Kurak Kind of Building frame Used as res To be completed about 31-6-67 Estimated Cost, $ 10.00 Old—New. Building Permit No PermUtNo. m t By Business Phone No ROUGH FINAL 42 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. ,� Z $ K Z x $3.25 W Water Heater (Up to 99,000 BTU) ...... W 01 ? 0OZ • F • N WATER HTR. GAS ELEG Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill & (1) lite 6.00 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer El 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 a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill & (1) lite 6.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTA ;-MM $ 8•oo City of Fridley: 53-84-S915.51 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 Jul -r 14., 1970 , 19— owner Alex Kurak Kind of Building frame Used as residence To be completed about — Estimated Cost, $ 20.00 OldANew. Building Permit No Permit No. � Si e 0 By 4 Business Phone No GAS Co. ROUGH FINAL a- I - % / 42 53 -84 -s -915.51' - City of Fridley Application for Mmddng and CGs Femb Dept. of Bldgs. Phone NO -34.50 DESCRIPTION OF WORK Laea�s 112 N. E. Panorama. Ave. Number, Kind and Location of Fixtures 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 $ Eleatric Water Heater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .............. • ... x $2.00 $ Additional Fixtures .................. x $ .?b $ Gas Range to 199,000 BTU .............. 1 x $5-W $ 5.o REPAIRS it ALTERATIONS—Refer to Code 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 aA the fact and representations stated in this application are true and correct Fridley, Wnn 12-1-71 , 19, Owner Alex J. Kurak Kind of Building Frame Used as Res. To be completed about 12-8-71 Estimated Cost, $ 10.00 QZX-New. Building Pe m •rm Sig!ByMl - - Business Phone No ROUGH Description ............................................ Eyrsharge $.50 TOTAL FEE $ 5-00 class wA'x (SURCHARGE $_,50) at� 1{ °e� Ny� Z N z t V �Qj <Z �J{ (�Y (7! • ♦ • N WATER IR•. GAS ELEC. Base 1st 1 2nd 3rd 4th ii�H • Futuro Connection Openings + Now Fixture. Old Openings connected vitt, eew.s ❑ cesspool ❑ 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 $ Eleatric Water Heater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .............. • ... x $2.00 $ Additional Fixtures .................. x $ .?b $ Gas Range to 199,000 BTU .............. 1 x $5-W $ 5.o REPAIRS it ALTERATIONS—Refer to Code 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 aA the fact and representations stated in this application are true and correct Fridley, Wnn 12-1-71 , 19, Owner Alex J. Kurak Kind of Building Frame Used as Res. To be completed about 12-8-71 Estimated Cost, $ 10.00 QZX-New. Building Pe m •rm Sig!ByMl - - Business Phone No ROUGH Description ............................................ Eyrsharge $.50 TOTAL FEE $ 5-00 class wA'x (SURCHARGE $_,50) . r= J City of Fridley 4T THE TOP OF THE TWIN$ r L -----" COMMUNITY DEVEWPMENT MV, 1 PROTECTIVR wsftCTIOM bA'L CITY HALL /NIft9Y OME s 112 N. F. Panorama Ave. Alex S. Furak ontractor MINNEGASCO ind of Building Frame omp etion Date 3-13-75 MaNra ova '1ddV OVID i 'J81N •saai MNIVa m y� 8NI8V8 H71r:) iOC BNIVac tl001d 3 g Q u saa�►o1/S z.l O 93 V 1NnOi I� tl >+Ntaal '� s1va1l q HsrM 8)IN181 H1re immimn 8i1VM W 7—//- 7S- 53-84-S-915.51 �y�8 PLUMBING, PERMIT APPLICATION 560-5116 733 MARQUETTE AVENUE e mpts, mim. Res. timated Cost 1 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Install Dryer Code 5•oo State Surcharge 'Class "W Surcharge .50¢ .50 TOTAL FEE $ 5.50 !The undersigned hereby makes application for a permit for the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this ap lication are true and correct. 'Signatur#AI NEGASC? Date ; 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Install Dryer Code 5•oo State Surcharge 'Class "W Surcharge .50¢ .50 TOTAL FEE $ 5.50 !The undersigned hereby makes application for a permit for the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this ap lication are true and correct. 'Signatur#AI NEGASC? Date ; SUBJECT MITI o-.---- _ City of Fridley 2 2 3 9 3` AT THE TOP OF THE TWINS BUILDING P E R M I T i PT NO. COMMUNITY DEVELOPMENT DIV. 1 L r PROTECTIVE INSPECTION SEC. #59 REV DATE PAGE OF APPROVED BY CITY HALL FRIOLEY 55432NUMBER A 612-571-3450 910-F15 3/31/94 JOB ADDRESS 112 Panorama Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Carls SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Rurak 112 Panorama Ave NF 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Associates 3482 AugAr Ave. Wbite Rear lake, MN 770-9322 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 ❑R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof & Reside Dwelling (15 Squares) Tear -off; and add new doors 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Install smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @@ `P7.9640 $3.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99.00 Fire SC $7.64 S�R�CTIO THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �y 3-Y- //�\/ ! License SC $5.00 $115.46 SIGN�2k=��==- AT CONTRACTOR ORAUTMORIZEDAGENT IDATEI HE OPE Y V BLDG INSP ATED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/94 ADDN CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 )3G1 Building Permit Application I r Construction Address:f 1,2- PeL fuop o, M A Legal Description: Owner Name Address: _M Contractor: SAI As 1� Tel. # 6-% 2 - MN MN LICENSE # "- S Address: 3/ Z �s r , Tel. # '7 %® 3 2- Z - 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 t.DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: F Corner Lot [ ] Inside Lot [ ] Ft. Yd Setbac�, / Side Yard Setbacks Estimated Cost: $ � Type of Construction: � w p , . � - L �, � �,, y y � Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE: APPLICANT: CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ C/9, o0 $ 17�� $ v Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit Tel. #�? "7o 5 . 0® $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 [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS 112 Panorama Ave. N. E. The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. 6-27-94 ,19ga. Gas Piping (Needed with new furnace) $10.00 $ OWNER Margaret Kurak Gas Range $10.00 $ ..BUILDING USED AS residence Gas Dryer $10.00 $ ESTIMATED COST 1250.00 PERMIT NO. '116(14 *Air Conditioning - All Sizes $10.00 $ 10.00 ' DESCRIPTION 9F FURNACE AND OR BURNER All Others/Repairs &Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE REINSPECTION FEE *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR HEATIN MP NY Dependable Indoor Air Quality, Inc. sig TGINO.-757-504-0 Approved B Rough -In Date Final Date 7 FILL .OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( j 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) G. Has total heati.nq BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date Building Inspections 7.63-572-3604 DATE �-� SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT PHONE: MECHANICAL RESIDENTIAL APPLICATION .CITY OF FRIDLEY D � a l% 7 �QUR E-MAIL ADDRESS .✓� wiGe r. 0 OWNER I CONTRACTOR CONTRACTOR COMPANY NAME:�� CONTACT PERSON: SUBMIT A COPY OF STATE LICENSE #_J_S_ YOUR STATE LICENSE WITH ADDRESS: APPLICATION PHONE A Q — PERMIT TYPE XINGLE F I TYPE OF WORK: EXP DATE Permit No.: Received By: b NEw 0 REPLACEMENT DETAILED DESCRIPTION OF WORK 17 TOWNHOUSE "TION/REMODEL A 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. (Ibis should reflect only the cost of labor ) Labor cost under $300 — $15.40. r 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: gNDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZE/BTU Equipment installed MFG: SIZE/BTU MFG: MODEL: MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.D0 _AIR TO AIR EXCiiANGF,T�t S 15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER smm _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING 51 O.OD VENTAATOR 515.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ 50 Number of fixtures @ $15.00 x $15.00 = $ Surcharge $ TOTAL DUE $ /y� _ 0 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ As 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 Muvnesota-Construction Codes; that I understand this is not a permit but only an appli r a pe d work i t to start without a permit; that the work will be in accordance with the approved plan in the cas ork which es rev' d approval of p i SIGNATURE OF APPLICANT r� NAME � 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 B 30ec' 763-572-3604 CITY OF FRIDLEY cT 763-502-4977 FAX EFFECTIVE 2-19-09 DATE C 1 YO E-MAIL ADDRESS SITE ADDRESS Cl. THIS APPLICANT IS: ❑ OWNER QONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT ':110 -_ 5 r —.5,_ � 6 PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE LICENSE WITH STATE LICENSE # XP DATE �iZ✓ STATE�ipjS ADDRES CITY_ch� (1 APPLICATION PHONE &I/ --,472 Gl 6 FAX PERMIT TYPE 0(SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT >�-ALTERATION/REMODEL ETAILE DESCRI % OF W RK i.� A FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 IGAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 i}�. .::tl .4,'�' �,p.pss�� "iw ^�,,t� � ).. '4 +m:'`i �'Ki o�y� M1b '� 13 b'� e^s,.. 9: +flx«"'• �' ?�t` �"..._� t �4t � Sia* 'sri )kJ`?- .✓.1R� ro� `� S,�'S T�!�q h x�?%�""+;Y`" J�Y�i.e '"�i° 4 ,'�,1 r.l . � `' � Y � ': C' ,S �"1�� ���'Y`.< .. i� ����g�g- in..�j TF �� T' �.w�� 5 7 .. y3��r` �t �y . <�' .i:`x,'SA.. k � ?� , „y.�e-� =° f� •.,d NF 5ey F .b ., h+, { {'� 3! 'R'w �., 1 t Y' 6 fL FRv ��W�cp�H»�'7 lt' H 3 4 & '��� R - S 2� :ia � ,f .. � ' r�i� �J7 < i' �; � K 6'� 5, ��SJ�`1v{� r N' �`�,, y. �✓d `1�5�' .. a .�✓ � ,r � � 2 -: � �� :;r �. Yj. "�' +�" i' �m'«� 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 permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all ork which reqpkehjreview and approval ofplan s. p , b:�� OF PRINT NAME �-1 'v DATE SIGNATURE APPLICANT - 01 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING 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 S 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.