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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N95 6 9 4J Date:. """ "q' Owner: �� Builder .-._...._.. Address _ _' _. _ Addre--_---- L® AT I DING No.X1V _._; Street z_ P of Lot Lo$ _ —__ Block _ _ _ _W _ r ddition or Sub-Division___�� Corner Lot - Inside Lot` Setback Sideyard _ _ Sewer Elevation _ _ _ . _ Foundation Elevation DESCRIPTION OF BUILDING To Used Front • Depth . sle ,,� Height Sq. Ft. Cu. Ft. Depth,•+` Hei Ft. Cu. Ft. Type of nstruction ' Est. Cost To be Completed 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. 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 within the city limits and this permit may be revoked at anytun u violation of any of the provisions of said, ordinances. / i 1, ') NOTICE: This permit does not cover the construction, installation for wiring, 'plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Address ess % // 2— LOCATION LOCATION OF BUILDING No. Street bt Part, of Lot Lot % Block �Addition or Subdivisionl:,sos 6 6 Corner Lot ,Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 6r, Sq. Ft. ;)L0 Y --O _ Cu. Ft. Front X-� Depth Height;® _ Sq. Ft. �-� Cu. Ft. ted Cost .3.. _ Q2. � & To be Completed The undersigned hereby mak'6s application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts andr resentations stated in this application are true and correct. � 1 DATE (A Schedule of Fee can be found on the a ' i City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 1'-'e' '� Number, Kind and Location of Fixtures Location— PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL v Number Fixtures ,/ x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ � � U Water Heater (Up to 200,000 BTU) ...... x 2.00 $ ' New Ground Run Old Bldg . ............ . x 3.25 $ GAS FITTING FEES: ,. 1st 3 Fixtures ......................... Additional Fixtures .................... Y Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL —x$1.50 $--/—, - d x .50 $ — x 2.00 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. _ Fridley, Minn. -, `t® Owner Kind of Building Used as To be completed about « - - -- Estimated Cost, $ New uilding Permit No� ". Permit No.-c;;2— Signed - o.c;;2—Signe Business Phone No. ROUGH / I6 - 6 Z -- FINAL Description ................................................$ TOTAL FEE %=P`-/ 1 -,6— 42 2M !.q (0 Z R N WATER HTR. GAS ELEG O Base f ' 1st , 2nd 3rd 4th Future Connection Openings Connected with Sewer New .Fixture, Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL v Number Fixtures ,/ x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ � � U Water Heater (Up to 200,000 BTU) ...... x 2.00 $ ' New Ground Run Old Bldg . ............ . x 3.25 $ GAS FITTING FEES: ,. 1st 3 Fixtures ......................... Additional Fixtures .................... Y Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL —x$1.50 $--/—, - d x .50 $ — x 2.00 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. _ Fridley, Minn. -, `t® Owner Kind of Building Used as To be completed about « - - -- Estimated Cost, $ New uilding Permit No� ". Permit No.-c;;2— Signed - o.c;;2—Signe Business Phone No. ROUGH / I6 - 6 Z -- FINAL Description ................................................$ TOTAL FEE %=P`-/ 1 -,6— 42 2M 53-84-S-915.51 CR-/ of scr•idloy AppkCITTC71 fQ7 PlU 1a g Cid C -M b 17:n, P' 4 l - Dept. of Bldgs. Phone 5 -I:* -3450 . DESCRIPTIO14 07 Vl01ii: 52.13 St' Moritz Drive N. E. • Nuinbar, Kind and LocrKcn of Fixtures Lo iii - o i iii ` � I; ( � i♦ � vS1 • tt N �� i IO � � Ir G'V ''- � < 7 � � i,U 7 z U 4 7 � IU a ►+ WATER "TR. GAS ncG Batt New Ground Run Old Bldg.......:. x $3.25 S Electric Water Haatar... ..:......... a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL z Ist3Fixtures ......•••••••••••• x$2.00 $ , Additional Fixtures ............:. x $ .75 $ Gas Range to 159.000 BTU ........... Ist 6 Int 1 Gas Gx• 11 3:d 4ti • Futu:o Co=o:r,^a Oponinr°s 4 Xsw Fixture. Old Oponings PARTIAL RATE SCHEDULE Saw= 0 Ccwpool C] PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ __.... x $2.00 S Future Fixture Ol,cning ........... %$1.50 $ -• New Fixture OId 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 S Electric Water Haatar... ..:......... a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL z Ist3Fixtures ......•••••••••••• x$2.00 $ , Additional Fixtures ............:. x $ .75 $ Gas Range to 159.000 BTU ........... x $5.00 6 City of Fridley: The undersigned hereby makes application for a permit for the stork herei specified, agreeing to do all �tcrk in strict accordance kith the Cid L dira net and ruling of the Department of BuiIcLngs, and hereby declares that all the fact and representations stated in this applicatlon are true =d correct Fridley, YJan 7-17-75 19� Owner Wayne C. Melius - Kind of Building Frame Used as Res. To be completed about 7-24-75 - Estimated Cost, S 10.00 Old --I Bui/ding Permit No. permit No. Signer By MINNEGASCO _. Business Phune No ROUGH w<'IN.'4Lj "d � - 7 e� P.EPASRS.air ALTERATIONS—Rafor to Coda .50 State Surcharge Install.Ga.Graj..........-nn Description ........ TorrAL TU S 5.50 • (Mas%'A- 'Surcharge mg - Application for Rawer Plants and. Heating. Cooling, Ventilation, A higeraand Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 60,000 BTU .....I .................. 2.00 $ Replacement of Furnace .............................. §.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FFE $ ROUGH FINAL Dept. of Bldgs. Phonq flU. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application am true and correct. 196 ? Owner Kind Used To be completed abouts ° ` -L C r Estimated Cost, Old New. ,�uildina Permit No. \6 Permit No. DESCRIPTION OF WORK .0 HEATING or POWER PLANTS—Steam, Hot Wa , Warm Air o e Trade Name x -m -( Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load B .4 Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe By d.r,'ah r HIM.A.09 AVE, MINNEAPOLIS 7, MINNESOTA +427M 7-59 Business Phone No D,3,5 7.410�0 J-10 HEAT LOSS CALCULATIONS Weathers" ks—, A.S.H.V.E, -�--L Guide Windows Doors Reference Out. Wall Int, I o No 19— FDR44 Room I Length ,r--" Width/.2 EpAummr, OF BUILDINGS /,0 S! -1C q Construction No. all Ceiling . Roof I Floor Kind 4eight 11 IFU x i.41,Room i Length Windows and Doors—Crackage and Area W —&a& ,e Width Height No. of Lineal ft, Area No. of pane of pane lights of crack sq. ft. 54. a Width Height No.'of Lineal ft. Area No. of pane of pane lights of crack sq. ft. tiro Coef. Btu Infiltration Infiltration ;4 f 3 Af Glass 501,1 4-"14P 10 Exp. wall Q All :LL Glass Exp. wall Net exp. wall Ore _� Exp. wall Int. wall 1 Ceiling Int. wall Floor Int. wall Ceiling i -Y Total Btu. Required sq. ft. E. . D.R. or sq. ins. W.A. Leader area R, Room I Le- th Width pe(," �Height Windows and Doors—Crackage and Area W —&a& ,e Width Height No of Lineal ft Area No. of pane of pane lights of cracksq. ft. fdo 447 17 'A Width Height No.'of Lineal ft. Area No. of pane of pane lights of crack sq. ft. tiro & lCoef. Btu Infiltration 0t, 6 Coef. 13 45 ilk Glass Glass :LL Glass Exp. wall it gY Ore _� Exp. wall Net exp. wall 1 Net exp. wall Int. wall Ceiling Int. wall Ceiling i -Y t- I yn I lel� Floor hP Ao, 94 Floor 16 Y r p 'Total Btu. -7 -- -- — - I '--- ---- i I W17 7,71, N " 3;i5: 7 !4 .-- 1 —j5,- r W, W —&a& ,e 4 Windows and Doors—Crackage and Area Width Height No.'of Lineal ft. Area No. of pane of pane lights of crack sq. ft. tiro & Coef. Btu Infiltration 49 a Coef. Btu Infiltration Glass Glass Glass Exp. wall .1 Exp.:wall kf, AlY Exp. wall Net exp. wall 1 Net exp. wall Int. wall Ceiling Int. wall Ceiling fer I Floor A -1/7'ez Ceiling P 4-,* gist? Floor hP Ao, 94 Floor 16 Y r p gyey 4 Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area P1, MINNEAPOLIS, MINN. Insulation How Applied M Width F Height Windows and Doors—Crackage and Area W AU"A TV W ft. Area Width Height No. of�Ljtcrack No. of pane of pane lights sq. ft. -a 4-,:� Width Height NO. of Lineal ft. Area No. of pane of pane lights of crack_ act. ft. JAv tw 4, & Coef. Btu Infiltration 49 a Btu Infiltration e, Glass Glass Exp. wall .1 Exp.:wall kf, Net exp. wall 1 91 lei, Int. wall Ceiling Ceiling fer I Floor A -1/7'ez Floor 94 Total Btu. W 11,21* 17 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area pf -1 f, Ron. I Length 4"' �" Width,0;0V Height Z, Windows and Doors—Crackage and Area W AU"A TV W Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack SQ. ft. Windows and Doors—Crackage and Area Width Height NO. of Lineal ft. Area No. of pane of pane lights of crack_ act. ft. JAv tw 4, & Coef. Btu Infiltration 49 a Btu Infiltration Glass Glass Exp. wall 0 `,d Exp.:wall �2 Net exp. wall Int. wall 1 91 lei, Ceiling A, lclrl� Ceiling Floor Floor Total Btu. Required sq. -ft. E.D.R. or sq. ins. W.A. Leader area at , , 0!�Oomll�engtnry -- ri.18 v C2 W AU"A TV W Windows and Doors—Crackage and Area Width Height NO. of Lineal ft. Area No. of pane of pane lights of crack_ act. ft. JAv tw 4, & Coef. Btu Infiltration Glass Exp.:wall �2 Net exp". wall Int. wall Ceiling Floor A Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -;. .», 1>56 7 v HEAT LOSS CALCULATIONS DEPARTMENT` OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes— o Yes—No 19_ FU MRoom I Lenath 1 a.9 �' . Width/ � Heiaht ; II IF11-MA 01 RoomI LengthJ & tWidth Height 't Windows and'Doors—Crackage and Area Width Height No. of Lineal f , Area No... of pane of pane lights of crac`k� sq. ft P.Sr^ yr Net exp. wall Coef. Btu Infiltration .t' VFC Glass . Glassy Exp. ,wall x " u . Exp. wall Net exp. wall Int. wall - ,41 Ceiling` f Floor Int. wall 1 otal 13tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 14, MAY dr.o ipq ee Room I Length ,% - Width /4,: Height ` ' Windows and ` oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. P.Sr^ yr Net exp. wall Coef. Btu Infiltration Infiltration VFC Glass+ . Glassy Exp.,wall u . Exp. wall Net exp. wall Int. wall - a Ceiling.°' f Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . n Room I Length 13 ss Width t�'- Height Windows and Doors—Crackage ;and Area Width Height No. of Lineal ft. Area No. of pane of pa q lights of crack sq. ft. Exp. wall yr Net exp. wall Coef.1 Btu Infiltration ` s . Glassy u . Exp. wall 6,5v X - I l Net exp. wall,ti v Int. wall a;:4:2 Ceiling .4,� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights 'of crack sq. ft. Exp. wall yr Net exp. wall Coef.1 Btu Infiltration ` s ` Glass z �� C u Exp. wall Sta -t HE Total Btu. 4efpt e,:l I l Net exp. wall Int. wall a;:4:2 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F'IJ .''_ , Room I Lenath /0 O Width , Height Vt Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Exp. wall yr Net exp. wall Coef. Btu Infiltration ` C, .10 Glass Floor ILL � t5 ew Exp. wall le r'MOW Net exp. wall Total Btu. 4efpt e,:l I l Int. wall Ceiling le,C �1 ` a;:4:2 Floor r -° Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Y,,004 Room I Length Width / 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area I. No. of pane of pane lights of crack eq. it f Btu Glass _. Exp. wall yr Net exp. wall . wally >l Floor ILL Total Btu. 4efpt e,:l ar _ Required sq. ft:'E D.R. or`sq mi. W.A. Leader area KZ 1 01 sueJEcr City of Fridley *PERMIT 16 623 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 1.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/8/82 JOB ADDRESS 5213 St. Moritz Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Melius 5213 St. NNYMN00CM Moritz Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 6331 Riverview Terrace N.E. 574-9966 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof Can be the 2nd but not the.3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,.; VENTILATING OR AIR CONDITIONING. Asphalt 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 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 $2,200 $1.x-0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT - DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE R � � y $39.60 SIGNATURE OF CONTRACTOR OR AUTHORI D AGENT (DATE) WHEN PRO PERL THIS IS YOUR. PERMIT /VASL-I�DATED BLDG WSP DATE SIGNATURE OF OWNER.tIF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEW41TS (New, Alterations, Additions, or Repairs) OWNER: AA EF1_i t4S BUILDER: K'c 1, P• B b- J k -S,4 c l! G S ADDRESS: '31% Allo R i Vz A i`z,. ADDRESS: 633 f �� • R ��'� w `�� P, TEL NO: TEL NO: 15? 1( - 7f t r - STREET NO: STREET: LOT: Construction Location BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION n C4 F Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: RO L oo F Estimated Cost: To Be Completed: 7 is�2_ Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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 I'ridley 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. .a DATE: �� %� � SIGNATURE: Stipulations: PAO.,j -a *rx j.(o *39 . -4 0 . A CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR fh 1Na311 t>r�r�k Frcor Ca{�7Tto. UrinalfF� Shower ;Sink Tra ' ' '' YoTattt;..;: asher Effective On March 1, 1996 0 Gas Mlc Water Heater ►- Range _�. .Gas Elec NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture Beer Dispenser Slow Off Basin Catch Basin Rain Water Leader Sump/Recelving Tank Water Treating Appliance Water Heater -Electric Water Heater -- Gas** Das Range** Gas Dryer"* Back Flow Preventer Required ( )Yes () No Type . $ 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 $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS N 1.6% of Value of Fixture or Appliance 'ZP. To I � State Surcharge $ •50 TOTAL FEE $ E 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 apprication are true and correct, Owner _ �Ll 2Se►'V�r.�SQ+►� Building Used As (� ,\ �n Lam. Estimated Cost PERMIT PLUMBING COMPA p%B' SIGNED 13Y DOKLYN PARK,MN L'28 _ T 3s 7 Approved By Rough -In Date Final Date PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A, MINIMUM SIZE: 9 80 INCHES. - SUBJECT , City of Fridley 30505 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � RECEIPT NO. `y COMMUNITY DEVELOPMENT DIV. 0(0`/ 3 f PROTECTIVE INSPECTION SEC. 1/ G 1 = E 1 CITY HALL FRIOLEY 55132NUMBER PAGE OF APPROVED BY 612-571-3450 910413 IREV:]DATE 11/15/99 JOB ADDRESS 5213 St. Moritz Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Innsbruck 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 574-2344 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Const. 4208 83rd Ave N Brookl3M Pk 55443 566-52.25 20077950 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 XX REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage .35 S ear -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 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 $3059 $1.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VI ATE OR CANCEL THE PERMIT FEE SAC CH GE PROVISIONS OF ANY OTHER STATE LOCAL AW REGULATING CON- Flr C $3.06 STRUCTION R THE PERFORMANCE CONST UCTION $97.25 PLAN CHECK FE TOT F E 1 6" -15- Lice S $5 .84 SIGN ATUREO CON 'RACTO RAUTNORIZEDAGENT iDAT& EN ROW HIS IS:Y UR PERMIT BL NSP OAiE S,GNATURE OF OWNEA,iF OWNER BUILDER. .DATE, NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ` Construction Address: �� S� AWR I TZ— Legal Description: Owner Name & Address: Contractor: Address: Tel. # MN LICENSE # ®� Tel. # �d Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. R. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. OTHER: Construction Type:il� Ke Estimated Cost: $� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: C APPLICANT: Tel. # CITY USE USE ONLY Permit Fee $ "/ , Z Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ „3 $.50/$1,000 Valuation SAC Charge $$1050 per SAC Unit License Surcharge $ � O O $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 $ O -� STIPULATIONS: I Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY D ':AWS DATE CL YOUR E-MAIL ADDRESS, SITE ADDRES 5�� -7-0,(— i s THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME GM ADDRESS: i "E,� TT CITY <`; l STATE IMYIP�SI�oZ� OWNER/ TENANT PHONE: — 1 %K 9 — ;;)-36 CONTRACTOR COMPANY NAME: CONTACT PERSON: CA An SUBMIT A COPY OF STATE LICENSE #Q90--) - ®®oZ10 XP DATE ADDRESS:C�Ci3� `"e CITY< - �� _S STATE �)I�IP �SLIa� YOUR STATE LICENSE WITH APPLICATION f PHONEqaQ 3060 e) FAX PERMIT TYPE )SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ,'REPLACEMENT ❑ fA�LTERATION/REMODEL DETAILED DESCRIPTION OF WORKT��e�l PER MS 1613.665 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:&G1LS__S"('0 SIZE/BTU MFG: MODEL: 5��0<1� SIZE/BTU Q e t MFG: MODEL: SIZE/BTU r�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 $35.00 -FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 _DUCT PERMIT" FEE PROJECTS; FOR UNDER $509 . -' PEMT FEE'FOR: PROJECTS OBER $SOQ ', Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ 025+ ®® Number of fixtures @ $35.00 1 x $35.00 = $ 3S-06 State Surcharge = $ .50 Total = $/",(), Ci 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 ordin s and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an app ' ation for ermi and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of Il work w h r s review and approval of pl ns. SIGNATURE OF APPLICANT PRINT NAME /tn DATE PLEASE NOTE: I; PARATE PERMITS ARE REQUIRED FOR BUILDING ELEgnuCA L AND,MECHANICAL-WORK°;. , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 r City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS YEXISTING 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. JOB NAME: JOB ADDRESS: S5R k � Heatino TD = 90 F +70 F indoor -20 F outside Coolin TD = 20 F +75 indoor +9�F outside HEAT LOSS HEAT GAIN SQ FT COEFF BTUH SQ FT COEFF BTUH Infiltration lInfilt. CFW Coeff 11 BTUH IlInfiltration lInfilt. CFM 1 Coeff 11 TUH * 99 116 1`' iY �':::SI747M; 22 Ind /r Latent Single 24 Double Z29-- 82 N W 23/19 33/24 8 v Low E 40 NE & NW 43/34 65/54 Other E & W 58/49 90/74 -7810 4,000 12.��/ SE & SW 48/39 78/64 S 46 33/24 48/39 3 P12 300 0O12" 911 6" Z3 5 25 1... --- 311 8 911 2 - 31' ® 2 0 a : 7 10 r�..i. 6 ... IlqTq r 611 3 % 3" 311 4 3 f%� 011 1-1/2" 4 - 1" 3.5 712 P - Blw grade Slab -grade Iin.Ft. 1.5� 30/Lin. Ft. 600 . ®® -1 _ z' � SUBTOTAL 2500 SUBTOTAL ( a �y7 INFILTRATION: Infiltration CFM = .50 x cubic feet of house divided by 60 .50 x L x W x H / 60 = Infiltration CFM NOTE:*Additional heating infiltration load should be calculated only if house is loosley constructed Infiltration lInfilt. CFW Coeff 11 BTUH IlInfiltration lInfilt. CFM 1 Coeff 11 TUH * 99 Sensible )y 22 Ind Latent 24 Attic or crawl space 10% Attic or crawls ace 10% COND. MODEL # f,i 37,r t NOTE: Drawing or sketch including location of Condensing unit on back of this form . 12/17/2007