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City of Fridley, A inn. BUILDING PERMIT, N Date: Owner:Builder :-- Address _ _ _ _. _ Address _ — -- -- - - CAT N ® BUIL INN No. p� Street _" Part Lot Lot _1 _ _ Block _ _ _ Addition or Sub - on _ _ r Corner Lot _ __ Inside Lot _ _ Setback - __ Sideyard, Sewer Elevation _ _ Foundation Elevation _ DESCRIPTION OF BUILDING Tea Used �_ Front � Dep Heigh Sq. Fi. Cu. Ft„G A ` Fro t Depth Sq. Ft. Cu. Ft. r Type of , onstruction &vfaa Est. CostTo 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 therson to whom it is granted and his agents, employees and workmen, in all work done in, around and upon sai building, or any part thereof, shall conform in all respects to the ordinances of dleY.. 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 drdinanem JV -_Avi'� Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gasi heating, sewer or water. Be sure to see the Building Inspector for separate permits for these home. 4 .t_ APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, X3:NNESOTA �e Owner Is Nam® Builder Address _ Address? -2e -7- LOCATION OF BUILDING No. Stree !/ Part of Lot Lotk. _Plock Addition or Subdivision Corner Lot Inside Lot Setbacks Side -Yarm > v �__._._ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ass r FrontDepth / Height Sq. Ft.� Cu. Ft.s- ��° Front___v ,_„,Depth Height za r Sq. Vt. �`�� Cu. Ft. J�LoL Type of Construction„_„�� Estimated Cost ga/ oue To be Completed .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 Build- ings, and hereby declares that all the facts and represent ons stated in this application are true and correct.— e (Schedule of Fee Costs can be found on the Reverse Side). y a r BUILDING PERMIT FEE SCHEDULE Section 2. The inspector of Buildings'shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain.elevator, or for the erection of any fire -- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as 1ffireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing, building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below th6 floor line of the basement or cellar to theaverage height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five,Hundred Dollars ($500.00) or fractionthereof in'the cost of all proposed work. 2.6, in no case shall the fee charged for any permit as set forth in Section 2 be less t3' ' . $4.00. : , Application for Power Pfants and Hemming. Cooling. Venula flon, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU, 4-7470 GRAVITY WARM AIR: RATE TOTAL , Location 2 ,1� Q T 0 iN OS ®Cs K' VV 1 Y Furnace Shell & Duct Work .......................... 8.00 $ Replacement of FurnaceCity of Fridley: ............................. 5.00 $ The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Re airs & Alterations each add. $500.00 2.50 and ruling of the Department of Buildings, and hereby declares that all the facts p " " " " " " " ' $ and representations stated in this application are true and correct. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ `� each add. 80,000 BTU ... _................... 2.00 $ _ Replacement of Furnace . R.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 $ s1LTERATIONS & REPAIRS TOTAL FFE S� $ )ROUGH FINAL Fridley, 1l?inn 19 Owner 1 �. •� /�1 1J J ®'rJ Kind of Building Used as Ib! �✓ To be completed about Estimated Cost, $ Old. Building Permit No. ff Permit No. % DESCRIPTION OF WORN HEATING or POWER PLANTS—,Steam, Hot Water, arm Air No Trade Name A= A.dA� Cd.X Size No -G A/ a - 2 0 Capacity O Sq. Ft. E.D.R BTU H.P. Total Connected Load �`/, 39 Kind'of Fuel BURNER — Trade Name %5 1`5 r-1 . Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe g' 1 iia Ji ^ .1 4 t4 b D�PON'. i a a TM 7-59 Business Phone r" CR S HTG. & AIR COND., INC. Job Name D S6 4410 Excelsior Boulevard, Minneapolis 16, Minn.,, Z6 NEAT LOSS CALCULATIONS g Job Address A.S.H.V.E. Weatherstrips Construction No.I Insulation Guide Windows I Doors Reference Out. Wall 'Int. Wall Ceiling RoofFloor I Kind How Applied Yes—No Yes—No 19_ — L j E1.1 012m Room l Length Width - - Height 0 II F1.1 '' Room Length' Width , Height +* Windows and Doors—Crackage and Area Width Height No. of Lineal Y . Area No. of pane of pane lights of crack sq. ft. ... Koom I Length Width i Width Height No: of Lineal ft. Area No. of pane of pane lights of crack sq. ft. - �- 6 9, a io Coef. Btu Infiltration:"`it Width Height No. of Llneal.ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights '' of crack sq. ft. :a .- Glass Coef. Btu Infiltration Exp. wall ' . € Glass Net exp. wall Glass 2,60 ,Det, t o Int. wall S 64 6 Exp. wall, Ceiling Net exp. wall t IV kr Floor Net, exp. wall Int. wall Windows and Doors—Crackage and Area ... Koom I Length Width i Width Height No: of Lineal ft. Area No. of pane of pane lights of crack sq. ft. - �- 6 9, a io Windows and Doors—Crackage and Area Width Height No. of Llneal.ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights '' of crack sq. ft. AY ep Coef.1 Coef. Btu Infiltration Infiltration Coef.1 € Glass Glass Glass 4 a S 64 6 Exp. wall, Net exp. wall <4-' Net exp. wall t IV kr Int. wall Net, exp. wall Int. wall .: Ceiling Ad- CO Int." wall, Floor ./3r , Floor Ceiling Floor 1 3A Floor' 4.#- _ _ Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .l F1.1 id -. -,A.,iu_Room l Lensrth i --% Width. 1 '2 Heittht , k Windows and Doors=Crackage and Area ... Koom I Length Width i Width Height No. of Lineal ft. Area No. of pane of pane lights or crack - sq. ft. ' Height... Windows and Doors—Crackage and Area Width Height No. of Llneal.ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights '' of crack sq. ft. AY ep Coef.1 Btu Infiltration z` Infiltration Coef.1 € Glass Glass 4 Exp. wall.,- * � °v Net exp. wall <4-' Net exp. wall t IV kr Int. wall a g Int. wall Ceiling Ceiling . Floor ./3r , Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t•1. Aj, ... Koom I Length Width i F 2 Height... Windows and Doors—Crackage and Area Width Height No. of Llneal.ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights '' of crack sq. ft. AY ep Coef. Btu Infiltration Coef.1 Btu Infiltration Glass 4 Ella Glass`. Net exp. wall <4-' Exp. wall T.tk.. ;,�' IV kr Int. wall Net exp. wall Ceiling Int. wall Floor ./3r , Ceiling Floor 1 3A 4.#- _ _ Tbtal Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 4, 1;a,., Room I length Width 73 Height tT Windows and Doors--Crackage and Area Width Height No. of Llneal.ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration ,39y& Glass Exp. wall'it-` Net exp. wall <4-' 10 IV kr Int. wall Ceiling Floor ./3r , Total Btu. 117 7 Required sq. ft. E.D.R.'or sq. ins. W.A. Leader area Fl.l Room I Length 4r Width Height Windows and Doors—Crackage and Area. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration,"`" Glass` Net exp. wall S3 iCc.340 Int. wall Ceiling,. - Floor ALL Total Btu. _..; sq. ft. E.D.R. or sq. ins. WW.A. Leatder area "Required sq. ft: E.D.R. or`sq.'ins. W.A. Leader area " CRC'ATRdMS HTG. & AIR COND., INC. Job Name D-56 4410 Excelsior Boulevard, Minneapolis 16, Minn. z6 HEAT LOSS CALCULATIONS . ' "Job Address Weatherstrips A.S.H.V.E. Construction No. Floor I Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof I Kind How Applied Ye—No Yes—No s 19— Rmm Lenath .1 Ab Width Hei>zht jr II 2 FI.I 1_k j='' d Room I Length 1, .' " Width 14 Height,' 01 Windows and Doors—Crackage and Area Width 1 „Z--: Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft: Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No: of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pa�.nee�, lights of crack , qq. ft. :34- s:.i Coef. Btu Infiltration Coef.1 Btu Infiltration _ Coef. Glass a 04> = & so Exp. wall VX rr ► Glass Exp. wall ..., - Net exp. wall?',' Exp. wallj ItIt Exp. wall Int. wall Int. wall ! P�W Ceiling I YX 12 Figf Ceiling Floor = �: 0 Floor Ceiling 13.0 I Total Btu. 1 -2 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 11.1 Q,4cF7,4k Koom1 Length I Width 1 „Z--: Height 0' Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No: of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pa�.nee�, lights of crack , qq. ft. :34- s:.i to lCoef.1 Btu Coef.1 Btu Infiltration _ Coef. Btu a 04> Glass 54 G so fps, a Exp. wall 'm , Glass Exp. wall ..., ",' Net exp. wall` Exp. wallj ItIt Exp. wall Int. wall .r► ! Ceiling I YX 12 Figf Int. wall Floor = �: 0 Int. wall Total Btu. awyuucu ay. aa. us *11. a■w. W.ra. arco.aw aaacv 1 ri. moom 1Lengm wlcitn *ma nelgnt ,,p Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pa�.nee�, lights of crack , qq. ft. :34- s:.i to lCoef.1 Btu Infiltration Infiltration 1577 Coef. Btu Infiltration Glass 54 G Glass ;1< +p'3 Glass Exp. wall ..., ",' 5. `0 Exp. wallj ItIt Exp. wall .. .r► ! f+ Net exp. wall Int. wall " " /0 0 Int. wall Ceiling 13.0 ea Ceiling Floor 46, . Floor Floor f Tbtal Btu. ired sq. ft. E.D.R. or sq. ins. W.A. Windows and Doors—Crackage and Area-,, Width - Height No. of Lineal ft. Area No. of pane pane lights of Crack sq. ft. woyf 3 4C.! 1P '13 -. 40) lCoef.1 Btu Infiltration Infiltration 1577 Glass 54 G Glass ;1< +p'3 J ,Q► Exp. wall Exp. wall ..., ",' 5. `0 Exp. wallj ItIt Net exp. wall Net exp. wall ! f+ Int. wall; Int. wall " " /0 0 Ceiling Ceiling 13.0 ea Floor Floor Total Btu. fz.f=i Q' Required sq. ft. E.D.R. or sq. ins. W.A. �eader area Fi.l X' Reent I Length 1 .Width ;P0, Height Windows and Doors--Crackage and'Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 0 Coef. Btu Infiltration Infiltration 1577 Glass 54 G Glass ;1< +p'3 i s-, 74-5 Exp. wall ..., ",' 5. `0 Exp. wallj ItIt Net exp. wall ! f+ Int. wall " " /0 0 Int. wall Ceiling 13.0 ea Floor 7 Total Btu. w= f- 1- c Required sq. ft. E.D.R. or sq. iris. W.A. Leader area "' F1_1 : 8siii:,-PAt Reent 1 Lenath 14#, Width Height Y Windows and Doors-Crackage and' Area Width Height No. of Lineal ft. ,Area No. of pane of.pane lights of crack sq. ft. 746 7 7 Coef. Btu Infiltration YO 54 G Glass 7 So 5. `0 Exp. wallj ItIt Net exp. wall " " /0 0 Int. wall Ceiling 7 7 Floor ITotal Btu. Required sq. ft. E D.R. or sq. ins.. W.A. Leader area Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace .................. : ............ 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ A0 s ® FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ o' ROUGH � J FINAL,�r v Dept. of Bldgs. Phone 560-3450 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 OrdinanceE and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. //�� Fridley, Minn [A Owner 46z r Kind of Building ,n Used as To be completed about Estimated Cost, $_ Ill -fid '— Old New. Building Permit No. Permit No.� DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity. (REMARKS—OVER) 4E Sq. Ft. E.D.R. BTU H.P. MIT Business Phone No 22 / �/ Orifi PERMIT for Power?,ants and eating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make ®-i'.e , Size Oil fired ; Coal Remarks Approved Gas fired ; Gas Authorization Final Inspection Date , 19_ , Inspector Permit N© 4 4 31 Fee $ 26 o-rr Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. .2 G , 19 -jk-'q Owner Location a� Kind of Buildin How Occupied Work to be Commenced—2L —A4 ,19_i To be Completed ,191T Estimated Cost, $ ° a -.,j Old -New, Building Permit No. Permission is hereby granted to N>-�-- ° to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein na d, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings.r ,� ��� �-> - � ,Inspector of Buildings CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1 �, 1 ss8 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r JOB ADDRESS -'T- RATE SCHEDULE 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 Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and corre7(61 (Side Vent — Fill Out Back) / 1998 Gas Piping (Needed with new furnace) $10.00 OWNER_A J=_ v� Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST //c='Z), PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial G 1.25% of Value of Appliance or Work e 5 - State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGAT? REFRIGERATION/AIR CONDITIONIN( 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. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name 0 — G40 Size No. BTU HP EDR $ Fuel Total Connected Load $ .50 Burner Trade Name Size No. BTU HP EDR HEAT'INGCOMPANY,fit _l Signed r By?� .�.- Tel No. ���� �� Approved By Rough—In Date Final Date 0 FILL OUT BACK SIDE F R STACK VERIFICATION ON 19W REPLACEMENT FURNACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHI My AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported . Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of 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: HEATING CO: Signed By: Date: CITY OF FR I DLEY 3WIffing 13UMDING hspections RESY]DENTYAL APPLICATION 763-572-3604 CITY OF FitIDLEY ---7 i1TE ADDRESS � � U WS APPLICANT IS: TENANT SUBWr A COPY OF YOUR STATE LICENSE WITH APPLICA 1ON PROPERTY TYPE OF YOUR E-MAIL AADRFSS Veq brv0LK �.Ju 0 OWWM GONTP.-MOR Permit No.: Received By: Date RW NANM: / ( r µ ADDRESS: CITY 5FA i& ZIP PHONE.° ' STATE LICENSE 0 BASEMENT FINISH F 0 DSM 0 SIDD40 DESCRIBE WORK BEING /I • 1 .••+VA ins ROUMG MR,M]ER. OF SQUARES) U PROPOSED SMF-- PROPOSED EIEIGHT: ..22ING p Vinyl 0 Aluminum 0 Other,, _ wn�nc>'wa 1N F�{ISW4Q OPE I,HNGS OYes LINO OR FOR NEW OPFs1MOS-DESCRME SIZE OF OPENING CHANGES & Plan Review Surcharge Fire Surcbarge License Suioharge SAC Charge Curb Cut Escrow Erosion Cvn4rol Park Fee Sewer Main Charge .,- c--, -"— + i li.&ANg1110 , ii ��G� WFA rA FEW 'AIN ►• ■ W -A. r lot 0 HOUSE &GARAGE �!REMODELIlia SUBMIT, Flow I' 11 ATTACHED GARAGE 1. la 0 DETACHED GARAGE 3. Prepan floor P 3. LisE o£SMaArtal 010mba^s to be used FOR NEW CONSTRUCTION INCLUDING DEM, EI$oft m 0 Trim 1. Site PWNSmvty showing the e> stueftm 0 Fascia and Pwpossd projwt z. Two sets of opnmucdon Plans 3. Energy Catowadoas LOCATION OF WDDIDOWS BASED ON VALU.A: (USING VALUATION $ S M THE COST bF LABOR AND FEE SCMDULE) See Sack Page for Fee Scl WWW 650/9 of Building Permit Fee (.0005) t Mes the total job valuation — MWoum $.50 .001 x Permit Valuation (1/10%) $5.00 (Stm Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for detenanins2ion) _ft+68= ftx$20=$ $450 Conservation Platz Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Cit; of Fridley Attai THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCBS= 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 Mbwesota Consttuchon Codes; that I understand this is not a permit but only an applicadon for '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 work whi wand approval of plans. SIGNATUREOF APPLICANT r1A Building MECHANICAL PermitNo.:' 1Q-a4- InspectionsRESIDENTIAL K d 8jr APPLICATION 765-572-3604 DA CITY OF FRIDLEY C'd 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE /� YOUR E-MAIL ADDRESS SITE ADDRESS L W b"'a x P,J�n THIS APPLICANT IS: ❑ OWNER XCONTRACTOR PROPERTY NAME: L-446 VL 1401 OWNER/ ADDRESS: Z Za .5- nh,`b�-s�lz W/�-J CITY I`+ `�/ ? STATE�ZIP TENANT 5' _ 6 PHONE: 76 3 �- 2 05'— CONTRACTOR CONTRACTOR COMPANY NAME:_p44 /isd Irl i't C��IA� �d sJIN(Ia CONTACT PERSON: l JK.Sw SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: &Z y It/k Lam®rM ./ CITY rev � STATE�ZIP SS Y APPLICATION PHONE %% 3 S3(� - a�CaC®% FAX 76 3 G. -i;2z Z1.6 PERMIT TYPE IQ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW Id REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK arS?i + pq!,,,j Am wa--' gars /4A e�°��JPd`lcni�Q FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUA J 2006 ASHRAE HANDBOOK 1f_?4C a9 7®t wo Equipment Installed MFG: MODEL: SIZE/BTU I e,,VWO MFG: ref *' MODEL: SIZEBTU 316, oo c' MFG: MODEL: SIZEBTU X 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 _ BOIL ER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 -DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 k} � •£ P '�v �` 63"3 � $� �: S eN 4 �� "w4�� 2% ifi`}�. � �� d "T•'��� 2� 7 5�3 Q7 5 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 work Which requires review and approval of plans. SIGNATURE OF APPLICANT /PRINT NAME / L`"/ ° " `f y DATE 0 l p APPROVAL INSPECTORS SIGNATURE DATE 1115-7 W'1101;10T E 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 7 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS � EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/E3USTING 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 MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 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. .......I ............... 6516343715 WORKSHEET P. ;11 e;i . . LOAD ESTIMATE FOR EQUIPMENT SELEC'T'ION HOUSE FLOOR AREA SQ. FT CEMING (P.00s) INSUILATIONi NO. STORIES WALL 'INSULATION _(In) WINDOW SHADING: AWNINGS VFMTIONBLINiDS DRAPES (In) ., CALCULATIONS DESIGN CONDITIONTS: OUTDOOR DRi' BULB .B 95°F DESIRED ii`IAOOR'TENT 75°r DIFFERENCE 20O *W.B. FOR YOUR AREA _ 71°F EXPOSURE COOLIKG x AREA (Sq. F`t.) ='ST( lHR FACTORS PEOPLE (NO. IN FAM 612 x CZILTNG R-38 3.1 r ,AT RECOVERY VENTILATOR 30 EXPOSED WAi i.fi R-13-3 [tnknoRro R-g4WZ 4.5z P=ime w xCm ing=) SKYLIGHTS 2458 / n FLOOR (Only Over Warm Area) "Tucklluder" d.6x KITCHEN (Include Tu Total) x s 1 500 GLASS - Windows and Doors x North or Complete Shade g.5$ South Unshaded tax South Venotian Blinds or drapes 311x Est & West, Unshaded 70z 70 170 East & W cSt, Veuitian Blinds or Drapes $3% DOORS 2SP '44. TOTAL - 200 Temp. Difference (Includes Moisture Removal Load) Masimum stlowable overcizing is 21% load z 1.21 a EQUIPMENT SELECTED - TOTAL (BTU/HR) i I HEAT 1.05S CALCULkTIONS- Wcalberstrips 'A.S.H.V.F- - . Guide idows Doors Reference Out; MAII Yes—No 1. 19— . Lcn-sth 'Width ,C -3o DEPARThEiT OF BUILDINGS VILLAGE OF -BURNSYILL Corist'rurelon. No. Insulation I'Int. Wall .Ceiling '.Roof. i, Kind How A—pp—NT— Height' II F1.1 Rooml4rivIt- Width He iliht Windows and Door's—Crackage and kea. 1 15 A. 8,41 Width lielcht. —90 of .Lineal —r L. Ares. Or Pane. of Pane licht of crRek, pq. ft- 77 Heig}tt . '%rintlow3 andDoor3--:-Crackazt and Area �7 Co -f - Btu Filtration - lass Stu sp. wall Lp :t cxp, wall t, wall, Xp. Wall tt =p: Wall M, itior Required sq. ft. E.D.R. or sq. ins. W.A. - fader area ,Lai btu. % :quircd sq. ft. F -D2. Of sq. 6. W.A. Leader area r Room I,Lcngt'h- —71dLh H671t - Windows and boor---:Crackazr and Area 1 15 A. 8,41 cquired sq. ft. E.D.R. or sq. ins. W:A- Liadcr area Width R.19hL N, ;C— Aramor IA%aal - Aram pane or pa Ilchts or track rt. Heig}tt . '%rintlow3 andDoor3--:-Crackazt and Area 77, +. of pane I F Class te 'AV 4 F=p- Wall I WHO Stu Net =p. wall Lp Int. Wall Ceiling Xp. Wall tt =p: Wall M, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. - fader area t. wall Windows and Doors--Crackaze and Area Width liatcht No. at 1JRWA1 91. 1 J.rea Na. at VILUG lie Pno 11rhim • of Crack tn. rt. :flingPY0 CODE. 1 Btu loot Glass 1112415?- Exp. wall I'll 3tal Btu. 1 15 A. 8,41 cquired sq. ft. E.D.R. or sq. ins. W:A- Liadcr area 171.1 Room Length Width Heig}tt . '%rintlow3 andDoor3--:-Crackazt and Area 77, +. of pane I F filtration �p- wall filtration - -6 'p. wall n p w 11 �Ct'=P. Wall wall Ciling !oor alai Btu. M. Windows and Do"s--Crac.kage and Area widthtalchNa-z JX a of van. vkna 11joll hataI -.M Cad, Btu Class te 'AV 4 F=p- Wall I WHO I Net =p. wall Lp Int. Wall Ceiling en, Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. - fader area FIA Room I Length- width Height Windows and Doors--Crackaze and Area Width liatcht No. at 1JRWA1 91. 1 J.rea Na. at VILUG lie Pno 11rhim • of Crack tn. rt. CODE. 1 Btu Glass Exp. wall Net c=p. *-oil Int. wall Ceiling Floor Total Btu. Required sq. EL F-D.R. or.:4. ins. W.A. Leader arca F1.1 Room I Length Width Windows and Doom—Crackast and Area -Haight -Width HOWLS. No. at 1.4noal 9%. AreaM- D Of psora ofo&"& Licht- of crack eq. ZU Coef.1 Btu Infiltration'' Glass Exp. wall Net =p. Wall Int. wall Ceiling Floor N 5 M Building PLUMBING Permit No. M Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Rec'd- 763-502-4977FAX�[ g EFFECTrvE7-1-2010 e,� –17^1 l; YOUR E-MAIL ADDRESS( `TT p f� t' A a� 'O L!" � Y a bI4 4u r Yaitlf� a �Z DATE el �` l t X SITE ADDRESS 2,16 1 69 �w N} i= Enid ( e �, i iL dpi `� � THIS APPLICANT IS: ❑ OWNER XCONTRACTOR PROPERTY NAME: =61 i► % Y v' be vi OWNER/ ADDRESS:CITY STATE ZIP TENANT a Yv� � PHONE: Terry Overacker Plumbing, Inc. CONTRACTOR SUBMIT A COPY OF 502 E Main Street () ( G( EXp DATE YOUR STATE LICENSE, BOND AND Anoka, MN 55303 EXP DATE CERTIFICATE OF CITY STATE ZIP (763) 572-8880 -7 INSURANCE FAX - D- - g PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ WATER PIPING _ _FLOOR —SHOWER GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER OTHER h- � lY} 4',„4_' i I_,I i � iN N4 .. "fi';L ILi`: N I�fi�(19' y �-. li NN , IINA : I I Ny %� I�, �pyryl ; i I �'"'�. !!I i Hh I:J d i I r k ✓'. Number, f,hitui tl ti) kli 1 t� %,i dlli 111 i`I1J kPLil �i X11 I,. 4 a' t,.,.r� ) 111 Ltl = r :�v,... tl RSI 1�n,rl l�ail� It INI h lai,7 II IrI�1”,;��II e� Numtie of fixtured $35.I at $� •00 $_ <'_ * , I�^1 Q tut .I �.�, �I+hal r, d� ,,,Ii 1 �.>� 1 II,% ,a `rel„ '•, I. `I(JkA��' I° ; a-r' 9 �i X14°IIIB Ui%t'h;t'�� 1 ��I ;;� �i I I 111 iq �a� r,", I � "% ELS1�Y (Ii� 11 e:�'ii 4 IQ ' '� h � C Y -*7 J.t NJ I f'• MINIMUM- 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 fo ermit and work is not to start without a permit on site; that the work will be in accordance with the approved plan ' e o a w requires review and approva of plans I / �7 SIGNATURE OF APPLIC T PRINT NAME �� e %DATE � / APPROVAL INSPECTORS SIG A k P.1 EASE1 .. 5?'EITS" REI?LE _A1MEC City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977