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PRE 2010 DOCSCity ®f Fridley, Mims, BUILDING PERMIT N° 5436 Date: h Owner: " Builder Address __ Address it L® TION OF B DING No. Street Part o t �� _ z Lot ____ Block Addition or Sub-Divisia7 _ Corner Lot __ ____ Inside Lot Setback ._..._ ideyard .a� Sewer Elevation Foundation Elevation _ DESCRIPTION OF BUILDING T , U :' Front _ Depth - f -_ Height 4 Sq. Ft. Am Cu. Ft. Fro Depth ___ _ Height _ Sq. Ft. "W Cu. Ft. Type of Construction 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 Lnae express condition that the person to whom it is grantedandhis agents, employees and workmen, inall work e around and upon said 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 ordinances. I — -",A Building Inspector 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 items. 4 Owner's Address APPLICATION FOR BUILDING PRO TP CITY OF FRTDLEY, MINNESOTA LOCATION OF BUTIDIM No. of L / Street Part of Lot Lot Block �„�_ Addition or Subdivision _ f� Corner Lot ____Inside Lot Setback Side -Yard SEWER ELE9ATTONFOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To b"sed sed as : Sq. Ft. 1 Cu. Ft. Front Depth Height Sq. Ft. Cu. Type of Construction,_:Z��'--15 Estimated Cost's p� 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 Ordinances and ruling of the Department of Buildings, and hereby declares that al4 the facts and representations stated in this application are true and correct. DATE Z— 7 67Z SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) BUIIDING PERMIT FEE SCHEDUIE 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 build- ing 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 fireproof garage, warehouse, factory or grain elevator, or for.the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building 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. GARAGES 2.4. For any such permit for the erection of any nor -fireproof garage, warehouse, factory or grain elevator, or for the erection of any nor -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 contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average 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 for each Five Hundred Dollars ($500.00), or fraction thereof 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 than $4.00. City of Fridley Application for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Locahon PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O Number Fixtures ...................... m 12 Z Future Fixture Opening ................ p $-M < d New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 0 a R N WATER HTR. GAS ELEC. y < GAS FITTING FEES: NO. RATE TOTAL r. 3r ou a ,� as c�m <3 U' °d U' 4c U' O Base 1st AU I 2nd 3rd 4th Future Connection Openings ed Connectwith Sewer E] New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... / C) x $1.50 $ /'g • ® U Future Fixture Opening ................ x 1.20 $-M < d New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ Qt m New Ground Run Old Bldg . ............ x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Q City of Fridley: The undersigned hereby makes application for a permit for the work here! 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. Aridlev_ Minn. A ' A 1 14 Owner L/444 Kind of Building Used as To be completed about Estimated Cost, $ Old New. uilding Permit 1. ROUGH - 30- (1 FINAL 7 AppRea m for Power Pkn is and Heating, Cooling, VentiWon, .ReMgeralion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ........ , ..... . MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .............. each add. 60,000 'BTU ... .................. Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ... ........... Repairs & Alterations each add. $500.00 ............... RATE TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $L- STEAM or HOT WATER SYSTEM 4 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: woo 8. 00 8.00 $ 2.00 $ _ §.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM 4 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 $ / 510 0 ALTERATIONS & REPAIRS TOTAL F$E . ROUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 A 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 are true and correct. . n Fridley, Minn 19 L Owner Kind of Building_— Used as - --� To be completed about Estimated Cost, $ , % o o New. Building Permit No.� permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS=4+ean­4:-et Watjii, Warm Air—No Trade Nam n_tL1QiSize No 0 Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load ��2Kind of Fuel BURNER —Trade Name - .- � � Size NoJ4 a Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) . Signed° y /� 42 2M 7.59 Business Phone No V6 D•56 '..� . 42 S- HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— FI.I P i'%v A/! fv -.Room F Length to Width In) Height '�' II P Fl.l {" AI [ V Room I Length Width 77 Height R' Windows and D' ors—Crackage and Area Doors—Crackage and Area No. Width of pane Height No. of Lineal ft. of pane lights of ,crack Area sq. ft. AIL) 1 4 � >> � � � ���,�� � �/ Coef. j I Infiltration Infiltration Glass 5® Go - C) 0 Glass 6 "V d J f Glass Exp. wall Coef. Btu Infiltration S-57 Exp. wall 14 13 Glass Net exp. wall °f y j Exp. wall cj / Net exp. wall E Int. wall J I r Int. wall F 2 % Ceiling Ceiling Floor., (� Floor L Floor -1 otal Btu. SUS Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 L ii, j iv o Room I Length I R' Width / L Height 5�' Windows and? Doors--Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. 1t. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. d� AIL) 1 4 � >> � � � ���,�� � �/ Coef. Btu Infiltration Infiltration Glass 5® Go - C) 0 Glass Glass Glass Exp. wall Net exp. wall S-57 Exp. wall Exp. wall Net exp. wall Int. wall Net exp. wall °f Net exp. wall cj / f E Int. wall Ceiling F 2 % Ceiling Ceiling Floor., (� ;k L Floor -6 . l otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l % Room I Length I (_ Width / 0 Heiaht " Windows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ftt�. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. d� AIL) 1 4 � >> � � � ���,�� � �/ � Coef.1 Btu Infiltration Glass 5® 40 C7 C) Glass Glass Exp. wall Net exp. wall S-57 139,0 Exp. wall Net exp. wall Int. wall Net exp. wall °f Ceiling cj / Int. wall E Ceiling % Ceiling L 21 Floor., (� Floor lbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows an Doors—Crackage and Area Width Height No. of Lineal 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. d� "%; , - ,� Btu %_r '� Coef. Btu Infiltration Glass 5® 40 C7 C) Glass Net exp. wall S-57 139,0 Exp. wall Net exp. wall Int. wall k °f Ceiling Int. wall Floor6 E Ceiling % M L 21 Floor., Total Btu. 2-® Required sq. ft. E.D.R. or sq. ins. W.A. Leader area U Fl.l I-� i-,- /, Room I Length` -t Width l Height ' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. W (I Coef. Btu Infiltration two L j e-1-0 Glass 1 (. Exp. wall c_q Net exp. wall 1,37 f f Int. wall k Ceiling Floor6 E �� Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. leader area B Fl.l f) 9th" Room I Length / / Width Height 11 " Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. W (I Coef. Btu Infiltration C a Glass Exp. wall Net exp. wall 1,37 ) A Int. wall k Ceiling Floor E �� 1 otal Btu. Rgquired sq. ft. E.D.R. or sq. ins. W.A. Leader area t /f D•56 HEAT LO S CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ FV A!. 1 ti ? Room I Length Width Height IA_ Room I Length ...... Width 1,i ' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. , � C 7 �3 C' 'r Coef. Btu Infiltration Coef.1 Btu Coef. Btu Infiltration Glass to 0 q Glass (� 6 Net exp. wall Exp. wall �I q F' Int. wall Net exp. wally (� a G Int. wall 5 7 ' Ceiling a q o 1) &C Floor 1© 71 J3791 1 otal Htu. 1 7 q 410 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,_� Fld / `. _ 0" Room I Length 1 Width 1 6 Height F ' Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane tights of crack sq. ft. , � C 7 �3 C' 'r Coef. Btu Infiltration Coef.1 Btu Coef. Btu Infiltration Glass to 0 q Glass (� 6 Net exp. wall Exp. wall �I q F' Int. wall Net exp. wall Ceiling �211 "0 Int. wall Ceiling a q o 1) &C Floor a -1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Iv F1.1 l' A:1-1, Room I L.enath - Width A Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. , � C 7 �3 C' 'r Coef. Btu Infiltration Coef.1 Btu Infiltration Btu (061 36 0 Glass Net exp. wall 5,51 Exp. wall (� , Net exp. wall sl` 0 L Int. wall Net exp. wall Ceiling 91 q 'PIC, Floor Ibtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. , � C 7 �3 C' 'r Coef. Btu Infiltration Infiltration Coef. Btu Infiltration L Net exp. wall Net exp. wall Glass Inc. wall , Lr Exp. wall Floor Net exp. wall 91 q 'PIC, Int. wall` Ceiling % e Floor Total Btu. Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ff Coef. Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Inc. wall Ceiling Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Inc. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6;1� _j/9 -� Builder Address OCATION BUIL ING No. Streetart Lo Lot _ __ Block Addition or Sub-Divisio 9 Corner Lot Inside Lot a� Setback - -- Sideyard �. Sewer Elevation Foundation Elevation N® 6711 DESCRIPTION OF BUILDING � . _ Al Ft Frt on /'. 1 .(/Heigh.ICUL Ft. Type of.!�:►►Est. 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 all respects to the ordinances of Fridlwithin the�dty, limits and location, itmay k alaera 0 ola not any of the p�viaions of saiof d ordinances. fl NOTICE: This perm8 does not eorer the eoastroetlan, InstaWon for wiring, plunking, gas heashm sewer or water. Be sore to sox the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S IM4E ADDRESS or��9 4,1, ADDRESS LOCATION OF BUILDING No. Street / Part of Lot Lot %,57— Block A_ Addition or Subdivisions Corner Lot Inside Lot Ll/ Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth -:? �Z Height / Sq. Ft.Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construct o Estimated Costy7/24-3 To be Completed / /`­�-7 a,", /_4 . The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares.that all the facts and representations stated in this application are true and correct. DATE ��� :? " / f 4P SZGNATIIRE (Schedule of Fee Costs can be found oB the -Reverse Side). e BUILDING PERNIIT 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 exist- ing 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 t0 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 it 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 "fireproof" by Section 502 of the VAnneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building 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. GARAGES 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 ($0.90) 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 contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average 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 fraction thereof in the cost of all proposed work. 2.6. In no'case'shall the fe4 chargad for any perwi t as set forth in Section 2 be less than $4-00, 1 suej tr ''1P0:rj(T N City of Fridley 2 AT THE TOP OF THE TWINS P` 6 U I L D I N G P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.. ���f NWABE. REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/30199 JOB ADDRESS 251 Sylvan Lane 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 2 Sylvan Hills, Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Craig Olson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Shingle Creek Const. 8108 415th St. Harris MN 55032 939-1116 20030639 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 O NEW O ADDITION 0 ALTERATION nc REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage 19 S Tear-off CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State BuildingCode. 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 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 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 $1661 $.83 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• TRUCTION OR T E PERFORMANCE OF CONSTRUCTION $60.10 Fizo SC $1.66 PLAN CHECK FEE T L FEE Lice C $5.0 67.59 S)4NATURIFOFCDNTRACTORORAUTHORiZEDAGENT IOATEI HWINSO LY VALI ED THIS I$,�lj')LIRFERMIT LOQA1E S,GNATUREOFOWNERofOWNER BUiLOERI IDATEI 1 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY f ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 P BUILDING PERMIT APPLICATION Construction Address: 1 „ ( vzo, Legal Description: Owner Name & Address: (j CA "!i ® 1.3 U Tel. # Contractor: C ,Q�L COQ S q MN LICENSE # UD 3 O 6 Address: "6910 ) t j l .I- °rte S-N- 4kbs (j3 Tel. # l 'F-ZF- (0 6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height W � Hgt/Ground 2 Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: T'e Ay. 6 f F (Z 0- ka "F- Estimated Cost: $ 6 GU 11' 6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: l l 1� -t, , Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 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 $1050 per SAC Unit $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 [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been. constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. Effective On Jan 1, 2000 3431 -University Ave NE P Fridley, MN 55432 g 3 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 I Pm"' MARK NUMBER OF FIXTURES TO BE INSTALLED nN FACH FI 00P ® Q ® a :. F ®_ � � �9 , • • .cif � i,�g �i�ii[ai Blow Off Basin $ 7.00 and representations stated in this application are true and correct. �® $ 7.00 Rain Water Leader $ 7.00 OLSON, CRAIG 20 Sump/Receiving Tank $ 7.00 251 SYLVAN LANE NORTHEASTFRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner_ (763) 574-7338 Water Heater -Electric $ 7.00 Water Heater - Gas*" �_ $10.00 Building Used As_ FIE_-611)r=;N Cz Gas Range * Gas Dryer*" $10.00 $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes O No ,tn� Type $15.00 PLUMBING COMPANY Q j��L� / ?_,()A)C, cw'�f z_v (-/v PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS _5411e "s dW01 e 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 fluilding 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 Rain Water Leader $ 7.00 OLSON, CRAIG 20 Sump/Receiving Tank $ 7.00 251 SYLVAN LANE NORTHEASTFRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner_ (763) 574-7338 Water Heater -Electric $ 7.00 Water Heater - Gas*" �_ $10.00 Building Used As_ FIE_-611)r=;N Cz Gas Range * Gas Dryer*" $10.00 $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes O No ,tn� Type $15.00 PLUMBING COMPANY Q j��L� / ?_,()A)C, Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $20-50 SIGNED BY Approved By COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. Rough -In Date Final COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting: system is plastic/PVC and meets all current codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing. combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to Install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance�has been -removed from the common vent and vented separately asper current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) ..t HEATING CO: - Signed By: Date : f CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Mr. Craig Olson 251 Sylvan Lane NE Fridley, MN 55432 Re: Final Inspection at 251 Sylvan Lane NE Contractor: Norblom Plumbing Co Dear Mr. Olson: A plumbing permit was issued on October 23, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh su6JEtT PE City of Fridley 3 2 6 41 AT THE TOP OF THE TWINS BUILDING PERMIT PTO RECEIry,N _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � • 0'®J�� �J NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/28/02 JOB ADDRESS 251 Sylvan Lane NE 1 LEGAL LOT NO. BLO TRACTOR ADDITION SEE ATTACHED DEscR. 15 2 I Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Craig/Jane Olson 251 Sylvan Lane NE 763-574-7338 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install basement egress window 9 CHANGE OF USE FROM TO STIPULATIONS Window to meet the State Egress requirements. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 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 $600 .50 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- Fire S $.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $26.55 PLAN CHECK FEE OTAL F E $2 .65 SIGi c -R CT a Op AUTHORIZEDAGENT iDAtE, ENP IS IS YOUR PERMIT PE.OPEARIDATEV vzv YLL--'V!� UATE I IQ DATE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572.3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5('5 V 0 0 V -- Legal Description: L,n Owner Name & A ess: C 2,pt� 9 d- Tel. # I G 3 52-1 --7338 Contractor.— MN LICENSE # Address: Tel. # 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 I Sq. Ft Length Width Height Sq. Ft Construction Type: !:E!3 d'4.SS Lj � o -D Estimated Cost: $ Driveway Curb'Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: !�- Db Oo')- APPLICANT: V\ 01 Tel.# Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - ell $ C;F s $ s $ r Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $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 [ ] STIPULATIONS: BLJa DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,00,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only Building BUILDING PerrnitNo.: WO: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE R YOUR E-MAIL ADDRESS 6--FO ce- 0 d' C 0 vV\ SITE ADDRESS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: ap;� Co T— �S ADDRESS: 905-1 S-_01J C2+� � IN � CITY ��—� �e=1 STATE "IP TENANT PHONE: -7(,-3 ^ S71 -- % J3 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE GLE FAMILY W CONSTRUCTION SIZE Y/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ W]NDOWS OBASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR A'REMODFLNG DESCRIBE WORK BEING DONE: a ® BaV � AkA,4 Oe 'JlafLN &c E oo SIZE OF RAPROVEMENT LENGTH \� WIDTH '2 -7 q HEIGHT' 70 Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan 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 WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: _(USING 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ , _0 OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 650 o of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks vavable to: City of Fridley Attach 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 ordinanc land codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application or pe 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 w ich it s r e and approval of plans. SIGNATURE OF APPLICANT PRINT NAME `—� �, ®� S ®� DATE �® I7/(�S' Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any, building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, 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: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for l" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for V $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1g $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I" $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I- $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, N1N 55432 763=572-3604 Fax: 763-502-4977 I Building M[ CH[ANICAL Permit No.: 7 Inspections RESIDENTIAL APPLICATION Received By: 7.63-572-3604 CITE' OF FRIDLEY Date Rec'd: EAD —�D -D Co YOUR E-MAIL ADDRESS APPLICANT IS: ❑OWNER !'CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ATItLZIPZ <i41- 73 COMPANY NAME: CONTACT PERSON:r �i Sheet STATE LICENSE # R9q0 Main St. �. ADDRESS: Prldley, MN 55432 CITY STATE ZIP PHONE 134 FiW763) 754-290 SGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW "PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)MODEL: A:J.DDc30 SIZEIBTU Equipment Installed MFG: SIZE(BTU MFG,: MODEL: MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00. GAS RANGE/OVEN $10.00 —_AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 ,_GAS HHE HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL EATER $35.00 GAS PIPING $10.00 VENTILATOR $15.00 DUCT WORK $10.00 — ,.... .�_-._,. �,_...�..,,:,.,��„��r,N.�,wr+:vYti�►w�sys5.�k�r 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 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS Is AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a 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 E67�7G �f DATE /40 �d City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&UGC 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