PRE 2010 DOCSCity of Fridley, Minn.
6431 University Aver. TN. E�., Minneapolis, Minn. 5515432
BUHD.9.1 \ PE .!. .
2)ates November 29, 1971
Omer _Viewcon Incorporated Builder Same
,Address -_5901 RrooklUn Rmilinrard Address Game
.W0 5554 Street Waldeck Crossing part of Lot
Lot 5 Block - 5 Addition or Sub -Division Tnnshrxt _k Nor _h Twwnbouse Site
Comm Lot Inside Lot X Setback — Sideyard
Bower Elevation Foundation Elevation
• ' •
To be Used as:
_`I'nWn1� nv i c Q Front 201 _ Depth 311 _ Height ..._...2 $ t._ Sq. Ft. _ 6.. 21240! Uncut. Ft. 17 i h 0
Garage Front - 2 O Depth - 221 Height _ 10' Sq. Ft. 440' Ca, Ft. 440.01
.
Type of Construction Frame . F.st. Cost _$21,416.80 To be Completed June 1, 1972
Stipulation: Owner and Contractor to be responsible for elevations and drainage for
all structures. City shall be held blameless.
"B" Unit - Same as 5506 West Bavarian Pass.
In consideration of the issuance to me of a permit to contra a build' scribed above, I agree to do
the proposed work in accordance with the description above set o an comp scribed
wiq all provisions of
Ordinances of the city of Fridley.
IQ 71 Qtaf•c+ R11rrhar®a
In consideration of the payment of a fee of - 41.00 , permit is hereby granted to Viewcon Incorporated
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 agenis, 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
1�'xidley, Minnesota regarding location, contraction, alteration, maintenance, repair and moving of buildingi;
���e city limits and this permit may be revoked at any time upon violation of any of the provision of Raid
Building Inspector
Hank Muhich
NOTICE:
This permit does not cover the construction, installation for awing, plumbing, gas heating, sewer or water. Be sure to sae
the Building Inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: t1d4rl c- 0%1 /,VC BUILDER: 1111V60A-) %IVC-
ADDRESS : 6-,00/ &?oot%'j-iA) 131-V6 ADDRESS: Oal B R 000-(1-Yf') & y L//)
NO: , -513-5-Y STREET: W19L ®C -G /f 0? d3.5 I A) Com'
LOT: BLOCK: J— ADDITION: >1✓V/.5A?()C(1'A0,eT#7-0WW'#(705&
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: —
Applicant attach to this form Two Certificates of Surrey of Lot and proposed
building location drawn on these Certificates, —
DESCRIPTION OF BUILDING
To Be Used As:
llypjVj,0j'4L -ro W im"
He v 5 &-� Front: ODepth: % / Height • ® J
Square Feet: Cubic Feet:
df9 k115 Front: 20, Depth: �-> Height:
Square Feet;� Cubic Feet:®�
Type of Construction: 190,6 rj? 19 1- Estimated Cost:.Ap
S - -�
To Be Completed: .�1 —7Z-
The
®7 � ���'�`
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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: �/ `'� � '� ;71SIGNATURE : ' --
(See Reverse Side For Additional Information.]
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs 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:
UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.$5 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the averagee
height of the roof surface of the main gable of a pitched roof.
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.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
V9RIFICATION OF FOUNDATION
NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it
has-been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupAed until a Certificate
of Occupancy has been issued.
City of Fridley
Appkaflon for Ph
Dept. of Bldae. Phone 560-345D
DESCRIPTION OF WORK
Number, Kind and Loca8lon of Fixtures
Base
• Future Coumwdou OpeningsI "�.�'..— ...�. sever ❑
t New Flxtore. Old Opa cMEMMMOM r -I
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
i
y o
Number Fixtures ................
.$10()
Future Fixture Opening .... :......
x $1.50 =_..
New Fixture Old Opening ..... _ ....
x $1.50 i
Catch Basin ..... ..............
x $3.25 :
Water Heater ;Up to 99,000 BTU)....
x $3.00 $--=L-
0 y
New Ground Run Old Bldg. . . . . . . . .
x $3.25 $
Electric Water Mater ..............
a $200 $
GAS FITTING FEES-.
NO. RATE
TOTAL
lat 3 Fixtures ....... • • • • • ...
x $2.00 $ 2.O p
Additional Fixtures ................
x $ .75 $
Gas Range to 199,000 BTU .. ,.........
x $5.00 $
State Surcharge $
.50
Toms
Dev iption o o a o 0 0 0 0 0 o a. o a u. o .. o .e.. o a a ..... .• ..... s.-. .
TOTAL FEE 6 `j / ' S -b
City of Fridley:
The undersigned hereby makes application for a permit for the work herei,.
specified, agreeing to do all work in strict accordance with the Qty Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley. Minn
Owner
Kind of BuildingT�G�
Used as 4L
To be completed about
-'-� J
Estimated Cost, $
Old ew. Building Permit No. Permit No. 16�5
Signed
By
Business Phone No
ROUGH
FINAL ��""
V
SUBJECT
PE .
City of Fridley
22889
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
�
• ______ COMMUNITY DEVELOPMENT DIV
~
I PROTECTIVE INSPECTION SEC
�J
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
9/9/94
JOB ADDRESS
5554 Waldek Crossilig
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
5 1
Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
Tabor-& gong Tnr 1716 qt FrnnCiq RjUd., Anoka MN 55303
ZIP PHONE LICENSE NO
789-1902 20014248
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof and Install gutters
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,235.00
$1.12
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL 'LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$54.00
Fire SC $2.24
PLAN CHECK FEE
TOTAL FEE
License SC
5.00
$62.36
SIGNATURE Or CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN
E Y VALIDATED THIS IS YOUB.PERMIT
/1__
BLDG INS
&4zzZ? — 4
riATE
SIGNATURE OF OWNER IIF OWNER BUILDERi IDATEI
V
NEW (] Effective 1/1 /94
ADDN H. _ CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction -Address: 5554 =. W a ld.-e k C r o s s -i n g, Fridley
Legal-bescription: - -
Owner Name & Address: Tel. #
Contractor: Tabor and .Sons , Inc. MN LICENSE # Pending .
Address: 37.16 St. Francis Blvd. Anoka, 55303 'rel. # 789-1902
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF- IMPROVEMENT -.
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ l Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks
Type of Construction: roofing / g u t t t e r s Estimated Cost: $ 2 2 3 5.0 0
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: 9/2/94 APPLICANT: Tabor and Sons, I N c .
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
9K9
Tel. # 789-190.2
$ , D b Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $$00 per SAC Unit
$ DD $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 SCHEOULE'.
'Che 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 17Orthand in the manner herein provided to -wit:
.101'AL VALUE hEE?S
$1. to $500 $15 (Mininium Fee is' $15 Pius surcharge)
$501' to $2,000.
$154
or. first $500 plus. $2 for each additional. $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus. $9 for :each additional $1;000
or fraction thereof, `to and including $25,000
$25;001 to $50,000 $252 for est $25,000 plus $6.50 for each additionsT $1,000
or fraction thereof, to. and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional
.$1,000 or fraction thereof, to and including $100,000
$i00,001 to $500,000 $63950 for first -$100,000 plus. $3.50 for each additional -
$1,000 or fraction thereof, to and including -$500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 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
$13-50.
Alternate "l3": Removal ' and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15-75.
VERIFICATION Or FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site_
A Certificate of Survey of the lot, showing the location of the foundation once it hje it teas hecn
constructCi will be required before proceeding with the framing_
9 -
.W--000010
SUBJECT SUBJECT
;City of Fridley
31035
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
`•
rrCOMMUNITY DEVELOPMENT DIV.
v �_____
j PROTECTIVE INSPECTION SEC
C�/J
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
6/8/00
JOB ADDRESS
5550.54.5 62 66 A
1 LEGALLOT
NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR..
Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAILAODRES$
ZIP PHONE
Innsbruck Townhome Association
651-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock-French2301 E. 25th
St., M0ls., M 55406 612-722-7129
4 ARCHITECT OR DESIGNER MAIL A DRESS
ZIP PHONE LICENSE NO.
00001423
S ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
'Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE
8 - DESCRIBE WORK
Reroof _::_,Building
9 CHANGE OF, USE FROM
TO
STIPULATIONS
iJhderlayment must comply with the State Building Code.
Permit WOW!" Cards
Will Be Mailed
yo jiGmeo oer TO Post
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS; PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
e
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
6
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
$11,493.21
$5.74
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$209.25
Fire SC $11.49
PLAN CHECK FEE
TOTALFEE
1-11
226.48
SIGNArUREOFCONTRACTOR ORAUTHORiZEOAGENT iOATEe
EN PROP ALIDA D THIS IS Y UR PERMIT
BLGt 004SP gAit
SIGNATURE OF OWNEROF OWNER BUILDERI o0ATEj
.W--000010
SUBJECT (T2
City of Fridley 6 7 8
AT THE TOP OF THE TWINS BUILDING PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
V------
r PROTECTIVE INSPECTION SEC.
-
1 r�"1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY
612-57 —3450 910-Fl5 6/10/02
JOB ADDRESS 5550, 5554, 5558, 5562, 5560 & 5570 Waldeck Crossing
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DES CR. 1 - 6 5 Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Innsbruck Townhouses
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors 2131 111 Lane NW, Coon Rapids, MN 55433 612-363-7770 3509
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Building
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION Ck REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reside Townhouse Building, Soffit/Fascia
9 CHANGEOFUSEFROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering. Caulk and flash all
exterior openings. Install soffit ventilation to meet the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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 6 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 $48, 844 $24 •42
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $633.65 Fire s% $48.84
STRUCTIj';�N TME PERFORMANCE Of CONSTRUCTION
�jq{rJ /j PLAN CHECK FEE TOhAL FEE
Licen SC $5-/0 $711.91
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IOATEI HE PRO E Y VALIOAT D IS IS YOUR PERMIT
_ — � -�5 Z
S.GNATURE Of OWNERdi OWNER 8140ER1 IDATEI BL IPSP ryATE
Building MECHANICAL Permit No. 'I,
Inspections RESIDENTIAL APPLICATION Received By:
M 01
763-572-3604 CITY OF FRLEY D
ID
DATE � - /i�-" � � YOUR E-MAIL ADDRESS
THIS APPLICANT IS: ❑ OWNER 1dCONTRACTOR
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
NAME: � I -t-
ADDRESS: 5'� �' O.d,a l9 t c i� Cra�.4s-k, CITY �e� a ®0 STATEHP ZIP Coma-
PHONE: -1 `,3 — 1�1 ! S: - 49
COMPANY NAME:_
CONTACT PERSON:
TE LICENSE #
t,t1,� H�.t�9
STA EXP DATE
ADDRESS: 1.\911 iilLe A 3E. "C CITY Pxedo lag STATEMa- ZIP,
PHONE -7 63 - - a) 4 FAX
,16 SINGLE FAMILY O TWO FAMILY O TOWNHOUSE
O NEW PREPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK Tess 4l) �t (e -e d-io �% ae-nAt_�
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: (WDICATE TOTAL
NUMBER OF EACH BELOW)
Equipment Installed MFG: _P% MODEL:��C R N�tA �3 L 6"j SITU f% 9d
MODEL:
MFG: MODEL: SIZE/BTU
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
BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00
_CHIMNEY LINER $10.00 $15.00
GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VEIdTII,ATOR
Permit Fee $ __• °' Number of fixtures @ $10.00 x $10.00 =
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ `3 ° 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 C � a � PRINT NAMEQ�+n �I°%_DATE 9- -
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 HOMESADDiTIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propan&UGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. ]MC 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 airy calculations