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PRE 2010 DOCSCity of Fridley, 1Vlinm. Address Address LOCd4Tlex1fF ILDING No. - Street , P Lot Lot - ..._...– Block Addition or Sub -Division ._ Corner Lot . Inside Lot _ _ �� Setback aSideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING T as: Front Alon Depth Height Sq. Ft. Cu. Ft InRet Depth ei Sq. Ft. Cu. Ft. Type of ConstrueU __ _ 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 complian with all provisions of ordinances of the city of Fridley. A/ �i 1 / ®_ J w . � _ , �'.0 e In consideration of the payment of a fee of It ,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 anypart thereof, shall conform in all respects to the ordinances of Fridley, Nl3nnesota 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. Building Inspector NOTICE: This porno does not cover the construction, Inshli en for whine, Plumbing, gas heating, sewer or water. Be euro to see the Building Igor for separate Permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S NAME /i'aiep �` Coe& BUILDER ' � e - ADDRESS Glle,s-r �,� �., ,� AbDR$SS �d y�� . dz- Wr, L;Zg1,r, LOCATION Or AOT%LDTOG No. Street Part,of Lot Lot ® Block / Addition or Subdivision Zg&speed ow aeO& Corner Lot Inside Lot 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 FrontDepth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 rulings of the Department of Buildings, and hereby declares, that all the facts and representations stated in this application are true and correct.. DATE SIGNATURE (schedule of Fee Costs can be found on the Reverse Side). r City of Fridley SUBJECT PERM 14359 AT THE TOP OF THE TWINS BUILDING PERMIT , r S ECEIPT NO. `L - COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.�� 1 . � CITY HALL FRIDLEY 55432 1---- �J NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/14/77 JOB ADDRESS 5761 West Moore lake Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Donnay's SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Cook J=II 5761 West Moore Lake Drive N.E. 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a 12' x 20' Deck and patio door 9 CHANGE OF USE FROM TO STIPULATIONS Provide frost footings if necessary. AR0V PERmI!S REQUIRE? FOR WIRING, Before dig ing cell local o,slliles SEPERATE 'SIGN TELEPHONE -ELECTRIC CSS E�. HEATING, Pl.tlt�tBtNG oANo S - REQUIRE® BY LAPIN'. 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 1 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. $500 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 8 RE OFC TRACTOR OR AUTHOR AGEN (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE S GNA URE OF OWNER IIF AVVi� BUILDERI (DATE) LW -2 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Q>Ccrt- CQQIL: BUILDER: A . �, �. i a e Address: � 1 Address: Tel. No.: No. Street: WA17 VL LY_ . LOT: BLOCK: H ADDITION: ,�pnxy_____ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: , Depth: '2�en -Height: Square Fetit: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: To Be Completed: Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of 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. See reverse side for additional information. DATE: -3 Lq Im SIGNATURE: Stipulations: SUBJECT P� NO. City of Fridley - 16.4.4 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T _ rp REC • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. eip t i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 110/27/81 JOB ADDRESS 5761 West Moore Lake Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Robert Cook 5761 West Moore Lake Drive N.E. 571-6984 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION? ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install free-standing Fireplace (Majestic) 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 STALLS I 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 $790 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATIJA& OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT /®^per/ -� r J/ Ll� b� q) SIGNATURE OF OWNER IIFO LD IDATEI BLDG INSP I OAT CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OtJtJER:cl— BUILDER: - ADDRESS: W 46,7 ADDRESS: c TEL NO: _ ��` -- i ,�— TEL NO: Construction Location • STRIIST NO: STREET: xf IF - LOT: LOT: % BLOCK: �_ ADDITION: 2 G� Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: y? Square. Feet.- Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of construction: /=' `T� Estimated Cost:' 7.b Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Tile undersigned hereby makes application for a permit for the %:vrk' 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: /6 - -7- 7 - SIGNATURE : Stipulations: /f,�S' 60 G lsZ 0 SUBJECT City of Fridley 7330780� AT THE TOP OF THE TWINS BUILDING P E R M I T I ` RECEIPT NO. ____-_ COMMUNITY DEVELOPMENT DIV. E'r �® r , PROTECTIVE INSPECTION SEC i ' .—. �•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ----�3604 L 763-571-3450 910-F15 9/12/02 JOB ADDRESS 5761 West Moore Lake Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 15 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Cook 5761 West Moore Lake Drive NE 763-571-6984 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION [j REPAIR D MOVE ❑ REMOVE 8 DESCRIBE WORK Change garage roof from flat to pitched; reside house & garage 9 CHANGE OF USE FROM 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. Provide City with copy of truss specs and drawing. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 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 $5,000 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.$111.25 Fire SC $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $118.75 OF C[CO,NTRACCTTO)R OR AUTHORIZED AGE NT N P PER (DATED T S IS YOUR PERMIT (SIGNATURE PIDAATEI % BLD INSp nATE SIGNATURE OF OWNERrF RBUILOERI L iDATI NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [) 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: J� T 1 — Vj - 4 o a rr. D 3� Legal Description: Owner Name & Address: Tel. # S71 - Contractor MN LICENSE # �- Address: Tel. # 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: % '� - �, sem- .�- J Q R ?'! � Construction Type: Estimated Cost: $ /-S' a o o . Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ DATE: ` -/� - �-�- APPLICANT: Tel. # J-7) G Call (763) 572.3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ a Sr $ S— ' e) -O $ 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 [ ] TOTAL $ d �3� STIPULATIONS: 1 SEP 30 °gg 09 @"+ FR N l•1 TRUSS Sri IHL 1 715 876 5565 TO FRID P•02/02 �f r�i _se _ Y sa � s 'Si • Aw mstaro � ~srvD cava /�� aq orrtt• • ����� Desbn voUd for Tex connectors. ihjl �� nN upon potometetsztrt/t� 0101 Mual Du$dln0 cs•+n oenanl ro bo lesiolled and boded vemlltl . l PPkabtlily of dorlon polome)en and plopot Inootpaatfon df r ev of buedIng de serer • not nu+l de•.Ianm. &actng Mown 4 far blmal suppou of Indlvldual web memb•rr onty, A(ZdObnal Iompo�t;Ai wle efobOO.• durtng c(rrfrructbn b the Iatponab101y of IM 41641131. Adollbnol pormanenl bioelna of the overo$ enucfuleiIt the responsaWly of Ina building deiFjncr. For at nerot guidance +pordlhg Iobrbolbn, quaUry conhot slaaoo. delivery, otecllon and braclna, consurl O1T-88 Oualsy Slondord. 069.e9 $toeing Sp•cRkclto-r, and Nls•01 rondlrng Imia7ung and stowing Cow-a-Vmron ovollablenom bust rata incraule, 583 D'Onotdo Onve. Maclean. W16371 P - - _ •,�. x• , ** TOTAL. PAGE -02 ** Job cuss russ Type city Flyb/12 5 J187bbd 5STOCK 22 FINK 1 1 12'2'- STOCK 5112 TRUSS a� CLAIRE. a rIS Mi I e us s. on Apr ge 'r2-0-0 53-14 11-0-0 , 1&2-2 , 22-(3-0 _- , 24-0-0 , 2-0-0 5-9-14 5-2-2 5-2-2 S-9-14°�•tattterrr� 40 ZN Fp6.' 9 • STEPHEN IN •�" 4x4- 20612 CABLER -M=. STATE OF 5. 10256 •5.00 �` .•�4p1AN P k� �' 12 . � w .� F� .• �. � .. ""024-4e /OWN tEO ,`a 3 5 �dj `t,\lie 7I ��`'��� • !'� 3x4= 3x6= 3x4= y- JOHNATHAN E: *; �ylr• RUDER 0 001.012617 .4 :0�• �Ak"AA ♦� 7-6-10 14-5.8 �D�AI� ,®`' 7-6-10 &10-13 7.13-10 ate -_-'� LOADING fpsf) SPACING 2-" CSI DER (In) (fact Udall PLATES GRIP TCLL 40.0 Plates Increase 1.15 TC 0.71 VertiLLl -0.13 10 >999 M20 197/144 TCOL 10.0 Lumber Increase 1.15 BC 0.85 V.rtITL) -0.26 B-10 >991 BCLL 0.0 Rep Stress Incr YES WB 0.43 Horzl7111 0.07 6 WE SCOL 10.0 Coe BOCAlANS19S 1st LC LL Min 1/deft -• 360 Weight: 71 Ib LUMBER BRACING IP) TOP CHORD 2 X d SPP No.:2 TOP CHORD Sheathed or 2.9-8 on center purlin spacing. BOT CHORD 2 X 4 SPF No.:2 BOT CHORD Rigid calling directly eppWd or 10_0.0 on center bracing. WEBS 2 X 3 SPF Stu,) REACTIONS(ib/size) 2-x1617103.8.6-1517/0-3-8 Max Harz 2-14.Iload case 31 \� Max Upllfi2-•262llosd case 41, 6--2621load case 41; FORCES fib) - First Load Case Only 40 `(n TOP CHORD 1-2-37.2-3-.2387,3.4--2069.4-5--2059,S-6--2397,8-7-37 p ACT CHORD 2-10-2190. 9-10-x1605. 8.9-1505, 6-8-2190 PROFESSMAL WEBS 3.10--482, 4-10-660, 4-8- 660, 6.84-482 3074 NOTES "This truss hos been checked for unbalanced loading conditions. �� G� p�i��' 21 This taus has been designod for the wind loads generated by BO mph Minds of 25 h above ground level, using 5.0 �Q. psf top chord deed load and S.0 psi bottom chord deed land, 100 ml from hurricane oceanlino, on an occupancy /Q �• .•p"� T� category I, condition I enclosed budding, of dimensions 46 ft by 24 h with exposure C ASCE 7.93 per SOCA/ANS195 Dr�o It and vnrticels or cantilovnra exist, they are exposed to wind. If porches exist, they ere not exposed to wind. The lumbar DOL Increase is 1.33, and the prate grip increase Is 1.33 3) As requested, plates have not boon designed to provlde for placement tolerances or rough handfing and erection nerOby cenify that this plan, specs. conditions. It is the responsibility of the fabricator to Increase plate alzea to account for these factors. IlCalion or report WgS prepared D y 4) All plates are M20 plater tmlosa otherwise Indicated. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 262 Ib uplfft at joint 2 me of under my direct supervision and 262 Ib uplift at joint S. and Ilial I am Ouly Registered Pro. 61 This truss has boon designed with ANSI/TPI 1-1995 critsda. fessional Engineer under the laws of �T11III IN1 106 Stale of Mlnno D LOAD CASE(S) Standard 44t o'L ci /�dO/g� APR 31998 f t0;A0. • .. e. � tt?,� �`�°urrantey,P�� PROFESS o��f 5•.1 STEPHEN .,`�`SCt��S�. ��� REG. W. CABLE({ ,�� N0. �• �. STEPHEN W. a 10 I a STUNENIA► STE4� CABLER o� ~ i7 w PHtN W 'r' • : ti = e CABLE sG C PI 0. • ' +- - • - ..4 �f r�i _se _ Y sa � s 'Si • Aw mstaro � ~srvD cava /�� aq orrtt• • ����� Desbn voUd for Tex connectors. ihjl �� nN upon potometetsztrt/t� 0101 Mual Du$dln0 cs•+n oenanl ro bo lesiolled and boded vemlltl . l PPkabtlily of dorlon polome)en and plopot Inootpaatfon df r ev of buedIng de serer • not nu+l de•.Ianm. &actng Mown 4 far blmal suppou of Indlvldual web memb•rr onty, A(ZdObnal Iompo�t;Ai wle efobOO.• durtng c(rrfrructbn b the Iatponab101y of IM 41641131. Adollbnol pormanenl bioelna of the overo$ enucfuleiIt the responsaWly of Ina building deiFjncr. For at nerot guidance +pordlhg Iobrbolbn, quaUry conhot slaaoo. delivery, otecllon and braclna, consurl O1T-88 Oualsy Slondord. 069.e9 $toeing Sp•cRkclto-r, and Nls•01 rondlrng Imia7ung and stowing Cow-a-Vmron ovollablenom bust rata incraule, 583 D'Onotdo Onve. Maclean. W16371 P - - _ •,�. x• , ** TOTAL. PAGE -02 ** Building Inspections 7.63-572-3604 DATE__ SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PER UT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS ❑ OWNER NTRACTOR ADDRESS: PHONE: ��d - <7/- ee Permit No. Received By: Date Rec'd: ATE&O ZIP COMPANY NAME: vo c•rr �o�-_ ---- te 31j CONTACT PERSON: ego I�,�IrRin tli STATE LICENSE is ADDRESS: Fax (76i -2908, STATE ZIP PHONE FAX S E FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW >R151aCEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK rA 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 only the cost of labor) improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect 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: �_ � � '�- SIZEBTU L Or Equipment Installed MFG: MFG: MODEL SIZEBTU —,—Z— �'���� �"Z A/C $25.00 MFG: MODEL: SIZFATU _ FIREPLACE (GAS) $15.00. _GAS RANGEIOVEN $10.00 NEW GAS GRILL $10.00 __L TO AIR EXCHANGEER $15 ,_FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 _AIR BOILER $35.00 —_CHIMNEY LINER $10.00 FURNACE $35.00 00 _GAS DRYER $10.00 _POOL HEATERVENTILATOR $115.5.00 DUCT WORK $10.00 GAS PIPING $10 00 _ 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 1 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 f PRINT NAMEZ46!kJ. 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 PropanoUGC 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 x NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations