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PRE 2010 DOCSCity of Fridley, Minn. N9 10148 BUILDING PERMIT Date: March 24, 1969 Owners Rodney Billman Builder Same Address 151 Silver Lake load Address Same New Brighton, Minnesota No. 1453 Street Lot 41 Block 1 LOCATION OF BUILDING Windemere Drive part of Lot Addition or Sub -Division Innsbruck 5th Addn. Corner Lot Inside Lot — x Setback 37 Sideyard Sewer Elevation — 985.97 _ Top of Footing 990.52 Top of Riser 988.47 DESC To be Used as: Dwelling (nt 55' e Garage Type of Construction _'ram SEWER LOCATI0i\\ X27' S utl WATER LOQCA�T ON 1 ' So th In consideration of theto me $f a the proposed work in accordan th the descr ordinances of the city of Fridley. 0' Sq. Ft 2186 ctL r, 28,930 10' Sq. p -t 696 Curt 6968 To be Completed le le t to construct the building described above, I agree to do above set forth and in compliance with all provisions of $100.00 Sewer Connection Charge In consideration of the payment of a fee of $A,40 ,permit is hereby granted to Rodney Billman 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 saki building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Official Building UNPRM Henry F. Muhihh NOTICE: This permit does not cover the cons ruction, Installation for wiring, plumbing, gas heating, sewer or water. Be am to we the Building Inspector for separeto permits for them Hems. City of Fridley, Minn. 12 0.6. 6431 University Ave. N. E,, Minneapolis, Minn. 55 2 BU IN PE ..- Owners Builder Rodney Billman, Inc. Address Address 151 Silver Lake Road No. 1453 Street Lot 41 Block LOCATION OF BUILDING Windemere Drive Pari of Lot Addition or Sub -Division Innsbruck 5th Addition Corder Lot inside Lot Setback Sideyard _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 1,17 Z u Dwelling Front 26' Depth 42' Height. Split Ent X7'2 nnFt 27,392 Garage Front 30' Depth 24' Height 10' Sq. Ft. 720 Cu. Ft. 7200 Type of Construction Frame _Est + Cost 30, 000.00 To be Completed 12-15-71 (34,856,40) Elevation to be at least 18" above curb and 4' above catch-, in in rear of lot. If walkout is built the floor will be a minimum 2' above catch basin in rear of lot B#15,367. Check Inspection slip for drainage requirements In consideration of the issuance to me of a permit to construct the building described above, I agree to do $he 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 $ 64.00 permit is hereby granted to Rodney Billman, Inc. to construct the building or addition as described above. This permit is granted up= the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Pridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings W.1thb, the city limits and this permit may be revoked at any time upon violation of any of the provisions of said Clarence Belisle w - NOTICE This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or neater. Be sure to we Building Inspector for separate permits for these hems. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: its ADDRESS: ADDRESS: NO:. STREET:U/i 24 te ° W 00 Y'& LOT: BLOCK: ADDITI01������r?s CORNER LOT: INSIDE LOT:SETBACK: r SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. ,rLE0R7'10,1 —o Q6 A2- 1- 64,97' ,,9s, Ado • du -ed AAA 9t 494606, &-19 7-0-H 61SIlU 1,r IqFogR OF LO -r - i,' uSgLA(nu- - /S dttlL r 7-9 --LOCR W, LU 6�c- )9 /Yedlm-u,-rh - fi-60 LlE L,A-7'C-N Kl s r 9J / AJ P aF Lcs77- DESCRIPTION OF BUILDING To Be Used As:�,t,�,f,--��-�_� Front: 7 6 Depth: � Height: • g Suare Feet • q /Cubic Feet: 2-7, 3 % Z Front : 3 d Depth: 2. Height • l Square Feet; % 2--O Cubic Feet:_2 Type of Construction: Z�2r Estimated Cost:_p To Be Completed:ellC� 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 : ' SIGNATURE : J (See Reverse Side For Additional Information. CAF -Cllr .7k5/' I/- l P - v ✓R /F 1& 6 U/ /2f" Al /i_W ?S City of Fridley Applicafto for Nwibbig and Gas R"I" Pwmk Dept. of Bldon. Phone 960-3 DESCRIPTION OF WORK Number, Kind and Location of Fbftres GASTEa N7ELEC. 1Mff W%=AV/W-=========W== . 0M-MOEM EKNlomm MEMO % MEN PARTIALRATERATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL /®- Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.26 $ Water Heater (Up to 89,000 BTU) • • . • x $3.00 $� New Ground Run Old Bldg. ........ x $3.25 $ Electric Water heater, • ............ z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL Of 00 Ist 3 Fixtures .... • .... • .. • . • • x $2.00 $ - Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU .. • ............ x $5.00 $ REPAIRS & ALTERATI® Refer to Code Description ................ , ...........:............... 4 TOTAL FZE "—j 1 4-0 (SURCHARGE $_A) v. n City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do 811 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that ail the fact and representations stated in this appli true and correct on Minn _ � � 1 Owner F!) 6 ['X4u Kind of Build' Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No.�� Signed By Business Phone No " ROUGH— FIN OUGH FINAL -4/V - Form 188-8 10M McClain Hedman & Schuldt Co., St. Paul. Minn. 646-6858 226-5121 THE JOHN J. RYAN CO. 1602 Selby Avenue St. Paul, Minnesota 55104 *urbeporI5 Jksewrtton Certif itate 3 herebp certifp that on December 11 , 1921-, 1 mabe a Mortgage 3£.oan jinopection for Rodney Billman the propertp locateb at 1453 Windemere Drive, Fridley, Minnesota bohich is bescribeb as follobmo: Lot 41, Block 19 Innsbruck 5th Addition. Subject to American Oil Co. pipeline easement over the rear 20 feet thereof. Anoka County Cncroachmento xxx 3 founb that the folloboing builbing(s') House and 2 -car attached garage is within the propertp limit% as set forth in the abobe legal btscription. are yor, No. 4489 John J. Ry egisteredeur Paul J. C e, Registeredeyor, No. 4449 Aumber Aame Rodney Billman Vropertp &je 82.47" x Irregular Fee $17.00 Form 188-8 10M McClain Hedman & Schuldt Co., St. Paul. Minn. City of Fridley Appi Wan for Numblag and Gm Dept. of Bldgs. Phone WD -3450 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. : $Zoo $ GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ................ 2 x $?. op : 2.00 Additional Fixtures .................. x $ .?b $ Gas Range to 199.000 BTU ... ,............ x $5.00 $ install (1) gas gill (1) lite 6.00 REPAIRS B ALTERATIONS—Rales to Coda 117 Z=1=116".i. Tt b e. h iii'an City of Fridley: 53-84-5915.51 The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that aA the fact and representations stated in this application are true and correct Fridley, Minn June 14, 1972 „ 19,.. Owner Jerry Les Dass Kind of Buildingfr ane; Used as residence To be completed about .hing 12, 1972 Estimated Cost, $ 20.00 Old ANew. Building Permit No. Permit No. Signe By Business Phone'"N'o NEC;ASCO ROUGH FINAL t Description ............................................... TOTAL FEE CEj�ts E`A" SUrcharge .507 ..... IN .. .....ME01 .....MEMEN ........ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. : $Zoo $ GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ................ 2 x $?. op : 2.00 Additional Fixtures .................. x $ .?b $ Gas Range to 199.000 BTU ... ,............ x $5.00 $ install (1) gas gill (1) lite 6.00 REPAIRS B ALTERATIONS—Rales to Coda 117 Z=1=116".i. Tt b e. h iii'an City of Fridley: 53-84-5915.51 The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that aA the fact and representations stated in this application are true and correct Fridley, Minn June 14, 1972 „ 19,.. Owner Jerry Les Dass Kind of Buildingfr ane; Used as residence To be completed about .hing 12, 1972 Estimated Cost, $ 20.00 Old ANew. Building Permit No. Permit No. Signe By Business Phone'"N'o NEC;ASCO ROUGH FINAL t Description ............................................... TOTAL FEE CEj�ts E`A" SUrcharge .507 97-81-879001 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT • n PLUMBING FIXTURE RATES: NO. RATE N htiticr Fixtures x U . kU $2.00 $ Water x $2.00 $ Catch Basin. x $5.00 H ..ki ro u $5.00 n ro W C�ppL,, wl $ Water Softener Ho o f or •w W U J New Ground Run Old Building _X w k M Electric Water Heater -_ -k L k 0J N S r U Ri '1� 1st 3 fixtures x 53.00 $ 3.3ditional Fixtures o 0:� u. 9 .Gas Range to 199,000 BTU ,•N $10.00 N Id ••1 8 � 0 Aj N x lA Ifl each add. $100.00 or fraction $2.00 $ State Surcharge o a c vi A Loi w c� u� lq7 ug D I'lst 2nd ' 3rd 4 th L (R - Future Connection Opening Connected with Sewor 1 (�1 - 11ev Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL htiticr Fixtures x $3.00 $ Future F -fixture Opening It $2.00 $ Ncv Fixture, Old Opening x $2.00 $ Catch Basin. x $5.00 S r Nater Heater - to 99,000 BTU, x $5.00 $ 100;000 -BTU to 199,000 BTU x $10.00 $ Water Softener x $7.90 $ New Ground Run Old Building _X $5.00 $ Electric Water Heater -_ X $5,00 $ .GAS FITTING FEES: '. 1st 3 fixtures x 53.00 $ 3.3ditional Fixtures x $1.00 9 .Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 RF.T1JCDO WnTM7 roa Job Address �1L5w "•ilide�mere Oriole Lest Department of Buildings City of Fridley Tel. 0571-3450 The undersigned hereby makes application form permit for the work F specified agreeing -to do all work in strict accordance with the City ( and rulings of the Department of Buildings, and hereby declares that i the facts and representations stated in this application are true ar,d Fridley, Mn. 8-9-77 19_ OWNER KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 8-16-77 ` ESTIMATED COST 10.00 _ OLD - NEW BUILDING PERMIT N0. PERNIT NO. �Q_S Company Mi CO Signed By' Tel. No. ROUGH INSP, Data FINhL INSP. - � ' / Dato APPROVAL FOR PERMIT r� , MINIMUM FEE FOR ANY PLUMBING PERMIT I9 $1.50 CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ 10.00 $ $ $ 10.00 $ /0,0,0 COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ / S• S� Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Attach stack verification form with. replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 10-3 e" - Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 9 Fridley, Minn. ' �� . 19 V� OWNER KIND OF BUILDING OCA/ USED AS TO BE COMPLETED ABOUT 13 / - �d -- ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR BTU Kind of Fuel Size No. BTU HP HP company .standard Heating & A/C Signed By Tel. No. 824-2656 ' - SUBJECT - P City of Fridley F25 5 AT THE TOP OF THE TWINS BUILDING D C D� AL"'v1 I T r r RECEIPT NO.. COMMUNITY DEVELOPMENT DIV. w�_____ i✓ � � PROTECTIVE INSPECTION SEC. F `--_• A ; '�';'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 5/13/02 JOB ADDRESS 1453 Windemere Circle W NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 41 1 1 Innsbruck 5 addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Julkowski 1453 Windemere Circle West NE — 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eaco Construction 982 104 Ln, Coon Rapids, MN 55433 757-8508 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20225452 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Remove existing deck; Construct an 11' x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WA R N", I N G Before digging call for all utility locations 454-0002 UIRED Y LAW 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,518 @ $.76 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- $57.05 Fire C $1.52 STRUCj� OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA F E Licen IC $5.0 64.33 SIGNATURE OF CONTRACT OR AUTHORIZED AGENT IDATEI E PRO1:� VALID E THIS IS }JhL- PEQ�-IT 4 S-GNATU RE OF OWNER IiF OWNER BU4 DERIIDAT I DG INSo TlATE NEW [ j CITY OF FRIDLEY Effective 11V2002 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: ✓ --7 6-3 its r,YJ a/c, Ph Legal Description: Tel. # MN LICENSE # 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 I Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length_ Width Hgt(Ground Sq. Ft 7 77 OTHER: , Yin V .'P- g�4 IS-".) 00 Construction Type:_ �Y� f �,t9 �r ® Estimated Cost: $ ✓ -� /Y 16 — Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 1 % APPLICANT:Tel. # Call (763) 572-3604 for Permit Fees if mailing In applicationFax to 763-571-1287 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 $_ 67.,05 CITY USE ONLY - 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 $ 611y, STIPULATIONS: PA NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ko6,m � , Legal Description: Owner Name & Address: /� Tel, # Contractor: yct MN LICENSE # /,, za Address: ��� � U �--�� 1 sti Tel. # 2-�fu Attach to this application, a Certificate of Survey : of the lot, with the proposed construction drawn: on.it,twscale: DESCRIPTION OF 11WROVEAIENT., LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length Construction Type: Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Cost: $ 0 $G1� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $__ DATE: °/< Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. # 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 MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATI®N Received By: c_ 7 763-572-3604 Date vq ° CITY OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER P20NTRACTOR PROPERTY NAME: OWNER/ ADDRESS: ) q� a�J CITY STATI�VgIPS a-� TENANT PHONE:�C//P -j �� 9 ^ ( a qct D CONTRACTOR COMPANY NAME: S CONTACT PERSON: -e- SUBMIT A COPY OF YOUR STATE STATE LICENSE # / ,/EXP DATE �n y� C �J�a LICENSE WITH ADDRESS _ / tl e7@ CITY S- �_OLL - STATEI YI /LIP APPLICATION PHONL1 J a_(Rc_L0 __'St�' 00 FAX PERMIT TYPE XSINGLEFAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORKS 1 — 0-CJYI^2ivlS C�l j`a.Se 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) Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZE/BTU 4C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 NEW TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR $35.00 _FURNACE $35.00 UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE.PROJECTS FOR UNDER $500. "; „ ; _ PERMIT FEEFOR PROJECTS OVIrR $504 Permit Fee $ 'S . ® Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 6,91's .ISO 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 ordinance a d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is to start without a permit; that the work will be in accordance with the not a permit but only an applic do for a perm' ' andERINT approved plan in the case of all w k which r 'rpproval of plan SIGNATURE OF APPLICANT NAME DATE8 PLEASE NOTE; . SEP TE.PERMITS ARE REQUIRED FOR BUILDING, ELBCTRICAL AND MECI IANICAI✓ WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 M 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/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. JOE NAME: JOB ADDRESS, Heating TD = 90 F +70 F indoor -20 F outside Cooling TD = 20 F +75 indoor +95 F outside HEAT LOSS HEAT GAIN SQ FT COEFF BTUH SQ FT COEFF BTUH 7777'," Single 116`x' Double 82N 23/19 33/24 Low E 40 NE & NW 43/34 65/54 Other E & W Z- 58/49 90/74 ,GG' ®r rW # 4,000 SE & SW 48/39 78/64 S 33/24 48/39 ldi Doo u 300 1211 3 911 6" 5 12" 1 3#1 8 9" 2 -- 611 3 3" 7 3" 4 1-1/2" 10 4zy , " Z ; G ,3. 3 0" 6 1-1/2" 4 1 " 3.5 i ® @ c� � � . � � �i "� i "kin=- � • i # 600 Blw grade 1.5 Slab -grade Iin.Ft. 30/1 -in. Ft. r r - h 2500 SUBTOTAL 11 ISUBTOTAL � 6tZ INFILTRATION: Infiltration CFM = .50 x cubic feet of house divided by 60 .50 x L x W x H / 60 = Infiltration CFM NOTE:*Additional heating infiltration load should be calculated only if house is loosley constructed Infiltration Infilt. CFK Coeff BTUH Infiltration Infilt. CFM Coeff BTUH * 99. Sensible 22 Latent 1 24 Attic or crawls ace 10% Attic or crawls ace 10% OEM 80% Furnace divide b .75 90% Furnace divide b.85� 95% Furnace divide by .90 FURNACE MODEL # LAIR COND. M NOTE: Drawing or sketch including location of Condensing unit on back of this form 12/17/2007