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City of ]Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55,132 BUIELDING PERMIT Mate: 114cember 20, 1971 Owner: Erco Inc. Builder __ Same ,Address 3231 Central Address 6015 LOCATION OF BUILDING Na XRE Street Woody Lane Part of Lot t of 3 Block 1 Addition or Sub -Division Moore Lake Hills 2nd Corner Lot inside Lot x Setback 35' _ _ Sideyard 11' & 14' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Wo be Used as: Dwelling Front 49'3 Depth 25 Height 20 Sq. Ft, _ 1,282 Cu. Ft 25,•640 Front Depth Height Sq. Ft. cu. Ft. Type of Construction frame Est Cost 000To be Completed 5%1%72. (32,626.17) Provide hard surface driveway. In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. A State described above, I agree tgq do npliance with all provisions of .In consideration of the payment of a fee of $ , permit -is hereby granted to Erc2a_ Inc . 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 in all respects •to the ordinances of l;`ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings �I� city ]units and this permit may be revoked at any time upon violation of any of the provisions of said dig HANK. MUHICH Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 6 0. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS.- ADDRESS:3 2-Z i o� NO :. `!5 STREET: ' LOT: BLOCK: 0 CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: i t -IV-- / CL ®� Applicant attach to this form Two Certificates of Survy of Trot and proposed building location drawn: on these Certificates. DESCRIPTION OF BUILDING To Be Used As: t ' / � _Front : `7 , 3 Depth • Height Square Feet :La Cubic Feet: g— Frontz Depth: Height: Square eeta Cubic Feet: 4 Type of Construction: V Estimated Cost: $ a� To Be Completed: ,F r I ` The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stitict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, said hereby declares that all the facts and representations stated in this application are true and correct. r DATE: 2 C '7 ! ® SIGNATURE a� (Sea Reverse Side For Additional onal Info�t on. i �g%�� Loci • ?iESCR 1 PT I om; LOT 3,! BLOCK, 1 � 100R E i.."AK E. H ILLS SND +�]3L1 I T I ON"ip !NE ,Hr-REBY CERT1 FY THAT TH 1 $ IS A TRUE, A1'JD CORRECT REPRSENTAT 10N 0Fz A SURVEY OF 'TIH_EBOL1NbAR IES, (71• THE LAND ABOVE,, DESC}21 8E}J -AND 0F•`,THE LOCATION 6f .A,LL 8U1LD1'NG5., IF-ANYV THEREON9, AND ALL VISIBLE ENCROA-" NMEN S r . I F 'XN.Y r FR©M' Of SYN SA•I I? LAN � . A5' SURI/ EYE�3 BY US TH Is SND ' K " DAY OF, D£CE AB,>=R.! 4977 . I is Pi :I NN *!,.,R EG r Na • �4g 4 69f PROY,�) (/) PL -F9, �, k a p e ri / A1® E OF 6wctz- I ! '-/ J A)s d 4 o F /,Y?, /-� - 1 W tlN WATER 1M. W w 2 • • Base t f 1 ! Ii 1st PARTIAL RATE SCHEDULE PLUMBING FIXTURE PATES: NO. RATE TOTAL f � 1011 Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 = �� New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 3 Water Heater (Up to 99.000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • x $200 $ Additional Fixtures ... , ............ x $ .75 $ Gas Range to 199.000 BTU ............. x KOD i State Surcharge $ .50 REPAIRS i ALTERATIO fes it® Codle Description . . . . . . . . . . ... . .. . .. . A.. . . . I •.. . ... ® .. . . •• • TOTAL FEE$ 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 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 Fridley. Minn 19� Owner �--C 6" � Kind of Building Used as To be completed about Estimated Cost. $ Old Ne . uilding Permit No. Permit r( .v /! 4 :s @ y�11 Signed ROUGH- Business OUGH Business Phone AppIcation %r Power and H ngR Ye nR R ratio® Air Conditioning Symm and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: LUTE TOTAL Furnace Shell & Duct Work .............. .. $10.00 $ Replacement of Furnace .. ..... - ........ .. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $--_ _. MECIL WARM AIA Furnace Shell & Duct Work to 1960,000 BTU ...... . ..$10.00 $ each add. 60,000 BTU .................... . 3.00 ; Replacement of Furnace . .. .... &00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10,00 $. Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft, EDR Steam 3,00 $_ _ Each add. 320 sq. ft. EDR Hot Water 3,00 $— OIL BURNER—to 3 gal. per hour 6,00 $ over 3 gal, per hour ---See Fee Schedule GAS BURNER (up to L99,000 BTU) 6.00 $ over 199,000 FM See Fee Schedule GAS FITTING NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ 100 $ Additional Fixtures a .76 $ Gas Range to 199, X$ 600 $ AIR CONDITIONING FAN HEATING SYSTEM V ITILATING SYSTEM ALTERATIONS & REPAIRS S" Fee schedule -7 TOTAL FEE i-- - ROUGH (SURCHARGE FINAL d -Z' Dept. of Bldgs. Mwm 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 corrirecL Fridley, Minn--- - �` o` ` 19 ZA Owner l �..� Kind of Building Used as To be completed about Estimated Cost, Old—New. Building Permit No. Permit No. a F1 ! 1 D>ESCAIPTION OF WORN BEATING or PO team, Not Water, Warm Air No Trade Name No- �� Capacity Sq, FL E.D.R Total Connected Load Hind of Fue BURNER — Trade Name Size NO Capacity Sq. Ft. E.D,R BTU HP (REMARKS -OYER) Sl'QURD-AN AIR DOnJD1710N1;',�r, tCENI�ER DRIVE n, Sim ,�, �` M1NN6'OOTA 554.i, B3. 53-84-S-915-51 .a'�.�' �si��•.�a &+�.. s Pan ¢ �°= Ifi�..n: �€� rX.'=r Ms a.' -.a!+ E x =.'?' 4w fieri 47,77 �, ,erg � _ v Yf PARTIAL sSCHEDULF 061 . em M&TE Tom" ................ Nm vbdbm am oppaim ......... ffi W ''Up to � New Gnrmd Thm OW IM ........ • Is. R .............. AL m2mtwm .................. : .0 ......•. W....an E now to a ........... -now 6 State Surcharge $ .50 MC►Ss at a4 Co" Gas.L:gh:_...._...... 5.00 Dnoftdm......Install. TonL M is 5-50 A SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS ? BUILDING PERMIT 28583 Ir `.7"52® ECEI � _,`L _____ _ O MUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / 1 0 � NUMBED REV DATE 111116/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 35432 612-571-3450 910-F15 JOB ADDRESS 6015 W ody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 1 Moore Lake Hills 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Joseph 574-9839 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18 Gladstone - 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 O NEW O ADDITION O ALTERATION a REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (21 Sq) tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED 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 ABANQONED 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 $1799 $.90 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- STR -TION OR THE PERFORMANCE OF CONSTRUCTION $56.75 1 Fire SC $1.80 PLAN CHECK FEE TOTAL71 IE— Lic S 5 6 .45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi HENP O VALIDATE T IS IS YOUR PERfiA SIGNATURE OF OWNEROF OWNER BUILDERS IDATE, NSP FlA1E NEW [ `J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY r% ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION o ConstructionAddress: &C)/g i�(J0016 Legal Description: Owner Name & Address:,_bAu; Tel. # 57V- T.2.TyP Contractor: , dtue-s{ 5> dL 0 J;1, MN LICENSE # Address: /-V9'2,F G&dc-s ® /vim, . 1 ` Tel. # LI/C® - VS -,o SV 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: 01 / s,& I -Z �'n cz Tom- c 06 Construction Type: 49 f Estimated Cost: $ - , �e / J%�1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /l/w/ -1�f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ y VY CITY USE ONLY Tel. # cJ/G - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] FP_ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE C)D Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 5A7nE OLOKOZ 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 Building 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 j Rain Water Leader $ 7.00 / , 20� Sump/Receiving Tank $ 7.00 JOSEPH, DAVID Water Treating Appliance $10.00 Owner 16015 WOODY LANE NORTHEAST Water Heater -Electric $ 7.00 FRIDLEY, MN 55432 Water Heater - Gas** _[_ $10.00 Building Used As (763) 574-9839 Gas Range"* $10.00 Gas Dryer** $10.00 l Estimated Cost ,7 PERMIT NO. Back Flow Preventer Required ( )Yes O No Type $15.00 PLUMBING CCWANY Reinspection Fee $47.00/Hr SIGNED BTEL NO.L 1 Z 82-7 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date �- State Surcharge _50 TOTAL FEE $_'LZQ-55(0 MINIMU FEE FO ANY PLUMBING/GAS PERMIT IS $20.00 PLUS T%f:ATE Sl IRCI " --- COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. 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 as per 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 HEATING CO: Signed By: Date: su6JEcr MIT NO. City of Fridley 30985 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC./ r PROTECTIVE INSPECTION 1 CITY HALL FRIDLEY 55432 �'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 5/25/00 JOB ADDRESS 6015 Woody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Moore Lake Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Joseph 6015 Woody Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Greg Wills Exteriors 4246 Royce St NE, Mpls., MN 55421 788-0529 20037640 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 ❑ ALTERATION jP REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House; aluminum soffit/fascia 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. Install soffit ventilation to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED 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 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 $4,320 $2.16 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 PLAN CHECK FEE TOT FEE Lice e SC $5 122.73 SIGNATU F ONTiiACTOR ORA H R 0 T iDATEj 14 E P P V LID T THIS IS YO R ERM T OG �N$P MATE SGNA UAE O� OWN a.a OWNEp BU40ETi� iDATE, NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg 1pap ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: . It,/®®vj 2,1�� Legal Description: n Owner Name &/A' ddress: 'OA4111 D f 4 S% Tel. # Contractor: (P��%jv (oral[�S e5-ki�l° ® A!!n-5 MN LICENSE # Address:q?jl� d` -a C 7 /l/ Tel. # 1/7 2,0'--49 9 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: Construction Type: Cost: $i Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 111.95- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $_$l 100 per SAC Unit License Surcharge $__,5 r2 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] ICe1irI111 STIPULATIONS: $ ) o'l J. r 7-3 Building Inspections 7.63-572-3604 DATE m SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ®� YOUR E-MAIL ADDRESS D OWNER DCONTRACTOR NAME: ADDRESS: PHONE: �2 I;' COMPANY NAME: River Gity sheat MetE CONTACT PERSON: Q2QQ h42jp StI�1 F Sl Permit No.: , -O& 6 � Received By: Date Rec' d: 0 tl 5 a, STATE LICENSE # �rid_iW hf N 55 DATE ADDRESS: PHONE - STATE ZIP FAX ❑ ) OGLE FAMILY D TWO FAMILY 0 TOWNHOUSE 0 NEWPLACEMENT D ALTERATION/REMODEL I DETAILED D CRIPTION OF W, C 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: %il fy�.' Z� ? MODEL: SIZE/BTU MFG,. V MODEL: MFG: MODEL: SIZE/BTU _FIREPLACE (GAS) $15.0M _GAS RANGE/OVEN $10.00 _A/C $25.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 -BOILER $35.00 _FURNACE $35.00 _ CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 ... ..._. _ .._ 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 = $ ;2:F, Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total=$ ,7,S-73 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.. > ' I PRINT NAME 1 l%' -(S 1�`� -- �/4J DATE �J SIGNATURE OF APPLICANT / %d7 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 HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel TMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a_ TMC Chapter 5 with MN Amendments 3. Venting a, Gas appliances TFCC Chapter 5 with MN Amendments b. Fuel other than gas TMC 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