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PRE 2010 DOCS3311-30 City of Fridley, Mnm N9 9053 BUMDING PERMIT Date: OCTOBER 13 ,1 1966 Owner: _ Bider ERGO' INCORPORATED Address Address 3 231 CENTRAL AVENUE N, E, MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 6 021 Street WOODY LANE N E part of Lot Lot — 2 _ Black 1 Addition or Sub -Division .. OO E MIKE IMIS - 2_ADDITION Corner Lot — Inside Lot - X Setback 35. _ Sideyard 14.5 and 12.5 Sewer Elevation 898.17 Elevation 901.17 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: DWELLING Front 48 Depth 26 Height 20 Sq. Ft. 1, 248 Cu, Ft, 24, 960 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction FRAME Est. Cost _ 2$ 0, 000.00 To be Completed SEWER LOCATION - 150.5' south of Manhole WATER LOCATION - 11' North of Sewer 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. 14=09 to do nro Nona of In consideration of the payment of a fee of $ 25.00 , permit is° hereby granted to ERCO, 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 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 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. CLARENCE BELISLE Building or NOTICE: 'fide permit does not cover the construction, Installation for wiring, phunbing, gas heating, mover or water. Be aro to no the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY., MINNESOTA OWNER'S NAME BUILDER ADDRESS AJJDRESS �--� LOCATION OF BUILDING., N0. STREETLf PART 0' LOT LOT `�� BLOCK ADD TION OR SUBDIVISION CORNER LOT INSIDE LOT 7�.. SETBACK �' SIDE -YARD SEWER ELEVATION® FOUNDATION ELEVATION �•-!- Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height T Sq. Ft. Cu. Ft. Type of Construction Estimated Cosi 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 T -l-�-(-�' S (5cnedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ 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 .............. 8.00 $ K >'�) 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM 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 $ ALTERATIONS & REPAIRS TOTAL ROUGH Dept. of Bldgs. Phone SII 4-7470 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. Fridley, Minn //` f19 I� Owner "> � j Kind of Building Used as _ To be completed about Estimated Cost, $ -• Old—New. Building Permit No. Permit DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No -Trade Name 4 Size No- A Capacity Sq. Ft. E.D.R- BTU / - H.P Total Connected Load %^ %�% Kind of Fue c — BURNER — Trade Size Capacity Sq. Ft. E.D.R BTU H.P FINAL (REMARKS—OVER) Signed =RSM MTN & SHEET METAL By,19 r , IL 9 t w Business EMA9 OSIS 328 MINNESOTA City of Fridley Application for Plumbing and Gas Fitting Pernit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ /S Future Fixture Opening ................ x 1.20 $ . New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... ...... ........... x $1.50 $ 15--o Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ g o. �! 0 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 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old Newco uilding Permit ROUGH FINAL 4z p ,7� �� ✓�' Permit No. / ne °f By Business Phone No �-` Z w o x w c� Z z �O F • N WATER HTR. GAS ELEG Base di g 1st 2 2nd 3rd 4th • Future Connection Openings Connected with I Sewer El New Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ /S Future Fixture Opening ................ x 1.20 $ . New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... ...... ........... x $1.50 $ 15--o Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ g o. �! 0 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 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old Newco uilding Permit ROUGH FINAL 4z p ,7� �� ✓�' Permit No. / ne °f By Business Phone No �-` Applicafto for Power Pknft and H Cooling. Ve a R Air Con&foning Systems -and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 $ Furnace Shell & Duct Work to 130,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 x Replacement of Furnace ............................. 6.00 -$ — Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $50040 .............. 3.00 $ STEAM or NOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Line --to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam 3.00 ' $ Each add. 320 sq. ft. EDB. Hot Water .... ............ 3.00 It OIL BURNER—to 3 gal. per hour ..... ' ....... ... ..... &OD $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to M.000 BTU) ..... ........:.:...... 800 $ over 199,000 BTU See. Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ............. `.... x .75 $ Gas Range to 199,000 ........... is sa► $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ' See�Fes S ' $ TOTAL FEE $ L 0 3d 7s- 7 Dept. of Bld[ga. Phone 580-3180 City of Fridley: The undersigned hereby makes application for a permit for the work hereie 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 facts and representations stated in this application are true and correct. Fridley„ Affirm_ - j' A S ,. 1B Owner r� Kind of Building Used as To be completed about & ` -3 e, -- 6 c� Estimated Cost, $ Old—New. Building Permit No. Permit No. DESCRIPTION OF WOR'{ HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No Trade N Size No Capacity Sq. Ft E.D.R. BTU H.P. Total Connected Load Bind of Fuel BURNER — Trade Name Size No Capaci Sq. Ft E.D.R BTU Rib. (REMARKS -OVER) Signeda By ' Business Phone 8' _ 6, PERMIT for Power lants and Heating. Cool. ing. ventilation. Refrigeration and Air Conditioning Systems and Devices. DESCRIPTION OF WORK No. of Heating Plants to be installed-altered—repaired Make �J , Size Oil fired ; Coal fired ; Gas fired—; Gas Authorization Remarks Approved Final Inspection 19- Inspector 4 �176plj Permit N° ---45-30 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19 Owner ja&2a? Location ®xvj a-.-t-e— Kind of Building— How uilding How Occupied Work to be Commenced—, 19— To be Completed ,19_ Estimated Cost, Old -New, Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted up n the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein nand to the specificao' ns s forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2M11 -VV CEIfor Pourer Pkwb and Heatht , Coo1ingR rentihs n. RAndwW!l�otm and Air Conditioning Sysfem and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 MECH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ........ $10.00 $._ each add. 60,000 BTU .................... 3.00 ; Replacement of Furnace .. .... .. .... 6.00 Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. 3.00 $ Dept. of Bldgs. Phone 880-M City of Fridley: The undersigned hereby makes application for a permit for the work :hereir 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 facts and representations stated in this application are true and correct. Fridl y, Mian Owner Kind of Building STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. _ Estimated Cost, Furnace Shell & Line—to 640 sq, ft. EDR Piot Water 10.00 $_ �-�/ Od New. Building Permit No. Permit No. 1 / Q _- 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 over 3 gal. per hour—See Fee Schedule GASB (up to MOW BTU) star 199,000 BM See Fee Sclsedule GAS FITTING 1st 3 Fixtures Additional Fixtures Gas Range to 199, ROUGH PINAI. % - 13 - ag 6.00 $ — 6.00 $ �6—' ° U NO RATE `DOTAL — x$ 7.00 — x .7b $ X$ SAO $ (U �HARGE�o��� HEATING or POWER , Hot Water, Warm Air—No Trade Name Size No (REMARKS -OVER) 53 -8b -s-715.51 R, mlo�lfl momllow PARTIAL RATE D; � Q[ass "A® Surcharge :,()r f 0. Rk= T®TAL Ni ................ Zan� .... o...... 80"mm mxftue am Owning ®........ Tam 9 Cow%see ¢ ®« ....... - . to .... p E SA N IM ........• @ moftbWaftrumamo .............. 9� ga ............... .. . . ... ....... . aw BMW to M.M........... 1 R $ 5.00 State Surcharge $ .Stt ....................................� 5.50 razes Q[ass "A® Surcharge :,()r f • • 53-81 —9915051 CHY 04 F-aidl-y a ' `� r ' • a CIFI'c i 1.. s ' .,,,.. 0'-? s .M X0.5, •.► �•i.d5h • „r,, _-•l.,.._-._. I3opt. of Bldgs. Phone S:0.3;50 �• DESCBIPTI01i 0: V,'Or : ""- Lol-A L, 6n21 Wn�AU F utur a Fixture Opening .. • • • • • • • • • ------ PlumSrr. Y.i d and L*cr_ion of Fixtures Bussn��.s Phone Xo New Fixture Old Opening...... •. • • -- X $1.50 $-___.:._ (w�Tt�• City of Fridley:. Z - ' 1 K � z 7 z t i Z i� s I7 W r W �- a 7 wTa. c.�s cue, The undersigned hereby sakes appticatron for a permit to the QorY herrt the Cit? O:dln;n; o t< 5 < < < ? s g 1 , ; o w 3 u o d to $ I + strict acco:da^ce with specified, a� Icing to do a1 work .n ..ri P ttir to ,ice iS .•, and rutins of the D�:pa:tment of Euil,.:ngr, and hereby declares that a:I E3,r I and ropreser:tations state !n h's aPPUcAL' are true u+d co:red' im tal 1 gr 1 5 -12-76 19- I,• I -- __.___•_-- Fridley, M=- : =2:d 2 d No. R L, TOTAL Owner clz ar 3:d x $2.00 S Kind of Building " -• -- • FL`.:o Gca:.t: rd with Cen o.::.et6 C-pz, rr..?% ucxfar ❑ Used as s Old trrs^.i.^.gt Ccs:.pool ❑ • Additicnal Fixtures ...............---•------ To be co repleted about PARTIAL RATE SCHEDULE 10 00 Estimated Cost, $ Old -?j . Building Permit No.— Par�it:�a. L,101110 Fl:CTUAE RATES: K0. RATE TOTAL Signed a x 57.00. $ - Number Fixtures ................ •-.�—•--- _ X $l.FA S ""- � By _ �niMftgFG®Sri - F utur a Fixture Opening .. • • • • • • • • • ------ Bussn��.s Phone Xo New Fixture Old Opening...... •. • • -- X $1.50 $-___.:._ • x $3.25 $ ' ; - Catch Basin .................... �_- • Water Iieater 'L'p to 93.000 BTU) • • • •---------- x `3.00 S ROUGH ' :*ew Cround Run 013 Bldg....:.... ------------ x ;3.25 S s $2.0J 3 FIN, /D - te-7 7—.� il.ctr'•c Yater Haatas.....:........._--. - No. R L, TOTAL . ' iAS nI TTING FEES: x $2.00 S ' Ist3Fixtures •••••••••�••••••'• - x + .75 Additicnal Fixtures ...............---•------ Gs FU ;e to 199,000 BTU ........... x $5.00 Class W SurchargQ .500 50 _ State Surcha ge k AL T FRATIONS--P.afeT !o Cod* 5 r= TOTAL F 5.----- -- SUBJECT P IT NO. City of Fridley AT THE TOP Of THE TWINS BUILDING PERMIT . 22092-, i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� r NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/3/93 JOB ADDRESS 6021 Woody Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Moore Lake Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne/Marcia Lindblad 6021 Woody .Lane NE 571-7009 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 Construct a 161 x 161 XNNX Screen Porch Addition 8 CHANGE OF USE FROM TO STIPULATIONS See. notations on plan, WAR' Z. p B*re (tom ne call "t a. all utility ImtIans 49.0002 LEQUIRE® BY LAW, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7 68Q $3,84 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- M'00 Eire SC $7,68 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $110,52 SIGNATURE OF CONTRACT5F OR AUTHORIZED AGENT MATE) WHE O ER ALI/DAT`ED THIS IS YOUR PERMIT 6 4AUqRPF W RUFOWNERBUILDER � i NEW [ ] Effective 5126/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: GCS 2-( WOOD"-_ L[' ` z(9 �.C-�j An �\1 Legal Description: Owner Name &Address: i /'Ci ht QL � J as - S�cY C Tel. #�71-� U 0--1 Contractor: MN LICENSE # Address: 0 Tel. # LIVING AREA: Length Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length 144'-01'. Width I Hgt/Ground-$� , Sq. Ft. ZSR C'�2 Corner Lot [ ] Inside Lot N' Ft. Yd Setback Type of Construction: Lk-�ybQ t-R�Ayr tz� Approx. Completion Date: l I - (- q Side Yard Setbacks 2-2-' 4. � .7 Estimated Cost: $ 4 7,/m (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: ? (- Z U �j Permit Fee $ ' / CC) Fire Surcharge $ % State Surcharge $ . SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ Z STIPULATIONS: Building M[E+ CgIA,NICAL Permit No.:.92 Inspections RESIDENTIAL APPLICATION R.ecetved By. 763-572-3604 CITY OF F . LEY D 'AL DATE /I� 6' YOUR E-MAIL ADDRESS SITE THIS APPLICANT IS: ❑ OWNER 13CONTRACTOR PROPERTY NAME: r, " ' s 3 r OWNER/ ADDRESS: " `'� re J 2 0 _ CITY r i �� -- STATES -ZIP TENANT PHONE: COMPANY NAME• 111171? 6' 0� Lf CONTRACTOR CONTACT PERSON: 9 SUBMIT'A COPY OF YOUR STATE STATE LICENSE # EN? DATE LICENSE WITH ADDRESS X10 L/6 CITY- 0ZIP di 71-1A � APPLICATION PHONE'7Bl- _73,'L—,)0ge! FAX PERMIT TYPE ° SINGLE FAMILY ❑ TWO FAMILY D TOWNHOUSE TYPE OF WORK: I ❑ NEW REPLACEMENT ❑ 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 TABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (WDICATE TOTAL NUMBER OF EACH BELOW) rr Equipment Installed MFG: sc a �C= MODEL:.' R ! e a' ` SIZEIBTU „� e MFG: MODEL: MFG: MODEL: _ SIZEIBTU A/C FIREPLACE (GAS) $15.00. GAS RANGEJOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 :, :FURNACE $35.00 —GAS UNIT ITER $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTIATOR $15.00 ' W.,. .: J ..?di?... ,Y..Rw+.�rax«.-...n. m�....�..n,,,..�,- ..: .: -..�: .._,.. ...._.. _... Permit Fee $ c, `'' Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $6, f" 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 `r ; PRINT NAM DATE J h � — 0_2 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 NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural. Gas or PropanevUGC 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 TMC 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 snake up air calculations