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PRE 2010 DOCSBuilding $ BUILDING See Back Page for Fee Schedule Permit No. Inspections -YG9 `I. % RESIDENTIAL APPLICATION Received By:/ 763-572-3664,Date Ll s _ 4- L OF FRIDLEY Date Recd: DATE '5o YOUR E-MAIL ADDRESS .0005 x Permit Valuation Minimum $.50 SITE ADDRESS 2 'a rJ s . 1C� MN -5.L� 0 THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: Curb Cut Escrow TENANT ADDRESS: CITY STATE ZIP ft + 6 ft = ft x $21 =$ PHONE: $ CONTRACTOR NAME: 91veHo-"e5 /inc Park Fee STATE LICENSE # Z® 71-0) 3 X131 EXP DATE MW -ryq j SUBMIT A COPY OF YOUR STATE LICENSE ADDREs : Z Z fi /� 1 Tel CITY 6 011 ✓r t STATE ZIP WITH APPLICATION PHONE6 3 74r7' ZZ FAXC63 Z v PROPERTY TYPE JXSINGEE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:' ❑ ADDITION TENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: N ew t°�-" S (:- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT 13 V t7 Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING 1' 27 i1.CE SCHEDULE) TYPE p�PE TOTAL JOB VALUATION $ /% �'OCCUPANC Permit Fee $ d i ° a5. ;j See Back Page for Fee Schedule Plan Review $ -YG9 `I. % 65% of Building Permit Fee Fire Surcharge $ Ll s _ 4- L .001 times the total job valuation Surcharge $ -7:2,3 .0005 x Permit Valuation Minimum $.50 License Surcharge $ -5.L� 0 $5.00 (State Licensed Residential Contractors) SAC Charge $ 175-5—C -77-c-7 $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Si �. �,� Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowled a that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ci hdley and with the Minnesota Construction Codes; that I understand this is not a permit but only an app 'cation a o not to start without a permit; that the work will be in accordance with the approved plan in the case of all ork whic ires re approval of plans. j SIGNATURE OF APPLIC PRINT NAME /��/)//� DATE �� �� Permit # Permit Date tzlREScheck Software Version 3.7 Release 1 b Compliance Certificate Project Title: JAKE MAGDIK RESIDENCE Report Date: 06/07/06 Energy Code: 2000 Minnesota Energy Code Location: Anoka County, Minnesota Construction Type: Single Family Glazing Area Percentage: 11% Construction Site: Owner/Agent: Designer/Contractor: FRIDLEY, MN JEFF BLUEPRINT HOMES MN e e 1 . o , • • Cont. -Glazing Cavity Assembly R -Value R -Value or D.. Ceiling 1: Flat Ceiling or Scissor Truss: 1276 44.0 0.7 34 Wall 1: Wood Frame, 16" o.c.: 2024 19.0 0.7 103 Window 1: Above-Grade:Vinyl Frame:Double Pane with Low -E: 234 0.350 82 Door 1: Solid: 38 0.070 3 Wall 2: Wood Frame, 24" o .c.: 280 10.0 0.7 24 Basement Wall 1: Masonry Block with Empty Cells: 848 10.0 0.0 49 Window 2: Basement > 5.6 ft2:Wood Frame:Double Pane with 18 0.350 6 Low -E: Floor 1: All -Wood Joist/Truss:Over Unconditioned Space: 312 30.0 0.7 10 Floor 2: All -Wood Joist/Truss:Over Outside Air: 12 30.0 0.7 0 Furnace 1: Forced Hot Air: 90 AFUE Air Conditioner 1: Electric Central Air: 10 SEER Compliance Statement: Statement of Compliance: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements In REScheck Version 3.7 Release 1 b and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Company Name Project Notes: CROIX #06233....6/7/06 Date JAKE MAGDIK RESIDENCE Page 1 or i Permit # Permit Date 0 REScheck Software Version 3.7 Release 1 b N/"' Compliance Certificate Project Title: JAKE MAGDIK RESIDENCE Report Date: 06/07/06 Energy Code: 2000 Minnesota Energy Code Location: Anoka County, Minnesota Construction Type: Single Family Glazing Area Percentage: 11% Construction Site: Owner/Agent: Designer/Contractor: FRIDLEY, MN JEFF BLUEPRINT HOMES MN Compliance: Passes °3t�i�,o;P°",MaximumUA 410;; rs"Your Horne lJA 311 -> 24.1°lo Better Than Code (UA) Ceiling 1: Flat Ceiling or Scissor Truss: 1276 44.0 0.7 34 Wall 1: Wood Frame, 16" o.c.: 2024 19.0 0.7 103 Window 1: Above-Grade:Vinyl Frame:Double Pane with Low -E: 234 0.350 82 Door 1: Solid: 38 0.070 3 Wall 2: Wood Frame, 24" o .c.: 280 10.0 0.7 24 Basement Wall 1: Masonry Block with Empty Cells: 848 10.0 0.0 49 Window 2: Basement > 5.6 ft2:Wood Frame:Double Pane with 18 0.350 6 Low -E: Floor 1: All -Wood Joist/Truss:Over Unconditioned Space: 312 30.0 0.7 10 Floor 2: All -Wood Joist/Truss:Over Outside Air: 12 30.0 0.7 0 Furnace 1: Forced Hot Air: 90 AFUE Air Conditioner 1: Electric Central Air: 10 SEER Compliance Statement: Statement of Compliance: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.7 Release 1 b and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Company Name Date Project Notes: CROIX #06233....6/7/06 JAKE MAGDIK RESIDENCE Page 1 of 1 City of Fridley 6431 University Ave NE Fridley MN 55432 e (763) 572-3602 or Fax (763) 502-4977 - - Water -and Sewer- Permit Application New Connection Utility Line Repair/Relocation ❑ Existing Water and Sewer Connection Date: !A k_1 I O kP Job Address: MIA " Z t d Si_ ° N1�7 Name of Applicant (Plumber): Mi VI 8 . h L ° Name of Property Owner: �jY1 hfiD� C ° Existing Structure Permit # Permit Type: Sewer Fee:CjQ .°') Water Fee: 5 0.00 Meter Fee: Repair Fee: Relocation: State Surcharge: . ro D SAC Charge: Special Assessment Fee: Total: $ 100.roO Applicant Signature: CIUro0 Inspector approval: Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line R air $40 Special Assessments See Engineering Cost of Water Meter See Utility Billing SAC Charge $1550 State Surcharge $ .50 Water Ta See En 'neerin 04/04/05 r_� Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: DATE-,/ � - 4a b YOUR E-MAIL ADDRESS SITE ADDRESS 2.;t / � !C Tr THIS APPLICANT IS: O OWNER *ONTRACTOR PROPERTY NAME: %- ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR �� NAME: /�'I�C IVO IAS J)Z C STATE LICENSE # ? fl LAS EXP DATE / a - 3 SUBMIT A COPY OF YOUR STATE ADDRESS: ,!� 5f -a Ulf hR II1a lid CITY eLDA/ STATE n,,, ZIP _rSd // LICENSE WITH PHONE 9 tz.3 1V11- /flS(j FAX 9d2_ APPLICATION PERMIT TYPE 06INGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 REPLACEMENT DETAILED DESCRIPTION OF WORK 7yiL„✓y Di Alt ,n/ A14k %C PER MS 1613.665 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..shouldreflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOREROJECTS WHERE LABOR EXCEEDS1500,71TEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT.Wi ERE'NOTED .F.DCrA-MS:-.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING BATHTUB / GAS PIPING (ArEw crryLicEmsk) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER / KITCHEN SINK/ WATER CLOSET _ BACKFLOW PREV. ($15) L DISHWASHER LAUNDRY TRAY ,LWATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER NAMMmu Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ WO - CRS Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ -W TOTAL DUE $ State Surcharge = $ .50 Total = $ lS . 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 worl 1 'c r tures review and approval of plans. SIGNATURE OF APPLICANT it PRINT NAME f City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 IN Building MECHANICAL Permit No. - Inspections RESIDENTIAL APPLICATION Received By: f �' 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE C7 6 YOUR E-MAIL ADDRESS A SITE ADDRESS ZW 1 3 64 THIS APPLICANT IS: ❑ OWNER PCONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: SUBMIT ACOPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRES/S� 3 g CITY STATE 2Z&zIP 72_dJ_ APPLICATION PHONE �) av-qu G FAX f — 7K PERMIT TYPE Ej SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: RNEW ❑ 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 LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) / I / Equipmentlnstalled MFG: 'Gta did MODEL: HEX �6� SIZE/BTU 60000 MFG: MODEL: SIZE/BTU 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 $35.00C�FURNACE $35.00 GAS UNIT HTR $10.00 CHIIVINEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _GAS DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 �y f >.a.^�i i- T Y'F,. Nf `�v,-. _�n-'. £�. 'T"...�. .... .. x.51: Permit Fee $ Number of fixtures @ $10 00 1 x $10.00 = $k0. QW 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 x $35.00 = $_,Sc State Surcharge = $ 50 Total = $ "1-0 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 PRINT NAME DATE 8 2 - City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS 0 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 REOUIRED 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. ��� 'Building AHCHANICAL P��nitrro.: InspectionsRESIDENTYAY, APPLICATION Received By: //Q 763-572-360 CITY OF F LEY DateRee`d: % DATE _ _- I YOUR E-MAIL ADDUSS SITE ADDRLSS' % THIS APPLICANT IS: O OWNER -PC'.ONTRACTOR PROPERTY NAME; Oi1VNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR COMPANY NAME; SUBMIT A COPY OF CONTACT PMWN' YOUR STATE STATE LICENSE Y N t — 719 51) EXP DATE LICENSE WITH ADDRESS; � `�1i�......_ "1'1 r`i ITY STATE /�wGIP J� i3 APPLICATION PHONE FAX PERMIT TYPE ,161NGLE FAMILY O TWO FAMILY O TOWNI•IOUSE .j TYPE OF WORK: D REPLACEMENT C ALTERATION/REMODEL DETAILED DESCRIPTION OF "WORK PER MS I6B.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 WHEU LABOR EXCEEDS $500 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment InstalIC4 MFG: 5�D MODEL: SIZE/BTU MFG; MODEL.: SIZMTU _ MFG: MODEL: SIZEISTU _A/C $25.00 >CFIRMPLACE. (GAS) $15.00 GAS IAwGE(OVE a$10.00 AIR TO AIR UCHANGEM S 15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOU,ER 535.00 _FURNACE $35.00 -GAS UNIT HTR $10.00 CfiIIv�TEY LINERS 10.00 ,_GAS DRYER Sl D.00 HEATER $35.00 _POOL DUCT WOPIX $10.00 GAS PIPING $10.00 YENrILATOR $15.00 Permit Fee $ Number of fixtures $10.00_x$10.00 = $ Surcharge SSD Number of fixtures @ $I5.00 x $15.00;-- $ TOTAL DUE $ IS. Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = S State Surcharge $� ..- .50 'Total c $. _..._ THIS 1S AN APPLICATION POR 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 tate Minnesota Construction Codes; that I understand this is not a permit but only an appli t far a permit and work is not to start without a permit; that tho work will be in accordance with the approved plan in the case .a w k whi es ravie and approval of plans. SIGNATURE OF APPLICANT PR11dT NAME L! DATE City of Fridley Building Inspections Department . 6431 University Avenue NB, Fridley, MN 55432 763-5723604 FAX: 763-502-4977 Td WULE :ZO 9002 zZ 'daS 4eeTT4SR9Z: 'ON Xbd Fialptid 3o A110: WO8j