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City of Fridley, Minn. BUILDING PERMIT N® 3832 Date: ... A ........... Owner ... .... ... Builder .. ........... .......... Address ................ Address ............................................. ,Q� Z�� BUILDING No..(�/// oa Street.. ....... Part of Lot ............................... Lot ............ Block Addition or Sub -Division .................................. corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING Xe-� .. Front ' l . ® Depth`. � Height /. 0..- � sq. F ,/.(� �!Cu. Pt. 4-74 .......... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft........ . Type of Construction ................... Fit. Cost.. ..4:?—E....... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. / f In consideration of the payment of a fee of $. !ed ........., 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 any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: a, This permit does not cover the construction, Initdllation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeotor for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name ® der Address 6 flee _ —Address LOCATION OF BUILDING No. Street Part of Lot Lot Block_ Addition or Sub. Div. Corner Lot Inside Lot Set Back Applicant attach to this form Certificate of Survey of Lot and proposed r buildilig location. DESCRIPTION OF.BUILDING To be used as Front. Depth.,_ Height Sq. Ft. Cu. Ft.• Front Depth eight 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_ 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. Date �-S Signature (A Schedule of Fee Costs can be found on the Reverse Side) R City of Fridley, Minn. BUILDING PERMIT Date: June 9. 1965 ") 6s N? '7'785 oma: Robert Poore guilder Midwest Construction Co. Address 6800 7th Street N. E, Address 313 18th Ave. No. LOCATION OF BUILDING No. 68M Street 7th Street N. E. Part of Lot Lot _ __6 _ _ Block 3 Addition or Sub.Division . Rice Creek Terrace, Plat 4 Corner Lot Inside Lot _ Setback — Sideyard Sewer Elevation To be Used as: Front Foundation Elevation DESCRIPTION OF BUILDING Depth Height Front Depth Height Sq. Ft. Cu. Ft. Sq. Ft. Cu. Ft. Type of Construction Fat. Cost _ To be Completed • Construct New Garage: Storm damage repair 0 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 in compliance with a& provisions of ordinances of the city of Fridley. / y In consideration of the payment of a fee of 10.00 , permit is hereby granted to Midwest Const. Co • 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. donL, around and uponMinnesota the city ]imicca. Allen Jensen NOTICE rots permit don trot cover the ewdruetion, hutallMon for whim plumbing, an heating, sewer w water. Be sora to no the Building lamer for npsraM permhs for them hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA DWNER'S NAME S BUILDER ADDRESS 6V 0 6 i �% ADDRESS 3/ 3 I q }4 LOCATION OF BUILDING No. �Street Part of Lot LOO _BLOCK 3 ADDITION OR SUBDIVISION r Corner Lot Inside LOTSetback 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. FtCu. Ft. Front Depth _Height Sq. Ft._ Cu. Ft. Type of Construction Estimated Cost To be -'completed-' The undersigned•hefeby 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 representatiotia stated in this application are true and correct. DATE �� SIGNATURE T , R (Schedule of Fee Costs can be found on the Reverse Side). ��-'7(9 p _ 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 $ MECiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ ° each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. .. 8.00 $ Furnace Shell & Line—to 840 sq. ft. EDR Hot Water ... 8.00 $ 7 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 • G°� FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE �a -0 ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 Location 6 , o ® 71% 21- A 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, A0nn_ �% 19 Owner ®i0 i / 4a 7 ,,? _C o n Kind of Building v Used as To be completed about �P -ob 1,- ' ' 9'® -� Estimated Cost, $ � Old— ew. Building Permit No. Permit No.� ZI— DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air No Trade Name /^tee P-2 " 4` x Size No- ��— Capacity sq. Ft. E.D.R_ S f �° • 0 00 BTU H.P. Total Connected Load `7 -7 6 1p / Find of Fuel /faa ?Z- BURNER — Trade Name—/-",- 0'2 h ma x Size No- (;;F-1/0 Capacity Sq. Ft. E.D.R //® 000 BTU H.P. (REMARKS -OVER) Signe - HEATING AND AIR C Q BY441p EXCELSIOR BLVD. MINNEAPOLIS 1"W 920-3800 m « sM Business Phone No CRONSTROMS HTG. & AIR COND., INCO „ Job`Nomej 0.,v R. jO*tySON 4410 Excelsior Boulevard, Minneapolis 16, Minn. // � N rNI DL� .01230. 2 s HEAT LOSS CALCULATIONS Job Address �q ®® 77N 'f % 4F., A.S.H. .E. Weatherstrips Construction No. I Insulation Guide I Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes-NoOO Yes -No 19— Fl. Room I Length Width / -Height . " II / Fl.l Room I L.eneth%/ Width 17 Height Fr endows and Doors-Crackage and Area / t — "Clu"ri Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. Width Height No. of Lineal ft. Area Noe of pane off/ pane lights of Erack sq. ft. zo ! 3 3 2OR L .3 ..2 Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coef.1 B Coef-I I Atu Infiltration Glass Infiltration ((� Glass gr Glass 0-0 Exp, wall /b Y_3 O Int. wall ,j`a Net exp. wall °= 10- IRTZ. ,Z.tl 1 /O CD 10 Inc. wall F 1 KE PLACE Int. wall / Lf- 4ro Ceiling a -ox 1 ,c ,'�7 Ceiling y Floor Floor f Total Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l 7TW 0 Room I Lenath Width // -Height Windows and Doors-Crackage and Area / t — "Clu"ri Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. /wr- zo ! 3 3 Width Height No. of Lineal ft. Area No. of Dane of Dane llghte of crack sq. ft. In 1 33 Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coef.1 B Infiltration `b Coef. Glass Infiltration ((� Exp. wall Glass Net exp. wall . C I ^ t`= 3 /b Y_3 O Int. wall ,j`a Exp. wall Ceiling j . (, Net exp. ws Floor - (. �- - Int. wall I Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i305 IVi 1-1.1 / y m " a-,wm Ia..cngta [ — w tate / t — "Clu"ri Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. zo ! 3 3 Width Height No. of Lineal ft. Area No. of Dane of Dane llghte of crack sq. ft. In 1 33 Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coef. Btu Infiltration `b Coef. Btu Infiltration 30-6 Exp. wall Glass 2 Glass tf-B Exp. wall ,j`a Exp. wall Ceiling 3, 4 Net exp. ws -1. -® /O - (. �- - Int. wall 6 Net exp. wall 2• QLf Ceiling y Ceiling Floor Floor I Tbtal Btu. 10 ® 3 4G Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IF Windows and Doors-Crackage and Area I. - 6, a/©� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. it. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. zo ! 3 3 Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coef. Btu Infiltration `b Coef. Btu Infiltration 30-6 Exp. wall Glass /6 3 0 Int. wall ,j`a Exp. wall Ceiling 3, 4 Exp. wall Floor - (. �- - 1.6 6 Net exp. wall 2• QLf Ceiling Int. wall Floor Ceiling i C. tq L_r ZIE f Z® Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P in I Rnnrn I Lenath . ��Width // Heiaht P" - Windows and Doom--Crackage and Area I. - 6, a/©� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. it. Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coef. Btu Infiltration `b Glass Coif. 30-6 Exp. wall Net exp. wall ° 4,rr zz `= Z /6 3 0 Int. wall ,j`a Exp. wall Ceiling 3, 4 Floor - (. �- - 1.6 Total Btu. 1/5 / 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area O X 26 v,• ■., / . • r' • �/ If UN r....... r t Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Coif. to Infiltration Glass ,j`a Exp. wall Net exp. wall - (. �- - 1.6 6 Int. wall Ceiling / Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area CRONSTROMS HTG. & AIR COND., INC'*;' JoE Name j6 j,1,*VSaIV D-56 '- "Ur Excelsior Boulevard, Minneapolis 16, Minn. 800 77-#—S--/ /'. �7 e. NEAT LOSS CALCULATIONS Job Address1--XI OLEY a AS.H.V.E. I Weatherstrips Construction No. 1 Insulation Guide I Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes—No Yes—No 19_ Fl. —_: Room I Lenath 9 Width Height II Fl.l Room I Lenath Width Height Windows an Doors—Crackage and Area Room I Length / D Width Width Height No. of Lineal ft. Area No. of Dane ofDane lights of crack sq. ft. / ® / lXED Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft 4 _ N 34 Glass Coef. Btu Infiltration Infiltration `/ 3dP Glass Glass L ,� 5 a -n Exp. wall S6 Exp. wall Net exp. wall/9 — 2 v /61 1310 Inc. wall Net exp. wall 1/o = 7 7 —( [ 4,C Lf O Int. wall Ceiling Ql 4 O Floor I Total Btu. I ,j / 71r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 Room I Length / D Width _ Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft 4 _ N 34 Glass Exp. wall Coef. p Btu Infiltration Int. wall /(027 Glass L ,� 5 a -n Exp. wall Net exp. wall/9 — 2 v /61 1310 Inc. wall Ceiling O )( LF (Q [ 4,C Lf O Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Reem I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F9_I Reom 1 Lenath Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pans lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of I Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall . Int. wall Ceiling Floor Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T 7 SUBJECT City of Fridley o8 aN ATTHE TOP OF THE TWINS BUILDING PERMIT • ______ COMMUNITY DEVELOPMENT DIV. L r i PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/18/85 JOB ADDRESS 6800 - 7th. Street N.E. 1 LEGAL BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. ILOTNO. 6 3 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Netko Bros. hoofing 3446 Russell Avenue 529-7397 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 J7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rero f Dwelling 9 CHANGE OF USE FiOM TO STI ATIONS goof can be 2nd layer but not 3rd. XKX= Install ridged galvanized valleys. i 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 $272550 $1.12 WITH WHET SPECIFIED HEREIN OR NOT. E GRANTING OF A PERMIT DOES N PRE LME TO GIVE THORITY VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI ONS Oy ANY OTH ATEFO�L LAW REGULATING CON- $38.50 T TION O THE PERF ANCETRUCTION. /4 a z:; >_ LAN CH CK FEE TOTAL 109' 62 ,a iGNATURE FCO .R OR ORAUTHORIZEDAGENT (DATE) SN.WHEN PROPERLY VA ATED THIS IS YOUR PERMIT 1162A 11 (1 It 6 SiGNATURE OF OWNER IF OWNER BUILDER) IOATEI BLDG )NSP ATE 7 NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addre Legal Description: Owner Name &A,&:'7 -" Address: ` ' Tel. # Contractor: N & %//� � �-s ®� Tel. Address: 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: %M�Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: A �'`-' �/ /-� O Tel. �_'7 � 7?�� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT P City of Fridley 2048 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIP COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ���L 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEV 55432 612-571-3450 910-F15 4/5/91 JOB ADDRESS 6800 - 7th Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glenn/Linda Paulick 6800 - 7th Street NE 571-6985 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10 x 10' Three Season Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARrAm I G Before digging call for all utility locations 454-0002 REQUIRED 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $4,450 $2.23 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMITSXM 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- $72,00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $78.68 S NAT E OF CONTRACTOR OR AVTMVIZED RGE T IDAT�TEEi WHEN PROPER 4 1 D THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERI (DATE I 11-NSP DATE NEV [ ] ADEN J AMM [ ] R-1 AND R-2 Building Permit Application -7 t�h 5 f AJ. F, r IF `�L�to� 'ae•L[9�� Tel. Effective 1/1/91 # 5-71-659,5- T ta . 71 -698,5 - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. S Iii OF AMPZmVEMM LIME Alt'Epi: Iex th Width Height Sq. Ft. GNOM AREA: Length Width Height Sq. Ft. DECK AREA: length Width Hgt/Gramd Sq. Ft. Oma: 1p Corner Lot insidelot ] Ftp. c� lback Side Yard Setbacks - /® Type of Construction: WOOd VexvV% e- Estimated Cost: $ / 3, - - LZ qS-O Approx. Copletion Date: _Q//17 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ + 6' See Back Page SCANTAPPZ:/-)ZAWri Tel. # 7S Y- ®A9is - Ck/, Permit Fee $ _, im- Fire Surcharge $ State Surcharge $ SAC OmMe $ Driveway E -=m $ Perk Fee $ Sewer Main Charge $ ST1rlJJ.!l.LIM : CITY USE Fee Scb mile on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Er g; roex* ng Agreement Necessary [ ] Not Necessary L l 0� l r� 9 ly 5(fU 50 CIA rn i i I I ( -- --- - I vly L iTs ^' i i tj- ! 70l -; --i - --L.. • � i I I i A- i C. hi �r--=-- i a .Zi1 7-1 Sp�p i SoSc ! j O a Ir 4 Ls rl amp VI ir i 1 t I ! CITY OF FRIDLEY INSPECTION DIV. ®l 6431 University Ave NE Effective On March 1, 1996 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, J Z 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS G 900 Tr3 Sf Residential The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $30,00 rulings of the Building Division, and hereby declares that all the facts and (Side Vent -Fill Out Back) representations stated in this application are true and correct. Gas Piping (Needed with new furnace) $ 10.00 $10. c° 'Z- i I' ,199' OWNER" t14 IP14 I "'k - Gas Range $10.00 $ 5 *71-4 9 g S� Gas Dryer $ 10.00 $ BUILDING USED AS _ *Air Conditionin ESTIMATED COST J�o�. rho _ g -All Sizes $ 25.00 $ PERMIT NO. All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER I% of Value of Appliance or Work $ No. of Heating Units- f` Circle One (Steam) (Hot Water)arm Ai Commercial/Industrial Trade Name C Frvmox Size No. 623- 21j - 7�, 1.25% of Value of Appliance or Work BTU_7SJ acs HP % EDR $ Fuel nLq Total Connected Load_ State Surcharge 50 Burner Trade Name Size No. TOTAL FEE BTU HP EDR �4�_ MINIMUM FEE FOR ANY HEATING/COOL NG HEATING COMPANY�'D40A II/���`i1+4 � Af ffj4% AW 1'AAJ VENTILATION REFRIGER_ ATION1.AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed By i, - Tel No. 53(0-Mv7 REINSPECTION FEE $42.00/Hr Approved By Rough-In Date Final Date "Air Conditioners can not be placed in a side yard without written permission from ad'oinin FILL OUT BACK SIDE R STACK VERIFICATION ON 1 g property owner. REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (A No ( ) 2. Is free from rust or deterioration Yes (?o No ( ) 3. Has no foreign objects lodged within Yes (?() No () 4. Is securely supported Yes 0) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (X) No ( ) 6 Has total heating BTU's of -7S, ®oz, All other BTU's 341000 TOTAL BTU's /6 f, a 7. Has a liner been provided for water heater Yes () No (-x) 8. Has combustion air been provided for water heater Yes (x) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: 104PSi/ Y&M41 � MR- Jd Signed By.- Date: y:Date: a // - V7 RESIDENTIAL LOAD CALCULATION Purchaser •%"� Sales Rep eh U&ODate 2--// —gam Address ��� ? ��• �� sq Ft gross wall Running walls below grade:.- x _ (Ft wall Ht)= below grade Sq Ft windows and doors below arade et wall below rads Sq Ft gross wall Running walls above grade: ' x -.LO (Ft wall Ht)= above grade(1st floor) (lst Floor) Sq Ft gross wall Running walls above grade: x (Ft wall Ht)= above 'cirade znd r (2nd Floor) Sq Ft gross wall Total gross Sq Ft 2)above - arad'e Sq Ft windows and 1� doors above grade Net wall above grade Windows & Doors rj Sq Ft x rj6 HTM = --71,75Z)BTUH Inf. (w&d x 1.3) Sq Ft x ® HTM = ®BTUH Net wall below �1 � grade / � Sq Ft x LLJ HTM = �TUH Net wall above grade Sq Ft x © HTM = �� �- BTUH Exposed Ceiling Sq Ft x HTM = BTUH Exposed Floor Sq Ft x ® HTM =E�TUH �S• BTU TOTAL s & Floors Windows & Doors .. Ceilings -13Y q 3, G 4� rA SUBJECT P City of Fridley 2 6 6 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. 1 . � NUMBER aEv GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/18/98 JOB ADDRESS 6800 7th St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glen Pau lick - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dan Netko Exteriors 566-3731 20060494 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Z] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 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 xx 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2251 $1.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE S -AE CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 F e SC -.-1.2 PLAN CHECK FEE7$183.12 A FEE License 5.0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI EN RP YALI THIS I� UR PERM) BL INSP /.D V ' ~ 'a DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI rA NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 4� rA41 Legal Description: Owner Name �� ,�1 ��� Tel. # Contractor: DAN NETKO EXTERIORS MN LICENSE # Address: 7118 Riverdale Road • nnpa , MN 5543011C OM 4 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: Leng Wid Igt/Ground Sq. Ft. OTHER: ^^ I. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: , tai f ®p Estimated.e�f e?i Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. Ft = Ft A $ _ $ DATE: Z J APPLICANT: Tel. #' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ I �-1 $ A '�2! $ I ra Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] . City of Fridley Z31M105Su6�EtT AT THE TOP OF THE TWINS BUILDING PERMIT r v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 6-0 r PROTECTIVE U NUMBER REV DATE PAGE OF APPROVED By I 1 CITY HALL FRIDLEY 55432 612-571-3450 910415 6/26/00 10B ADDRESS 6800 7th St. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glenn Paulick 6800 7th St. NE 571-6985 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kitchens By Design 201 Silver Lake Road, New Brighton, MN 55112 651-636-5266 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20006514 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Remodel Kitchen 9 CHANGE OF USE FROM TO STIPULATIONS Provide Smoke Detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code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ire SC $3.00 STRUC110/4 OR THE PERFORMANCE ,& CONSTRUCTION 'g2& 040 PLAN CHECK FEE Lic C $5 TOTAL EE $ .75 SIGNATOR FCON'RACTORORAUTHOWZEDAGENT IDAM HEN OPE LIDATE HIS IS OUR E IT S.GNATURE OF OWNER,iF OWNER BUILDER. (DATE, Zt BLD NSP 401d (/Jq BATE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: (a�� '%� S%R��r —/�• ; �ie/�/-j Legal Description: Owner Name & Address: G�,�/�/���o//V��} /�/�LiL�li� Tel. # V --S71-499. Contractor: /_%G /(�� �IF K MN LICENSE # Address: 2-01W Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Length I Width Hgt/Ground Sq. Ft OTHER: l� � ��t! R 0A46PZ-S%0- C Construction I ype: Estimated Cost -_I Cr o/t�,A-L Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 10 APPLICANT: Tel. # epS�—� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3��0 O .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ $1100 per SAC Unit $ t� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above Sewer Main Charge $ $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ , /4v, -V� .� •,+�► vim/ ,�vLl O %�%LL i� A Id O tow M M N .�4 g w1 LO V d`y 0 - In LNJ i� A Id O tow M M N LO i� A Id O tow 4 2b CITY Of FRIDLEY INSPECTION DIV. 6431 University Ave NE o 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 68010 2 -r_1 4,Z2j6 New Fixtures o� Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas`* Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE L/ 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ .50 $ 022co•-�b —/2 ,20-� Owner Building Used Ash Ge 1, Estimated Cost PERMIT NO. PLUMBING SIGNED BY Approved By TEL N0. Z! � &;, S__�) �J Rough -In Date Final Date�c� 12 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 reolacina an existina 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 manufacturers 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 : CRYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Mr. Paulick 6800 7`h Street NE Fridley, MN 55432 Re: Final Inspection at 6800 7t° Street NE Contractor: Roberts Plumbing, Inc. Dear Mr. Paulick: A plumbing permit was issued on July 12, 2000, to install two fixtures at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no permit called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. incerely, Inspector DJ/ls CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR later .; E3ath Wash <:ink Flooratcli Auto. Closet'' Urinal Tub; Shower Srnk Tray 1=bUl1t Drain Basrr Washer PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance +_ Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 4- tf o State Surcharge TOTAL FEE $ .50 Effective On January 1, 1997 Gas MisO, Water Heater Range duct...,,..:;, Gas I Elec JOB ADDRESS (; kba '77 si, h/, } 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. k- - d-1 — Owner�/eAA �j �i �,/ C,j Building Used As»✓�,�,°j�7;7,,j' Estimated Cosh PERMIT NO. J_3Z? 2 PLUMBING COMPANY .vlAldk",%� PIX9) SIGNED BY TEL N0. Approved By Rough—In Date Final Date MINIMUM rtt t'UH ANY PLUMBING/ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. Y Building MECHANICAL Permit No.:_Ao Inspections RESIDENTIAL APPLICATION Received By:—/ 7.63-572-3604 CITY OF FRIDLEY nate Rec'd:A DATE �1. \a\ C) S YOUR E-MAIL ADDRESS SITE ADDRESS Io 0.06 - ~IT st n CC - THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ADDRESS: S A M 2._ CITY STATE ZIP PHONE: 7b�J- 36 COMPANY NAME:_ CONTACT PERSON: STATE LICENSE # P' TE ADDRESS: P'WM9 MK ' - �. STATE ZIP PHONE FAX IqSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW ❑ REPLACEMENT )(kUERATION/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) , -{ L � r., D. ` r3 o 1� SIZE/BTU Equipment Installed MFG: SQS i(��fE MODEL: V SIZE/BTU MFG: MODEL: SIZE/BTU MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 AIR TO $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 BOI_CHIMNEY LINER $10.00 —GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 ],GAS PIPING $10.00 VENTILATOR $1500 Permit r a ')r.fid:,, q., _ ..... S�A� Number of fixtures @$10.00 --Lx $10.00 = $ /D, 0[7 Surcharge Number of fixtures @ $15.00 x $15.00 = $ 1 S. ed TOTAL DUE Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $--)S- SO 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 r iew and approval of plans. 11 SIGNATURE OF APPLICANT PRINT NAME C Tl Ql S DATE_ I LS, ( 0 S 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 Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. TMC 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 1MC 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 &gyp Building MECHANICAL Permit No. �y, Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 DAMPUT 2 20 CITY OF FRIDLEY DATE YOUR , E-MAIL ADDRESS SITE ADDRESS L98�� �'— `� ti& THIS APPLICANT IS: ❑ OWNER JVCONTRACTOR PROPERTY NAME: Deem J v A n/ OWNER/ r ADDRESS: 6p06 ST CITY ri—,fWl,,STATE�WIP SSy TENANT i -5i/- S'93G PHONE: 3 CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON"RAPIDS sTATEMN zIP55433 APPLICATION PHONE 763 — 757 -- 6202 FAX 763--757--6701 PERMIT TYPE `5INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE 14 TYPE OF WORK: ❑ NEW `}a REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORKff,44j, 1 kce Air 64011VI011ed— 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 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) �--,^ / �' -az C/ ` Equipment Installed MFG: MODEL: SIZE/BTU h MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU 4A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 _CHIMNEY WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 _DUCT PERMIT FEE PROJECTS FOR UNDER $500',' PERMIT FEE FOR PROJECTS OVER $500: 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 = $ 25"60 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. ROGER SIGNATURE OF APPLICANT °I NAME HOFFHEIN DATE Zl PLEASE NOTE:' SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 )a r City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS VXISTING 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.