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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3784 Date: ...................................... Owner ................. ............... Builder .......... ... ... ... Address ...................................... Address ............................................. LOCATION OF BUILDING No. 6M,6.. Street ... JF .......!.............. Part of Lot .............. .............. . Lot ../. q ..... Block .... -0 ......... Addition or Sub -Division . i�'lef . &� Tom. /-W-1 Corner Lot ............ Inside Lot ..-4 ........ Setback." .. Sideyard ..... ®.. ..... Qv ............. DESCRIPTION OF BUILDING To be Used as: _/ .. .... Front .,i. l.. 'Depth 9 Y "'Height �7..'"� Sq. F't /..Q�.�" Cu. Ft. -:?9 ®�! n q q ��. ....... Front l.Jd..: a Depth !.'/.. Hc�eigQht�'..A. Sq. Ft. 5d.0 Cm Ft.3. 3 Z� Type of Construction ................... Fxt. Cost. X-3, MR.. r --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. 000,,((��' In consideration of the payment of a fee of sl;; ....... 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: This permit does not cover the construction, Installation or alteration for wiring, plunvW090pogas heating, sewer or water. Be sure to see the Building InWiator for separate permits for these Items 1� T- fj � coo 0 0 • • i City of Fridley, Minn.. BUR DING PERMIT Date: July 8.. 1965 K. Firnstahl Owner: 6856 7th Street N. E. Builder Harvey Peterson Address Address 151 Glen Creek Place N° 8151 LOCATION OF BUILDING No 6856 Street 7th Street N • E • Part of Lot Lot 17 Block 3 Addition or Sub.Division . Rice Creek Terrace gPlat 7 Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost M 000 tQ0 _ To be Completed Rebuild from Cap up In consideration of the issuance to h e e a permit to constru building above I agree to do the proposed work in accordance with the description above set f (/� and 3n com vY- , v-i�h��a�l provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of 0-- 10•� ,permit. hereby granted to Ham Peterson 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. Allen Jensen Building inspector NOTICE: Thb ponnh don no oswr the comtwsHon, la ftKeden for vAWn , phnnbing, on hating, seww w water. Be sere to sa do Begdino leer for aparafe permI- Por thea Mems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMES !� - BUILDER Lert ADDRESS G3 �� "' ADDRESS LOCATION OF BUILDING N0. STREET `] PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT 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. DESCRIPTION OF BUILDING To be used as: '�C.e'`—``"� A9 Front Depth Height Sq. Ft. Cu. Ft. Front Dept h Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost_'Z ' (O' 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. Af DATE SIGNATURE (Schedule of ee Costs can be found Qn the everse Side). j �' 97-8b416051 CITY OF FRIDLEY • APPLICATION FOR PLUMBING AND GAS FITTING PCRMIT PARTIAL RATE SCHEDULE • PLUMBING FIXTURE RATES: NO. ro' a c !umber Fixtures x $3.00 ui Future Fixture Opening x 41 $ Water m a� $ .°d H h m $5.00 $ ro s+ ,a W .'� N. $ 100,000 BTU to 199,000 BTO Neater .+ o J a x $7.00 $ New Ground Run Old Building .ci y a� $ Electric Water Heater x $5.00 $ O O .5 a aq -C a •.1 7 o 8 pu O S ul a� 1•�i� W N r V1 u o�0a o0 V1• .3 W Fci! w u 00 o as lee 1st rarge 2nd 3rd 4 (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL !umber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ • Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTO x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ,tln nn. Job Address 6856 NE 7 Street ,Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the w rk herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 11-13-78 , 19 OWNER FIRNSTAHL KIND OF BUILDING frame USED AS res. ` TO BE COMPLETED ABOUT 11-20=89 • ESTIMATED COST 30.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO Company Signed By . Tel. Noe ROUGH INSP. Date • FINAL INSP. ' Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT 23 $7.50 PLUS $.50 STATE tVRCfiAI2G8 a C 0 1 M su6JEtrIT NO. City of Fridley P, 3 0272 AT THE TOP OF THE TWINS BUILDING PERMIT RE EIPT NO. � VV COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 9t0-Ft5 9/23/99 JOB ADDRESS 6856 7th Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Albert Wiinaikainen 574-9027 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jayson Lindsay Roofing & Ext 9520 Jackson St NE Blaine 5792-1857 20172717 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential I CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 20 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building.Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2185 $1.09 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 $83.25 Fi= SC $2. 19 PLAN CHECK F TOT FEE Licen S 5.0 1.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN ROP VALID THIS IS I S.GNATURE OF OWNER,IF OWNER BUILDER, IOATEI C 0 1 M JUN -12-1998 12:16 FROM CITY OF FRIDLEY TO 7860893 P.01i01 NEW ` [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION : b'�- AVl ConstructionAddress: 5 % �` _::� /U, E _ 1 Legal Description: Owner Name & Address: f (,U, / ��; � r Tel. # 5 `74/ - 7 Contractor:Gq_':�� ,�� - e.Yf �i, MN LICENSE 11 aU/ia7O 7 Address:%GC!�S2 5lI iy Gvf j �y�� Tel. M % 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 1 'Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: owl S, Construction Type: r� Estimated Cost: $ CJ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: _ Tel. N Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL. STIPULATIONS: CITY USE ONLY $ <:�3-3:5iee Schedule on Reverse Side $ �� .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ , d'4 $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 [ ] $ 4i_ s3 TOTAL P.01 6431 University Ave NE Fridley, MN 56432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT hfiAP an [URPR nF FIXTI IRDS Tn RE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin NO. RATE Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" _L Gas Range" Gas Dryer*" Baric Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS ANO/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS 6%5(. 14 c—, �J 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. 20!-/ Owner 14 L Wt to.` `i Building Used As Estimated Cost 0 v PERMIT NO. / State Surcharge S .50 TOTAL FEE $ ID'10 PLUMBING COMPANY T 0 U E f► �- k /Z a rr� , .J SIGNED BY Approved By TEL N0. `I 2 . -Pega Rough -in Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Wash Floor Auto.. I Ga :>�-::`•�Water Hater Gas awe Drain Washer RaneS Basement ent Floor ::<i•i Floor r2 Floor 3 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin NO. RATE Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" _L Gas Range" Gas Dryer*" Baric Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS ANO/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS 6%5(. 14 c—, �J 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. 20!-/ Owner 14 L Wt to.` `i Building Used As Estimated Cost 0 v PERMIT NO. / State Surcharge S .50 TOTAL FEE $ ID'10 PLUMBING COMPANY T 0 U E f► �- k /Z a rr� , .J SIGNED BY Approved By TEL N0. `I 2 . -Pega Rough -in Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE OCT -17-2005 13:04 CITY OF FRIDLEY Wilding aspections '63-572-3604 [TE ADDRESS (D K 2 (e H1$ APPLICANT IS: 'RQPERTY OWNERI TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE TYPE OF WORK: WELDING Permit No... RESIDENTIAL APPLICATION Re wi've-d By: ZZ CITY OF FRIDLEY Date Ree'd: TOU1R E-MAIL AM ESS ❑ OWNER ,000NIRACTOR ADDREss: (n 8 5 7 S f N CITY ��all it srAT zip 5 5 y3,a- rHONE ;-7(®3 - 5 7 Y- D a- i NAME: Lamp GY l-- STATE LICENSE BXP DATE ADDRESS: 2-70& A),. Far✓r'y/ cuJ WY i/ STATEz—n1- —5S—# 3 -3(0 8U PAX 0 BASEMENT FINISH O ROOF ❑ DECK ❑ SIDING O SVM" 7ESCME WORK BEING DONE: 3 w Indo mL4aiaced 31M OF SQUARES ,� )ROPOSED SIZE: PROPOSED IMIGHT: SMING :3 Vinyl ❑ Aluminum ❑ Other iN waasTiNia OPENINGSs ❑No OR FOR NEW OPENINGS -SCRIBE SIZE OF OFENINO CHANGES & 0 HOUSE & GARAGE Q ATTACHED GARAGE ❑ DETACIMD GARAGB OSoffn ❑ Trim a pesaia LOCATION OF WINDOWS hl �r :r tr►lrla ❑ DRAIN TILE O OTM SIGHT BASEMENT MODELING &MM: 1. Exwing Floor Plan 2_ Proposed floor pian 3. List of swcnual nmban to be =4 FOR NEW CONSTRUCTION INCLUDING DECKS, ALDTTI03•I5_ & PORCHES SUBMIT: I. Site PIMYSMey showing the existing struchuas and proposed project 2. Two sets of construction plans 3. Enagy Calculations ALL ]FEES ARE EASED ON VALUATION, INCLUDING'IHE COST OF LABOR (USING 197 U.B.0 FEE SCHEDULE) TOTAL .101E VALUATIONS ® OCCUPANCY Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ®. See Sack Page for Fee Schedule $ 65% of Building Permit Fee $ (.0005) times the total jab valuation - Minimum $.50 $ .001 x Permit Valuation (1/10%) $ �°-� _ $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) S �ft+6ft= ftx$20=$ $ $450 Conservation Plan Review S Fee Determined by Engineering $ Agreement necessary ( ) Noon Necessary ( ) Make checks payable to: Clay of Fridley _ _ Attac THIS IS AN APPLICATION FOR A PERM17 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 pians. SIGNATURE OF APPLICANT / l"' d0Lam, tlaq a FAINTNAME lhn_PZze,-Vaadigi TE `10 'In / ,r, --,) Building PLUMBING Permit No.•- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Date Rec'd: CITY OF FRIDLEY DATE L(D - 10 - (D Cz, YOUR E-MAIL ADDRESS SITE ADDRESS g S 7 7 -If S 7-L� THIS APPLICANT IS: ❑ OWNER *ONTRACTOR PROPERTY NAME: 41- /3 t2 r kyf/ /✓ / 1<',q -- ADDRESS: 6 0 S (:� 7 r# S 7 ^J L - crN /- 2 / rD Le `T STATE/ ---tIP 2-/ OWNER/ TENANT PHONE: 7 3" 5 7 `f — 9 b a 7 CONTRACTOR NAME: L a n e— Z L�) STATE LICENSE # EXP DATE O SUBMIT A COPY OF YOUR STATE _� ADDRESS: 5 �(,/ G Ce 2 4 CITY / 2 STATES `y'1P .SSSS / LICENSE WITH PHONE %t,.3 - S i / ' vv FAX APPLICATION TYPE SINGLE P SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE P( TYPE OF WORK: ❑ NEW Od REPLACEMENT DETAILED DESCRIPTION OF WORK ov c- d- j2c=�o L4 ce K e- h e s /,-)J<' �r—r—✓`1 /) I S e D 'i'l ( 1J / .3 1) — Ig Sof ezz 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 ROJECTS WHERE LABOR EXCEEDS -S500 FEES ARE BASED ON $10.00 PER FDnUtE. EXCEPT WI RE NOTED>:RIXTURESs-.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ PIPING (vFzD cn7Ltcvvm) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB —GAS WASHER ! KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _CLOTHES / DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 2- x $10.00 = $ DO CL) Surchar a .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ ®, S O 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 fo a pe an ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of whi quires re 'ew and approval of plans. PRINT NAME 1DZ_W---) v/i - d f / C G0 -e-DATE /0 SIGNATURE OF APPLICANT __/0 IIN r tl ®k f§ R D& A��@` 14 D a a �� P'e� . I b City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: -Z06td 3� Inspections RESIDENTIAL APPLICA.'TION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE D �"�� YOUR E-MAIL ADDRESS SITE ADDRESS flSlo l f i= THIS APPLICANT IS: 0 OWNER 34CONTRACTOR PROPERTY NAME; L. Wit// K �} l kv OWNER/ ADDRESS: K�CITY STA IES" 2 TENANT PHONE:/ .3.5'7(1 CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WrM APPLICATION PERMIT TYPE TYPE OF WORK: COMPANY NAME: Noyer G441 VP -e= e= CONTACT PERSON: 82Q0 U'_*-�. e STATE LICENSE # r7-: � tea+ bi ti a PHONE GLE FAMILY 0 TWO FAMILY O NEW 016LACEMENT DETAILED DESCRIPTION OF WORK 0 TOWNHOUSE I�LTERATION/REMODEL ATE ZIP 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: MMICATE TOTAL NUMBER OF EACH BELOW)MODEL/L�i SIZE/BTU Equipment Installed MFG: 44'&& SIZEIBTU MFG; MODEL: MFG: MODEL: SIZEBTU GAS RANGE/OVEN $10.00 A/C $25.00 FIREPLACE (GAS) $15.00 _ AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00VENTILATOR $15.00 DUCT WORK $10.00 _GAS PIPING $10.00 _ '' Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.001_ x $15.00 = $1,f,%_ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $�_ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = S 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 ��/u-lii� PRINT NAMF/ -�-� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, N N 55432 763-572-3604 r kX: x'63-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ 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/TGC 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 z NO'S'E: Centerpoint Energy Mechanical Code Guidelines sofhvare may be used for combustion and make up airy calculations