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SUBJECT PERMI City of Fridley 8010 AT THE TOP OF THE TWINS BUILDING PERMI T _ r R CEIPT NO L `y COMMUNITY DEVELOPMENT DIV. 1 r 1 � PROTECTIVE INSPECTION SEC. 1 � �� 7 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 1'j 612-571-3450 1 910-F15 5/28/85 JOB ADDRESS 271 - 57th 'Place N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8,9 2 1 City View SHEET 2 PROPERTY OWNER MAIL ADDRESSZIP PHONE Kathy Harvet 271 - 57th Place N.E. 571--7709 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Imp. Inv. 7401 Central Avenue N.E. 784-7543 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 IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum window trim, soffit & Zacis 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $1t 20D $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $20.50 PERFORMANCE OF CONSTRUCTION. P N CHECKFEE TOTALFEE VSTRUCTI ;ORTHE ve-s— $21,10 SIGNATURE OF CONTRACTOR ORAUTHORIZED AGENT (DA E) WHEN PROPERLY INSD V DATED THIS IS YOUR PERMIT ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEIBLDG NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description: City of Fridley Effective 4/1/84 R-1 AND R-2 Building Permit Application Owner Name i Address: Z�ny ��I— Tel. i �' D9 Contractor: � �� N6ldi � /�� _Tel. d 779'd/7Z-W Address: 2ZD/ Cexdzza/ Adf Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT 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: f �l/C/%%A�dm lyi�t41k °7�wm �,_5 7��- Estimated Cost: $ A � C1 Approx. Completion Date: z1 axle 36 �, /9y�' Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation • DATE. APPLICANT: ��'L Tel. 076 — ZLZE CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ O =.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Serer Main Charge $ TOTAL $ / Agreement Necessary [ ] Not Necessary [ J STIPULATIONS: City of Fridley SUBJECT =7� AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. ;t7741r NUMBER REv DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910415 7/20/94 JOB ADDRESS 271 57 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8,9 2 City View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Harvel 271 57 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Zahors K Construction 3346 Emerson 529-6799 8 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 p ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (Tear -off) 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Smoke detectors by bedrooms shall be required. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 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 $1,800 $.90 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- $41.00 Fire SC $1.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . PLAN CHECK FEE TOTALFEE 5.00 License SC $48.70 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIRORLY^�IDATED THIS IS YOUR PERMIT BLDG INS LATE SIGNATURE OF OWNER IIF OWNER BUILDER( IDATEI `I NEW { J Effective l / l /94 ADDN { J CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� 7 Building Permit Application Construction Address: S-7 G Legal Description: — - - - Owner Name & Address: a T � �. ` Tel. # Contractor: i►�0,(� � C � �c trG-�ta -\ MN LICENSE # on O 8 Address: 334-k- L, llyi —ls o r_ ty� Tel. # 6d ,a(' /Q 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 Setbacks Type of Construction: a14 f(? E)O`P Estimated Cost: $ —T Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. #-� d 4 7 g e17 ltf�' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 0 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 { J Not Necessary [ STIPULATIONS: x .?; �F r p C -'r l SUBJECT NO. City of Fridley 7E7 ' 5 5 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� / ��► CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY �.__.11.' '•� 612-571-3450 910-F15 17/26/94 JOB ADDRESS 271 57 PLACE NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 s 8� 9 2 CITY VIEW SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Harvet 271 57 Place NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Zahorski Construction 3346 Emerson -8102 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE 1, O. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK ji Reside House 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 $3,000 $1.50 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- $54.00 Fire SC $3.00. STRUCTION OR THE PER FOR CE CONSTRUCTION. PLAN CHECK FEE TOTAL FEE /� / cense SC $5.00 $63.50 SIGNATURE OF CONTRACTOR" R AUTHORIZED AGENT IDATEI llERLY ALIDATED THIS IS_ YOUR PERMIT 74 —! —%L BLDG I SP MATE SiGNATURE OF OWNER (IF OWNER BUILDER) IDATEI l NEW [ J Effective 1/ 1 /44 ADDN ([ CITY OF FRIDLEY ALTER [ [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 A_ 2;!�56 Building Permit Application Construction Address: Legal Description: Owner Name & Address: K G r U24 Tel. # Contractor: r K i c-6 v -s4 frcAC 1`f o r,\ MN LICENSE # �t 0 - Address: S- ) �1 �'�'lsZ 1� ScJ Y1: e I� Tel. # off c% 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 Setbacks Type of Construction: Estimated Cost: $ 000 t OO 7 Approx. Completion Date: y"© V-,�-t (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: — Co `i APPLICANT: Tel. # Permit Fee $ Fire Surcharge $ 3• y State Surcharge $ SAC Charge $ License Surcharge $ 5-00 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $$00 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 [ ] 01 SUBJECT P City of Fridley 2 8 7 6 2 AT THE TOP OF THE TWINS BUILDING PERMIT 1.572__3 ®t R C ITY DEVELOPMENT DIV. �,: ----- . INSPECTION SEC. M50, PROTECTIVE 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 112/16/98 JOB ADDRESS 271 57th Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,% 9 2 1 City View SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Harvet 571-7709 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Zahorski Construction 133799-1999 R902 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 Rx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside - Storm damage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $500.00 ,50 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 $21.00 Fire SC .50 PLAN CHECK FEE TOTAL FEE Tic—"sT4c-"se SIC $5.00 1$27.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDArEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT -- OF OW NEA ,Ii OWNER BUIL DE RI IOAiEI BLD INS ��SIGNATURE LATE 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 7, &ConstructionAddress: �% 1 57 ,GC �- k. Legal Description: Effective 1/1/98 gld, 6 l� Owner Name & Address: 4 0-,Q:+ Tel. # �^] J — "2762 Contractor: '/, a k o f 5 K 'Con lA C-{ -% a1r-\ MN LICENSE # Address: �3` j �l V`, (�dj Qr -�->4 t\,A Vj P v -W &- Tel. # -75-5--3q 69 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Q S 4�i Estimated Cost: $a�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:/a- 16APPLICANT: C Tel. # -7 5 - CITY USE ONLY Permit Fee $ off/ 4'! Po Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ e";?T�D"b STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building PLUMBING Permit No.:.i93'_ UOW Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE — 2 3 — YOUR E-MAIL ADDRESS SITE ADDRESS '9-7/ J677 ';54% THIS APPLICANT IS: 0 OWNER #CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: IUa 44- f -e- h E STATE LICENSE # EXP DATE ADDRESS: L-6 CITY STATE/O?-OZIP ig-T SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONE _ _ / FAX 411 - APPLICATION PERMIT TYPE DINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW 0 REPLACEMENT 4 0 - — 0z it r -- DETAILED DESCRIPTION OF WORK 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) BATH SINMAV DRAINS —SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (neem cm ucEwss) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ _ WATER METER —OTHER PERI" FLE't'ROJEGS,ORil1R (?R'iOa 55p0' Permit Fee $ Number of fixtures @ $10.00 x$ 0.0 =$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 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 PRINT NAME DATE L City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 CITY OF FRIDLEY MOVING [ 6431 University Ave NE Fridley MN 55432 (763) 572-3604 FAX (763) 571-1287 Job Address: Legal Description: Owner & Address: Contractor: Ve,4 Address: 14000 , DESCRIPTION OF BUILDING HOUSE: Length 31.-1 Width 31.9 Height I Sq. GARAGE:Length Width Height Sq. Effective 1/1/04 ] �KING PERMIT APPLICATION �J Tel. #-S7;- 3j -,?l Tel. #7G3 --`;F-);4-? N4 Ft.jfb� Cu. Ft. Ft. Cu. Ft. OTHER: Length Width Height Sq. Ft. Estimated Cost $ N 54b":" Approx. Completion Date Cu. Ft. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Water Bill Paid: Yes [ ] or Collect [$ Moving Route: VA ] Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true f and correct. ALL qld 3 /ilr Date Signature Moving Wrecking Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: o�O' MINIMUM $20.00 STIPULATIONS: Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Date '� JUN ' 1200' CITY OF FRIDLEY DATE (/ UR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER XONTRACTOR PROPERTY OWNER/ NAME: 4&4Ae,,4 J` (/&/U/j�l TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE `` ADDRESS: ` Z V.-�CITY �7'✓�1f//L� STATI,/*,&IP� SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PHONE FAX Z PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE--LSg ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAW TILE ❑ DECK ❑ SIDING ;9$THER ❑ SWIMMING POOL TYPE OF WORK: w ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: /DELL' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I . 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 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project V4NDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: (USIN THE 19 7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ /J� , r%, 7Q OCCUPANCY TYPE Permit Fee $ / Q See Back Page for Fee Schedule Plan Review $ a , 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 7& , 9 .0005 x Permit Valuation Minimum $.50 License Surcharge $ !100 $5.00 (State Licensed Residential Contractors) SAC Charge $ I S 0, $1675 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 $ ® 01 Q® Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ =� a _ Make checks Davable to: Citv of Fridlev Attach Stiaulations 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 Fridle and with the Minnesota Construction Codes; that I understand this is not a permit but only an app rmit and work is n s without a permit; that the work will be in accordance with the approved plan in the case of all ork whip es"eq.o al of plans. SIGNATURE OF APPLICANT 4 DATE '4// CREScheck Software Version 4.0.1 NJ( Compliance Certificate Project Title: Blueprint Report Date: 05/04/07 Data filename: Untitled.rck Energy Code: Location: Construction Type: Glazing Area Percentage: Heating Degree Days: 2000 IECC Anoka, Minnesota Single Family 14% 8037 Construction Site: Owner/Agent: Designer/Contractor: Ceiling 1: Flat Ceiling or Scissor Truss: 910 0.0 44.0 20 Wall 1: Wood Frame, 16" o.c.: 1648 19.0 0.0 82 Basement Wall 1: Solid Concrete or Masonry: 864 11.0 0.0 50 Wall height: 8.2' Depth below grade: 8.0' Insulation depth: 8.2' Window 1: Vinyl Frame:Double Pane with Low -E: 234 0.320 75 Door 1: Solid: 41 0.320 13 Floor 1: All -Wood JoistlTruss:Over Unconditioned Space: 72 38.0 0.0 2 Furnace 1: Forced Hot Air: 90 AFUE Air Conditioner 1: Electric Central Air: 13 SEER Compliance Statement: 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 IECC requirements in REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name -Title Signature Date Blueprint Page 1 of 4 Date: 05/04/07 REScheck Software Version 4.0.1 Inspection Checklist Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Truss, R-44.0 continuous insulation Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1: Solid Concrete or Masonry, 8.2' ht / 8.0' bg / 8.2' insul, R-11.0 cavity insulation Comments: Windows: ❑ Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.320 For windows without labeled U -factors, describe features: #Panes Frame Type Comments: Doors: ❑ Door 1: Solid, U -factor: 0.320 Comments: Thermal Break? Yes No Floors: ❑ Floor 1: All -Wood Jolst/Truss:Over Unconditioned Space, R-38.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1: Forced Hot Air: 90 AFUE or higher Make and Model Number: ❑ Air Conditioner 1: Electric Central Air: 13 SEER or higher Make and Model Number: Air Leakage: ❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, fixtures are installed with a 3" clearance from insulation. Vapor Retarder: ❑ Installed on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: ❑ Materials and equipment are Installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R -values, glazing U -factors, and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R -value without compressing the insulation. Blueprint Page 2 of 4 Duct Insulation: Ducts in unconditioned spaces are insulated to R-5. Ducts outside the building are insulated to R-8.0. Duct Construction: All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic -plus -embedded -fabric, or tapes. Tapes and mastics are rated UL 181A or UL 181 B. Exceptions: Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). L] The HVAC system provides a means for balancing air and water systems. Temperature Controls: Thermostats exist for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Service Water Heating: Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Circulating hot water pipes are Insulated to the levels in Table 1. Circulating Hot Water Systems: Circulating hot water pipes are Insulated to the levels in Table 1. Swimming Pools: All heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Blueprint Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness In Inches by Pipe Sizes Piping System Types R "F 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" angel ) Insulation Thickness in Inches by Pipe Sizes 2.0 Low Pressure/Temperature Non -Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" Temperature ("F) Brine Below 40 1.0 1.0 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness In Inches by Pipe Sizes Piping System Types R "F 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" NOTES TO FIELD: (Building Department Use Only) 1.0 angel ) Heating Systems 2.0 Low Pressure/Temperature 201-250 Low Temperature 120-200 Steam Condensate (for feed water) Any Cooling Systems 2.0 Chilled Water, Refrigerant and 40-55 Brine Below 40 NOTES TO FIELD: (Building Department Use Only) 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 Blueprint Page 4 of 4 Page 1 of 9 - < rescheck- reports> - <compliance -report> - <title -section> <generating-software>REScheck Software Version 4.0. 1 </generating - software> < document -title >Compliance Certificate </document -title> <datafile>Untitied.rck</datafile> </title -section> - <building -info -section> <location>Anoka, Minnesota</location> <hdd>8037</hdd> <construction-type>Single Family</construction-type> <energy -code> 2000 IECC</energy-code> <window-wall-ratio>0.14</window-wall-ratio> </building -info -section> - < project- info -section > <report-date>05/04/07</report-date> - <project> <projectTitle> Blueprint</projectTitle> <projectAddress>Wilhelm residence </projectAdd ress > < projectCity> Fridlsy</projectCity> <projectState> MN </projectState> </project> <owner /> <developer /> </project -info -section> - <compliance-section> <complianceResuIt>Passes </compi!anceResuIt> <maxUA>306</maxUA> <ca lcu lated UA> 242 </ca Icu lated UA> <percentDifference>20.90/o Better Than Code (UA)</percentDifference> - <assembly> <label>Ceiling 1</label> <description>Flat Ceiling or Scissor Truss</description> <area>910</area> <cavity>0.0</cavity> <continuous>44.0</continuous> <u -value /> <proposed-ua>20</proposed-ua> <required-ua>24.0</required-ua> </assembly> <assembly> <label>Wall 1</label> <description>Wood Frame, 16" o.c.</description> <area> 1648</area> <cavity> 19.0 </cavity> <continuous>0.0</continuous> <u -value /> •proposed-ua>82</proposed-ua> • required-ua > 151.0</required-ua> </assembly> <assembly> file://C:\Documents%20and%20Settings\Owner\My%2ODocuments\compliance-report\com... 5/7/2007 Page 2 of 9 <label>Basement Wall 1</label> <description>Solid Concrete or Masonry</description> <area >864</area > <cavity> 11.0</cavity> <continuous>0.0</continuous> <u -value /> <proposed-ua>50</proposed-ua> <required-ua>49.0</required-ua> <bgWallHeight>8.2'</bgWallHeight> <bgDepth BelowGrade >8.0'</bgDepth BelowGrade> •bgInsulationDepth>8.2' </bgInsulationDepth> </assembly> - <assembly> <label>Window 1</label> <description>Vinyl Frame:Double Pane with Low-E</description> <area> 234</area > <cavity /> <continuous /> <u-value>0.320</u-value> <proposed-ua>75</proposed-ua> <required-ua> 26.0</required-ua> </assembly> - <assembly> <label>Door 1</label> <description>Solid </description> <area>41</area> <cavity /> <continuous /> <u-value>0.320</u-value> < proposed- ua > 13 </proposed -ua > <required-ua>5.0</required-ua> </assembly> - <assembly> <label>Floor 1</label> <description>All-Wood 3oist/Truss:Over Unconditioned Space</description> <area>72</area> <cavity> 38.0 </cavity> <continuous>0.0</continuous> <u -value /> <proposed -ua > 2</proposed-ua> <required-ua>4.0</required-ua> </assembly> - <hvac> < hvacType> Furnace 1</hvacType> <description>Forced Hot Air</description> <efficiency>90 AFUE</efficiency> </hvac> - <hvac> <hvacType>Air Conditioner 1</hvacType> <description>Electric Central Air</description> <efficiency> 13 SEER</efficiency> file:HC:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 Page 3 of 9 </hvac> </compliance -section> - <compliance -statement> 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 IECC requirements in REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the RES <i>check</i> Inspection Checklist. </compliance -statement> <signature -block /> </compliance -report> <!-- end report --> - <compliance -checklist> < checklist -title >Inspection Checklist</checklist-title> <energy -code> 2000 IECC</energy-code> <software-application>REScheck Software Version 4.0.1</software-application> <report-date>05/04/07</report-date> <component -checklist> < check[ ist-footnotes> <glazing-footnote>Up to 1% of the total allowed glazing area may be excluded from the U -value requirement. For example, 3 ft2 of decorative glass may be excluded from a building design with 300 ft2 of glazing area.</glazing-footnote> <ceiling-footnote>The ceiling R -values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the plate lines of exterior walls, R-30 Insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R -values represent the sum of cavity insulation plus insulating sheathing (if used). </ceiling -footnote> <wall-footnote>Wall requirements apply to wood -frame wall constructions. Metal -frame wall or mass (concrete, masonry, log) wall equivalent R -values can be found in the Help User's Guide. </wall -footnote> <floor-footnote>The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces, basements or garages). Floors over outside air must meet the ceiling requirements.</floor-footnote> < basement -footnote >Walls of conditioned basements below uninsulated floors must be insulated from the top of the basement wall to a depth of 10 feet below ground level or to the level of the basement floor, whichever is less. The entire opaque portion of any individual basement wall with an average depth less than 50% below grade must meet the same R -value requirement as above - grade walls. Basement doors must meet the door -U -factor requirement. </basement -footnote> <slab-footnote>Add an additional R-2 for heated slabs. The insulation must extend 1) down from the top of the slab, or 2) down from the top of the slab to the bottom of the slab and then horizontally underneath the slab, or 3) down from the top of the slab to the bottom of the slab and then horizontally away from the slab, with pavement or at least 10 Inches of soil covering the horizontal file://C:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 Page 4 of 9 Insulation. </slab -footnote> <crawl-footnote>The crawl space wall R -value requirements are for walls of unventilated crawl spaces. The crawl space wall insulations must extend from the top of the wall (including the sill plate) to at least 12 inches below the outside finished grade. If the distance from the outside finished grade to the top of the footing Is less than 12 Inches, the insulation must extend a total vertical plus horizontal distance of 24 inches from the outside finished grade. </crawl -footnote> <door-footnote>Door U -values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U -factor table in the Help User's Guide. If a door contains glass and an aggregate U -factor rating for that door is not available, include the glass area of the door with your windows and use the opaque door U -factor to determine compliance for the door. One door may be excluded from this requirement (i.e., may hav a U -factor greater than 0.35).</door-footnote> </checklist -footnotes> - <assembly -category name="Ceilings"> - <assembly> <count> 1</count> <type>Ceiling 1</type> <description>Flat Ceiling or Scissor Truss</description> <ruvals>, R-44.0 continuous Insulation </ruvals> <comment -with -line /> </assembly> </assembly -category> <assembly -category name= "Above -Grade Walls"> - <assembly> <count> 1</count> <type>Wall 1</type> <description>Wood Frame, 16" o.c.</description> <ruvals>, R-19.0 cavity insulation </ruvals> <comment -with -line /> </assembly> </assembly -category> - <assembly -category name="Basement Walls"> - <assembly> <count> 1</count> <type>Basement Wall 1</type> <description>Solid Concrete or Masonry</description> <foundation -description>, 8.2' ht / 8.0' bg / 8.2' insul</foundation- description> <ruvals>, R-11.0 cavity insulation</ruvals> <comment -with -line /> </assembly> </assembly -category> - <assembly -category name="Windows"> - <assembly> <count> 1</count> <type>Window 1</type> <description>Vinyl Frame:Double Pane with Low-E</description> <ruvals>, U -factor: 0.320</ruvals> file://C:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 Page 5 of 9 <window-cont>For windows without labeled U -factors, describe features: </window -cont> <glazing -checklist /> <comment -with -line /> </assembly> </assembly -category> - <assembly -category name="Doors"> - <assembly> <count>1</count> <type>Door 1</type> <description>Solid </description> <ruvals>, U -factor: 0.320</ruvals> <comment -with -line /> </assembly> </assembly -category> - <assembly -category name="Floors"> - <assembly> <count> 1</count> <type>Floor 1</type> <description>All-Wood Joist/Truss:Over Unconditioned Space</description> <ruvals>, R-38.0 cavity insulation</ruvals> <comment -with -line /> </assembly> </assembly -category> <hvac-equipment title="Heating and Cooling Equipment"> - <hvac-equipment-item> <count> 1</count> <type>Furnace 1</type> <description>Forced Hot Air</description> <efficiency>90 AFUE or higher</efficiency> </hvac-equipment-item> - <hvac-equipment-item> <count> 2</count> <type>Air Conditioner 1</type> <description>Electric Central Air</description> <efficiency>13 SEER or higher</efficiency> </hvac-equipment-item> </hvac-equipment> </component-checkl ist> - <other -checklist> - <section title="Air Leakage"> <item>Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed.</item> <item>Recessed lights are 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, fixtures are installed with a 3" clearance from insulation.</item> </section> - <section title="Vapor Retarder"> <item>Installed on the warm -in -winter side of all non -vented framed file://C:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 Page 6 of 9 ceilings, walls, and floors.</item> </section> - <section title= "Materials Identification"> <item>Materials and equipment are installed in accordance with the manufacturer's installation Instructions.</item> <item>Materials and equipment are identified so that compliance can be determined.</item> <item>Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. </item> <item>Insulation R -values, glazing U -factors, and heating equipment efficiency are clearly marked on the building plans or specifications. </item> <item>Insulation is installed according to manufacturer's instructions, in substantial contact with the surface being insulated, and in a manner that achieves the rated R -value without compressing the insulation.</item> </section> - <section title="Duct Insulation"> <item>Ducts in unconditioned spaces are insulated to R-5. Ducts outside the building are insulated to R-8.0.</item> </section> - <section title="Duct Construction"> - <item> All joints, seams, and connections are securely fastened with welds, gaskets, mastics (adhesives), mastic -plus -embedded - fabric, or tapes. Tapes and mastics are rated UL 181A or UL 181B. - <exception -list> <exception>Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa).</exception> </exception-Iist> </item> <item>The HVAC system provides a means for balancing air and water systems.</item> </section> <section title= "Temperature Controls"> <item>Thermostats exist for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided.</item> </section> <section title="Service Water Heating"> <item>Water heaters with vertical pipe risers have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system.</item> <item>Circulating hot water pipes are insulated to the levels in Table 1.</item> </section> <section title= "Circulating Hot Water Systems"> <item>Circulating hot water pipes are insulated to the levels in Table 1.</item> </section> file://C:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 Page 7 of 9 - <section title= "Swimming Pools"> <item>AII heated swimming pools have an on/off heater switch and a cover unless over 20% of the heating energy is from non- depletable sources. Pool pumps have a time clock.</item> </section> - <section title="Heating and Cooling Piping Insulation"> <item>HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. </item > </section> <page -break /> - <checklist -tables> - <checklist -table number="1" title="Minimum Insulation Thickness for Circulating Hot Water Pipes"> - <insulation -thickness> - <water -temp> <range> 170-180</range> - <non -circulating> <up-to-l-inch>0.5</up-to-1-inch> <up -to -1_25 -inch> 1.0</up-to-1_25-inch> </non -circulating> - <circulating> <from-1_5-to-2-inch>1.5</from-1_5-to-2-inch> <over -2 -inch> 2.0 </over -2 -inch> </circulating> </water -temp> - <water -temp> <range> 140-169</range> - <non -circulating> <up-to-l-inch>0.5</up-to-1-inch> <up-to-1_25-inch>0.5</up-to-1_25-inch> </non -circulating> - <circuiating> <from-1_5-to-2-inch>1.0</from-1_5-to-2-inch> <over -2 -inch> 1.5</over-2-inch> </circulating> </water -temp> <water -temp> <range> 100-139</range> - <non -circulating> <up-to-l-inch>0.5</up-to-1-inch> <up-to-1_25-inch>0.5</up-to-1_25-inch> </non-circuiating> - <circuiating> <from-1_5-to-2-inch>0.5</from-1_5-to-2-inch> <over -2 -inch> 1.0</over-2-inch> </circuiating> </water -tem p> </insulation -thickness> </checklist -table> <checklist -table number="2" title="Minimum Insulation Thickness for HVAC Pipes"> file://C:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 Page 8 of 9 - <hvac-insulation-thickness> - <heating -systems> - <piping -system> <type>Low Pressure/Temperature</type> <fluid-temp>201-250</fluid-temp> <two-inch-runouts> 1.0</two- inch- runouts> <one-inch-and-less>1.5</one-inch-and-less> <one -and -qtr -to -two> 1.5</one-and-qtr-to-two> <two -a nd-qtr-to-fou r> 2.0 </two -a nd-qtr-to-fou r> </piping -system> - <piping -system> <type>Low Temperature</type> <fluid-temp>120-200</fluid-temp> <two-inch-runouts>0.5</two-inch-runouts> <one -inch -and -less> 1.0</one-inch-and-less> <one -and -qtr -to -two> 1.0</one-and-qtr-to-two> <two -and -qtr -to -four> 1.5</two-and-qtr-to-four> </piping -system> - <piping -system> <type>Steam Condensate (for feed water)</type> <fluid-temp>Any</fluid-temp> <two-inch-runouts> 1.0</two-inch-runouts> <one -inch -and -less> 1.0</one-inch-and-less> <one -and -qtr -to -two> 1.5</one-and-qtr-to-two> <two -and -qtr -to -fou r> 2.0 </two -a nd-qtr-to-fou r> </piping -system> </heating -systems> - < cool! ng -systems > - <piping -system> <type repeatPos="1">Chilled Water, Refrigerant and Brine</type> <fluid-temp>40-55</fluid-temp> <two-inch-runouts>0.5</two- inch- runouts> <one-inch-and-less>0.5</one-inch-and-less> <one-and-qtr-to-two>0.75</one-and-qtr-to-two> <two -and -qtr -to -four> 1.0</two-and-qtr-to-four> </piping -system> - <piping -system> <type repeatPos="2">Chi11ed Water, Refrigerant and Brine</type> <fluid-temp>Below 40</fluid-temp> <two-inch-runouts> 1.0</two-inch-runouts> <one-inch-and-less>1.0</one-inch-and-less> <one -and -qtr -to -two> 1.5</one-and-qtr-to-two> <two -and -qtr -to -four> 1.5</two-and-qtr-to-four> </piping -system> </cooling -systems> </hvac-insulation-thickness> </checklist -table> </checklist -tables> <note -section title="NOTES TO FIELD" disclaimer="(Building Department Use Only)"> file://C:\Documents%20and%20Settings\Owner\My%20Documents\compliance-report\com... 5/7/2007 JUN -1-2007 09:38 FRQM:AIR MECHANICAL INC 7634341699 'T0:7635711287 n_P:1/3 AM:lYfE' - Wk- iCAL LNC. '.18EAlMqG-AND- COOLING NAA:. FACS TOTAL #' OFTA- GES, IN. CiUA] % COVE- R PAG,:.. � DATE y r'tir� �2iLl I L4o a v 4- oW14, 4 r= DRMR r, MOfq COr1MU41D IN rms FACsnwn- 7S CCnFMWgTLAA . flf=I9rkCUQN OF '1.M �5IC1N 73�NOS•IHTE!�F;p•AS � WAIVER CIF ��AI1,Y. TF' X4i7� Tffi5.1:4.t�:Ii'� C .1%R!+%9E'COlVIACTii3{COI'iL•ECttFFL'751:prT6DI3TAP.4*wRI�ISTRT7CiII4Jhi$A8Qi1'a'R�iTR4fOR nrS!'03AL C►V'i TS Sl�scow. Epi YouR AmsmNCE.AND CEHO•P ATioN An APPRECLGm PRONE # 763.4311-174 FAY# 763-434-If44 JUN -1-2007 99:38 FROM:AIR PECHANICAL INC 7634:341699 TO:7635711287 Date: 61112007 Revision Date: 6!1/2007 New Construction Site Information Address 1: Lot 7 S 7A Block 1 3ateway West 2nd Project : Add. Address 2: Lot: Block: City: Fridley County. Subdivision: Agalication Infouni$ on Business Name: Air Mechanical Inc. MN Contractor License #: Contact Person: Brian Ebert Office Ph: 763-746-3753 Fax: 763-4314-1699 Cell Ph: Address 1: 16411 Aberdeen St. N. E. City: Ham Lake State: Mn. Zip Code: 55304 House Detaile Square Feet: 2268 sq. fL Avg. Ceiling Ht: 8 .it Number of Bedrooms: 3 fttiiation : Exhaust Total Ventilation Capacity: 79 cfim. Minimum Continuous Ventilation :60cfm. Continuous Ventilation Provided: Exhaust 60 cfm Intermittent ventilation satisfied by OTHER exhuast appliance. Combustion. Appliance Water Heater: Power Vent Input BTUs; 50,000 Independently Vented Furnace/Boller Direct Vent(Seiiled Combustion Input BTUs: 67,000 Independently Vented OtherCombusWan. P.P1Ian 2; Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplacti(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Ecduipment Exhaust Ventilation Capacity (cl"m): 60 Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 80 lAa e-Uo Air No Make -Up Air Required by Code Combusbon Air Round Rigid Required: 5 inches or Insulated Flex: 6 inches P; 2/3 i Applicant Name (print)Signature/Date: Code Official (print):_ SignaturefDate: 10 2004 CCtl Font Energy Mif7AC psm. 2004 M.wMnieW Code Wdelincs. Page :. JUN -1-2007 09:38 FROM:AIR MECHANICAL INC 7634341699 TO:7635711287 P,3r3 kart B. DEP ION C1 -PROTECTION . .'� CTIO ieCk coon used:. (�. Fuel bttmis� uipm� en_ c { npletc edutcs below) 0 No fi el buming. eVipneat Step 1. Complexe the Camlx:srfsm Equ%naeitr .She lc blow,ft( .. ` �••- DLL* with a Y tYes) mscY be. selected under dtc. "Catcgo;y !" alternate. r�et"3�1�t�: � • •Flaw . Step 2. Geimpleta Fdrau�/hiak04 Air Sdiedulron tlic right if director power etm verttt:d or solid atmp phcric vent $Pm heating equipment cfo Soacx haviihg-aoftad fact. ®-staled cor3bustiong= � nit or•Fo+uIEF voted -nonsoli� furl l3 Sealed con�bustioe ofowe �'�C4itEd•'•" moi! 41• �`.�t �.� Part -Cl. YENT . UATFON Y ace datlalg:-solid foul ra-Y Weal - ;6.1 add', Or>mWe'veeted- } Y Atmosphicricah varited Y* Is u' 1 makc-;' au to lbatcb Ststfttnent of Cb rnpllince:. T� proposed baildhg desip reormented in'these docurnents is codsisten( with the building. plans, speeifieaaoas, and odter ealcaiations subrnitte�i with H+e permit lication The proposed building'1:as been dts;gted.ton et.tbc ��ofta .110:z 1 iia Energy Code_ .` Applis�ttt s print tmmo) Si store &A / Z 6,1- 7 V i6 � 37-j'.3 Telephone number Fart CL VENTILA'.�,�• 1'i• (Submit Dart C7 uF F oin comp lr don of �_-___--..--------------�-- systemver.Fftcatafltti), •. Petatit Number ' Pttd t fico atniosatian . �� = W must l mo und- Ica. v8rif'ed :Whin- ire •p�nlai ltd. ties-" s�al� 'of'biats an the bt7 caanatic °P n.•t�'uszal'.in lieu of liie ptaptivc apdQe fur l6e Componce Strtkfterit: insfilkd vcntii�etion, system is in corti fiance with 1MtV Fn ~- now. 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Si1.��81E��OD�I�,ti`a11$ri0Ja.MCftW�QO� @a� tml�nuomnam"dr>aama p,r- a r i�sovsa6dWdampofde camoaetesi�. 20MOUEMMIKOALRESWWW From: 7634341699 Pae jL2L Date: 6/8/200710:47:36 AM HEATING, COOLING & RADIANT "Creating Custom C fort" FAX TRANSMITTAL F To: Page(s) Enclosed Fax Number: 9& z -5DDL- -7 Date: 4 -of-727-1,___-- From: BETTY HARAPAT ASSISTANT GENERAL MANAGER Air [Mechanical, Inc. 16411 Aberdeen Street NE Ham Lake, MN 55304 763-746-37152 ncdispatch@airmechanicalinc.com Fax Number: 763A34-1699 RE: _ Frgm_ 7634341699 _ Page_2/2__ _ Date: 6/8/200710:4'7_37 AM:_ i A.CE SM CALCULATION WO SHEIT ,Sim ADDPMS '.� • '7`1 _DA= WAUM COW.. PRONX %-7�� - �Z0 CLC VL. ,nol iS PREP:A;im muir PH4iv]E 7(. �'hedesf�n�r,�t+,tib�p..�I�wy�'tbe:deier�iuedfrum'�e,b - . . .. •P�Aslsper�Ceatious. �• ieeAarea ebo clew 7 7 2- Sq. feet of cap WlRdaw area 4 Ll 3 r n • . 8$'degrees _ _ . _ 3. Sq. feet of.'mpmx ,door M= 2 a "IJ*' s� a $$ dem 4• feet•ofee03woe�$1 dgees 739;m.7ZjXq8 S. Sq. feet �L#isseme�r IIoor area• 'c+�6' BTOHfsgaare feat 6+• •'. .. Sq:,;£eet ot.ba�emenY vvsiI airea J�elow,gt ade4Qc x 3 arum felt 7. LfiL • 'iid�#rnitfon for•wladows � �� x (fl3d}•r X1.0$5} x � degreev . 0.07 SQ. feet of WDUVIoa for doors YO ' x0 xQ 0w)degrees, . �• •S4- feet of lIIMltria ,,, for Sl#dfug gL a doors 3,3 ' a •0 � 0 •`�� (L W S$$ -degrees 10. AJl0W2Acefdr!ldWtea aid bail=•&.: ' # Q I�itc4ea .fps @ 60Q 1<TiT$ each #-gZ-iiath-farts 200 .11. A omwame ~ far firepf2c= # ' 1,m 27`m each • X?' i�%rlta�tcol' V@A'W.�ti4n: Ii,y:�tau5'C $ as. Dwelft • .l3 •iom for sail shave 9te� 14, RROa 34, TY • .. n 3s I.tae 1.3 x 1.43 �'oaem Vu may be faeiade a safety factor And loads �baY:may no d 43 °/a • .pii* up JfiDsratlOtdyt3uptt+veblF . Calculation Building PLUMBING Permit No.: 0 '7- / Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat w DATE r9 / 2' 6 / YOUR E-MAIL ADDRESS SITE ADDRESS '27/ r � 6:c_ THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME:51fe017jo--c/ STATE LICENSE # EXP DATE /_7-_T/ -6 % SUBMIT A COPY OF YOUR STATE ADDRESS: /O r% ITY C4:z9A d STATE—ZIP c fd I 1 LICENSE WITH PHONE 2252-! / 3LZ - 15 $' V FAX APPLICATION PERMIT TYPE 1NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: w ❑ REPLACEMENT DETAILED DESCRIPTION OF WORKk) AvaInd 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) BATH SINK/LAV FLOOR DRAINS /SHOWER WATER PIPING _ i BATHTUB / GAS PIPING fymo cirrrrcEm) _ SWIMMING POOL _ WATER SOFTNER ($35) L CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 -UL— x $10.00 =$/&0,00 Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 _ 1 x$35.00=$ 3�`5, U0 TOTAL DUE $ _ 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 7rk hich �qu' es review and approval of plans. j PRINT SIGNATURE OF APPLICANT i PRT NAME / ��� DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 City of Fridley RECD JUN 26 2007 6431 University Ave NE Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 Water and Sewer Permit Application [New Connection ❑ Existing Date: Job Address: 1I I - Gifi" ?I . ❑Utility Line Repair/Relocation ❑Water and Sewer Connection Name of Applicant (Plumber): JD IXCAN aA 1 V J, � Y) C Name of Property Owner: -t>\yp o V%r kto w%JZ Existing Structure Permit # Permit Type: Sewer Fee: 5V.50 /,� 00i - 0 lI a� Water Fee: M,,SD /,:?,00-7 -0 / / A b Meter Fee: Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $ Applicant Signature: Inspector approval: Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair Special Assessments-�g Cost of Water Meter $40 See Utility Billing SAC Charge $1675 State Surcharge $ .50 Water Tap See Engineering Building Inspections 7.63-572-3604 SITE ADDRESS TkIIS APPLICANT IS; PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL Permit No.: ol(�G RESIDENTIAL APPLICATION Received By: 2 CITY OF FRID LEY �eal�L 2 YOUR E-MAIL ADDRESS O OWNER WONTRACTOR `,, PHONE: � Lo 3 -710 7 0 Lf 2 Z' COMPANY NAME:_ CONTACT PERSON: STATE LICEpNSE # Z.� L EXP DATE TATEM�k. _ ADDRESS: Ito f t 1 I re iw, S'� W-1 CTT" S PHONE `21e3-7Lf 6---53-q -0— FAX 7193--L/3L"&'77— IVINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE l ❑ 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 only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (WDICATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS NUMBER OF EACH BELOW) MODEL: MFG: SIZE/BTU Equipment Installed MFG: MODEL: SIZEIBTU SIZEBTU MFG: MODEL: (GAS) $15.00 GAS RANGE/OVENGRILL-SIO-00 $10.00 A/C $25.00 _FIREPLACE TO AIR EXCHANGEER $15 LACE (WOOD) $35.00 R=ACE NEW GAS HTR $ 0.0.00 GAS UNIT HTR $10.00 _AIR BOILER $35.00 3 $35.� _CHIMNEY LINER $10.00 _GAS DRYER $10.00 7jjGAS PIPING $10.00 POOL HEATER $3. 00 Z�VENTV,ATOR $1500 -C DUCT WORK $10.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = S 3Q 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 = $ State Surcharge = $ 50 Total = $__ e54 THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all 5 vhicl�requ' s view and approval of plans. -7 SIGNATURE OF APPLICANT �i - PRINT NAME W l DATE ! City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 PAx• 7(';-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanellFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a_ IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas 1MC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a_ Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations rads �� . i Lift Cf a, pwoof retve57 `tris arYree ,��� ��i� �'f '�v�or,�r i7� Y-�c.e �'c�.c•� .�� i s �v�s�' 1c�-� �l� w�vlc�r�� tea. au Llvtrr SW14 4L$ ydru e u�av CIE srz� CALCULATION WORKS719T -SM ADDRESS 07/ -- 77113 --Nl&-37� AA A� DATE -7-.2.6-07 BEATWG CONTRACTOR H � � M.A.-e Lllt.,..►c,�-� PHONE GENERAL CONTRACTOR OR OWNER ("E i7(Lt-Tr t-6AL&P-, PHONE _ 763 - "i to CALCULAUONS PREPARED BY P110NE 7 6 3 -1146 - 3 7+6,3 The dczign•tucormation below, must -be determined from the building pianslspedficl ions. 1. Sq. feet of exposed wall area above grade Li fa g v9p, , o 5 Ax gg degreo 2. Sq -feet of exposed windotiw area 1t(.3 x ,lU'„ .• _?,, s 88 degrees 3• Sq. feet of exposed.door area LJL x ^Ut, + 7, r x 88 4.- Sq. feet of ceiling area Lta x ,,U,, a air X $8 degrees S. Sq. feet of basement floor area oia4fx Z B'1TU.EVS4u1xre feet 6. 7: S. 9. 10. Sq. feet of basement wall area bAOW grade no a 3 g l,Mquare feet Lim feet of infiltration for windows 2 i$ x (0,34. x (1.0" 8 88 degrees Sq feet of infiltration for doorsA?D x (0.5) x (1.08) x 88 degrees Sq. feet of infiltration for sliding Mass doors (0,5) s (1.08x7 x 88 degrees Allowance for kitchen and bath 'faeta: Allawance for wepmce3: # . Q @' 1,306 BTLIH each Mec62niew Veualation:)xhaust CTM 0 x (1.085) s 88 Degrees Total BTUR Ions for all above itena - minimum r ui ed #araace ou ext tin al aw fu neat t* is Line 13 x 1.43 '"Fexrxce output maybe oversized to include a safety factor and pick -exp loads 'bat -may not exceed 43%6. _ /,15,3 o # O Idtchen fans @ 600 BTUH eacb O # - bath fans @ 200 BTUH each Applicant Signature ,?—C2(,_0 Caiaumon worlatk"d 5no0o LOOZIML :a;eQ L/6 :a6ed 669Lti£ti£9L :uaa� Building PLUMBING Permit No.: �o a Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ' DATE / :!"". "I3 / YOUR E-MAIL ADDRESS SITE ADDRESS % J S J ��AC e /11 '�— THIS APPLICANT IS: ❑ OWNER JkONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: 51CDnDrD STATE LICENSE # 3 iS SIS EXP DATE Id -.31- c % SUBMIT A COPY OF YOUR STATE ADDRESS: l0.)' 99:2 LAJ✓C CITY CC-DAl/ STATEd[ O ZIP ff LICENSE WITH PHONE 9- S si V FAX APPLICATION PERMIT TYPE -SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 7 "EW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK Cll� f3R7'�i �n/�/Dd 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 BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _FLOOR _ I BATHTUB GAS PIPING (NEED c[rr ucE3vsk) SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK -_ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER —OTHER 5� Ulm,— Lz�.�f.�f\,.:.5. r•. v ,r .. .u„ ... x H:: , to :. .a.a .. Permit Fee $ .. Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 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 w c re s reviw and approval of plans. / ,{ SIGNATURE OF APPLICANT PRINT NAME �f [ / �,/ ��%DD i DATE /- ,o? �- d Pam City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE - Q SITE ADDRESS __�a THIS APPLICANT IS: PROPERTY OWNER/ TENANT PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 YOUR E-MAIL ADDRESS IVCD 0 '_ PLacz ❑ OWNER &(CONTRACTOR -030 l Cl te'! C - Permit No. Received By: Date Rec'd: - - cc I f` �i1L'ti�A/1 TE ZIP CONTRACTOR NAME: �r i �el.dg©�,/ )m 1 k1.e pluMbe.' Trt_ . SUBMIT A COPY OF YOUR STATE STATE LICENSE # a a P M EXP DATE 0-3/-01 GAS PIPING (NEED CITY LIC) _ SWIMMING POOL LICENSE, BOND AND STATE BOND #C SINK EXP DATE BACKFLOW PREV. CERTIFICATE OF ADDRESS: 1 / p ,^�`` �Q 3c[ d V 5 CITY M o n CC LL D STATEP2 f ZIP_5LS3G.)- INSURANCE PHONE lOIa a I •- � 33 Ce FAX - ID3" "7 3�j -16 101 PERMIT TYPE C41NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: JJ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK t� i 5 9� v A i�C, 0 n h b v5 2 fat I /`[u ) L4 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES HER SINK _ WATER CLOSET BACKFLOW PREV. DISHWASHER ER LAUNDRYKITCHEN UNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _JWATER METER —OTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. J SIGNATURE OF APPLICANT y�✓� PRINT NAME a e l &-t -3a n DATE a City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 From: 7637463777 Pale: 2/2� 1 Date: 12/9/2009 12:58:52 PM L 1 J I C VJ iV•LJ 1 1 V 111♦ 11 11111 .1 �1 IL 1 1 1 IV 1W Building Q n LaU U �6 MECHANICAL Parraix NO.: InspectionsRESIDENT`xAL APPLICATION Re 763-572-36Q4 CITY OF FRIDLEY MR Di�� 763-502-4977 FAX EFFe" VP. 2.19.09 DATH12--IOCIYOUR E-MAIL ADDRESS SITE ADDRESS - 'rH,S APPLICANT IS: C OWNER )JICONTRACI'OP, PROPERTY NAME �. w_ .. .. . OWNERI ADDRESS: CITv... , .. _ ._ STATE ZIP TENANT PHONE=: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE LICENSE WITH STA't'4 LICENS13fF n FD(P DATE 5•L P 5550( ADDRESS' / CITY STATiThIxIP APPUCAT10N�""— PHONp "' � PAX�'"i.-1 L�ll�' .3-717 PERMIT TYPE *INGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK- CINEW 1REPI,AC13MENT O ALTERATIOWREMODEI. DETAILEi7 DESCRIPTION OF WORK ! :� t1W — A.'�Blt -- g I n---, FEES ARE BASED ON $10.00 PF.l0. nX'rUR C6� 1HI�ttE NO'1 ED. irIXTUR1LSt �(IN ICA rlt r0'1_A NUMLtER OF F.ACti� Equipmant Installed MFO: _ MODEL L �(J SIZE/BTU rj r , r /�y� MPG. MOL -11 VV! MODEL SIzeMTU ` G—iL)D2. MFO: MODEL SIZE/BTU -L A/CSx5.00 —FIREPLACE (OAS)$iS.00 � _OASRANOE/OVEN$10.00 _AIR TO AIR EXCHANOUR $1$ _„_,FIREPLACE (WOOD) 535.00 ,:NEW GAS GRILL Si0.00 ,BOILER $3$.00 FURNACE $3500 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 7GAS DRYER $10.00 _POOL HEATER $35 00 DUCT WORK 510.00 GAS PIPINQ 510-00 V KNTILATOR SL5.00 y' /yo�1 I �th1Y��" ..Y'n�,r,;. r_ rj ' i . �rV r 'x ;i,;:: � : aL"W; i%�•5y . tl.V'^, ';ll.iY a e. ��`4Fq� '.Y'i.. ..1% '�'�''•�:'f{'. �;Y'' 'P :; C. 'IU. `` Ski I 1•: ,µ Y .. • .. ' A`,,, . rn i alt.lt/� � k'n1. 1.'tjl{�''}i"' i; 1 . ' •.. � w.. ^�. r•; .'•..^6i.:'• I'1 7 I 0 y'•. ' is 7 + 9 1� f � ,, r iii b �.: I..Yi. '+ t•• 1 � ��},, �i'..1 •; b'1'F,„'�a',ar`A•;�f'u i•t,+bi, �i:i � Wa {� y •F�±:.¢i�W y �,.)';�i+,.15• I�IL'�'' .I' 4tS 1 I �'i 7 �6'''i�"i'�f4' x':14+� ,,11' •'9i 1..1f � i' fi'.: iC t i•.I d. 1 i ' .:t71,(K{� -lima � THISIS 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&A work which mequhs mview and approval of plans. SIGNATURI;OF APPLICANT (L1&A 0AARg&-e PKFNTNAMETL� 9(A(A1 }r DATE G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 - FAX (763) 571-1287 - TTD/TTY (763) 572-3534 March 22, 2010 Jeffrey Hermes 3296 Katie Court Arden Hills, MN 55112 Re: Final Inspection at 271 57th Place in reference to permit # 2007-00968 (Blueprint Homes). Dear Sirs: A final inspection was conducted on March 22, 2010 for the completion of the dwelling at the above address. The inspection noted that the construction was completed according to the approved plan but the following item needs to be completed before the building permit can be finaled out: 1. Provide sod in the front and side yards by June15, 2010. We will expect the above item to be completed by the scheduled dates and a reinspection called for. The dwelling is approved for occupancy. have any questions�c;onceming this matter, please feel free to contact me at 763-572-3603. DAVID A Building I