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PRE 2010 DOCSDate: Owner: Address I ;;... City of Fridley, Minn. BUILDING PERMIT Builder 5356 WCATI F BUILDING 7)71 No. Street % -t t _y r _ ._ Part of Int 77 Lot Block Ad ' on AIJ or Sub-Divisio F ! Corner Lot Inside Lot "" Setback _ ___ Sidefud W { Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To _ UAK- sed 40 Front Depth - Height -rF Sq. Ft. Cu. ZZ DepthWgh46 0d 10 Sq. F`t. Type of Construction `• `' t Fit. �"`To be Completed 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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $._,'° _'' 4 , 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 within thi nthe city limits and this permit may be revoked at any time upeon� viol4dc of any of the provisions.of said I Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. �_A APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, NOTA Owner's Address No. LOCATION OF BUILDING 6 F -- W &-'� of Lot,"� Lot % Block `l Addition or Subdivision �'`7g.-.----- r � � Corner Lot rInside Lot Setback d� Side -Yard/ d S SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. be used as: DESCRIPTION OF BUILDING J Sq. Ft. //7 Z Cu. Ft.,/S- 3 -2 Sq. Ft. Q U 3 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 A z, i . oma, -(,/ SIGNATURE �� (A Scheduleyof Fee Costs can be found on the Reverse Side.) r June 20, 1961 Fridley City Engineer Fridley City Hall 64.31 University Avenue Northeast Minneapolis, Minnesota Dear Mr. Brown: We are requesting a buildin=g permit for Lot 17, Block 41, Edgewater Gardens to be issued to Andrew Hohn for Edmund H. Groskreutz. Because assessments have not been paid on this lot, it is our intention to pay the full amount due Fridley upon final completion of the house. If Mr. Groskreutz pays the assessments, he will deduct it from his payment to Mr. Hohn; otherwise, Mr, Hohn, will see that this mutter is fully settled. IP tr� City of Fridley G� Application for Plumbing and Gas F!Mng Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK�^� .Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 0 v 4y ~� kki $-, Future Fixture Opening ................ Ute' 1.20 $ WATER HTR. x 1.00 y 3f3 ��F 3.25 3i- ou Z_ x 4'e $ . O New Ground. Run Old Bldg . ............ �a `Z U' 4i �a (90 F N GAS ELEG x $1.50 d $ %, Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st L/ 2nd 3rd 4th • Future Connection Openings I Connected with Sewer New Fixture, Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 0 v Number Fixtures ......................�— x $1.50 $-, Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water heater (Up to 200,000 BTU) ...... Z_ x 2.00 $ . O New Ground. Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 d $ %, Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, .Minn- Z Z/ 6 Z 19— Owner Kind of Building��—•��-� Used as To be completed about Estimated Cost, $ 9 --New. Building Permit No Permit No. ! f ®-3 le7l Signed ROUGH FINAL Description................................................$� TOTAL FE _ 42 2M // 0 Business Phone Application for Power Plants and Heating. Cooling. Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR >sa Furnace Shell & Duct Work to 120,000 BTU ............(Lug- each L8 g each add. 60,000 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. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ................. ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... L 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... $1.50. $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ A. AIR CONDITIONING FAN HEATING SYSTEM VLNTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone SII 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 1-7111 � Fridley, Minn— --�9 2' 19 — Owner Kind of Building Used as To be completed about ` 0 d Estimated Cost, $ 0 Old—,ike'Cwjlding Permit No. ` Permit No. DESCRIPTION OF WOR$ HEATING or POWER. PLANT'S --Steam, Hot Water warm Air No Trade Namea Size No Capacity Sq. Ft. E.D.R BTU ii.P. Total Connected Load-�� . � <',�'� r Kind of Fuel L4 -c`4 -- BURNER "BURNER — Trade Name Size No Capacity. (REMARKS—OVER) .g a z 2N 7-59 Sq. Ft. EM.R, BTU - H.P. Signed Sl1RNIS PLUMS NO a "E T'hib By ANOKA. PQNN, TEL. FIA. 1-1382 Business Phone No qCoef.1 Btu lnfiltration Glass Exp. wall" Net exp, wall Int. wall Ceiling I aI Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area OF BUILDINGS lo. 11 d Roof Floor •,4z A-. u. HEAT LOSS CALCULATIONS DEPARTMENT Weatherstrips A. Guide• Room I Le Construction r Width Height No. o No. of pane of Dane light Reference 19_ 1 ' Windows Doors I Y o Out. Wall Int. Wall Ceiling Y o F1.144-,mRoom I Length V 3 Width P3 -- Heightge Windows- and Doors—Crackage and Area Width Height No. of ofDane ofDane lights U I Net exp. wall Int. wall oLlnealfi.AreaNo. a lCoef.1 Bt>} Infiltration Glass aV00 Exp. wall (j Net exp. wall (�► Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length I*'* Width AR Height I. Windows and Doors—Crackage and Area Width Height No. of , Lineal ft. Area No. of pane of pane lights of er pole sq. ft. / Coef. Btu Infiltration Glass « Exp. wall .3 O; , Yom' ;y 1,3 Net exp. wall o Int. wall Ceiling 7+ I Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f Fl. Room I Length : Width Height Windows and Doors—Crackage and Area width Height No. of Llneal ft. Area No. of Dane of Wane Ilahts �t CHn1. .n. I.. qCoef.1 Btu lnfiltration Glass Exp. wall" Net exp, wall Int. wall Ceiling I aI Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area OF BUILDINGS lo. 11 d Roof Floor Kind Required sq. ft. E.D.R. or sq: iris. W.A. leader area F1.1 Room I Le Wid Fl Room I Le Windows and Doors—frac Width Height No. o No. of pane of Dane light ,v 1 1)y 1G� Coef.1 Btu Infiltration Glass Exp. wau U I Net exp. wall Int. wall Ceiling �" a Floor Total Btu. FRIDLEY, MINN. Insulation How A 1 Width/0 e and Area Llneal IL Area of crack sq. it Coef.l , Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 02 FlOW Room (Length b Width; Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. C Infiltration Glass Exp. wall Net exp., waU Int wall 11 Ceiling 1m0 d Floor Total Btu. Required sq. ft. E.D.R. or sq: iris. W.A. leader area F1.1 Room I Le Wid Height Windows and Doors—Crackage and Area Width Height No., of Lineal ft. Area ,v No. of pane of pane lights of crack sq. ft.. 1)y 1G� Coef.1 Btu Infiltration V3 3 0 -43.36- Glass 43}Glass a Exp. wall 4`' v` Net exp. wall 00 Int. wall Ceiling 7 x IFp Floor Total Btu.,. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Ile Application for Power Pkmft and Heotht% Coollh% Yeutilatione Refrigeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE Dept. of Bld$a. Pkom W -M GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. L 6.00 $ Repairs & Alterations—up to $500.00 ............. .. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. .$10.00 $ Furnace Shell & Line --to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ................ . . 3.00 ' $ Each add. 320 sq. ft. EDR Hot Water . . . ........ .. 3.00 $ OIL BURNER—to 3 gal. per hour ... ... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ..... . ....... .......' .. 6.00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000• .......... z$ 6.00 $ % AIA CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS FINAL L2 - o __V_ $ See Fee Schedule TOTAL FEE Locsdoa City of Fridley: The undersigned hereby makes application for a permit for the work hereix specified, agreeing to do all work in strict accordance with the City Ordinance* and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �iJt✓ P, Fridley, Minn- - .,2L L - Owner C!i X r 7 Kind of Building Used as To be completed about Estimated Cost, $ �� r Al / Old New. Building Permit No. Permit No. 7 9Z3 DESCRIPTION OF WORN HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (RD"OKs-OVER) Sigaed By r Budness Phone Origmal ! 0 PERMIT for Power Plants and Heating. Cool. ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of IHeating Plants (h -,-) 0-&YLe1/ , to be installed—altered—repaired Make MJQ , Size r— C-0 - �® ; Oil fired—, Coal fired—, Gas fired ; Gas Authorization No. Remarks Approved Final Inspection 19_ Inspector 5-,' V ?-/ Permit Nv - 4753 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19 QA Owner Location --5 Kind of Building iYVI 0 How Occupied Work to be Commenced—,19— To ommenced ,19_To be Completed C,19-2-0 Estimated Cost, $ ro . y Building Permit No. Permission is hereby granted to 1 . to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition tha the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the d vices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set fth in the approved application for this permit on file in the office of the Inspector of Buildings. p N A „ \ ,,,1 7- n . 42 2M 11-67 v of Buildings . City of Fridley AT THE TOP OF TME TMIINB -------- COMMUNITY DEVELOPMENT Q1V, 1 PROTECTIVE INffECT*N KIK, l �.••• i CITY MALL FRIM9V 41642 53-81?—S-915-51 EI94ECT PLUMBING PERMIT APPLICATI=did JOD Aaaress 55 N. E. 66th. Way Owner Address Phone Edmund H. Groskrentz 560-2003 Contractor Address Phone Building on liate i •7sIN •saa� """"V"m sNlsVs a. H [t% oAYa Ibd � W sN1YLa moo-Ij 0 O u saaMollg 0.0 QI q •1NQOd d NNINQ b f/J sAWL A i/sYM s)INlsl 9141"s iYfll KLVQ MIINNEGASC® Frame 3-21-7h 0 I �I W em 'a �I �- q- 7'3� se --- - - ResMpLS., MINN. --- -// 6145y Gas Fitting Fees: 1st 3 Fixtures x $2.00 i r Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations I See Description: Install Dryer Code 5.00 State Surcharge CIasS`RAO Surcharge .5&< .50 TOTAL FEE $ 5.50 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 Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this ggplicaUon are true and correct. 'Signet - -V Date t 10. 00 - Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 i r Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations I See Description: Install Dryer Code 5.00 State Surcharge CIasS`RAO Surcharge .5&< .50 TOTAL FEE $ 5.50 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 Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this ggplicaUon are true and correct. 'Signet - -V Date t 53-84—S-915.51 it �e{(® � tFwtpF wet. in 1F,III i Ila 11411!,li S I III Ia 1:110711 ® F9 6A4 FLtL. Base ta4 read 3rd PARTIAL RATE SCHEDULE PLUNMQit: rMUM RATM 110► RAIM TOTAL Nubs! fPl baa ................ SIM 9 - Adam rimes ... 1 ...... i Slie 6_ . Now FEnture Old Opnwift .......... _v" t— Cstc% Bases ..... > ....... :...... Rater Heater !Up to WAM BTU:.... : aw t New Gn"md Rus! 010 Bw ........ • s SSM fi iisedaiewaturassrr.............. a X00 i CAS >etlTum rzcL- m n&Tz TQTAL bE i rnttdres . • ............ ... -a$= S-------- Addhk Od Pilo,!! ...... a ........ 6.75 S an Rmge to toow BTo ........... a 4 state Surcharge $ .50 BCPAM t ,t.T10tATtaffiffl-Aller r cwkk Gas 5.00 .......... ................� 14VAL M 6 5.50 City of rrwl"-. The umderdesed herby makes appMeation for a peanut for t1w smeilled. aaeeeins to do all work i® strip secwdsam with the ®1F c and Teasing of telt Departineft of BuddiaM and henft des that 24 the frim- -WW reprewntattons stated In tbis applicatim we true asd torrtet MdW. MMm 8-14-73 os"W E. H. Gr©skrentz Kind of BuBdiat Frame Used as To be compleued about 8-21-73 BstiMMed Cash S 10,00 lluming l'lrmit no. -� 1 r QASUO B�siusas !'from: *� rjM -AF Surcharge .50f, Y - % • 53-84-2 S-915.51 City of Fridley Appliw7fan for Ph=,A� and G= RrvIol Pon -rd? Dept. of Bldaa. Phone 960-3490 DESCBIPTION OF WORKe / 14 j . 1 A Number, Kind and Location of Fixtures Lot aim �tJ q W 0 13 S2� PARTIAL RATE SCHEDULE o NO. RATE g3 53 x $2.00 u u 0 t v$ e e a WATER -TR. GAS ELEC. Base Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. : $2.00 $ 3AS FITTING FEES: 1st TOTAL 2nd 3rd 4th • Future Connection Openings + New Fixture, Old Openings Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .....:.... . x $1.50 Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. : $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley, Minn Sept 11, , lg 74 Owner Edmund H. Groskrcutz Kind of Building Frame Used as Res To be completed about Sept. 16, 1974 Estimated Cost, $ 10.00 Old—Mv. Building Permit No. Permit 140. ROIJGH 1st 3 Fixtures x $2.00 $ . Additional Fixtures ................ x $ .76 $ Gas Range to 199.000 BTU ... ,......... 1 x $5.00 00 REPAIRS & ALTERATIONS—Refer to Code Class 1'A11.Wc$&gte58Archarge Description ............................................$ TOTAL F=, 5.50 Signe ®�49 Business Phone mNAIFf ACC !1 % e — Building Inspections 763-572-36 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE SITE ADDRESS THIS APPLICANT IS: 0 PROPERTY Nps: OWNER/ ADDRESS TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE COMPANY NAME CONTACT PERSC STATE LICENSE 0 PHONE E-MAIL FAMILY 0 TWO FAMILY TYPE OF WORK: I 0 NEWX"LACEMENT DETAILED DESCRIPTION OF WORK CITY MN 55408 0 TOWNHOUSE 0 ALTERATIONMEMODEL 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 ire, excluding ire. es..(Ms.. uld reflect only the cost of labor Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cow oflabor X..05. FOR PROJECTS WHERE LABOR EXCEEDS $5 , FEES BASED ON $10.00 PER FDMWB, EEXXCEPEPTVHERE OTED. >•IXIYJRFS: (nM1CATE T07 `4I' NUMBER OF EACH BELOW) MODEL: �J �—�—� SIMBTU � went Installed MFG: SWATU FAP MFG: MODEL.: � - MFG: MODEL: Sm MTU^ A/CGREPI,ACE (GAS) 515.00 GAS RANWOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 FURNACE $35.00 GAS UNIT HTR $10.00 BOILM CHIMNEY LINER $10.00 AS DRYER S10.00 POOL HEATER $35.00 00 �DUCT WORK S10.00 GAS PIPING $10-00 VENTILATOR $15.00ME $ Number of fucdu�es @ $10.00 x $Iu.UII = Permit Fee Surcharge $ ,Sp 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 = $ a� Stg-S—urcharge = $. .50 Total THIS IS AN APPLICATION FOR APERmrr- Noir VALID UNTIL PROCESSED I hereby apply for a budding permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes o of Fridley and with the Nfinnesota construction Codes; that i understand this is not a permit but only as a for a w k is not to start widlout a permit; that the work will be in accordance ' the approved plan m the of all o 'ch re ew and approval of G CJs /Yi ATS SIGNATURE O&-. _ City of Fridleg Building Inspections Wpartmeat 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 HOMESIADDITIONSX EXISTING HOME F1MAKE-UPAIR REQUIRED FOR NEW/EXISTING ;14QME,S j;:• 1. Combustion Air (See note below)? a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanoVGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) & 1MC 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 EL Required on new construction. IMC 1346.0312 5. Ventilation a. Per MN Energy Cade 7670 or 7672 6. Duct Design PerIMC 1346.0603.2 a. ACOA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No. Inspections RESIDENTIAL APPLICATION Received By - 763 -572-3604 CITY OF FRIDLEY DatjffJ � N 22,E 2p DATE 1 YOUR E-MAIL ADDRESS SITE ADDRESS $G1WtL aha C ,"s&g r THIS APPLICANT IS: ❑ OWNER *ONTRACTOR Barbara Gnhanick PROPERTY NAME: 55 66th Way Northeast OWNER/ ADDRESS: Fridley MN 55432 rATE ZIP TENANT PHONE: 7635741384 CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # CJ EXP DATE YOUR STATE ADDRESS' f�f CITY ' W /S STATE 5�� LICENSE WITH PHONE % -x-03 FAX — APPLICATION - PERMIT TYPE j siNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT 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. CMis.should_reflect only.the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 = FUR ROJECTS WHERE LABOR EXCEEDS i00; FEES ARE BASED ON $10.00 PER FIXTURE; EXCEP1TW#IEREMT3;PlF:FTXTI�IIIES:,. INDICATE TGTA'L ' NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS SHOWER _ WATER PIPING • _ _ _ GAS PIPING (Nwencnymmst) SWINIMING POOL—WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK ^ WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER _-LAUNDRY TRAY LWATER imATER ($35) FOR IRRIGATION WATER METER OTHER 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 = $ 3S.0o TOTAL DUE $ State Surcharge = $ .50 Total = $ O THIS IS AN APPLICATION FOR A PERMrr 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 appligation 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,0f ag workwWch requires review and approval of plans' / e -- /DI�'i -SIGNATURE SIGNATURE OF APPLIC RINT NAME e NO/�f DATEW106 " City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 CrLot ka /1 ( �iL Date: 6/5/2008 Revision Date: 6/5/2008 Site Information Address 1: 55 66th Way Address 2: City: Fridley County: Anoka Application Information Business Name: Standard Heating Contact Person: Matt Solko Office Ph: Fax: Cell Ph: 612-290-3476 Address 1: City: State: Zip Code: Existing Construction: Pre 1994. Project #: Lot Block: Subdivision: MN Contractor License #: Combustion Appliance Water Heater: Natural Draft Input BTUs: 40,000 Common Vent Combustion Zone 2 Combustion Zone 2 Fumace/Boiler: Fan Assisted Input BTUs: 60,000 Common Vent Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust_Egulement Continuous Exhaust Ventilation Capacity (dm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 50 Make -Up Air No Make -Up Air Required by Code Combustion Alr Combustion Zone One: Minimum Combustion Air Requirements Met. Minimum Combustion Air Requirements Met. Applicant Name (print): Signature/Date: Code Official (print): Signature/Date: 13x ►� r �' (0 2006 CcntcrPoint Energy. 2006 Mechanical Code Guidelines Ver 3. Wt/ 6V:9ti:9 9=/9/9 :a;ea Z/Z :a6ed 00£Z9£t4ZL9 .Wa=1 Page 1