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PRE 2010 DOCS
Permit Fee paid on Permit #11,315 for 1560 - 1570 69th Avenue N.E. City of Fridley, Minn. 11320 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT ate: February 22, 1972 Owaer: ,$-ice Creek Dgyeloament Compa= Builder ARRroved Contractors, Inc,,_ Address 85 West Rn Girds Pines, Minn Address 1052 Osborne Road N.E.a Fridley 786-3680 1577,1575,1571, LOCATION OF BUILDING X01569215673,15 g Ave i e N.E. Pari of Lot Parcels 0 . Section �� ?got I Block Addition or Sub -Division Corner Lot inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Each Unit 6 Tp jahouse Units Front 201 Depth 32' Height 21' Sq. Ft. _1213' Cu. Ft. Front Depth Height Sq. Ft. _- Cu. Ft. Type of Construction Wood TP -ramp- Est. Cost _5A - #11..315 To be Completed —1 ygxr In consideration of the issuance to me of a permit to construct the building described abqy e, I agree to do the proposed work in accordance with the description above and in complipnce wi,YhJ all provisions of Ordinances of the city of Fridley. JA - / t In consideration of the payment of a fee of $ See ft 1A 315 permit is hereby granted to Rice Creek Dev. Co. to construct the building or addition as described above. This permit is granted upon, the express condition that the person to whom it is granted and his agents, employees and workmen, in all Work 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 anthee. city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinpector CLARENCE BELISL NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, Bae heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. cam 16 for Peww Ptwls sed HeathM Cooling. Yentila&n. Rofrig�___ and JUr Conditioning Sys and Dovicu PARTIAL RATE SCHEDULE GRAVITY WARM AIR: VIATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace .... . ..... . ..... .. 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $___ -- MECIL WARM AM Furnace Shell & Duct Work to 120,000 BTU ...� . 4V .. $10.00 $ ®. ©c) each add 60,000 SM .................... .. 3.W i Replacement of Furnace .. .... . .... 6.00 $ Repairs & Alterations—up to $500.00 .. 6.00 $ Repairs & Alterations each add. $500.00 &W $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line -to 640 sq. ft. EDR 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 198,000 BTU) 4n .� . 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: // NO RATE TOTAL 1st 3 Fixtures �3�_ x$ 2.(D Additional Fixtures a .78 $ Gas Range to 199,000 X$ 5.00 $ AIR CONDETIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL G ® '17 - 07 V . (.'oC)*UU �v See Fes Schedule U TOTAL FEE 1;2 O (SURCHARGE $_,50) Dept. of Bldgs. Photo SM"M . c , City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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. Owner Kind of Used as Tobeo Estimated Cost, Old-(gD Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO T ANTS—Steam, Hot Water, Warm Air—No _ Trade Nam Size NeL_0_6 Capacity Sq. Ft. E.D.R BTU HB Total Connected Load Kind of Fue BURNER — Trade Name Size No Capaci Sq. Ft. E.D.R BTU Mp (REMARKS—OVER) SUBJECT City of Fridley '30170 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. `v _-_--- COMMUNITY DEVELOPMENT DIV.® SEC.70 r PROTECTIVE INSPECTION 1 1 CITY HALL FRIDLEY 55432 A. �'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/3/99 JOB ADDRESS 1565,1567,1569,1571,1575,1577 68th Avenue NE 1 LEGAL LOT NO Parcel BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 10 f20 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Bern Mgmt., 8162 Bloomington Ave S. Bloomington 55425 854-7788 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Timberoof 1001 E Cliff Rd. Burnsville 55337 808-1149 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Commercial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 6x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 6 Townhomes - 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 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 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 OWLG. UNITS OFFSTREET PARKING 1 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 $10,350 $5.18 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 $195.25 Fire SC $10.35 PLAN CHECK FEE TWOTA 0.78 SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT iDATEi HEN ROP ALIDAT THIS IS R P IT J S-GNATURE OF OWNERoF OWNER BWLDERi iDATE, B G iNSP O "i .1UL-db-1'J'Zft1 11cUY F—HIJM (IIY OF FFIDLEY TO 8087571 F. 03/04 i —�. -ruga tr 11L4h. y7 Esmmat"ed Cost Effective 5/10/9' $--I ��� CITY OF FR,IDLEY Receipt # , R-3, COMMERCYAL & INDUSTRIAL BUIL•DNG PERMIT APPLICATION Q=txucticn Addreze /s(�5 - (oAvc AJ ZonizV. iAgal owner & Address J�`m tern M, elm I bZI nning+x)n fiVe. S rB aim �n ~}c��Tel#fi g a�rrrxAcroR & mss dlweS+— Architect Reg.# BUILDING CONSTRUCTION TYPE Orr" Pmx[] P1ew [] Addition He"Altexati.on-Bescxibe1- 0F'M- AREA: Length _ Width WHSE A'REp,: Leng'L-h WidthHeight � Sq. Ft, M. B'eig�nt 1' Sq, Ft. 011-IrM AREA: Length Width Height Sq - Ft. APPLICANT Date VALUATION Sq. Ft. --�-� Sq. x $ x $ x $ cost:/sq. Cbs;t/Sq. Gast/Sq. F't . Valuation $_ ) Ft. = valuation $— Ft. = Valuation $ 7 -. ) T OTAL VALUE Building use Air Cm&tioning L] Ye>: Perfo=ance Bond Ann=t Const_uC ion 7Y� Oc etz�aancy Grr�up i, No Fire Protection, Provided []yes []NO $ See Reverse for S e Received []yes [jNo Pezmi.t Fee $—A,,5.,:;25 Plast Check $ Fire Surcharge State surge - SAC Chi- e $ Emsion Centro? $� Park Fee $ ,� , f' 4 >. sesw --,ts $ rrivew-ay F-SC2 0w $ — TOZAL /o.7 $ See Fee Schedule on Reverse, Sine In Excess of Prepaid fit - See Reverse Side .001 x Permit valuation (1/10Th v) $.50/$1,000 Valuation (See S..hed. for > $1 Milaion) $7050 psr SACC Llkftit (Plans to WCC for dete_'nmixaation) $'=450.00 COMexvation Paan Review FE;e Deteimined By Engineering AE--Frel--nent necessary Q Xot Necessexy [1 feet x $13.50/foot �o . 3S 71�iVM7'A►TTACH STIPULATIONS CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture opening x $2.00 $ New Fixture, Old Opening � m $ Water x $5.00 $ Water Heater- to 99,000 BTU N $5.00 E ki ro e Qp y ro W Q W at New Ground Run Old Building Heater $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: ,s Oi G Additional Fixtures x $1.00 $ O x $10.00 $ �t First $100.00 -to $5.00 $ each add. $100.00 or fraction $2.00 $ p O $ .50 TOTAL FEE $ O yUj rn V to 3 o W to w U 3 c� i� i0.� as lec 1st 2nd L t 3rd 4th (R) Future Connection Opening Connected with Sewer (*) New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number 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 BTU 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: lst 3 fixtures x 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 $ REINSPECTION FEE ($10.00) Job Address �'� ! �" Li Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. -/;, _;� -7 , 19-)7 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed BY— 1 Tel. No. -- ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SM#MM E PLUMBING � � COMMERCIAL APPLICATION a City of Fridley AWS �)/a Permit Number Received By Date Received DATE 9'_ J` YOUR E-MAIL ADDRESS SITE ADDRESS Y6'-fes—'� Afz_cC J c, TENANT�✓t/7''�� �f�� SUITE NO. NAME /� /C_,e- C�E�� �� 6-5 PROPERTY OWNER/ ADDRESS TENANT CITY STATE ZIP 00h1ie-1 it? / PHONE # NAME[ '�81� �/f�/�f2� Ci LICENSE# ADDRESS W7 CONTRACTOR CITY N,_fi 6&,44 STATE /I/t/// ZIP PHONE# �S/ Cf�=a�A FAX PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL TOWNHOUSE ❑ COMMERCUUJINDUSTRIAL ❑ OTHER TYPE OF WORK ❑ NEW REPLACEMENT ❑ ALT./REMODEL DETAILED DESCRIPTION OF WORK ffE%(� eC�- 4/0 ��-G AlAcz— 64-1 4,Jdt �2 FIXTURES: (INDICATE TOTAL NUMBER OF EACH) FEES BASED ON $10 PER FIXTURE, EXCEPT WHERE NOTED URINAL CLOTHES WASH FLOOR DRAINS RPZ VALVE/ ($15) WATER HEATER ($35) DISHWASHER GAS PIPING BACKFLOW PREY. DRINKING FOUNTAIN GREASE TRAP ROOF DRAINS WATER METER FAUCET KITCHEN SINK SHOWER WATER PIPING FLAMMABLE WASTE LAUNDRY TRAY SLOP SINK WATER SOFTENER ($35) TANK LAVATORY SWIMMING POOL WATER CLOSET Permit Fee Plan Review Surcharge Total Due $ $ U Minimum: $35.00 $.50 on permits less than $1,000 Make Checks Payable to: City of Fridley 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 odes 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. NAME OF APPLICANT .� `- 77- &-z(<_—k,5yA1 DATE 51'_ / ^ 0 �:_ SIGNATURE OF APPLICANT CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVERSITY AVENUE NE, FRIDLEY, MN 55432 (763) 572-3604 AU5-09-2005 13:34 CITY OF FRIDLEY City of Fridley Building Inspections Dept. 6431 University Ave NF Fridley MN 55432 The applicant is: Mechanical P. 03104 Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City ®f Fridley See Back Side For, Requir Site Address: Owner 'Address: City: State: Zip. Phone: Cell: Fax: Contractor Informat11l Company Name: f.��3'If9'd��GC.tG� Contact Person: /D P n Pho Detailed of work: MFG:_ MFG:_ Please check all that apply: A1C $25.00 Air to Air exchanger $15.00 _Boiler $35.00 _Chimney Liner $10.00 Duct Work $10.00 Cell: Fax: 4 MN Bond# & n Permit # ,ly&!P Model: Slze/BTU: Model: Size/BTU: _Fireplace (gas) $15,00 New Gas. Grill $10.00 Fireplace (wood) $35.00 _Gas Unit HTR $10,00 _Furnace $35.00 _Pool Heater $35.00 _Gas Dryer $10.00 Ventilator $15.00 Piping $10.00 _✓Gas Gas Ran-ae/Oven $10.00 Pemtii Fee (Total from above -Minimum fee $35.00) Surcharge _ . _ _ __ ..—....- - - .....0:50 .._.._ Total Due Make check payable to City of Fridley This is an application for a permit• not valid until processed 1 hereby apply for a mechanical 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 Cedes; 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 case of all work which requires review and approval of plans. Signature of Appii Approval Inspector Mo 0/1 - 1=110 City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 5543 Mechanical Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley C.... Qo-le Grin t=nr Rnniiirarl Infnrmafinn Permit # ooS 0 ) lqo Date �� Site Address: 562 V The applicant is: (cirl a one) Owner Contractor rte' Property Owner. , Address:/6S2 City: 9�_ State: /Ldk/ Zip: Phone: Cell: Fax Contractor Informati n Company Name: - Contact Person: -r Address: W42,e City: &zw L� State: /LIN Zip: �S_5_D7s L� Phone: 61, ti/ ��� Cell:" -140 6(e�7 Fax: Email: a u- MN Bond# &Exp Date Type of Work (circle one): New Replacement Alteration/Remodel _ Ge Detailed Description of work: /Z h4j(lot ew- 6 Ave- dYit/' Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: SizeBTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _A/C to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Air Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00. _Gas Piping $10.00 Duct Work $10.00 _Gas Range/Oven $10.00 Permit tee $ (Total from above -Minimum fee $35.001_ 1A Surcharge $ 0.50 Total Due $ Make check payable to City of Fridley7_4 This is an application for a permit- not valid until processed I hereby apply for a mechanical 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 case of all work which requires review and approval of plans. 9 6 Signature of Applicant: --r—r Approval Inspector Sig Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work 2 Building _ FLOOR DRAINS PLUMBING _ GAS PIPING Permit No.Q�7—coo Q Inspections —FAUCET COMMERCIAL APPLICATION FLAMMABLE WASTE TANK Received By: 763-572-3604 —LAVATORY CITY OF FRIDLEY Date Rec'd: z DATE - ,l- '-0 157 YOUR E-MAIL ADDRESS SITE ADDRESS z 7-'q -1-1 Iyn5 - TENANT -7-.0 Ga SUITE NO. PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: �°�O�l�l Ei��°���-- / C -Z / STATE LICENSE # EXP DATE ADDRESS:'"yam//yam /�/��5� STATEIP�o�� SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONE x/-116 9Z" FAX APPLICATION PERMIT TYPE ❑ INSTITUTIONAL NdMULTT-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK _ CLOTHES WASHER _ FLOOR DRAINS —DISHWASHER _ GAS PIPING _ DRINKING FOUNTAIN _ GREASE TRAP —FAUCET _ KITCHEN SINK FLAMMABLE WASTE TANK _ LAUNDRY TRAY —LAVATORY Total Job $ Valuation Permit Fee $P�y Surcharge $ Total Due &5 . SU efoG�r/1//�� _ RPZ VALVE BACKFLOW PREV ROOF DRAINS SHOWER _ SLOP SINK SWIMMING POOL _ URINAL WATER HEATER _ WATER METER WATER PIPING WATER SOFTENER _ WATER CLOSET All fees are based on valuation, including the cost of labor and materials. (1.25% of Job Valuation / Minimum fee: $35) Valuation X.0005 Make Checks Payable to: City of Fridley 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 applicatiq for a permitand-work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wjYfk o4 whic es revie d approval of plans. 7 NAME OF APPLICANT DATE SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: t -25 Inspections RESIDENTIAL APPLICATION Received By: 7.63-572-3604 CITY OF FRIDLEY R9 DATE —YOUMAIL ADDRESS SITE ADDRESS AU THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT 2 3 -" PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # LICENSE WITH ADDRESS: �� L' CITY STA !FMATE APPLICATION PHONE — FAX PERIWT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 1`REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK , 0 , 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) Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _A/C AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _FIREPLACE $35.00 ACE $35.00 _GAs UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 WORK $10.00 _GAS PIPING _VENTILATOR $15.00 _DUCT lx$10.0�,0q ~$10.00 Permit Fee $ IS ® Number of fixtures @ x $10.00 = $ 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 = $ 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. 40work which requir review and approval ofPI s. &04A SIGNATURE OF APPLICANT PRINT NAME Ut DATE k fi t. v t; DxP !.' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 -FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW 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 Propan&UGC 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. RCCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations