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PRE 2010 DOCSCity of Fridley SUBJECT ®1345'7 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. v 1 PROTECTIVE INSPECTION SEC. 1 =0 CITY HALL FRIDLEY 55432 .6 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 4/16/76 JOB ADDRESS 1310 - 69th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 And. Sub. #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Weispfenning 8070 Central Avenue N.E., St. Louis Park 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Capp Homes 3355 Hiawatha Avenue, M ls. 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK OX NEW ❑ ADDITION ❑ ALTERATION 11REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 511811 x 3 ' ing and a 21.7' x 24' Garage TFIE 017 01 DOES NOT GUARANTE , ACCURACY OF UTILITY LOCATIONS AND ELEVAT 9 CHANGE qF USE FROM TO I UL'POSES ONLY TELEPHONE P.M STIPULATIONS proviR_EP ace driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. SEWER LOCATION (Approx. 12' Deep) 34' East of Manhole (Inv. 869.99) WYE Elev: 870.13 TOP OF FOOTING: 874.50 Minimum WATER LOCATION: 10.91' East of sewer service., 56' S.E. of Sanitary Manhole Services off 69th (Co. Rd. H) —.IMPORTANT--r NOTIFY THE FRIDLEY ENGR. REGARDING EPERATE PERMITS REQUIRED FOR WIRING, REMOVAL AND REPLACEMENT EATING, PLUMBING AND SIGNS. AT DRIVEWAY OPENINGS, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 27,41.0 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ 43,300 21.65 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- $50.71 $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $422.36 SIGDAT 0�OCTO U iORIZEDAGENT, (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT a LA& d BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUI 1 ATE) I I 1HE AND rIOW -Al'I'LIL:/il luA I' UK 1Ci:01UJUil I LJ%JA, f•araa.•n.►a J6v�1, ' • OR ADDITION - BUILDING PERMIT - CITY OF FRIDLEY, MINNESOTA ADDRESS: & %D 0EI vur'w 0& ADDRESS : /® STREET InPop�� i -OT: _�lll____BLOCK: ADDITION % sm CORNER LOT:INSIDE LOT: SETBMK: � SIDEYATD: � /ll�• _ Applicant attach to this form Tuo Certificates. -if Survc .of-L•ot and .proposed building location chicon on these Certificates. - DESCRIPTION*OF BUILDING. To Be Used Aso • �Depth:-3C� �� bight• —D,. �,' t't•f�-•�.+JQ!�AGE, Front: / — � – Square Feet: Z4 8Z- Cubic . Feet • . • Front : Deptli • Height Square Feet, Cubic Feet: • ' Type of Construction: - gO0 e 3 f ewA,� 5 Estixmate'd Cost: xd Be Completed: �� �C� 749 • . The undersigned hereby makes application' for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of - Fri.dlcy Ordinances and rulings of the Department of Buildings, and Hereby declares that all the facts and representations stated in this appli.caticn `re tzue and correct. • MTE: � SIGNATURE f (Sea Res'erselSide For Additional Information,)' D�4c r� Rzeeived from: STATE Or MINNESOTA BUILDING INSPECTION DEPARTMENT (Cobert Hendrickson: 296-4629) ZT EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER C- 1A W SS ,f.1r`�l/Jc SITE ADDRESS DATE 44) : PHONE Determine working square footage of each. .. ! Cl3 s ft. x . l 7 = rL �✓ tal exposed wall area ... 1 �� q• � ���. 2,Total roof/ceiling area ..... 8 °® sq. ft, x .C�^ = Total exposed wall area above floor a. Total wall window area ........................... 15�35 b. Total door area ... , ... ? ....... - . c: Total sliding glass door area ................:.. d. Total fireplace wall area........ .,. ....... .... L,,C) (5)e. Total wall framing area (averagel0lj �f. Total net wall area above floor ................. _i g. Total rim joist area ..............................- Total exposed foundation area h. Total foundation window area ..................... 19, i. Toal net foundation area above grade ............ �tZ� Determine "U" valuq of each wall segment. a. 55 5 X ��U�� , S/ T 79,22 v &- w 'CJD ® b. LO�UC� X 11UH p = 1�+�© C — ` 0 C. X L�vi mill 11 -- f•X IfUll g. X 11U11 h. �4 X 11UH ,5� = is+�� �j �• i. ���� V 1111 51 - 47 ; 3.....................................Total 'If item. #3 is the same as, or less than item #1, you have met the intent of SBC 6006(02. Total exposed 'roof/ceiling area = 1 b j. Total skylight area............. .. k. Total roof/ceiling framing area (average 10%)...��iSI 1. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment. jX "u" _ k. 451 X llult , I �O65' 4...................................Total = [ 3 If total of #4 is the same as, or less than #2, you have met the -intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and 7#2. 1. + 2. _ 3. + 4. 71 1 U b L D S X GM T" ILI 1, X� L I Construction No. Insulation Doors Refercnc,;Jut. /al: Int. Vlal=eilia; Roof Floor Kind How Applied Room iLength .,,, 'Vid-th 4 Height —6 F1.1 L Room 1 Length Width Heiehz!P I NVir-low.t and Doors—Crackage end Area II Windows and Doors—Crackage and Area 19th —t }-telyht No. of 11phin Un,d rt. of Area eq ff• A rna O'S. ft. i77 41�: ej Coef. Btu flan 1 hifiltration -', I �z -1zy Net exp. wall IL7C "�ri Int. wall P. wall J-) ell Ceiling Ceiling Floor Floor Total Mu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - 71 V11' Height iUza P- coef. Btu Q ell e F- 4c�% r "'fL z I FLI P� -P, ( I- Room I Lenath (,-7 Width -44 Heizhr- Wir,dows ane Doors--Crackae and Area Width No. of pan., Height Of J."n. NO. Of Lineal ft. 11KI'to of mark A rna O'S. ft. i77 41�: ej Coef. Btu Infiltration hifiltration -', I Glass Exp. wall Net exp. wall IL7C "�ri Int. wall 77 Int. wall Ceiling Ceiling Floor Floor Total Mu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FLI P� -P, ( I- Room I Lenath (,-7 Width -44 Heizhr- Wir,dows ane Doors--Crackae and Area Width No. of Pane clei7ht of Pane No of Lineal ft. llff�ta of crack Area eq. ft. i77 41�: ej Coef. T, -U Btu hifiltration Glass Exp. wall Net exp. wall Ink. wall 77 Int. wall Ceiling Ceiling Flow Floor To.,ai Ltu. R�--quircd aL. ft. r D.R. ay nq. Uis. "XI.A. Leader area l T -1i rnmz�, i Unr-th j L-) Width I '--S Hzigh', '-, V,Vindowzi ai.,& 3's-m—Crackage and Area No. wicah I 0;!� ht No Lineal ft. of Pane of 110�ota I of crack Area uq. ft. i77 41�: ej Coef. T, -U Infiltration Glass Exp. wall N-Z;:Xp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R, or ;icy. ;ns. 7-r:,,r-•rr area "Ve .= ......... ... LO Fioor -5 p F1.1 !11")M Lrrv---th ZO Height W;n"Ow�- No. I( p.,no 1"al VIA Na C,- 1! In loor o' Rcq,,::Arec1 sq. ft. E.D.R. or i'3. \V.A. LeaoL.- %7:--zlows a:.dzac' A:za 1 wISth ! ' Ie1ciP,cy 1 Iv. of7- I 40i'Z- I LIQ -2— j3 CIS WZAI Btu 16-66) T— C VIA Na C,- 1! In loor o' Rcq,,::Arec1 sq. ft. E.D.R. or i'3. \V.A. LeaoL.- %7:--zlows a:.dzac' A:za 1 wISth ! ' Ie1ciP,cy 1 Iv. of7- I 'Nct cxp. vv? ! icor CIS WZAI T— C NV It 4' i, —,%-A It. ft 'Nct cxp. vv? ! icor CAIN' 1-:i:1'IoN (Frum„�iinn��:u�t:i I?nc�t-a�,y L:ctnaat'vut:.i.c�n t CAL;tt.iou Guide, L'; go"; K&L2 EXPOSI.'D WALL, ;REAS * To t -al Frame mall Area Mitttts : Wall Window Area 155,_5_`_ Steel Door Area Wood Door Area Sliding Door area 358" Fireplace F1all Area ISI . L. oe i. Poo r It - 13.50 1,2, Wood Door Iz - 3 'Z-3 C. Sliding Gk ss Door. R -- 2.70 TOTAL,,-' � LN, Framct Wall Arc. -a/&? Minus: Wall Framing Net Nall Area Above Floor *Total Exposed Foundation Arra //-7 }}� Minus: t I Window Area Steel Door Area t , Wood Floor Area Sliding Door Aroa Net Foundation Area Above Gra;I'. rI��ro±:'�,`� *Total Rim Joist Area *Total Exposed Waal. Area D. 1 crop Lace Wal. L Area R 1. Interior Air Film.... 0.68 2. Brick Cou?tr.;un, , . , , 4.80 3. Exterior Air Film.:.. .17 'L'O'CAL R = 5.65 E. 1%a ll Area Above Floor ^bovo Grade 1. Interior Air Film..:. 0. (')3 2. V' Sho-otrock......... 0.45 3. 3'-,i" Insulation....... 11.00 4. '." Fiberbo-trd Shtg- 1.22 5. Siding - G'/z" L--kf 165 6. Exterior :lir Film.... TOTAL R _ _0.17 14 11-7 F. [•7all Framing Area I. Interior Asir Film.... 0.63 2.. Y' Sl-tectrock......... 0.45 3. '2°` F ibexboard Shtg... 1.22 4. 3T' wanting. �. 4.34 5. Siding - 1 z/ I LA -P , <05 6. Exterior 1k_LrFilm .... _0.17 TOTAL R = --16 1 G. Rica Joist Area 1. Interior _fir Film .... .68 2 " Tnsii'lat -toa...... . 3. 1.!Z" Wood ............. 1. >2 4. 1jj" Fib�?rboard 511tty... 1..22 6. Exterior Air Vilm.... .17 TOTAL R = L ,4�T H, i�vi.t::daL-icn bli.c;c'ows R = Z -OU I. 1'ot iulation ^bovo Grade 1. iClt:'.i:iC�r Air L'' -U -m.... 63 Tn ill Latton...... . 3. "`� n �� ,Loc:c ............. 1 .11 4 . Ex L,! r 10 c air L j.l.m.... .17 T O TAT, R 0 13th 4th A%. E S c.z ,\�� 3140Ar.ST CLOUD. ,PN 56301r Q SAUK Inc,., t 1N 5 s3612251-775' OCIATSX ers — lanJ SurveYors .'F.1rw1 .F`.p`A 500 W. HWY. 96, ST PAUL. MN 55112 612.484-3301 I hereby certify that this Certificate of Survey It Description IR Easement ❑ Plan G Specification 7 or Building Location 0 was prepared by me or under my direct supervision and that I am a duly Registered Land SurveyoI rid the.d\'V-1VS oftje State of Minnesota. r Reg. Na. 3527 -- Date—_ 1-21-_76 :CF6N h10W. PLACE D 0V4 AFP-% L. 15, 1974- 4 =�MMRTANT- N@T+fY THE FRIDLEY ENGR. ®IVI§I@N REGARDING CURB AND Nowrm LINE oc Lo -r Ila— ®AT EpkR�IVFWAY OPENINGSNT ti CO. RD. l ,H► tid [�Lz N0T PLAT T C THING IPJ THIfA P EA 'u'iI ?1J'f r'•' � 19 W N W 0 a r LIJ 0 �r Q LJ U LL N W — 110 W w WARNIN 1-- Before digging call local utilities r*-, TELEPHONE - ELECTRIC - GAS Etc.. REQUIRE® BY LAIN, Ny 31- al' ` m 7r I C0 THE CITY OF FRIDLEY DOE NOT GUARANTEE ACCURACY OF UTILITY LOCATIONS AND ELEVATI THIS DATA IS FOR INFORMATI N PUPPOSES ONLY PEONS USING IT SHOULD VEIZIFY THE INFORMA (��( 'H- f7,TF 00 ' I 0 N ol N f' = 46 1 Lot 16, REVISED AUDITOR'S SUSDIVISIUN NO. 10, Anoka County, Minnesota. Subject to an easement over the west 50 feet for highway and subject to an easement over the north 33 feet for road. PkOPO'SE-b S iTF- of g0MF-t0 74-25 , 9S C J �Z- �,6S - (2ZJ tY x64 j_j C> J �:11��JC;i:IOi'�fi'�•c a ,t...�.::,::� .._....... ,../;.c.y Ei•bt'�,ii:J u c._._,s • of Eld;,a. Phoho Sc�•3.rx'i v ��i II C .. ���` < <i �� 1 �` �Ih to �y �� U� ua,vt5 _ o e �-----• CAS l Utc. Owner 1 I11 �� 1 1 !� I •i 1! I I I �- Kind of $ :ilcii v .— _�'.`� Used as Old Cc::pc/ol - — To tie completed about --L I LLL! I irzUrnated Cos'. $ I I I { "L�. MB!"N. F'IX :'iia.: RATES: I City of Frid cy.. The undersi•07)ed hereby M_•res ap-Ucation for apt:^ it fo: V' Qcr: her specified, a- ccm- to do a'.'. accord=r-c with the Cid and ru':ng of the D -.•pa tme^,t of B iid.'n�, and hereby declares L%%21 -C1 L' a i;,^. • , and-:presentstated is t_h:s app'?ca" are true and eor:eev Fridley, 'Min - 7 in — 2S� n h -I. - - Owner Kind of $ :ilcii v .— _�'.`� Used as Old Cc::pc/ol - — To tie completed about J�Vt� rM{ { �~ v(-)iv��� PSP. { .�,L RA1 � S irzUrnated Cos'. $ O C©i(� O:d ew ui:Ci:,3 Permit ho. P®rnit : "L�. MB!"N. F'IX :'iia.: RATES: NO. _B.A i S TOTAL x S2.0. ...... • • . w „ . • • rt,..Ure Fixture Opening .... • . • . • . • • - x Si.5J S . -. "- _ sols B•.:sir.�� �v':e-:ice NewFixture Old cwring...... , ... c c� x y:., �___:_—• Catch Basin .. • .. , . e . • .. • . , . • • ♦ • X V3.2rJ % g — �• Zy c lieater '(.'p to 93.030 -BTU) .... x S300 S� ROUGH -- - • : ew Grcund Run Old Bldg.... - . • • • x 3.25 S .. . :3.UJ y '.� y 7� r'xt'.^ Watar `:aatar............. . s Fi:v ��" ati^ F':'"1ti0 cE=S; IN 0. RAT: TOTAL x 2. co d let 3 Fix:urez .. . ..... . ......... ._Z_ - Adda:cnai .75 $ - Gs R je to 1S9.0G00, E: u • . 50 S tate Si=ch .x— e ?�.�:cs iY .�:.aERi4.a iV�rn:4fGr :O C.6Gt.O t, 'd�JTA T_.. ' i''• • _ • • 6 CITY OF FRIDLEY,� 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 $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING �} FAN HEATING SYSTEMS see Fee schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERM41W $12.00 $ 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ $ x $ 3.00 x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 $ Job Address 1.-310 et:/:, /la e�& 7C "' v i 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. i� % Fridley, Minn. / / _'1976 OWNER --- KIND OF USED AS TO BE COMPLETED ABOUT At / /f es% ESTIMATED COST OLD - 411�bUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name iG�� Size No. 6 dS Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name yj Size No. Capacity Sq. Ft. EDR % BTU HP Company J /CfI. 121�L� �[c IL i)FL(l Q AJ / Signed By 80�00 06M7 -IML Tel. No. ���iN� L��� i�a2k • SS�I�a 560.3450 Cio Yiall� ANOKA °COUNTY 6431 UNIVERSITY AVENUE NE November 29, 1976 FRIDLEY, MINNESOTA 55432 Mr. Richard Weispfenning 8070 Central Avenue N.E. St. Louis Park, Mn. Be: Final Inspection of 1310 - 69th Avenue N.E. Dear Mr. Weispfenninga A.final inspection was made on .November 22, 1976 of 1310 - 69th Avenue N.E. .and the following items were noted which must be completed -before the structure can be finaled out; 1. Provide handrail on open side of stairway going upstairs prior to moving into house. 2. Provide door on bathroom prior to moving into house. 3. Provide sod in the front and side yards by June 15, 1977. We will expect the above items to be completed by the appointed times when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, RONALD E. HOLDEN Hnilding-Inspection Officer RES/mh City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT( 3 915 Ir? COMMUNITY DEVELOPMENT DIV. t✓ 1 v PROTECTIVE INSPECTION SEC iCITY HALL FRIDLEY 55432 J 612-571-3450 -REICT—IPT N. O NUMBER 910415 REV DATE 12/11/95 PAGE OF APPROVED BY JOB ADDRESS 1310 69 Avenue NE 1 LEGAL DESCR. LOT NO. 16 BLOCK TRACT OR ADDITION 1 Revised Auditor's Sub. SEE ATTACHED 410 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rich/Candy Weispfenning 1310 69 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Innovations 2187 Overlook Drive Bloomington MN 55431 884-0814 9318 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 N REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 I 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 @@ $9,600 $4.80 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- STRUCTI N OR THE PERFORMANCE OF CONSTRUCTION $162.25 Fire SCC $9.60 PLAN CHECK FEE TOTAL FEE License SC $5.00 $181.65 SI URE OF CON AAC R AUTHORIZED AGENT IDATEI WHEN��PROPE Y VALIDATED THIS IS YOUR PERMIT GYJ s 0-114—Y, _ SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 81.9115 INSP DATE NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: /I:),/ Legal Description: _ Owner Name & Address: Tel. # Contractor:� fc,, �, i _ �� 4 .j X'r r _ MN LICENSE # c Tel. # �"`�®moi V Address:.?, �' 7 � ��� i �,,� !J �.u. � �' 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 GARAGE AREA: Length Width DECK AREA: Length Width OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: /+ A-,e— Approx. Completion Date: 1,2� lg .� Height Sq. Ft. Height Sq. Ft. HgdGround Sq. Ft. Side Yard Setbacks Estimated Cost: $ ro 00, DC) (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /� APPLICANT���c..�ro �-- Tel. # y -C> fr_ /CITY USE ONLY Permit Fee $ �2 S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%). State Surcharge $ ® $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ �9• 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: J SUBJECT� . NOCity of Fridley (PERMIT � � 'i6 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir? ______ COMMUNITY DEVELOPMENT DIV. I ~ PROTECTIVE INSPECTION SEC r 0, CITY HALL FRIDLEY 55432 III. NUMBER REV DATE PAGE OF APPROVED BY J1.� �'' 612-571-3450 910-F15 8/13/96 JOB ADDRESS 1310 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 Revised Aud. Sub. #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Weispfeuning 1310 69 Avenue NE 574-9713 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE El REMOVE 8 DESCRIBE WORK Install brick veneer facing on front of house & garage 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $2,500 $1.25 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- $74.75 We SC $2'50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE OT L FEE /j $78.50 SI N/UoRE�OFF//CONTR O RAUTHORIZEDAGENT IDATEI PR Y VALI D HIS IS 1 UR PER T 41 G INSP OtiTE SIGNATURE OF OWNERJFOWNE UILDERI IDATEI J NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: /3/� - 6 C/f�,-1111e. Ai%' Legal Description: Effective 3/1/96 Owner Name & Address: c ha Pa, Tel. # ,,) /Y Contractor: S //—/", MN LICENSE # _ Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ J Ft. Yd Setback Side Yard Setbacks Type of Construction: 1511 / Ya'o/� Estimated Cost: $ Approx. Completion Date: P7, 54-C V -ow d h ous� (Cost on Back) Driveway Curb Cut Width Needed: Ft , 6 Ft DATE: �J FF'��% APPLICANT: L ? D �✓ Z '. Tel. P CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /, Z'( $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOTAL $ STIPULATIONS: /L f0 f, i ,C ���i j-,� ,� 6:ell ee r of /,1/61-k, Ap --- CASE I CASE 2 A continuous steel angle attached to the Anchor bolts are used to install a existing foundation or basement wall is the ous steel angle to the existing fo easiest and most common way to support or basement wall. the new brick work. Sioux City Brick & Tile Co. 310 South Floyd Blvd. P.O. Box 807 Sioux City, IA 51102 712-258-6571 FAX 712-252-3215 Minnesota Brick & Tile 520 West 86th Street Bloomington, MN 55420 612-888-9239 FAX 612-888-0077 nu - ion re edG/ /1 LLC�LL Pi'uIhf#674a F wlNC�'� I�.®ri 2 401 Y Q/c Jo: K f/4cdi wi►^t. tturtiifqf Brick is supported by a cast -in-place con- crete haunch. Haunch is formed using leave - in -place polystyrene forms, and it's tied to the existing foundation or basement wall with rebar or proprietary steel straps. United Brick & Tile Westport Home Center 10421 Hickman Road Des Moines, IA 50322 515-2540196 FAX 515-254-0296 26196 FRI 11:28 FAX 6128880077 MINN BRICK & TILE HAUNCH INSTALLATION PROCEDURES Be Advised That This Procedure Requires a Building Permit STEP #1 Make sure foundatlon wails are visually sound on the inside and outside foundation wail. Starting at the cor_ nor, make a mark every /&" on canter trying to stay in the hollow portions of the foundation block. STEP 92 kewn Grade Aft4r foundation is marked, excavate /b.' below grade and I r away from foundation. At this time you are readyto punch holes in the concrefte block at each mark, trying to keep as close to grade (lawn) level as poss- ible (Haurich may have to be step; ed down st various pointsto meet grade requirements. See detal1vt end of Instructions). Make holes large enough to Insert your fiat just above the mortar bad joint. Q010 STEP MS When all holes are made, pack hardware cloth or newspaper through the upper hole to a point 4' below the N ex T k Lv r la*c eKs bed joint (This Is to save concrete). Everything at this point should look like this. --1A" f�-�,, Cloth Or NawNmW Inside Below fAch HON ,1/28/98 FRI 11.29 FAX 8128880077 MINN BRICK & TILE �0. STIP #4 Now YOU are ready to Install Hauncho Masters. By rotating the Hauncho Master, putthe long straight end into the upper hole and the 2a tab Into the 2' slot. Slide back tirmly to the block. After an Haunchoe are In place, wire 06 'Am reinforcing rods 2' clown centered Y apart on the inside of the angled Make sure you overlap reinforcing rods at least 18'. Portion of the Hauncho. STEP #6 �2) % eeh4...e;"I roam/ Z" O.,,f. e-'-- 60-r zr-� w;. -.e Nowyou are ready to putthe pre-I`ormed polystyrene forms into place. They will Poured. Mitre polystyrene at all Wrners for Insulatingquality. T to k stay in place after concrete Is horizontal putting q Try eaP Polystyrene at IeW 2 above the Part of the Hauncho. After uttin Boll in front of your forms to help keep spatter where needed (Installer must provide) to them In platin, Add 8' keep forms 6" away from foundation wap. Lr STEP i8 You are ready for footing InsPW;otion by the city building inspector. ONLY AFTER INSPECTION, Place 4300 lb. test concrete (3 parts sand, 1 pant rock, I part Portland cement) Into upper holo in block. When block is filled start filling forma, making sure all voids are filled. Remove spacers when forms are filled. Allow Haunch to cure 24 hours before laying brick. 0.4 INS ggg gm I qlv�� I �rwl - AT] Ni L4 mq vl�4 I Od I Vj,; "k x ,c 4.2, it, . It, k7 mnci�/twol 4 Fit 1- 51YII,, lit 4.,F; Pt, _vk & - N ., ` X, N -J It. PY qT 'Wo 4r. ... ... 8 tt Ae—I "., iwo it ..fe � { �;. �� * Y r .t€i. � '��'�'M�!c,'r�h. �� wYi� �s a'4�-,til � r�yt P' ;'`s t��, ;t r ;�y r i, 777Y T;,�" SUBJECT PERMITNO. City of Fridley ? 51 8 6 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC 307 r NUMBER REV DATEPAGE P OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/18/97 JOB ADDRESS 1310 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 Revised Auditor's Sub. #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Weispfenning 1310 69 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr 6331 Riverview Ter NE, Fridley MN 55432 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 4051 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (18 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 1 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 @ 1, 116 $.56 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT W 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- $40 25 Fire SC $1.12 7 UCTION OR THE PERFORMANCE OF CONSTRUCTION c PLAN CHECK FEE TOTAL FEE License SC $5.00 $46.93 SIGNATURE OF CONTRA*CTOORA�UTH)ZEDAGENT (DATEI WHEN PROPERLVVALI DATED THIS IS YPUR PERMIT r . 6¢0 )NSP ` MATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:_ 5? 7'- A fl7 . ly"6� Legal Description: Owner Name & Address:LL-L- «D FE �v.v;Arc Tel. # Contractor: I`c Gey MN LICENSE #- 4/6 / Address: 6 s'3/ Tel. # 4.1 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: Construction Type: 2'i R c 0 -N /-A r, tZ Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ! d' % APPLICANT:���/�/� Tel. # CITY USE ONLY Permit Fee $ 'y , Fee Schedule on Reverse Side Fire Surcharge $ s ' .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ ff c P' $5.00 (State Licensed Residential Contractors)D� Driveway Escrow $ Alt. "A" or Alt. "B" Above j Erosion Control $ .$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering �* Sewer Main e Char Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: September 10, 1998 John G. Flora Director of Public Works City of Fridley, MN Dear Mr. Flora As a homeowner with property abutting the current Central Ave Improvement project, I recently received notice from the City of Fridley regarding a Sept. 14, 1998 hearing to consider comments for proposed curb and gutter assessments. This letter contains my comments and questions on the curb improvements and I would appreciate their inclusion in the hearing proceedings should I not be able to attend. I am located at 1310 - 69th Ave NE, the SE corner lot at the intersection of 69th Ave with Central Ave. I have approximately 110 feet of concrete curb/gutter fronting the 69th Ave. side and another 25 feet on the Central Ave. side. The remaining 250 feet on the Central Ave. side is asphalt curb. In a phone conversation I had with you on 08 Aug. 1998, I understood you to say that Fridley city policy is to assess homeowners for the cost of concrete curb and gutter on the running distance of street frontage, taken to mean the distance on the street side from which the residential address is determined. What I would like to clarify with you is the policy concerning side street curb and gutter assessment for residences situated on corner lots. My recollection is that the side yard curb and gutter is not assessed to the homeowner and that only curb/gutter along the running front distance is subject to the assessment. I would like to receive a written response from your office regarding the city's official position on whether and how I would be affected by the proposed assessment. I would appreciate if you could send a response to me prior to the hearing date at the address or FAX numbers below. Thanks for you attention to my concerns. Regards, Richard Weispfemmng 1310 - 69th Ave. NE, Fridley, MN 55432 Phone: 612-514-6286 FAX: 612-514-699%' VIA cc: [Name] 1�,N 1330Z41Z ODI0 C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 16, 1998 PW98-173 Mr. RIchard WelspfennIng 1310 69h Ave NE Fridley MN 55432 Subject: Corner Lot Assessment Policy Dear Mr. Welspfenning: The City's current policy for street projects is to assess the property the cost of the concrete curb and gutter the first time it Is Installed only. The property's cost share Is based upon Its frontage length along the address side. This Includes corner lots. In your case, assessments were made against your property as part of our 1981 street project on 691h Avenue and, therefore, you would not be assessed as part of the current project. The cost of the additional concrete curb and gutter along the Central Avenue side of your property will be absorbed In the overall cost of the project. If you have any additional questions, please call me at 572-3551. Sincerely, �o-- Jon H. Haukaas Assistant Public Works Director jHH.cz CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 163) 572-3604 FAX: (763) 571-1287 ADDRESS : 1310 69 AVE NE PIN : 133024120010 LEGAL DESC : AUD SUB NO 010 (REV) : LOT 16 BLOCK PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.:(20�040D189 DATE ISSUED: 10/14/2004 VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A BACK FLOW PREVENTER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALL) # WATER TRMT APPLIANCES 0 APPLICANT JERRYS PLUMBING INC 13416 HANSON BLVD ANDOVER, MN 55304 (763) 755-4268 OWNER WEISPFENNING RICHARD F & C 1310 69TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions 9f any ogier state or local law regulating construction or the p dorm ce of construction. Applicant l) n Date / Bldg PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 22408 SEPARATE PERMITS AEOPIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0 300 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fric(ley, MN 55432 (763) 572-3604, FAX (763) 571-128 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT it tS Af� 4 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 1310 — to '? YKIA,G: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back FlowP�reventer Required )Yes () No e'i Typ//t 72 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE:� , 200-V OWNER A 7'_7 BUILDING USED AS Z� ESTIMATED COST w PERMIT NO. D` ' PLUMBING COMPANY SIGNED BY s— /.Gr�G TEL N0. � f� _ Approved By Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ` - **PROVIDE COMMON VENT INFO ON BACK SIDE Wash :::::<:::>:. Floor �€k�::: Auto. :<::: G s :.t�::::>:::::. a '•�::><.<::: MIS.....:.: Water Heate r Stories :. I�� Urinal �'I':tll Shower :. �I::::>::: Tray :.;I�>it><• Dram `:..::�� .Ct._:::: Washer .. Range ... �.•..::::>:::::. I ' » .......:::..... Gas Elec Basement s<` Floor 1 Floor Floor 3 >> I F o0 r4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 1310 — to '? YKIA,G: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back FlowP�reventer Required )Yes () No e'i Typ//t 72 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE:� , 200-V OWNER A 7'_7 BUILDING USED AS Z� ESTIMATED COST w PERMIT NO. D` ' PLUMBING COMPANY SIGNED BY s— /.Gr�G TEL N0. � f� _ Approved By Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ` - **PROVIDE COMMON VENT INFO ON BACK SIDE E FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT: VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstru6tions, and is securely supported and firestopped where required. Yes () No The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and terminatidn. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's', specifications. This does include AGA-GAMA Category I Central Fumice V6nting Tables for fan assisted and natural draft appliances. Yes () No ( ) 16 the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building BUILDING Permit N -- Inspec,ions RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: 763-502-4977 FAX EFFECTIVE 1-1-N v DATE aO`- �% O YOUR E-MAIL ADDRESS SITE ADDRESS 1310 Ve- C14k Ave - THIS APPLICANT IS: THIS 0 OWNER ONTRACTOR PROPERTY OWNER/ NAME: (?SXC— .r e–i 1 V (jo '%S e rte -I1 �c TENANT �g—%y% ADDRESS: 13 1 h G 9'v- �a e- (IL) X —CITY `t 1 e V STATE SS PHONE: 76 3 ^ 5-7-4 - q 7 13 NAME: `' r ,- ADDRESS: 1),5S j.,j 1 u d b r'.' r+ .0CITY, �Jo � STATTM!!!�ZIP $> 1 CONTRACTOR SUBMIT A COPY OF PHONE s` - eL 7K' 3 S k FAX YOUR STATE LICENSE -t! 4] STATE LICENSE # 2,0 S 5"4 59 EXP DATE 3 - 3.1 PROPERTY TYPE -;&SINGL E FAMILY/NEW CONSTRUCTION '?AD 0 TWO FAMILY(NEW CONSTRUCTION STORIES PERNIIT TYPE DITION 0 GARAGE/SHED O WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE I➢ DECK 0 SIDING O OTHER 0 SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUCTION :.ADDITION O MAINTENANCEMEPAIR 0 REMODELING DESCRIBE WORK BEING DONE:r1� . r s cn ;o� e) ,..Z / Cyk l i &,,--r ti ., r 4 ,10141V SIZE OF IMPROVEMENT ILI® LENGTH 2 WIDTH slta marc i ")L� S FT i-lL10 ROOFING J)�c.�S C'�), (0 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES O HOUSE & GARAGE 1. Existing Floor Plan GARAGES PROPOSED SIZE: 0 ATTACHED GARAGE I 1 0 DETACHED GARAGE ` 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING i FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. 8t PORCHES SUBMIT: 0 Vinyl OSoffrt I. Site Plan/Survey showing the existing structures 0 Aluminum 0 Trim , � 2 5 7 and ro ed roect. proposed 0 Other O Fascia / L `u (0 1 , u� / 2. Two sels of contraction plans WINDOMS �S gtO 3 3. Energy Calculations IN EXISTING OPENINGS DYes ONo LOCATION OF W OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & r TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING.9c"EnTME)!TG TOTAL JOB VALUATION $ `%O OCCUPANCY TYPE Permit Fee $ (003 AfSee Back Page for Fee Schedule Plan Review $ 3961. 65% of Building Permit Fee Fire Surcharge $61z.001 times the total job valuation Surcharge $ , !— .0005 x Permit Valuation Minimum $.50 License Surcharge $ 6100 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 10(aH 10(aMake checks navable to: Citv of Fridlev Attach StiDulations 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 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. f A� SIGNATURE OF APPLICANT PRINT NAME j, e s W Try,, b, L.)y 6'`_S DATE APPROVED BY PLEASE NOTE: SEPARATE PERMITS IJ1CIDJ -n n -n Fn r— rn .0 z r'n 7p, 0 IT- VC -J7 If, k\ / A dW o t` �/t%4 PAI OJ T(e P.14 ' � t uit 660 tL' X404 1,l Cly m� t� OW V—Wk Wt�� �AN4) LO � ry v MAO'tltz-a� �N6 Project Title: fridley permit Energy Code: Location: Construdon Type: Glazing Area Percentage: Heating Degree Days: Construction Site: 1310 69th eve n.e. fridley, MN 2040 IIECC Fridley, Minnesota 24-1 Sin Is Family 7391 Owner/Agent Compliance: 1820/6 Softer Than Code - Maximum UA: 121 Your UN. 99 Designer/Contractor: Wall 1: Wood Frame, 16' ox, Window 1: Wood Frame:Double Pane with Low -E Door 1: Glass Door 2: Glass Basement Wall i: Masonry Block with EffqAy Cells Wall height 8.0' Depth below grade: 7.0' Insulation depth: 8.01 Ceiling 1: Rat Ceiling or Scissor Truss Furnace i* Forced Hot Air 92 AFUE Air Conditioner 1: Electric Central Air 13 SEER 518 19.0 0.0 Z4 65 0.300 20 30 0.310 9 30 0.310 9 518 11.0 5.0 24 440 38.0 0.0 13 Compliance Statement The proposed building design described here is consistent with the building plans, spectlications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements In RESdieck Version 4.2.0 and to comply with the mandatory requirements listed In the REScheck inspection Checklist )4j/r--.c c 4 4 IA --9 '7, 05-4111;11vi� - Signa ttfer'y,—Aj& 61,"c4tc , Dale ... ...... ....... ...... Project Title: fridley permit Report date: 09129108 Data filenarne: C:Wrograrn FUes\Chec:XRESc;heckXUnttfiecI.rck Page 1 of 4 Job Site Address: ENERGY CODE WORKSHEET FOR City of Grand Rapids 401 N. Pokegama Ave ONE & TWO FAMILY DWELLINGS Grand Rapids, MN 55744 INSTRUCTIONS: Complete Parts I,11 and M. Clearly mark plans with: insulation R -values; window and skylight U -values; size and type of equipment; equipment controls; and location of interior air barrier, vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Code Summary Sheets available from the Minnesota Department of Public Service. Part I. BUILDING ENVELOPE Check option used: ❑ "Cookbook" Method (complete worksheet below) ❑ MnCheck method (attach report) ❑ Building Component method (attach calculations) ❑ Systems Analysis method (attach analysis) "Cookbook" Worksheet I3y Step 1. Check item(s) that design meets on Minimum Requirements list to the right. Must meet all items to use Cookbook option. Step 2. Indicate proposed wall type on table below. Step 3. Indicate Window U -value and source. Step 4. Verify total window (including area of all foundation win- dows) & door area is equal or less than allowable percentage MINIMUM REQUIREMENTS for "Cookbook" Option) ❑ Heating system efficiency- Minimum 9011b AFUE ❑ En Doors: 13/a" solid wood or maximum U -value of 0.40 ❑ Skylights: None tted ❑ Ceiling Insulation: Minimum R-38 ❑ Rim Joist Insulation: Minimum R-10 ❑ Floors over unconditionedspaces: Minimum R-30 ❑ Foundation windows: 'h" insulated glass in wood or vinyl frame or maximum U -value of 0.51 TABLE FOR DETERMINING MAXIMUM WINDOW AND DOOR AREA . Maximum Allowable Total Window and Door Area as a Percentage of f4posed Wall 10% 12% 14% 16% 1 18-A 1 200/0 1 22% 1 24% 1 26% 1 28% Wa1T Tyke (R-5.up to R-10 Foundation Insu1.): Maximum Average Window U -value (except foundation windows:5 5.6 sf ): ❑ 2x4, R-13 insulation, < R-5 sheathing 0.37 0.36 0.30 0.26 023 0.20 0.18 0.16 1 0.15 0.14 ❑ 2x4, R-13 insulation, z R-5 sheathing 0.37 0.37- -0.37 0.37 035- 0.31 0.28. 0.25 0.23- ' 0.22 ❑ 2x4, R-13 insulation, z R-7 sheathing 0.37 0.37 0.37 0.37 037 0.34 0.3.1 0.28 0.26 0.24 ❑ 2x6, R-19 insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 034 0.31 0.28 0.25 0.23 " 0.21 ❑ 2x6, R-19 insulation, 2� R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.33 0.30 0.28 0.26 ❑ 2x6, R-21 insulation, < R-5 sheathing 0.37 0.37 0.37 1 0.37 0.37 1 0.33 '0.30 0.27 0.25 ` 0.23 ❑ 2x6, R-21 insulation, ;-> R-5 sheathing 0.37 0.37 0.37 1 0.37 037 1 0.37 0.35 0.31- 0.29 0.27 Wall Type (with R-10 Foundation Insulation): Maximum Avera a Window U -value (except foundation windows $ 5.6 sf): ❑ 2x4, R-13 insulation, < R-5 sheathing 0.37 0.37 0.33 0.28 0.25 0.22 .0.20 0.18 0.17 0.15 ❑ 2x4, R-13 insulation, z R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.33 0.30 0.27 0.25 0.23 ❑ 2x4, R-13 insulation, z R-7 sheathing 0.37 0.37 0.37 0.37 ' 0.37 0.36 0.33 0.30 0.27. 0.25 ❑ 2x6, R-19 insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 037 0.32 0.29 0.27 0.24 0.23 ❑ 2x6, R-19 insulation, ;-> R-5 sheathing 0.37 0.37 _ 0.37 0.37t.37 0.37 0.35 0.32 0.29 0.27 E] 2x6, R-21 insulation, < R-5 sheathing0.37 0.37 0.37 0.37 0.35 0.31 029 0.26 0.24 JR 2x6, R-21 insulation, 2 R-5 sheathing 0.37 0.37 0.37 0.37 1 0.37 ` 0.36 033 0.30 0.28 WAR Type (with R2t19 Foundation Insulation): Maximum Average Window U -value (except foundation windows 5 5.6 sf): ❑ 2x4, R-13 insulation, <R-5 sheathing 0.37 0.37 0.34- 0.29 026 0.23 0210.19 1 0.17 0.16 132x4, R-13 insulation, z R-5 sheathing 0.37 0.37 0.37 0.37 037 0.34 0.31 0.28 0.26 0.24 ❑ 2x4, R-13 insulation, ;-> R-7 sheathing 0.37 0.37 0.37 0.37 037 - 0.37 0.34 0.31 0.28 0.24 ❑ 2x6, R-19 insulation, <R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.34 0.30 0.28 0.25 0.23 E3 2x6, R-19 insulation, � R-5 sheathing 0.37 0.37 037 0.37 037 0:37 0.36 0.33 0.30 028 ❑ 2x6, R-21 insulation, < R-5 sheathing 0.37 037 037 0.37 037 0.36 0.32 0.29 0.27 0.25 ❑. ?,;, ?' 211 iristtla;ioll f 1d-5 g13ea ing0.37 0.37 0.37 0.37 0.37 0.37 0.37 .0.34 0.31 0.29 Window U -value: Source: - ❑ NFRC ❑ Code Default Table (see Part 7670.0700) j 100X 43`i ! = ` �1, E L%.����%fie %! window & door area gross exposed wall area DESIGN ALLOWABLE (from table above) INSTRUCTIONS Step 1. Complete the Combustion Equipment Schedule on the right. Step 2. Choose a Make-up Air Path with a Y (Yes) for all selected equipment. Step 3. Complete the table below for the Make-up Air Path chosen, indicating flows in cfm for exhaust and make- up air methods proposed. Only the capacity of largest exhaust appliance in each category need be considered. Step 4. Fill out the Passive Make-up Air Opening Schedule on the next page. COMBUSTION EQUIPMENT SCHEDULE (check all types proposed) Path 0 Permitted :. Path 1 went Path : Path 3 Space heating ' Sealed combustion Y- Y' ❑ Director power vented N Y Y ` Y ❑ Atmospheric all vented N N Y*.1 Y Water heating . ❑ Sealed combustion Y Y Y Y ❑ Director power vented N Y Y F ®'Atmosphericallyvented N N N Y -Hearth —gas ❑ Sealed combustion Y Y Y Y ❑ Director power vented N Y ' Y*., Y ❑ Atmospherically vented N N Y* N Hearth — solid fuel ❑ Closed controlled 1V Y Y*. N ❑ Decorative N N Y* . N. Only one atmosphericallY vented 2whance ma be installed in Prescriptive Path 2 ❑ Path 0 — Prescriptive Make-up Air Method Faust Passive InfiltrationOper Passive Lg Powered ' Vie- 'Clothes dryer. Passive infiltration for up to 175 cfms Passive openings for.efms over 175 Kitchen exhaust: Passive,infiltration for up to 250 cfm Passive.openings for cfms over 250. Powered to match flow for cfms over 500 Other exhaust:t Passive openings for up to 140 cfm Powered to match flaw for efms over 140 N/A # Need not include central vacuum exhaust in Path 0. TOTALS ❑ Path 1— Prescriptive Make-up Air Method Exhaust- Passive Infiltration Passive Openingt Powered Make-up Clothes dryer:t'' Passive infiltration` for up to 175,cfm Passive o nin s for cfms over 175 Kitchen exhaust Passive openings for up to 250, cfm Powered to match flow for cfms over 250 N/A Other exhaust:* Passive openings for up to 140 cfm Powered to match flow for cf ns over 140 N/A TOTALS t If closed controlled combustion solid -fuel burning appliance is installed in Path 1, then the clothes dryer and any central vacuum that exhausts to outside must be provided with make-up air by passive opening to match flow. Otherwise need not include central vacuum. ❑ Path 2 — Prescriptive Make-up Air Method Exhaust Passive Infiltration Passive Opening - Powered Make-up Clothes dryer. Passive openings for up to 175 cfm Powered to match flow for cfms over 175 N/A Kitchen exhaust: 'Powered to match flow N/A N/A Other exhaust: Powered to match flow N/A N/A TOTALS- N/A ,Path 3 — Prescriptive Make-up Air Method Exhaust Passive Infiltration Passive Opening Powered Make - Clothes dryer: Powered to match flow N/A N/A O Kitchen exhaust: . Powered to match flow zQ0 N/A N/A Other exhaust: Powered to-mamh flow NFA N/A TOTALS -7 N/A N/A f INSTRUCTIONS Step L Complete the Ventilation Quantity worksheet below. Step 2. Check the Make-up Air Path (from Part In on the Ventilation Methods table below. Step 3. Choose permitted method(s) for People and Supplemental Ventilation from the Ventilation Methods table. Step 4. Complete the Ventilation Fan Schedule. VENTILATION QUANTITY VENTILATION FAN SCHEDULE TOTAL VENTILATION: 0.05 cfm/Sf x((� O t Sf = cfm conditioned floor area normally including basement CO ALARM PEOPLE VENTELATION: (M 3 x 15 cfm bedroom) + 15 cfm = -- L---- y � _. cfm of of bedrooms ❑ Prescrifive or A ate Path 1 Balanced or Exhaust only, SUPPLEMENTAL VENTILATION: /[�� j Cfm cfm = �� "� cfm total ventilation people ventilation Balanced or Exhaust onl VENTILATION METHODS VENTILATION FAN SCHEDULE MA KE -UP AIR PATH from Part In PEOPLE SUPPLEMENTAL CO ALARM ❑ Prescrifive or A ate) Path 0 Balanced or Exhaust only Balanced or Exhaust onl -Not'required ❑ Prescrifive or A ate Path 1 Balanced or Exhaust only, Balanced or Exhaust onl : Not uired* ❑ Prescriptive or A eate) Path 2 Balanced ' Balanced or Exhaust onl Required ❑ Prescriptive or Aggregate) Path 3 Balanced Balanced Required. ❑ Performance Path (see part 7672.1000 subpart 7) 1 Performance. Performance Required A carbon monoxide alarm must be installed if a controlled combustion solid -fuel burning appliance is installed in Path 1. % Passive infiltration shall not be used to provide make-up air for exhaust only supplemental ventilation in excess of.0.05 cfmisf. t Passive infiltration or passive o ening shall not provide make-up air for exhaust only supplemental ventilation in excess of 0.05 cfm/sf. Statement 4 Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. &Je, Mna,,_in, ea •gwww� �iA !7-� "Li:�f 6, 5- /.--77 S y -s35' Applicant (print name) �•�str -�� Signature Date Telephone number VENTILATION FAN SCHEDULE Fan description or -location TOTALS Fan Purpose 0— people ❑ People ❑ People ❑ People cfm ❑ Supplemental R Supplemental ❑ Supplemental ❑ Supplemental cfm VENTILATION AS DESIGNED Intake cfm 5' cfm cfm cfm 20 cfm I Exhaust 145— cfm cfm cfm _ cfm A2.0 cfm Statement 4 Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. &Je, Mna,,_in, ea •gwww� �iA !7-� "Li:�f 6, 5- /.--77 S y -s35' Applicant (print name) �•�str -�� Signature Date Telephone number REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1: Flat Ceiling or Scissor Trimm R-38.0 cavity insulation Comments, Above -Grad Wails: ❑ Wall 1: Wood Frame, 16' o.c., R-19.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1: Masonry Block with Empty Cells, 8.0' ht / 7.0' bg / 8.0' insul, R-11.0 cavity + R-5.0 continuous insulation Comments, Exterior insulation has a rigid, opaque, weather -resistant protective covering that covers the exposed (above -grade) insulation and extends at least 6 in. below grade. Windows: ❑ Window 1: Wood Frame:Double Pane with Low -E, 1.14actor: 0.300 For windows without labeled U -factors, describe features: #Panes Frame Type Comments, Doors: ❑ Door 1: Glass, U -factor. 0.310 Comments: ❑ Door 2: Glass, ll -factor: 0.310 Comments: Heating and Cooling Equipment: ❑ Furnace 1: Forced Hot Air. 92 AFUE or higher Make and Model Number. Thermal Break? Yes ❑ Air Conditioner 1: Electric Central Air. 13 SEER or higher Make and Model Number in- Air Leakage: ❑ Joints, penetrations, and all other such openings In the building envelope that are sources of air leakage are seated. ❑ 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 Rvalues, glazing Udactors, and heating equipment efficiency are dearly marked on the bulkli g plans or speciiiications. ❑ Insulation is installed according to manufacturer's instructions, in substantial contact with the sxrface being insulated, and in a manner that achieves the rated R -value without compressing the insulation. Duct Insulation: Project Title: fridley permit Report date: 09/29/08 Data filename: C:\Program Files\Chedk\RESchecKAUntitled.rck Page 2 of 4 E] Ducts in unconditioned spaces are insulated to at least R-5. Duds outside the building are insulated to at least 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 181B. Exceptions., Continuously welded and locking -type longitudinal joints and seams an duds operating at less than 2 in. w.g. (500 Pa). The HVAC system provides a means for balancing air and water systems. Temperature Controls: 0 Thermostats edst 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: 0 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. E] 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 pods have an onloff hater switch and a cover unless over 20% of the heating energy Is from non-depletable sources. Pool pumps have a time clocc. 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. Project Title: fridley permit Report date: 09/29/08 Data filename: C:1Program Files\Check\RESchecklUntMed.rck Page 3 of 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Pipes Insulation Thb*ness in mats by Ptpe Sbms Insulation Thickness In Inches by Pipe Sbes Piping System Types Mon -Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25- 1.5" to 2.0" Over 2" Temperature ("F) Low Pressure/Temperature 201-250 170-180 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 NOTES TO FIELD: (Building Department Use Only) Project Title: Fridley permit Report date: 09M/08 Data filename: CAProgram Files\CheckXREScheckWnfted.rck Page 4 of 4 Insulation Thickness In Inches by Pipe Sbes Piping System Types Fluid Temp. Range("F) 2" Runouts 1" and Less 125" to 2.0" 2.5" to 4" Heating sysh►r+s Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40%5 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Project Title: Fridley permit Report date: 09M/08 Data filename: CAProgram Files\CheckXREScheckWnfted.rck Page 4 of 4 Building MECHANICAL Permit No.: d�d 0 Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 CITY OF FRIDLEY DMACT 2 2 200 763-502-4977/FAX EFFECTIVE 1-1-08 DATE Ob D GT' 2-608YOUR E-MAIL ADDRESS weIAP r 1 _ 1"61% • C o w\ SITE ADDRESS THIS APPLICANT IS: )(OWNER ❑CONTRACTOR PROPERTY NAME: ;G.KaM4 (,j2t3 ®hN IK42 ADDRESS: 3I Q-617 A o4e STATE : P 3,2 OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: NOTE: SEPARATE CITY CONTACT PERSON: STATE LICENSE # EXP DATE LICENSES ARE REQUIRED FOR GAS AND HVAC. ADDRESS: CITY STATE ZIP SUBMIT COPY OF BOND PHONE FAX AND INSURANCE PERMIT TYPE %SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT VALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05=- .05=FOR 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: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU $25.00 (GAS) $15.00 GAS RANGE/OVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 - _AIR _FIREPLACE $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 YGAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ O °.0 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 NUNIMUM $1550 MINIMUM $1550 Total = $ yo. sO 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 Constru tion 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 cordance wi approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINTNAMER«� i7Nk- ATE204 O ,G�i' Qf APPROVED BY DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building PLUMBING Permit No.: ` Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date: OCT 2-22 763-502-4977 FAX EFFECTIVE 1.1-08 DATE 2D orf 2W8 YOUR E-MAIL ADDRESS We/sor L� A 1xSI1 . co SITE ADDRESS 43 10 - 4 f 7 'k !A16,I"/' " THIS APPLICANT IS: )(OWNER ❑CONTRACTOR PROPERTY NAME: , c % e 15 rB n Q /- �� �� ADDRESS:4ft - /o7 ��/e Al �. Y FI`I �Ql STATFIyNZIP Ss 3L OWNER/ TENANT PHONE: Aj - S7di —9 7U CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: VNEW 13 REPLACEMENT / , DE3;AILED D SCRIPTION OF WORK e 1 I ecn t 5L a T czo(0i T- rn u/r F,4- C 1 A 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 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. 1 BATH SINK/LAV DRAINS SHOWER WATER PIPING _FLOOR GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER T_ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _ _ _WATER WATER METER OTHER PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00_j— x $10.00 = $ O• Gb Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ 170,S0 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 cW of all worl hick requires review and approval of plans. Q . SIGNATURE OF APPLICANT stt' • PRINT NAME (1 1�/ 1,(/Q IVen n t H DATE ZoC�fa� APPROVED BY DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 II;