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PRE 2010 DOCSTHE ACC `AHI. ANI VFXI 01 SUBJECT P O. City of Fridley 19799 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF BY L 612-571-3450 910-F15 3/9/89 ]APPROVED JOB ADDRESS 161 - 71st Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Riverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Tollefson Construction Inc. 311 Sunrise Lane, Champlin 55316 427-7745 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 Dwelling 7 CLASS OF WORK Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 50' x 26',Dwelling; a 30' x 24' Garage; a 10' x 12' Deck and install a 0 -clearance firepla6e S 038 9 CHANGE OF USE FROM TO '213 $WO _ 01810313 - 3NONI3313 STIPULATIONSprovide City with copy of verifying survey before Capp .�pp�� v sod in the front and side yards. Provide a hard surface driveway. Sevon plan. Paid $1,500.00 Park Fee Sewer & Water served off Riverwood Drive SEWER LOCATION: 110' North of Manhole on 71st Way. Inv. Elev: 843.76 TOP OF FOOTING MINIMUM: 846.76 WATER LOCATION: In same trench as sewer. DRIVEWAY ESCROW: 16' x 6' = 22' x $13.50 = $297.00 CITY OF FRIDLEY DOES NOT GUARANTEE THE SEPARATE, PERMITS REQUIRED FOR. RACY OF UTILITY LOCATIONS AND ELEVATIONS. WIRING, HEATING, PLUMBING AND SIGNS. DATA IS FOR INFORMATION P^UnRT1PnOStS�ONLY, �E�S`PtA` 14RUh1'S'A R Eb` @REC�ETR40RL.aP7ifINBPN�, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD f I}NMADU WJ)ROMITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $55.30 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $110,600 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- Credit from School STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $678.00 PLAN CHECK FEE TOTALFEE 33.30 + PF & DW 3 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE PROPER ED IS YOUR PERMIT 1 BLDG )NSP SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 EX11'ERIM, MjVEId)I'E ".VCF;AGF IU 11 CC�[PUTATIO d SPIE ADDRESS collvcAcmatt.Jt =y PHONE Deterraine workiia squ6re footage of each. 1. 'lb tra.l exposed wall area • 4040... zqif6,;;z aq• ft. x--.�- 2. 11btal roof/coiling area...... 10 _sqe ft. x ---IO?. 7 Total exposed wall area above floor 16 �), - 7Z I1. % tal wall window LiI'ea...000••4040. •........................••.• IU U. 11bV.1-door area ........ ..............■ .ar 'Ib ti:. I aidillC, BOOT area ....... ............................... U, 11b'Iz►1 fireplaue wall area ................ ......... ......... '��� e. 11b tat wall fimm:i ng area (averake 10%) ............. 40 ..........'+ 'L f . . 11uLal not wall area abovo fLOOT......•4040.•4040.....••.•.•4040..•4040 4040. fi. lib tu1 Tile joist area........■ ............. &.14...•.04006....•..• ■ 4040 4040. ' �..rr �. 11b tal expo Sed foundation area 4040 It. 111 Lal fouridation door arCA...... • ............. 0 • ......... � 0... �1 it libtul foundation Window area. (Includea sliding,; dooru)......... 2_ ,I. 'Total net Toundutlon area above g,1'A�If................•..40..... 1-1 11b LAl wall framill(.' area (averae.a ICO)................... 0 r 0 J. 'Lb ta1 net wall flmiting %1TGA.................0 ............0. •. • DeteruLiric IU" value of each wall seE gent a. X I lU 11 L3S-,) _ L 1/1 , b. `7 , `7 3 X"011 , /,3: �c ,�� 4040 �� o X I IU 11 —� a d• X IIQ Of - _- e.�: .�'� X I V1 II i/�ZJ ■.� C: he -- X I lU 11 C ----► 1 X 1.0 II ✓� = J j .^ 77 A,-----------� X IIU 11� :. TT 1. X 11U 11 ............................................ 7b 1a,_..l r. _.'.� 6 -7, Z.3 If itcm #3 is the same ao, or less than item #l, you have met the intent of SBC 6006 (c)2. ti ti Total expopod roof/ceiling area. = Total skyli&ht area..........................v........ `:,_ Total roof ceiling framing are (average 7 o)........... ,lbtal net insulated roof/ceiling area ................. o' Z 7'' Determine " ,, value for each roof/oeiling segment. m. X"Un- ■ 4,6* 9* so s *-a**** of**** 0 *geese 60'*6'..Total = ILI 7'Z If total of. #4 is the same or, less -dean #2.j you have met the intent of SDC 6006(o)1. Alternate hzilding Envelope Design 'Ib utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greeter than the Sum of items #1 and #2. — plus 2. —_ - 1. .� 3. plus 4- - - CEILIIaG FAME R 12" Insulation 8 1 -Interior Air Film - . 1 --Interior. Air F-iIm � M, 2-j" Sheetrock • 45 2-?;" Sheetrock .45 3-3?;" soft Wood & 8?;" Insul. 3 1. 30 3-Y2'' Insulation 38:00 4-Mcterior Air AlmI _,.61 4-E�ctcrior Air Ai lm .61 Total R 32.97 Tota it 39 7 Total U .03 Tote U . .025 11r9ne V, ;P 1 -Interior Air Film 2411 Sheetrock 3-5111 ' Soft Wood 4 -?5/321 Fiberbd. Sher.t}iine 5-7/16" Yed. Dense Edbd. 6-ii<terior Air Film Total R Total U Insulated 'Vin -11 1-Intcrrior Air Film 2?." Shoetrock 3-6" Insulation 4-25/32" Fiberbd. She.:,_thinE 5x7116" hied. Dense Hdbd. 6,,-/Rxterior Air Film Total It Total U Rim Joist 11-In._.....et..r Air Film 2-6" Insulto.tion 3-11 `11 Soft Mood 4-7116" Idled. Dense Hdbd. 5-R:;terior Air I11m Total R Total U 1-A Cone. Block Uninsulated Total R 2.12 Total U -4-7 R .98- .45 6.88 2.06 .67 .17 10.92 .09 R .68 .45 19.00 2.06 67 . -... -17 23.03 •043 R r8 19.00 1.88 .67 .17 22.40 .045 1-I3 Cone. Block Stripping & 3/4" Foam Insulation Total R 7.91 & 2" Sreetrock. Notal U .13 il PINRCRAlI' WOOD CASMTF ;TS R. R. " DOUBLE INSULA'T'ED .352 2.84 TRIPLE INSULATED .327 3.06 UNIT SQ,, FT, OF LIGHT AREA U14IT SQ, FT. OF LI AREA -CHT 12828 5.o6 12036 4.62 12836 6.56 12042 5.41 12842 7.69 12048 6.2o 12848 8.81 120 6o 7.78 11628 2,81 1207 2 9.37 11636 3.65 12428 4.31 11642 4.27 12436 5.59 11648 4.90 12442 5.55 11660 6.15 12448 7,51 12028 3.56 12460 9.42 DOUBLE.11UNG tirjIyDOY,'S U R Single-glaz©d ,85 1.18 Double -glazed .47 2.12 UNIT SQ. PP, OF LIGHT AREA UNIT SQ, _ FT. OP LITHT AIM 16x16 3.55 32x16 7.11 16x2O 4.44 32x20 8.88 16x24 5.33 32x24. lo.66 16x24/36 6.66 32x24/36 13.33 20x16 4.44 36).16 8.00 20x 20 5.55 36xc 20 10.00 20x24 6.66 36x24 12.00 20x24 36 8.33 36x24/36 15.00 24x1 5.33 4oxl6 8.88 24x20 6.66 40x20 11.11 24x24 8.00 4ox 24 13-33 24x24/36 10.00 40x24/36 16.66 28x16 6.22 48x16 10.66 28x20 7.77 48x20 13-33 28x24 9.33 48x24 16. oo 28x24/36 11.66 48x24/36 20.00 il PROPOSED HOUSE LOCATION FOR TOLLEFSON CONSTRUCTION , G•.�<,t,g�lo.pl 4050.0ss7�s3'zo-E-7z.s,6' /�io�a.rtd T'•P .B e"A 858. S O „ Pro/o�Pd . "g exe. �� geso House Location Only — No Field Work Conducted . I hereby certify that this survey, plan plat, preliminary plat or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of innesota. /c�83 Z -o/-kl409 s/o Reg. No. Date Job No. Book No. t �I O,1 a N <I m W I �- s -_q,& t d ,. baa a J ► �} .� N X , �0 I zs.33 � co �! ' c d 0 dl 7 = I , a .70• I gser° I °I �• 1"s L 4 ° �, i• . 9 T— s - 6. 5, �e N-0• w0-ai`b ° 8pelf - I .71st. "r%y Lot S. Block 3. Ptiverwood Park, Anoka.County. Minnesota. House Location Only — No Field Work Conducted . I hereby certify that this survey, plan plat, preliminary plat or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of innesota. /c�83 Z -o/-kl409 s/o Reg. No. Date Job No. Book No. (,� l -Tl` (z 1 lir sg Iris r" I NEW [ ] ADDN [ ] ALTER [ l Construction Address: R-1 AND R-2 Building Permit Application 17®S°r Effective 5/1/88 h 414-11111) asrec7 Legal Description: Z F ;'' -5- 4 /o e / - - �' ':�F' rre e oyC r9,D Owner Name & Address: Tel. # Contractor: S r. % d/�rs�.r �'C r�si , -z-lg. Tel. # Address: Sri <' "'<, c e= e. -' I d �� S �1f-1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DATE: J- APPLICANT: Beare a do � �scr Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $575 per SAC Unit Driveway Escrow $ �, ,� Alt. "A" or Alt. "B" Above Park Fee $ ' Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: DESCR MCK OF II MEMM LIVIIJG AREA: Length Width_6 Height Sq. Ft. G1siRAGE AREA: Length 3c- Width Height Sq. Ft. DECK AREA: Length /0 Width s Hqt/Ground Sq. Ft. OTMM: d - Ce i— 2� Corner Lot RI Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: c cr_, Estimated Cost: $ r Approx. Completion Date: �: i ; pyo 11 c�. GOd Proposed Driveway Width If New opening Is Desired: 16 --Ft. $ 25n.00 $ Width + 6' See Back Page DATE: J- APPLICANT: Beare a do � �scr Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $575 per SAC Unit Driveway Escrow $ �, ,� Alt. "A" or Alt. "B" Above Park Fee $ ' Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: t'j;sE rnsA.)-r Sod 11J. G' 7 = 4r 57.)f S + 28x 8 Y1.0 16t V' .QMN 10(s ible 4et. 67 ZSK26 = 728 v 49t. (*I (;AO.4ef . W A w 2133% 'iS -ORIS Zr�.? c 2 ; 46.14 4.33 x v 0.3'0 9o►.1%'L 1ko'coo Iwomo4 (03R.S4 U 3Sc► 36le 414 \ \ ,bio. to 53404 5L 3`Jlsq."X CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: N m RATE TOTAL New Fixtures u $ 5.00 $ 65-, Water °i m 3.50 $ /0,570 Old Opening, New Fixture H n{ 1.50 $ Beer Dispenser $ a S Heater W a L +ap11 m sC �N 3 WW a Cm d 4 $ W 0 $ Hydraulic Valve O u o Yq N�p G H .[i r. o w 5.00 O �i N a► rail uVi m o 94 Hot Water Heater 00 cq S Gas Range w u 9 3 Gas Dryer $ s lec � Yes ( ) No ( � Type R $ 5.00 $ ALL OTHCAS AND/OR REPAIRS AND ALTERATIONS 1s of Value of Fixture or Appliance $ Reinspection Fqe $ State Surcharge S .50 ($15.00) TOTAL FEE $/.00 2nd % 3 3rd H 4th I (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures ) 3 $ 5.00 $ 65-, Future Fixtures j $ 3.50 $ /0,570 Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 O0 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHCAS AND/OR REPAIRS AND ALTERATIONS 1s of Value of Fixture or Appliance $ Reinspection Fqe $ State Surcharge S .50 ($15.00) TOTAL FEE $/.00 Effective Date May 1, 1988 Job Address � 4-', % / V, '- Department Department of Buildings City of Fridley Tel. /571-3450 The undersigned hereby makes application for a permit foz 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. — '1909 OWNER 0 KIND OF BUILDING Q � i y q le USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. / 042� � Company "2- /•f�G , Signed By "4 C Tel. No. Lf � -7 Z j Z / ROUGH INSP. Date FINAL INSP.0-1 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE ft CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work,p 0 0D. Burner (Also replacement furnace) $ 20.00 $ Gas Piping $ 10.00 $ 16.00 (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 10 of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. D Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. 11571-3450 a 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. OWNER Fridley, Minn.. KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST 2 Zo a ®d OLD IEW BUILDIN ERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, arm No. Trade Name 'Ae \ Size No. 1000-00 Capacity -7000 0 Sq. Ft. EDR BTU (_ HP P. Total Connected Load 63 (,o r% Kind of Fuel Gq5 Li. r BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company signed.By ''7 %A Tel. No. 434" ` `4 Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ). No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Date RIGHT -J SUMMARY INFORMATION - GENERAL DATA ' For: a Nance L HOMES 389-3E C. W. Address City State Zip By: Contractor AIR MECHANICAL Address City State Zip Wtre State MN City Minneapolis/St.-Paul-AP DESIGN CONDITIONS WINTER SUMMER Outside db-. -20 Deg F. Outside db: 89 Deg F. Inside db: 70 Deg F. Inside db: 75 Deg F. Design TDe SO Deg F. Design TDe 14 Deg F. Rel. Hum. . 50 Daily Range M Grains Water 33 HEATING SUMMARY COOLING SUMMARY Bldg. Heat Loss 83692 Bti_th Design Temp Swing 3.0 Deg F. Ventilation Air O CFM Ventilation Air 0 CFM Vent Air Lass 0 Btuh Vent Air Gain �h 0 Btuh Design Heat Load 63692 Dt e_th Total Sensible Gain 20149 Btuh Total Latent Gain 3333 Btuh Total Cooling Load 2348E Btuh EQUIPMENT LOAD SIZING SENSIBLE LATENT Structure 20149 Btuh Internal Gains 0 Btuh Ventilation 0 Btuh Ventilation O Btuh Rate/Swing Mult. 0.95 Infiltration 3333 Btuh Total Equipment 19142 Btuh Total Equipment 3333 Btuh EQUIPMENT SUMMARY HEATING COOLING Design Blower Size 1078 CFM Design Blower Side 1078 CFM Make Make Model Model Type Type Efficiency / HSPF 80.00 COP/EER/SEER 0.00 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output O Bt uh Latent Cooling 0 Bt uh Heating Temp Rise 0 Deg F. Total Cooling O Btuh Heating CFM 1078 CFM Cooling CFM 1078 CFM Heating Factor 0.017 Cooling Factor �r 0. 053 Space Thermostat MANUAL Je 7th Ed. RIGHT -J: V1.10 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT -J CALCULATION PROCEDURES Ag B9 C7 D Procedure A - Winter Infiltration HTM Calculation* ----------------------------------------------------- ---------------- 1 1. Winter Infiltration CFM I 1 0.7 AC/HR x 22232 Cu. Ft. x 0.0167 = 220 CFM I 2. Winter Infiltration Btuh 1.1 x 260 CFM x 90 Winter TD = 25729 Btuh 3. Winter Infiltration HTM I 25729 Btuh / 303 Total Window = 84.9 HTM I & Door Area I ------------------------------------------------------------------- Procedure B - Summer Infiltration HTM Calculation* ---------------------------------------------------------------------- 1 1. Summer Infiltration CFM I 1 0.4 AC/HR x 22232 Cu. Ft. x 0.0167 - 149 CFM I I I 1 2. Summer Infiltration Btuh I 1 1.1 x 149 CFM x 14 Summer TD = 2287 Btuh I I I 1 3. Summer Infiltration HTM i 1 2287 Btuh / 303 Total Window - 7.5 HTM I I R Door Area I ---------------------------------------------------------------------- Proced _ire C- Latent Infiltration Gain ---------------------------------------------------------------------- 1 0.68 x 33 g r. d i f f . x 149 CFM = 3333 Btuh I ---------------------------------------------------------------------- Procedure D - Equipment Sizing Loads ------------------------------------------------------------------- 1 1. Sensible Sizing Lead Sensible Ventilation Load 1. 1 x 0 Vent . CFM x 14 Summer TD - 0 Bt uh Sensible Load for Structure(Line 19) + 20149 Btuh Sum of Ventilation and Structure Loads = 20149 Btuh Rating & Temperature Swing Multiplier x 0.95 RSM Equipment Sizing Load - Sensible - 19142 Btuh 2. Latent Sizing Lead I Latent Ventilation Load 1 0. E8 x 0 Vent . CFM x 33 gr. d i f f. _ 0 Bt uh I Internal Loads = 230 x G No. People + G Btuh I Infiltration Load From Procedure C + 3333 Btuh I Equipment Sizing Load - ----------------------------------------------------------------- Latent - 333.3 �h Btuh *Construction Quality is: a No. of Fireplaces is: 0 MANUAL Js 7th Ed. RIGHT -Jo V1.10 Printout certified by RCCA to meet all requirements of Manual Form J MANUAL J: 7th Ed. RIGHT -J: V1.10 | 11 Name of Room | Entire House | LIVING ROOM } | 21 Running Ft. Exposed Wall | 380.0 Ft. | 24.0 Ft. | | 31 Room Dimensions, Ft. | | 12.0 x 12.0 Ft. | 1 41 Ceilngs,Ft | Condit. Ootion| 8.0 | 8.0 heat/cool l | )------------------------------------------------------------------------- | TYPE OF ! |CST| HTM | Area | Btuh i Area | Btuh | | |------------------------------------------------------------------------- EXPOSURE ! |NO.|Htg |Clg |Length( Htg | Clg |Length| Htg | Clg | | | 51 Gross la|12H| 5.41 1.11 20161 **** | **** ! 1921 **** | **** | | | Exposed /bi15B| 6.71 0.01 10241 **** | **** | 01 | **** | | | Walls and |c| | 0.01 0.01 01 **** | **** | 01 **** | | | | Partitions |d| | 0.01 0.01 01 **** | **** | 01 **** | **** | | | |e| l 0.01 0.01 of **** | **** | 01 **** | **** | | | |f| | 0.01 0.01 01 **** | **** | 01 **** | | |------------------------------------------------------------------------- | 61 Windows |a|3B 154.81 ** | 2401 131541 **** | 301 16441 | **** | | | & Glass |b| | 0.01 ** | 01 01 **** i 01 01 **** | | | Doors Htg. |c| ! 0.01 ** | 01 01 **** | 01 01 **** | | | |d| | 0.01 ** | 01 01 **** | 01 01 **** | | | |e| | 0.01 ** i 691 01 **** | 691 01 **** | | i |f| | 0.01 ** | 01 Of **** | 01 01 **** | |------------------------------- | 71 Windows | North 118.01 | -------------------- G| **** 1 | 1081 -------------------- 01 **** | | 01 | | & Glass | NE&NW | 0.01 01 **** | 01 01 **** | 01 | | Doors Clg. | E&W 161.01 2181 **** | 132971 301 **** | 17101 | | | SE&SW | 0.01 691 **** | 01 01 **** | 691 | I | South 129.01 161 **** ! 4641 01 **** | 01 ! | | Horz | 0.01 01 **** | 01 601 **** | 01 | |------------------------------- | 81 Othr doors |a|11C142.31 | 8.31 ---------- 631 26651 |-- 5211 01 01 01 | | |b| | 0.01 0.601 01 (B| 691 | of -------------------- 691 01 | |------------------------------- | 91 Net ia|12Hl 5.41 | 1.11 -------------------- 17131 92501 18091 1621 8751 1711 | | Exposed |b|15Bl 6.71 0.01 10241 68201 01 01 01 601 | | Walls and |c} | 0.01 0.01 01 01 01 01 01 01 | | Partitions |d| | 0.01 0.01 01 01 01 01 01 01 | | |e| | 0.01 0.01 01 01 01 01 691 691 | | |f| | 0.01 0.01 01 01 01 of 01 01 | |-------------------------------|--------------------|-------- 1101 Ceilings ia|16I| 2.11 0.91 19031 39391 16631 01 01 01 | | |b| | 0.01 0.01 01 01 01 01 01 01 / | |c| ! 0.01 0.01 01 01 891 of 01 01 I |-------------------------------|--------------------|-------------------- 1111 Floors |a|21A1 2.21 0.01 9881 21341 01 01 01 01 | | |b| | 0.691 0.01 01 01 01 (B| 01 01 | | |c| | 69.01 0.01 01 01 01 01 01 01 | |------------------------------- 1121 Infiltration 184.91 | 7.51 - 3031 257291 i 22871 301 25471 2261 | |------------------------------- 1131Subtot Btuh Loss=6+8..+11+121 | -------------------- **** | 636921 | **** | -------------------- **** | 50671 **** | 1141 Duct Btuh Loss | 0%1 01 **** | 0%1 01 **** | 1151 Total Btuh Loss = 13+14 | **** | 636921 **** | **** | 50671 **** | |-------------------------------I--------------------|--------------------| 1161 Int. Gains: People @ 3001 01 **** | of 01 **** | 01 | | Appl. @ 12001 01 **** | 01 01 **** | 01 1171 Subtot RSH Gain=7+8..+12+161 **** | **** | 201491 **** i **** | 21081 1181 Duct Btuh Gain | 0%1 | 691 0%1 **** | of 1191 Total RSH Gain = 17+18 | | | 201491 | | 21081 1201 CFM Air Required 1 1 10781 10781 1 861 1131 Printout certified by ACCA to meet all requirements of Manual Form J MANUAL J: 7th Ed. RIGHT -J: V1.10 | 11 Name of Room | ENTRY | DINING } | 21 Running Ft. Exposed Wall } 13.0 Ft. | 22.0 Ft. | | 31 Room Dimensions, Ft. | 13.0 x 9.0 Ft. | 11.0 x 11.0 Ft. | | 41 Ceilngs,Ft | Condit. Option| 8.0 heat/cool | 8.0 heat/cool | } )------------------------------------------------------------------------- | TYPE OF | |CST| HTM ! Area | Btuh | Area | Btuh | | EXPOSURE | |NO.|Htg |Clg |Length| Htg | Clg |Length| Htg | Clg } | |------------------------------------------------------------------------- | 51 Gross |a|12H| 5.41 1.11 1041 **** | **** | 1761 **** | **** | | | Exposed |b|15131 6.71 0.01 of **** | **** | 691 **** | **** | | | Walls and |c| | 0.01 0.01 of **** | **** | 01 **** | **** | } | Partitions |d| | 0.01 0.01 01 **** | **** | 601 **** | **** | | | |e| | 0.01 0.01 01 **** | **** | 01 **** | **** | | | if| | 0.01 0.01 691 **** | **** | 01 **** ! | |------------------------------------------------------------------------- | 61 Windows |a|3B 154.81 ** i 01 01 **** | 301 16441 | **** | | | & Glass |b| | 0.01 ** | 01 01 | 01 01 **** | | | Doors Htg. |c| | 0.01 ** | 01 691 **** | 01 01 **** | | | /d| | 0.01 ** | 01 01 | 01 01 **** | | | |e| | 0.01 ** | 691 01 **** | 01 01 **** | | | |f| | 0.01 ** | 691 01 **** | 01 01 **** | I |-------------------------------(--------------------|-------------------- | 71 Windows | North 118.01 01 **** | of 01 **** | 01 | | & Glass | NE&NW | 0.01 01 **** | 01 01 **** | 01 | | Doors Clg. | E&W 161.01 01 **** | 01 301 **** | 17101 | | | SE&SW | 0.01 01 **** | 01 01 **** | 01 ! | | South 129.01 01 **** | 01 01 **** | 01 | | | Horz | 0.01 01 **** | 601 01 **** | 01 |------------------------------- | 81 Othr doors |a|11C142.31 | 8.31 -------------------- 211 8881 | 1741 -------------------- 01 01 | 01 ! i |b| | 0.01 0.01 01 01 01 | 01 -------------------- 01 01 | |------------------------------- | 91 Net |al12H| 5.41 | 1.11 -------------------- 831 4481 88| 1461 7881 1541 ! | Exposed |b|15B| 6.71 0.01 601 (B| 01 01 of (B| | | Walls and |c| | 0.01 0.01 01 01 01 01 01 01 | | Partitions |d| | 69.01 0.01 01 01 01 01 (B| 691 I | |e| | 0.01 0.01 01 891 01 01 01 (B| } | |f| | 0.691 0.01 01 01 01 01 691 01 | |-------------------------------|--------------------|-------------------- 1101 Ceilings |a|16I| 2.11 0.91 01 01 01 01 01 01 | | |b| | 0.01 0.01 01 01 01 01 691 01 | | |c| | 0.01 0.01 691 01 01 01 691 01 | |------------------------------- 1111 Floors |a!21A1 2.21 | 0.01 -------------------- 01 01 | 01 -------------------- 01 01 01 | | lb| | 0.01 0.01 01 691 01 01 691 01 | | }c| | 0.01 0.01 of @| 01 01 (B| 01 | |------------------------------- 1121 Infiltration 184.91 | 7.51 -------------------- 211 17831 i 1591 ---------- 301 25471 2261 | |------------------------------- 1131Subtot Btuh Loss=6+8..+11+121 | -------------------- **** | 31201 | **** | -------------------- **** | 49801 | 1141 Duct Btuh Loss | 0%1 01 **** | 0%1 01 **** | 1151 Total Btuh Loss = 13+14 | **** | 31201 **** | **** | 49801 **** | |------------------------------- 1161 Int. Gains: People @ | 3001 -------------------- 01 **** | | 01 -------------------- 01 **** | | 01 | | Appl. @ 12001 01 **** | 01 691 **** | 01 1171 Subtot RSH Gain=7+8..+12+161 **** | **** | 4201 **** | **** | 20911 1181 Duct Btuh Gain | 0%1 **** | 01 0%1 **** | 01 1191 Total RSH Gain = 17+18 ! **** | **** | 4201 **** | | 20911 1201 CFM Air Required | **** | 531 221 **** | 841 1121 ' Printout certified by ACCA to meet all requirements of Manual Form J 1 11 1 21 1 31 1 41 51 1 1 1 1 1 --------------- MANUAL Ja 7th Name of Room I Running Ft. Exposed Wall 1 Room Dimensions, Ft. I Ceiings,Ft I Condit. Optioril ----------------------------- Ed. RIGHT -J.- V1.10 KITCHEN I DINETTE 1 25.0 Ft. 1 10.0 Ft. 1 14.0 x 11.0 Ft. 1 9.0 x 11.0 Ft. 1 8.0 heat/cool 1 8.0 heat/cool I TYPE OF EXPOSURE I ICSTI HTM I Area I I INO.IHtg IC1g ILengthl Btuh Htg I Clg ----------------------------------------------- Grass l a l 12H l 5.41 1. 1 1 2001 1 # Exposed l b l 15B I 6.71 0.01 01 1 #��# Walls and lei 1 0.01 0.01 01 1 # Partitions I d l 1 0.01 0.01 01 1 1 I I lei 1 0.01 0.01 01 # 1 01 ----------------------------------------------- I f I 1 0.01 0.01 01# 1 ## 1 61 Windows lal3B 154.81 Lit uh 1 ----------------------I I Area I ILengthl ---------------------I Htg I Clg I 1 I I R Glass I 01* I* I 01 01# 1 1 01# 1## 1 1 01 *# 1 * 1 1 01 1 # 1 ---------------------I 1 01 1 61 Windows lal3B 154.81 1 51 2741 1 161 8771 1 I I R Glass lbl 1 0.01 * 1 01 01# 1 01 01*# 1 I I Doors Htg. lei 1 0.01 1 01 01 1 01 01 1 I I Idl 1 0.01* 1 01 01 # 1 01 01 ** 1 I I lei 1 0.01 # 1 01 01# 1 01 01## I I I Ifl 1 0.01# 1 01 01## 1 01 01# 1 I-------------------------------1--------------------I--------------------I 1 71 Windows i North 118.01 01 1 01 01 1 01 1 I R Glass I (SIE &NW 1 0.01 01 # 1 01 01 ## 1 01 I I Doors Clg. I ERW 161.01 51 1 2851 161 1 9121 i I 1 SE&SW 1 0.01 01 **** 1 01 01 1 01 I I I South 129.01 01 1 01 01 1 01 I 1 I Hor.. 1 0.01 01 ### 1 01 01 # ## 1 01 I------------------------------- 1 81 Othr doors IaI11C142.31 I 8.31 -------------------- 211 8881 I 1741 -------------------- 211 6881 I 1741 1 1 Ibl 1 0.01 0.01 01 01 01 I 01 -------------------- 01 01 1 91 Net I a 1 12H I 5.41 1. 1 1 1741 9401 ---- 1841 431 2321 451 1 1 Exposed I b l 15B l 6.71 0.01 01 01 01 01 01 01 I I Walls and lei 1 0.01 0.01 01 01 01 01 01 01 I I Partitions I d l 1 0.01 0.01 01 01 01 01 01 01 1 I lei 1 0.01 0.01 01 01 01 01 01 01 I I lfl 1 0.01 0.01 01 01 01 01 01 01 I I------------------------------- 1101 Ceilings Ial16Il 2.11 I 0.91 -------------------- 01 01 i 01 -------------------- 01 01 01 I I Ibl 1 0.01 0.01 01 01 01 01 01 01 I I lei 1 0.01 0.01 01 01 01 1 01 01 01 I I ------------------------------- 1 11 1 Floors I a 121A I 2.21 I 0.01 ------------------- 01 01 - 01 -------------------- 01 01 01 1 I lbl 1 0.01 0.01 01 01 01 01 01 01 I I Icl 1 0.01 0.01 01 01 01 01 01 01 I-------------------------------I--------------------I--------------------1 1 121 Infiltration 184.91 7.51 261 22081 1961 371 31421 2791 1131Subtot Btuh Lass=6+8..+11+121 **** 1 ------- 43101 I I -------------------- **** 1 51391 # 1 1 141 Duct Btuh Loss 1 0%1 01 1 0%1 01 1 1151 Total Btuh Loss = 13+14 1 **** 1 43101 I **** 1 51391 1 I------------------------------- 1161 Int. Gains: People @ 1 3001 -------------------- 01 **** 1 I 01 -------------------- 01 **** 1 1 01 I I Appl. @ 12001 01 **** 1 01 01 ***# 1 01 1171 Subtot RSH Gain=7+8..+12+161 **** l **** 1 8391 **** 1 **** 1 14101 1181 Duct Btuh Gain 1 0/1 **** 1 01 0I1 **** 1 01 1191 Total RSH Gain = 17+18 1 **** 1 **** 1 8391 **** 1 **** 1 14101 1201 CFM Air Required 1 **** 1 731 451 **** 1 871 751 Printout certified by ACCA to meet all requirements of Manual Form J MANUAL J: 7th Ed. RIGHT -J: V1.10 I 1i Name of Room I FAMILY ROOM I MAIN LEVEL BATH 1 1 21 Running Ft. Exposed Wall 1 30.0 Ft. 1 0.0 Ft. I 1 31 Room Dimensions, Ft. 1 18.0 x 12.0 Ft. 1 5.0 x 5.0 Ft. I 1 41 I----------------------------------------------------------------------- Ceiings9Ft I Condit. Optic nI 8.0 heat/cool 1 8.0 heat/cool I I I TYPE OF I ICSTI HTM I Area I Btuh I Area 1 Btuh I I I------------------------------------------------------------------------- EXPOSURE I INO.IHtg IClg ILengthl Htg I Clg ILengthl Htg I Clg I I 1 51 Gross Ia112HI 5.41 1.11 2401 1 01 1 1 I I Exposed IbI15BI 6.71 0.01 01 1 01 1 1 I I Walls and Ic1 1 0.01 0.01 01 * # 1 # I 01 *# # 1 ## 1 I I Partitions Idl 1 0.01 0.01 01 1 01 I I I I fel 1 0.01 0.01 01## 1 1 01 1 1 I 1 I f l 1 0.01 0.01 01## 1 1 01# lit 1 I------------------------------------------------------------------------- 1 61 Windows IaI3B 154.81 1 481 26311 1 0I 01 I 1 I I R Glass I b I 1 0.01 * 1 01 01## 1 01 01* 1 1 I Doors Htg. lei 1 0.01 1 01 01 1 01 01 1 I I Idl 1 0.01 # 1 01 01 # 1 01 01*# 1 I I lel 1 0.01 # 1 01 01 * 1 01 01 ## 1 I I Ifl 1 0.01 * 1 01 01 # 1 01 01# I I I------------------------------- 1 71 Windows I North 118.01 I -------------------- 01 1 I 01 -------------------- 01 1 01 I I R Glass I NE&NW 1 0.01 01 # 1 01 01 * # 1 01 I I Doors Clg. I ERW 161.01 321 1 22401 01 1 01 I I I SE&SW 1 0.01 01 # 1 01 01# 1 01 I I I South 129.01 161 1 4641 01 1 01 I I I Horz 1 0.01 01 * 1 01 01 # # 1 01 I------------------------------- 1 81 Othr doors I a I l 1C 142.31 I 8.31 -------------------- 01 01 I 01 -------------------- 01 01 I 01 I I Ibl 1 0.01 0.01 01 01 01 01 01 01 I I------------------------------- 1 91 Net I a 112H I 5.41 I 1. 1 1 -------------------- 1921 10371 I 2031 -------------------- 01 01 01 I I Exposed I b 115B I 6.71 0.01 01 01 01 01 01 01 I I Walls and lei 1 0.01 0.01 01 01 01 01 01 01 I I Partitions Idl 1 0.01 0.01 01 01 01 01 01 01 I I lel 1 0.01 0.01 01 01 01 01 01 01 I I Ifl 1 0.01 0.01 01 01 01 01 of 01 _______________________________ 1101 Ceilings Ia116II 2.11 I 0.91 ___________________ 01 01 01 01 01 01 I I Ibl 1 0.01 0.01 01 01 01 01 01 01 I I lei 1 0.01 0.01 01 01 01 01 01 ------------ 01 I I ------------------------------- 1 11 1 Floors I a l 21A 1 2.21 I 0.01 ---------------- 01 01 ---- I-------- 01 01 01 01 I I Ibl 1 0.01 0.01 01 01 01 01 01 01 I I Icl 1 0.01 0.01 01 01 01 01 01 01 1 121 Infiltration 184.71 7.51 481 ________ 40761 I 3621 ____________________ 01 01 01 I I ------------------------------- 1131Subtot Btuh Loss=6+8..+11+121 I ------------- *#** 1 ------- 77441 I -------------------- **#* 1 01 1 1141 Duct Btuh Lass 1 0%1 01 1 011 01 ##*# 1 1151 Total Btuh Loss = 13+14 1 *#** 1 77441 1 **** 1 01 1 I------------------------------- 1161 Int. Gains: People @ I 3001 ----------- 01 # # 1 I 01 01 # 1 1 01 I I Appl. @ 12001 01 ## 1 01 01 # 1 01 1171 Subtot RSH Gain=7+8..+12+161 **## 1 # 1 32691 # 1 1 01 1 181 Duct Btuh Gain 1 0%1 1 01 0%1 1 01 1191 Total RSH Gain = 17+18 1 1 1 32691 1 01 1201 CFM Air Required 1 1 1311 1751 01 01 Printout certified by ACCA to meet all requirements of Manual Form J MANUAL J: 7th Ed. RIGHT -J: V1.10 | 11 Name of Room | BEDROOM 1 | NURSERY | ' | 21 Running Ft. Emposed'Wall | 22.0 Ft. | 0.0 Ft. | | 31 Room Dimensions, Ft. | 12.0 x 10.0 Ft. | 0.0 x 0.0 Ft. | | 41 CeiIngs,Ft | Condit. Ootion| 8.0 heat/cool | 0.0 heat/cool | | |------------------------------------------------------------------------- | TYPE OF ! |CST| HTM | Area I Btuh | Area | Btuh | | |------------------------------------------------------------------------- EXPOSURE | |NO.|Htg |Clg |Length| Htg | Clg |Length| Htg | Clg | | | 51 Gross |a|12H| 5.41 1.11 1761 **** | **** | 01 **** | **** | | | Exposed |b|15B| 6.71 0.01 Of **** | **** | 01 **** | **** | | | Walls and |c| | 0.01 0.01 01 **** | **** | 01 **** | **** | | | Partitions Id| | 0.01 0.01 01 **** | **** | 01 **** | **** | | | |e| | 0.01 0.01 01 ***e | **** | 01 | **** | ( | |f| | 0.01 0.01 01 | **** | 01 **** | **** | |------------------------------------------------ | 61 Windows |a|3B 154.81 ** | 161 8771 **** | 01 -----------| 01 **** | | | & Glass |b| | 0.691 ** | 01 01 **** ( 01 01 | | | Doors Htg. |o| ! 0.01 ** | 01 01 **** | 691 01 **** | | | |d| | 0.01 ++* | 01 01 **** | 01 (B| | | | |e| } 0.01 ** | (B| 691 **** | 01 01 **** | | | }f} | 0.01 ** | of 01 **** | 01 691 **** | |------------------------------- | 71 Windows | North 118.01 | -------------------- 01 **** | | 01 -------------------- 01 **** | | 01 | | & Glass | NE&NW | 0.611 01 **** | 01 01 ***++ | 01 | | Doors Clg. | E&W 161.01 161 **** | 9121 01 **** | 01 | | | SE&SW | 0.01 01 **** | 01 01 **** ( 01 | | | South 129.691 691 **** | 01 691 **** | 01 ( | | Horz | 0.601 01 **** | 01 Of **** | 691 |------------------------------- | 81 Othr doors |a!11C142.31 | 8.31 -------------------- 01 01 | 01 -------------------- 01 01 | 01 | | !b| | 0.01 0.01 681 01 01 601 01 691 | |-------------------------------!--------------------|------- | 91 Net |a|12H| 5.41 1.11 1601 8641 1691 01 01 01 | | Exposed |b|15B| 6.71 0.01 01 01 01 01 01 691 | | Walls and |c| | 0.01 0.691 01 01 01 01 691 691 | | Partitions |d| | 69.01 0.01 01 01 01 01 01 01 | | !e| | 0.01 0.01 01 01 01 01 (D| 01 | | |f| i 0.01 0.01 01 01 01 01 01 01 | |------------------------------- 1101 Ceilings |a|16I| 2.11 ! 0.91 -------------------- 1201 2481 | 1051 -------------------- 691 01 01 | | |b} | 0.01 0.01 01 01 01 01 01 01 | | |e| | 0.01 0.01 01 01 01 01 01 01 I |------------------------------- 1111 Floors' |a|21A| 2.21 | 0.01 ----- 01 01 -|-------------------- 01 01 01 01 | | |b| | 0.01 0.01 01 01 01 01 01 01 | | |c| | 0.01 89.01 601 01 01 01 01 691 1 |-------------------------------|--------------------|-------------------- 1121 Infiltration 184.91 7.51 161 13591 1211 01 01 01 | |------------------------------- 1131Subtot Btuh Loss=6+8..+11+121 | -------------------- **** | 33481 | **** | -------------------- **** | 01 **** | 1141 Duct Btuh Loss | 0%1 01 **** ( 0*1 01 **** | 1151 Total Btuh Loss = 13+14 | **** | 33481 **** l **** | 01 **** | |------------------------------- 1161 Int. Gains: People @ | 3001 -------------------- 01 **** | | 01 -------------------- 01 **** | | 01 | | Appl. @ 12001 01 **** | 01 01 **** | 01 1171 Subtot RSH Gain=7+8..+12+161 **** | **** | 13071 **** | **** | 01 1181 Duct Btuh Gain | 0%1 **** | 01 0%1 **** | 01 1191 Total RSH Gain = 17+18 | **** i **** | 13071 **** | **** | 01 1201 CFM Air Required | **** | 571 701 **** | 01 01 Printout certified by ACCA to meet all requirements of Manual Form J MANUAL J: 7th Ed. RIGHT -J: V1.10 1 11 Name of Room I I I 1 21 Running Ft. Exposed Wall 1 0.0 Ft. 1 0.0 Ft. I 1 31 Room Dimensions, Ft . 1 0.0 x 0.0 Ft. 1 0.0 x 0.0 Ft. I 1 41 Cei lags, Ft I Condit. Opt iori I 0.0 1 0.0 1 I I------------------------------------------------------------------------- I TYPE OF I ICSTI HTM I Area I Lituh I Area I 8tuh I I I------------------------------------------------------------------------I EXPOSURE I INO.IHtg [Clg ILengthl Htg I Clg ILengthl Htg I Clg I 1 51 Gross lallEHI 5.41 1.11 01 #### 1 #### 1 01 #### 1 #### 1 I I Exposed I b 115E I 6.71 0.01 01 #### 1#### 1 01 #### 1#### 1 I I Walls and Ic1 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 I I Partitions Id1 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 I I lei 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 I I l f l 1 0.01 0.01 01 #### 1#### 1 01 #### 1#### 1 I------------------------------------------------------------------------I 1 61 Windows Ial3B 154.81 ## 1 01 01 ### 1 01 01 #### 1 I I & Glass lbl 1 0.01 ## 1 01 01 #### 1 01 01### 1 I I Doors Ht g. lei 1 0.01 ## 1 of 01 #### 1 01 01 #### 1 I I Idl 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 I I lei 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 I I Ifl 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 I-------------------------------1--------------------I------------- 1 71 Windows I North 118.01 01 #### 1 01 01 #### 1 I 01 I I it Glass I NE&NW 1 0.01 01 #### 1 01 01 #### 1 01 I I Doors Clg. I E&W 1E1.01 01 #### 1 01 01 #### 1 01 I I I SERSW 1 0.01 01 #### 1 01 01 #### 1 01 I I I South 129.01 01 #### 1 01 01 #### 1 01 I I I Hor z 1 0.01 01 #### 1 01 01 #### 1 01 1 81 Othr doors I a I l lC l 4`.31 8.31 -------------------- 01 01 I -------------------- 01 01 01 01 I I Ibl 1 0.01 0.01 01 01 01 -------------------- 01 01 01 1 SI Net Ia112H1 5.41 1.11 01 01 01 01 01 01 I I Exposed 1b115B1 6.7.1 0.01 01 01 01 01 01 01 I I Walls and Ic1 1 0.01 0.01 01 01 Ol GI 01 01 I 1 Partitions I d l 1 0.01 0.01 01 01 01 01 01 01 I I lei 1 0.01 0.01 01 of 01 01 01 01 I I I-------------------------------I--------------------1--------------------I Ifl 1 0.01 0.01 01 01 01 01 01 01 1101 Ceilings Ial16Il 2.11 0.9I 01 OI 01 01 01 01 I I Ibl 1 0.01 0.01 01 of 01 01 01 01 I i Icl 1 0.01 0.01 01 01 ------- 01 I -------------------- 01 01 01 1111 Floors Ia[21AI E.21 0.01 01 01 01 01 01 01 I 1 Ibl 1 0.01 0.01 01 01 01 01 01 01 I I Ic1 1 0.01 0.01 01 01 01 01 01 01 1121 Infiltration ---- 184.51 7.51 01 01 ------ I -------------------- 01 01 01 01 _______________________________ 1131Subtot 8tuh Loss=6+8..+11+121 I _______________ #### 1 01 #### 1 #### 1 01 #### 1 1 141 Duct Pt � �h Loss 1 0%1 01 #### 1 0%1 01 #### 1 1151 Total Btuh Loss = 13+14 1 #### 1 01 1 #### 1 01 #### 1 I ------------------------------- 1161 Int. Gains: People @ I____________ 3001 01 -------- #### 1 I -------------------- 01 01 #### 1 I 01 I I App1. @ 1:001 01 #### 1 01 01 #### 1 01 1171 Subtot RSH Gain=7+8..+1E+161 #### I #### 1 01 #### I #### 1 01 1181 Duct Lituh Gain 1 0%1 #### I 01 0%1 #### 1 01 1 191 Total RSH Gain = 17-x-18 1 1 #### 1 01 #### 1 #### 1 01 1201 CFM Air Required I #### 1 01 01 #### 1 01 01 --- Printout certified by RCCA to :deet a 1 l requirements of Manual Form J,-- MANUAL J: 7th Ed. RIGHT -J: V1.10 1 11 Name of Room 1 I I 1 21 Running Ft. Exposed Wall 1 0.0 Ft. 1 0.0 Ft. I 1 31 Room Dimensions, Ft . 1 0.0 x 0.0 Ft. 1 0.0 x 0.0 Ft. I 1 41 Cei ings4 Ft I Condit. Opt ion 1 0.0 1 0.0 1 {------------------------------------------------------------------------I I TYPE OF I ICSTI HTM I Area I Btuh I Area I Btuh I I I------------------------------------------------------------------------- EXPOSURE I INO.IHtg IClg ILengthl Htg i Clg ILengthl Htg I Clg I I 1 51 Gross lall`HI 5.41 1.11 01 #### 1 #### 1 01 #### 1 #### 1 I I Exposed I b 115E I 6.71 0.01 01 #### 1#### 1 01 #### 1#### 1 I I Walls and lei 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 I I Partitions idl 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 I I lel 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 I I Ifl 1 0.01 0.01 01 #### 1 #### 1 01 #### 1 #### 1 1-------------------------------------------------------------------------1 1 61 Windows IaI3B 154.81 ## 1 01 01 #### 1 01 01 #### 1 I I & Glass Ib1 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 1 I Doors Htg. lei 1 0.01 *# 1 01 01 #### 1 01 01 #### 1 I I Idl 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 I I lei 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 I I If( 1 0.01 ## 1 01 01 #### 1 01 01 #### 1 I------------------------------- 1 71 Windows I North I 118.01 -------------------- 01 #### 1 I 01 ------------ 01 #### 1 1 01 I I & Glass I NE&NW 1 0.01 01 #### 1 01 01 #### 1 01 I I Doors Clg. I ERW 161.01 01 #### 1 01 01 #### 1 01 I I I SE&SW 1 0.01 01 #### 1 01 01 #### 1 01 I I I South 129.01 01 1 01 01 1 01 I I I Horz 1 0.01 01 #### 1 01 01 #### 1 01 I------------------------------- 1 81 Othr doors Ia111C142.31 I 8.31 -------------------- 01 01 I 01 -------------------- 01 0I I 01 I I Ibl I 0.01 0.01 01 01 01 01 01 01 I------------------------------- 1 91 Net I a 112H I 5.41 I 1. 1 1 -------------------- 01 01 I 01 --------- 01 01 I 01 I I Exposed I b 115E I 6.71 0.01 01 01 01 01 01 01 I 1 Walls and lei 1 0.01 0.01 01 01 01 01 01 01 I I Partitions I d l 1 0.01 0.01 01 01 01 01 01 01 I I lei 1 0.01 0.01 01 .01 01 0f 01 01 I I Ifl 1 0.01 0.01 01 0f 01 01 -------------------- 01 01 { I------------------------------- 1101 Ceilings Ia116I1 2.11 I 0.91 -------------------- 01 01 I 01 01 01 01 I I ibl 1 0.01 0.01 01 01 01 01 0f 01 I I Icl 1 0.01 0.01 01 01 01 01 01 01 I I------------------------------- 1 11 1 Floors I a 121A 1 2.21 I 0.01 -------------------- 01 01 I 01 -------------------- 01 01 01 I I Ibl 1 0.01 0.01 01 01 01 01 0f 01 I i lei 1 0.01 0.01 01 01 0f 01 01 01 I-------------------------------I--------------------I--------------------1 1121 Infiltration 184.91 7.51 01 01 01 01 01 01 -------------------------------1-------------------- 1 131 Subtot Btuh Loss=6+8.. +11+151 #### 1 01 II #### 1 -------------------- #### 1 01 #### 1 1141 Duct Btuh Loss 1 0%1 01 #### 1 0%1 01 #### 1 1151 Total Btuh Loss = 13+14 1 #### 1 01 #### 1 #### 1 01 #### 1 I-------------------------------I--------------------I--------------------1 1161 Int. Gains: People @ 3001 01 #### 1 01 01 #### 1 01 I I Appl. @ 12001 01 #### 1 01 01 #### 1 01 1171 Subtot RSH Gain=7+8..+18+161 #### I #### 1 01 #### I #### I 01 1181 Duct Btuh Gain 1 0!1 #### 1 01 0%1 #### 1 01 1191 Total RSH Gain = 17+16 1 #### 1 #### 1 01 ##*# 1 #### 1 8641 1201 CFM Air Required I #### 1 01 01 #### 1 1861 461 --- Printout certified by ACCA to meet all requirements of Manual Form J -- MANUAL Je 7th Ed. RIGHT -Jo V1.10 RIGHT -J WINDOW DATA W S D W G L S S 0 N A S 0 0 W C W S N K I A L 0 T H V G N H V V H H N H D Y R L A W R A H L G C R R G T A A W L Z E M D G Z L 0 X Y T M R R LIVING ROOM a n e a c rl rl s n 2 90 1.0 0.0 0.0 1.0 57.0 30.0 0.0 DINING a n e a c rl n s n 2 SO 1.0 0.0 0.0 1.0 57.0 30.0 0.0 KITCHEN a n w a c n n s n 2 SO 1.0 0.0 0.0 1.0 57.0 5.0 0.0 DINETTE a n w a c n rl s n 2 SO 1.0 0.0 0.0 1.0 57.0 16.0 0.0 FAMILY ROOM a n s a c n n s n ` 90 1.0 0.0 0.0 1.0 E9.0 16.0 0.0 a rl w a c rl rl rl n 2 SO 1.0 0.0 0.0 1.0 70.0 32.0 0.0 BEDROOM 1 a ri e a c n n s n E 90 1.0 0.0 0. 0, 1.0 57.0 16.0 0. 0 NURSERY a n e a c n n n n E SO 1.0 0.0 0.0 1.0 70.0 35.0 0.0 t n CITYOF FRIDLEY CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 June 27, 1989, Jerry Tollefson Construction 311 Sunrise Lane Champlin, MN 55316 Re: Final Inspection at 161 — 71st Way N,E:,a, Fridley Dear Sirs: A final inspection was conducted on June 27, 19.89. of the.ab.ove address and the following item was noted which must be completed before the structure can be finaled: Raise the grade next to the foundation at the rear of the house, The construction of the house/garage is approved as completed and the structure is approved for occupancy. Please feel free to contact me at 572-3602 if you have any questions on this matter. Sincerely, DARTTL G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION.AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 30.00.• $ $10.00 $ $10.00 $ $ 10.00 $ $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 11% of Valu of Appliance or Work t,J Co merc /In strial� 1.2 /, of Value of Applianc r Work Effective On August 1, 1995 • The undersigned hereby makes application for a permit for the work herein speciflbd 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 c rrect. ,1995 �l�� J OWNER Ky C4�.. l3ke,-eo N / e BUILDING USED AS 7` - i ; ESTIMATED COST I-VVV lir? PERMIT NO. $ No. of.Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade.Name Size No. BTU HP EDR Fuel . Total Connected Load State Surcharge S0 TOTAL FEE $ d= MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. Bumer•Trade Name %r[aa- 1,, Size No. -DVc' -lo BTU*' HP EDR HEATING COMPANY lid' rr�f�o �A�j� CU/I��� Signed By 1 Tel No. 6 3 3 - foye- Approved ByRough -In Date (I I Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON (' REPLACEMENT FURNACE HIMNEY AND STACK VERIFICATI The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes (} No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) .6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: City of Fridley SUBJECT P 2 9 279 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 1 . � i ��"' �•� CITY HALL FRIDLEV 55432 NUMBERpEv DATE PAGE OF APPROVED Br -._.� L 612-571-3450 910-F15 4/23/99 JOB ADDRESS 161 71 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 5 3 1 Rlverwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob/Cathy Barker 161 71 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roofing 7910 12 Ave S, Bloomington, MN 55425 858-9365 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20091282 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 & Garage (29 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,485 $1.24 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE AC CHARGfij PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire $2.48 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F Li cens $5 0 $ .47 SIGNATURE OF CONTRACTOR ORAUTHORIZED AGENT 10 TEI NPR PE T D IS VDU P MMa S-GNATURE OF OWNEROF OWNER BUILDERI IDATEI BLOC ASP zDAtE Apr -09-991 05:23P ,, i. yy ADDN [ ] ALTER [ ] Cons tructionAddress: Legal Description. Owner Name & Address: �i Contractor: Address: —7G-) / LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 13UILDING PERMIT APPLICATION Sf- rH)lrfli. Attach to this application, a Certificate of Surve/of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT P. 01 Effective 1/1/98 AA Length Width Height Sq. Ft. Length Width Height Sq. Ft. ` Length Width Hgt/Ground Sq. Ft. " Construction Type: S Estimated Cost: $ (Fee Schedu a on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE; /' y GG APPLICANT: Tel. # 6�-7 TOTAL $ �i3, y% STIPULATIONS: TY LaE ONLY Permit Fee $ �� S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ `; eo $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 $ �i3, y% STIPULATIONS: MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 6-30-2006 DATE OF PLANS: 6/06 TITLE: ADDITION PROJECT INFORMATION: BARKER COMPANY INFORMATION: BAKKEN BUILDERS & REMODLERS COMPLIANCE: PASSES Required UA = 49 Your Home = 44 9.6% Better Than Code I I Permit # I I Checked by/Date I Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value ---------------------------------------------------------------------------- CEILINGS 156 44.0 0.0 WALLS: Wood Frame, 16" O.C. 304 19.0 2.0 GLAZING: Windows or Doors, Above Grade 35 0.350 DOORS 20 0.350 FLOORS: Over Unconditioned Space 156 38.0 0.0 --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/ Designer ®—� Date doh Building BUILDING Permit No.: a� Inspections RESIDENTIAL APPLICATION ReceivedBy:pli 763-572-3604 CITY OF FRIDLEY Date Rec'd: If l DATE PJ I Z 9 YOUR E-MAIL ADDRESS 1 SITE ADDRESS M/ 71 yd a -w A/. �. THIS APPLICANT IS: ❑ OWNER KWONTRACTOR PROPERTY OWNER/ NAME: L)o 17 La TENANT ADDRESS:_ / & I 7 (s cm N, r - CITY STATE IP SS 3 Z PHONE: a 9 - N U / CONTRACTOR NAME: 6t, L, 1-9 o I STATE LICENSE # 2609877-7 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 5-3o *.:,,SM„ 61vol, CITY Ca (<e STATWRdIP�S3 l WITH APPLICATION PHONE 3- 2 6 3— 3 9 6 0 FAX 'Z63-3910 PROPERTY TYPEINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPEDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW DITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: &LJ � 4 Seasz-vL Par SIZE OF IMPROVEMENT f3 LENGTH ( Z— WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ®.Other • ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 13 ' 09te • ou- OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) —ft +6 ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re ires r view and approval of plans. rte\ / SIGNATURE OF APPLICANT,; PRINT NAME ( vt + C, ��-�+ e re -r- DATE d L d _ "W m F A L int Mm o--'t 7 - 3laISNOdS3a 39 O1 a 3Sn ao a3wro a3allne 'NI a-ev ns r�ca d�1v3sN-�?N3 la..3.0 a��yye 3113 �A9 '9M �31V0 =11M0,19 iC 1N�La asN3H1 acd I-�Is n s-aZ 'ON l'ON SN05A32Jtl AB 038Vd3ad I � � w XU MZ 0942 ul W o _w o ws P= Q W w a_ \ U _ Z F F— _ O w 2 x O N U J Li d w MZ 0942 V) o � r � � x _ cl N LLI o a o og 2 �o n r pl (Y a= wN3®wo o � �mma �� ll M�W�� `vzaN Q UK!- 1-V- � 7 z 2 4 - w H X 4 O J M > VI W .y W = Z eroU 0 W u o ( ISI LL ,11 C • n • • • • 9;9 • FOR TOLLEFSON CONSTRUCTION Pjo�ostd 7"aJo .B�ic,E d5g. S � P�o�o�Pd ,B•��t•4�� gSG •-5 . O Se.wtt -01 O .tl# Fl a 987053'20'E-77.5' so.o• 01 I w _x�.sz RS Q� 1e 9 �aOs,OWe-QT - 61.45' 006- ° A53'`�I �'' 71st ay Lot 5, Block 3. Riverwood Park, Anoka County, Minnesota. F, 141 8 01 I hereby certify that this survey, plan plat. preliminary plat or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. /p/p /083 Z .�/.g `p 46fe6 -t23 Reg. No. Date Job No. Book No. so.o• 01 � z-e.G ! [,�`vc. o f f ° !.7. Z 1 , ,• o Byes o Q� 1e 9 �aOs,OWe-QT - 61.45' 006- ° A53'`�I �'' 71st ay Lot 5, Block 3. Riverwood Park, Anoka County, Minnesota. F, 141 8 01 I hereby certify that this survey, plan plat. preliminary plat or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. /p/p /083 Z .�/.g `p 46fe6 -t23 Reg. No. Date Job No. Book No. A Building MECHANICAL permit No.• ' Received By: Inspections RESIDENTIAL APPLICATION Date Rec' d: 7.63-572-3604 CITY OF FRIDLEY DATE__'_? -2 (- - ®� YOUR E-MAIL ADDRESS 5?� SITE ADDRESS I ko ( THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ❑ OWNER E ONTRACTOR 107 PHONE: ATE ZIP COMPANY NAME: CONTACT PERSON: f1A 1 STATE LICENSE # EXP DATE CITY STATE ZIP ADDRESS: PHONE YGLE FAMILY ❑ TWO FAMILY ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK FAX ❑ TOWNHOUSE ,41,TERATION/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEIBTU Equipment lnstalled MFG: MODEL: SIZE/BTU MFG: SIZE/BTU MFG: MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 —_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 SaUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $1500 s.. ,.-.... y'�3.... ;,...-`a.'�•'!$A rYYT.7�1as✓auar7µ•,yv.gx:s.. ,e E<..,n;:: a .,..n,..: ,. ,..._..,.......,. .... __ _ ... x $10.00 = $ Permit Fee $ Number of fixtures @ $10.00 Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ S .� 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 of all w k wh h equines review and approval of plans. 11 pp SIGNATURE OF APPLICANT (. C PRINT NAME I� �I �►�c �. I G,B, ?/tf✓ , DATE 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 PropaneUGC 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 ID CITY OF FRLEY Date Rec'd:� DATE C: YOUR E-MAI1_ ADDRESS SITE ADDRESS �� S THIS APPLICANT IS: O OWNER NTRACTOR PROPERTY NAME. 6ob ADnRIss: � C� pTy STATE ziP OWNER/(al TENANT PHONE: 76,3 - 7 l - 3S 7c% vow i (i to qcW -feSS p 13 O X 3 CONTRACTOR NAW: ' u V\ SUBMIT A COPY OF STATE LICENSE # S 3 9 o EXP DATE 31 �� _ ®S✓PO YOUR STATE ADDRESS: SA3 C' e 11" ra 1 iIC� �� �e CITY STA ZIF'u�S .��9 LICENSE WITH PHONE Z& 3 - S -71- 046*7 Ax 76.3 - 4,R!5"-_ ZY-6 I APPLICATION PERMIT TYPE TSIN ' FANID.Y ❑ TWO FAVID Y D TOWNHOUSE TYPE OF WORK: ANEW 0REPLA`EM[ENT D AILED DESCRIPTION OF WORK W n I/ 1 o e- fDco ione O c PER MS 1613.665 the permit fee is a minimum of 515.00 or 5% of the total eDst up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixwe, excluding the fixtures. (This should reflect only the cost of labor ) = Labor between $300 to $500 = cost of labor 4 0.00x = O� 5,-5-0 Labor cost under $300 $15.00. cost .05 FOR PROJECTS WHERE LABOR EXCEEDS 5500. FEES ARE BASED ON $I0.00 PER FIX7URE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SWKII AV FLOOR DRAM SHOWER _ WATER PIPING _BATH BATHTUB GAS PIPING PMO CUYUtEMj _ SWRA MM POOL —WATER, SOFINER ($35) _ _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _BACKFLOW PREY. ($15) — DISHWASHER LAUNDRY TRAY NATER HEATER (335) FOR IRRIGATION _ `WATER METER —OTHER Permit Fee - $ ;_ Number of fixtures @ $10.00 x $10.00 = $ _ Surcharge SO Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ --)f- - 00 Number of fixtmw @ $35.00 x $35.00 = $ _ State Surcharge = $ .50 Total = $ THIS 1S AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all weak which requir vi► and approval of plans. �j < l / )DATE�a `/ SIGNATURE OF APPLICANT PRINT NAME C' p City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977