AF - 35285Caty of . Fridley, Minn.
BUILDING PERMIT
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'AdBress
Address
N° 6160��
TjION F UI DING
No. ����� Street P Lot .�--....--.
Lot �._:.:___ Slock Additiaa or b-Divfsion ��� , -�
Corner Lot _� Inaide Lot _.._ ' Setback ,� �---- Sideyard �
' Sewer IIevation � Foimdation IIevation
� DESCRIPTION OF BUILDING
�T U • - ..
Front -?�� Depth :� Height _�� Sq. Ft Cu. F't. l����
Rront _�� Depth -.�����eiBht -� S�l. Ft Cu. F't. .����'
o nstructton F�t. Coat ,�� - To be Completed
In consideration oE the issuance to me of a permit to construct th� buildin8 described above, I agree to do
� P�P�d work in accordance with the d�scription above aet forFh and ia compliance with all pro�visions of
ordinances of the dty of FricIIey. i'
"�.
Ea c�sfderation of the payment of a fee oP $y�.�_"�'�- , permit is hereby Sranted to
to construct the buflding or addition as d�cribed above. This permit is granted upon
the exPress condition that the person to whom it fs graated and hia agen'ts, employees and worl�nen, fn all work
' done in, around and upon said huilding, or anYpart thereof, st�all conform in all respects to the ordinances of
Fridley, Minnesota reg ng lacation, constructton, alteration, maintenance, repair and mov3ng of buildinge
within the dty limits an.d thia permit may be revoked at aay time upon violation of any of the provleions of said
ordinancea _
�• . �' ��' . -
Buildin8 Inspector
NOTICE: '
'1hb p�emN doa aot cewr tlu coe�rncHoe, Inshllation io� w6+�y. �lumbleo, �a haHa�, aMnr or rrahr. B� wro t�o sN
dn Buildtee lesp�elor for ap�raN p�rmhs for f6u� N�nn.
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11✓IIN]�ER ENGINEERINC� CO. INC.
ENGI NEERS AND SURVEYORS �
LAND 8U11VEYINO
GIVIL Eu MUNICIPAI. ENOIN@ERINp
6418-5�'oTM AVENUE N.
MINNEAPOLIS 2'[, MINIU.
KE T- 363T
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LANO P�.ANNINO
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�C�T � � L � � ��ARS� �I S CRAi�'�NA�°° �ST�i� E� � � ��D�'r��
WE HEREOY CERTIFY THqT TNIS 15 A TRUE ANO CORREGT REPRESENTATION OF A SURYEY OF THE BOUWDARIES OF TNE
�AND A80VE DESCRlBED AND OF TNE IoCAT10N OF AL.L BUtIDINGS, IF ANY, THE2EQN , ANO AU. ViStB�E ENCROACHMENTS,
►F iwY, Faow► ortoni sAio �rvv. MINDER EN6lNEERSNG CO., INC.
OATEp TMiS p�Y oF� e r �.0.��59 EN611�6�EQ�� AN �URYF.�RS
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APPLICATION FOR BUILDING PERM[T
C�'1'Y OF FAIDL�Y, MINN�SOTA
O�mer's Neme��_^ Builde� '
Addreas .,.���� r,r„_
LOGATION OF BUZLDING
No. Street Part of Lot
Lot Block Addition or Subdivision _
Corner Lot Ineide Lot Setback Side-Yard
3s'EWER ELEVATION P'OUNI�ATION E'LEVATTON
Applicant attach to this form Tcao Certificates of Survey of I.ot and proposed
buildfng location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front Dept _______ Height _
Sq. Ft. Cu. FC.
Front Depth Height
Sq. Ft. Cu. Ft. _
Tqpe of Construction Eatimated Coet
To be Completed _
T'he undersigned hereby makes application for a pesmit for the work herein
specified, agreeing to do all �aork in strict accordance wiCh the City af
�rfdley Ordinances and rulings of the Department of Buildings, and hereby
declarea th�t all Che facts and repreaentationa atated in this application
are true and correct. �
DATE
(Schedule of Fee Costs can be found on the Reverse Side).
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BUILDING PERMIT FEE SCiiEDULE
Section 2. The Inspector of Buildin�s shall, before issuing any permit for
the e:�ect3on of any buiYdtng or structure, or for any addi�ioa to any e�isr-
in� building or struceure, or for any �.1Cerations or repairs to any exis�cing
building or sic�ucture, upon appli�ation th�re£or, require the paymen� by the
applicant for such permit oi fega tb the amouaC herein below set forth and
in the m�nner herein provided ta-w3t: �
2.1. Eor any such permit for �he erection of any fire-proof building, other
than a garage�, warehouse, factory or grain elevatox, or for the erection o�
any fire-�roof addition, for simflar occupancy, to any existing buildiag
shall be at ti�e rate o£ $1.40 for each one thousand cubic feet", ox fraction
thereof, in such cubical contents.
2.2. For any such permit for �he erec�ion of any fire-proof garage, warehouse,
fac�ory or grain elevator, or for the erection of aay fire-proof additioa,
for similar occupancy, to any existing building sha11 be at fctae rate of $1.25
for each oae thousand �ubic feet, classified as °'fi:reproof0° by Section 502 of
the R4inneapolis Building Code.
NOUSES . �
2.3. �or any such permit for the erection of any aon-fiLreproof building other
than a garage, warehouse, factory or grain eleva�or, or any noa-£3.repreof
addition, for similar occupancy, to �ny existing building - permit $1.00 for
each one thousand cubic feet.
GARAGES
2.4. For an� such permit for the erection of any non-fireproof garage,
warehouse, factory or grain elevatar, or for the e�ec�ion of any non-fireproof
a�ditioa�, for simiiar occupaacy, to any existing building or for each such
building or addit�oa - nine�y cents ($0.90) for each one thousa�d cubic feet
or f�action thereof, in the cubical contents thereof with a min3m� of $4.00.
For the purpose of computing fees £or building permits, the cubical con�tents
of anp building or addition �o a uni£orm heigh� throughout by mul�iplying the
ground area covesed fram a poiat six (6) inches below the fiaor. line af the
basement or cellar to the average heighC of �he upper surface or to the
average height of the roo:E surface of the maia gable of a gitched roof.
Z.S�. For repairs or al�eraEions to an ex3sr�ing structure, the fee shall be
at the rate oi $3.�0 per each Fiv� Hundred Dollars ($500.00) or fraction
thereof in the cose .,of a�.l;_progosed work.
2.6. I� no c�se ahail the fee charged for any permit as set forth in
Section 2 be less than $4.00..
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Com�un�ts of North Central Public Service Co., , . y
HEAT LOBS C�LCiJLATIO11T8 TOWN
DEPAR OF BUILDINGS V I LLAG �
Wea.thersirlps A.5.H.V.E. Construction No. Insulation
Guide
W�dows ( DooN� Referencae Ou� Wall IInt. Walll Ceiling I Roof I Floor Kind I How Applied
19........ � /�+ i+�
I Fl. I Room I Length iWidth J s Height Fl. I. Roam I Length Widt�h Height
Windows and Doors—Crackage and Area Windows an Doors--Cracka.ge and Area.
Widttl Helght No. o! Lineal Pt. Area Width Height No. oP Lineal ft. Area
No. of p&ne oY pane lights oP crack sq. Pt. No. oY pane oY pane lights oP crack sq. ft,
-�— � �' �
--�- ` � �`
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Ccef. Btu C�f: ' ` Btu.
Insl'tra.tion yp Insl'tra.tion " � �
G� � � c� "!J r�
Exp. wall �ir ..: Exp. wall ,�;.
I Net exp. wall � t) ;� 1Vet exp. wall � t ,�
j;' In� wall In�. wali
,._ _ --_ -__ __- - --- - ----
' Ceilixig ljc.'! t� ta Ceiling - --_----,. ---__ �--
1 x - - - � - _-�+! -,-r =
; Floor Floor
Total Btv. � � Total Btu.
Required sq. ft. E.D.ft, or sq. ins. W.A. Leader ar�, j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
,, �Fl. I�„� Room I Length �/� Width �I#� Height ,�''/ 1� Fl_I ��m I L.engtkt Width eight
Windows an Doars—Cra.cka.ge and Area ' Windows and Uoors—Cra.cka.ge and Area
Width Height No. 01 Lineal Lt. Area No. Width Height No. oY Lineal ft. Area
No. oE pAne oE pane lights oE crack sq. f� 04 pane oY pane lights oY crack sq. ft.
,� V { � `3 ,r i ..7� .�r '�f L
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�.
Ccer. Btu
' Infiltration, � r�
: Gla�s
Exp. wall �
i . N'et exp. wall �
!. ! In�. wall ,
� Ceiling (J �'
Floor
F � ��otal Btu. - - - - - � �
� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
, j Fl. I� ��� Room I LengtYi �� Wi�� Height �
" Window�:and Doors—Cra.ckage and Area �
r ,
�; Ca
� ; " Infiltration,
�f Glasa.
f Exp. wall' ' ;
� � l�et exp. w�il
j �l, 7n�. wa11 ;
� : . Ceiling
�� .
, r �= Floor
�° � Tofal Btu.
,� Required sq. ft.,E.D.R. or sq. ins. W.A. Leader area
�� .
Inffi'tration
Glass
Exp. wall ' e
Net exp. wall
Int vvall
Ceili�g
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
� FL I Room I Length � Width
W ows and Doors—Crackage and Area �
c�'
ef. � Btu
u��� -��.'
o��s
Bh3 �
I 3� �, InSltr�tton
i � � Glass�
Exp. wall
�," � � 1Vet exp. wall
-•+-� In�. wall
. I ICceP.I. Btu
C831ing � �, „ :_ � ,� �.r.
Floar ��
Total Btu. - ""` f,�
Required :sq• ft. E.D.R. or sq. ins. W.A. I:e�der area -•
_�. _. .,._ __ ,. ,;�.s _
- � -- - ---------- �.��/ � �
Com�lime�ts of North Central Public Service Co., � ��
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ffi�AT LOi3i� GALCULATION9 -roww
DEPAIiTMENT OF BUILDING5 VILLAGE
Weatherslrips A: G.H.V� Construction No. Insulation
Windawa Doors R.eference Ou� Wall IInt. Walll Ceiling I Roof I Floor Kind I How Applied
Yes—No I Yes—No 19..
i. �, I I.ength � Width �/ Height FL I Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Daors—Crackage and Area
WidtYt Height No. o! Lineal fk Area Widtti Height No. of Lineal Yt. Area ����
No. oE p e oE pane lights oi crack s�. #t. No. oE pane oY pane lights oP crack sq. Yt. t���
K1�s�" !.
� �
_.�--- � �` '� .
_ �� � � �
CoeL Btu •
InSltra.tion ,'� c� �? In8lYxation �
Gla�s � ` ��
IExp. wall . a�- �,l Exp. wall
Net exp. w'a11 ��+� % a �a 2> Net exp. wall
Int. wall _In�. w�ll_,___ __
_ _
--_ = --�- -
-�-__-- _— - _
Cciling �„ y�' Ceiling
Floor Flaor
Total Btu. ''
Required sq. ft. E.D.R, or sq. ins. WA. Leader ar�.
-#� ' f�� R.00m I Length t�/t�" Width �(;� i%ight
Windows' and Doors—�ra.ckage and Area �
���.��`��.}'�
������
- f�ff'�
Ccef. Btu
Total Btu. �
Required sq". ft. E.D.R. or sq. ins. W.A. Leader area
FL I Room I Length Width Height
Windows and Doors--Crackage and Area. �
Btu
� � ;� Infiltratton
( G� �•'L� Glas�s
' Exp. wall ' ,�}� '� j� % �i . Exp. wall
�
i Net exp. w�ll ,�� ��? Net exp. wa11
In� wall _ Int. wall
Ceiling � �a �
Floor _ _ / `�n _
Total Btu.
� Required sq. ft. E.D.R. or sq. ins. W.A. I.eader area '�
/
� �. I Room I Length Width Height
� Windows and Doors—Crackage and Area
Width Height No. 02 Lineal it, Area
�I
No. 01 Pane oE pane llghts o1 crack sq. it.
Co9e1.1 stu
I InSltration �
' Glass
�; ExE• wall
Net exp. v�all
' In�. wall "
Ceiling
Floor
Tota1 Btu.''
Required stl. ft. E.D.R,. or sq. fns. W.A. Leader area
Floor
�Tota1 Btu.
- -t _ _
Btu
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
Fl, .l Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No, oY Lineal t. Area
No. oi pane oE pane lighte oP crack sq. ft.
�
InSltratton
Gla�
Exp, wall
Net exp. wall
In�. vvall
Ceiling
; Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Biu