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AF - 35336c�ty of F��a��y AT THE TOP OF TME 7MVINS � :� ; �v __��_ COMMUMITY DEVELOPIWENT OIV. r j � PROTECTIVE INSPECTION SEC. l --_�� ""�•� CITY NALI fRIDLE� 'SS132 L 612-571-34$p JOB ADDRESS 5924 Benjamin St NE t LEGAL �OT NO. BLOCK •TRAC1 �UILDIN� PERMIT NUMBER s�aF�s a OATB 3/4/02 oescA. 2 1 Varichak Addition 2 PROPERTY OWNEi; MAIL ADOR�S$ Steven & Raren Hawk, 6630 Lucia Lane, Fridley, MN 55432 3 CONTRACTOR MAII AODRESS S�even & Karen Hawk (same address) a ARCHITECT OR DESIGNER MAIL ADDRESS � 5 ENGINEER 8 USE OF BUILDING Dwelling 7 CLASS OF WORK kIAIL � NEW O Ap01TION 21P PAGE OF / / � 3244 �s �� APPROVED Br SEE ATTACHED SHEET 763-574-1658 PHONE LICENSE NO UCENSE NO LICENSE NO O ALTERATIpN O REPAIR O MOVE ❑ REMOVE B OESCRIBE WORK Construct new house and garage.( a 26' x 50' Dwelling & a 25' x 30' Garage) 9 CHANCiE OF USE FROM STIPULATIONS provide City with a copy of the verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. See notations on plans. Sewer & Water location: See City Engineering Dept. Paid $1500.00 Park Fee and $403 Driveway Curb Cut Escrow. �-.��.,1= �. , * � • ., � r: ,i. � . , ; , ; � i, � � �efo.re diggir�g Gall fo� all utility location� 454-0002 SEPARATE PERMITS ARE REOUIREO FOF ELECTRICAL, PLUMBING, HEATINCa. ' Frc �� .��va� VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRU�TIOM yONING AUTHOR12ED IS NOT COMMENCED V1fITHIN 60 OAYS. OR IF CONSTRUCTION y OR WORK IS SUSPENDED OR ABANQONQD FOR A PEHIQO OF 12Q DAY$ AT " ANY TIME AfTER WORK IS COMMENCED ' NO: DWLG. UNITS I HEREBY CERTIFY TMAT 1 HAVE READ ANO EXAMINEO THIS APPLICA710N AND KNOW TME SAME TO BE TF1UE AND CORRECT. ALL PqOVI$lQNS t7f LAWS VALUATION ANO ORDINANCES GOVERNING TNIS TYPE OF WOFK WILI, �� CpMP1,lE0 WITM WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �I.�FO�OOO.00 DOES NOT PRESUME TO G�VE AUTHORITY TO VIOIATE OR CANCEL TME pEqMITfEE PROVISIONS OF ANY O7MER STATE OR LOCAI LAW REGULATING CON- STRUCTION OF THE PERfORMANCE OF CONSTRUCTION �], � 22,3 . 3S P4AN CNECK FEE � n /�% riveway E� S�GNA �O�TE� �� SO. F7 STA�LS $40 . V IDA OCCUPANCVLOAD CU FT. °S7REET PARKtNG GARAGES RTAX park Fee �], � Q� . �� 70.33 �CMARGE �1�200.00 140.67 Fire SC fAl FEE $4,537.35 �S IS R PERMIT %�—�$ =� 2 �IVTE � � NEW ADDN ALTER C�1 [l . �� , CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-Z BUILDING PERMITAPPLICATION Effective 1h/2001 (763) 572-3604 Bidg Insp " �� % � � Construction Address: ` � �,�i,� ,�' � T_ Legal Description: _ �oT � ��c� / [�,q,Q�C�/-�� 4�✓�'r7�e•� Owner Name 8� Address: S�r/�,J -9-,��J ,e/,q�a,� �� e L�O��I �r� Tel. #�� -s�yi �� Contractor. � l $,� �,�j � /� MN LICENSE # Address:�' � Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � DESCRIPTION OF IMPROVEMENT i�a LNING AREA: Length 2 co Width Sv Height �-/3 Sq. Fk s �-- � ��5ARAGE AREA: Length �-��'" Width �a Height /� Sq. Ft � �" , ,�rn��t,�/ � / �E:cK AREA: Length Width HgUGround Sq. Ft. �4� � OTHER: Construction Type: .� .✓�c C,G�� c. y Estimated Cost: $ ��o 00 0 � , Driveway Curb Cut Wdth Needed: �o Ft. + 6 Ft = � Ft x $ /�: �� _ $ �3 ,,_.,� �i � �s 5 << DATE: �- f� - d a- APPLICANT: .�"� ✓ �� Tel. #_�/a 99/- �f"//� ,� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ ,%� � � ��Fee Schedule on Reverse Side $ / yC�. ��7 .001 of Permit Valuation (1/10th%) $ 7'D �,�� $.50/$1,000 Valuation $ /a? �O �. ��7 $� °C �nit ,�� $ $5.00 (State Licensed Residential Contractors) $ C/O �� Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $/.� C��, �ei Fee Determined by Engineering $ ? Agreement Necessary [ ] Not Necessary [ ] � �� BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 ta $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23 .50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,OQ0 or fraction thereof, to and including $1,OOQ,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate B: Removal and replacement of curb and gutter and install a 3 foot wide " n approach with 6 inch depth - Driveway width plus b f�e�t times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � � NEW ADDN ALTER �vl �] �� Construction Address: eo"�� 'll��/� e'� � Effec�ve 1/1/2001 CITY OF FRIDLEY .(763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 1 � BUILDING PERMIT APPLICATION �� 3�,.LT�.•�,�-l�.J � r_ �/ Legal Description: .�cr ��«q� � i,q iC�-4�c �9.�✓,7.c-�.� Owner Name & Address: r�v'�,.� -r ,�'�.��J /,l.q�k .�'v�� ,� ,�,J Tel. #_�� -s�� Contractor. � 6 ', `' � MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length 2� Width Sv Height f� — i3 Sq. Ft �7%g GARAGE AREA: Length �� V�tdth 3a Height /� Sq. Fk �� U DECK AREA: Length Width Hgt/G�ound Sq. FG OTHER: Construction Type: �� G,C��.-� ic, � Estimated Cost: � L�o, oo 0 Driveway Curb Cut Width Needed: �o Ft. + 6 Ft =�lo Ft x� /S. ;S� _�_ �� 5 J� �,��, (_ DATE: =�-/�-O a- APPLICANT: �c �E.J /�-�/t' Tel. #�/� �}/- �,/j// r' � CiTY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Ma�9in Charg -�'�LGfXi� ., TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ $ $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $1150 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ `��C�1�� Fee Determined by Engineering e$ / Agreement Necessary [ J Not Necessary [ J ��n�.e.� — �a�Cl�� j�-��'Y°,�. S �� U ��f CERTIFICATE OF SURVEY F0�2� STEVE �-IANK � �I�� ,� � � ��, ��as� �� "' �� , � � G �. p� l��' � y� � y� 1°I�E �� , �i,� � � � M P�E� J ��'3 �� ,1„�'(�g � p�s�. � �. G�� 1 �. EX. 4' W000 FENCE (OVER 2.4') sa+.n sae�az'to•8 � �aa.so ° 979.56 � �15 �-------�- - W J� X �0� %/' , � N � � W I n � r}- I � � � p k� � W W � � o° tn � a� � O a G I =� x� � a � � � /� r �, Q � � ��25.33 � ,� o L sa�,J ; � I� 5 �— '—` — — —\�'--�-��- =-__� � �� - � g'r�- y� � 1 10 �o n ; I i " ' I, 9,�59 t0.50 g1q59 � I � ^ � � ^ � 9��'� � 9�9g9 75.50 PROPOS � oj � DR 9�,�9 "� °' —� � C9 j � 25 67 9�.� i � 10 � • vv.ov WOOD. FENCE S88'S,Z' 1O "Is' �� EX. H01JSE 976.�8 �a f� O� �b ?. 31.31 � � F� -- �� 97Q 1I x 979.!? co v ---. � � r . r 97.�70 � � 97t.QB � ,� y��s,n I . PROPOSED 6U.DNG Q.EVATIONS+ NOTES= Top of woll = 980.6 (l2—Course) � Denotes monument found Garage floor = 978.0 990.0 Denotes proposed elevation Basement floor = 972.4 per groding plan. House Type = 4—Level Split—Entry Builder to verify service location Drop Garoge Floor 3—Courses or 2.1 Ft. (before construction) DE$CRPT1�11N Lot 2, Blodc 1� VARICHAK AODITION� Anoka County� Minnesota. �.�T �+ 10.034 Sq. F� (Lot Coveroge (House only)= 2,477 Sq.Ft. or 24.6%b ) ADORESS+ BENJAMIN STREET r_= _�� --� \_ =I HIEI�RO IAND SURVEYIIVG & ENGII�IEERII�iG 4I2 F.�ST QOUNIY RO►�D D UI'II.E CANA�A. 11�VNE90�fA SSll7 'IFFL. (63D � FAX 7Qb�Ei2 alADi survey�melrols.com ,lob No. 467.002 sca�e: r-3o' Drawn b�fr• -�►� Diec No. I hereby certify that this survey, plon or report wos prepared by me or under my direct supervision ond thot I om o dufy license d survey r under the laws of the stote of Minnesot Dot is do o �� ,2002. B y. ' onald' P. Alwin, Lond Surveyor 14-Feb-02 City of Fridley 6431 University Ave. NE Fridley, MN 55432-4383 763-571-3450 Special Assessment 5earch And Statement of Charges TO: On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit: Parcel No: 24-30-24-11-0132 5924 BENJAMIN ST Lot: 2, Block: 1, VARICHAK ADD LEVIED SPECIAL ASSESSMENTS This is to certify that I have ezamined the records in the of�ce of the Clerk, City of Fridley, Anoka County, Minnesota, and for such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of land: Term Certified Initial Interest Remaining Current Current Proiect Number Proiect De rintion TYPe (Yrs) Date Amount Rate Balancp Princinal Interest 9100-0000-00 OOREG SA(Water/Sewer 3100 15 12/31/1960 $137.09 5.00% $0.00 $0.00 $0.00 1000-0034-00 00 W 3000-0048-00 O1 W/S 3000-0048-00 00 W/S 6000-1972-02 00 ST 6000-1972-01 00 ST 1200 10 10/03/1961 1200 20 10/O1/1962 2200 20 10/O1/1962 6400 10 09/10/1973 6400 10 09/10/1973 $143.82 6.00% $131.17 6.00% $294.46 6.00% $344.63 7.50% $445.46 7.50% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 A`nount Certified to Ahoka Couhty Auditor for Current Year Taxes Is: $0.00 PENDING SPECIAL ASSESSMENTS For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. This is prior to the City Council adopting the final assessment roll. If you seek further information, you should do so upon your own independent inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately assessed. Term Initial Interest Estimated Proiect Number Proiect Descrintion (Yrs) Year Rate Pending Amt. 3300-2001-00 00 Varichak Utility Project#342 15 0 NIISCELLANEOUS FEES 7.000% $0.00 Descrintion Status Date Fee Amt. Park Fees Unpaid 12/15/99 $750.00 Water & Sewer Service Paid 4/27/00 $0.00 $0.00 UTILITY CHARGES You shall be responsible to verify the status of any outstanding utility charges. To check utility charges ( water and sewer) contact Fridley Utility Billing Department at 763-572-3529. The records referred to above are public and may be inspected by anyone during regular business hours. The search of these records was made by the undersigned as a public service on request. The undersigned certif es that the above indicated searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the accuracy of the above statements and does not assume liability for errors and/or omissions. The above figures are good through November 15, 20 Date Prepared: Thursday, February 14, 2002 gy Page 1 of 2 M�Ccheck Compli�nee Rep�arrt 200U Minnesat� Ener�y Code MECcheck Softwaa'e Version 3.3 Re�ease Ib D� filename: C:iProgram F'�les\ChecklMECcl�C1BEN7AMIN cck TTfI,E: Steven & ICaren Hank COUNTY: Anoka STATE: Mirmesota ZONE: 2 CONSTRUCTION TYPE; Sin�e Fa�m1y DATE: 02l12tU2 DATE OF PLANS: OyOg/02 PROJECT II�ORMATION: Lot 2, Biock 1, VALtICHAK ADD1TTpN COMPLIANCE: pa�s �►� uA = �s� Ycntt I�o�te = 356 'i.3% Beiter Thaa Ctide Cealing l: Raised or Energy Tiuss Wall 1: Wood Frame,l6" o.c. Wi�ow 1: Above Gmade, V'�nyl Frame, D�ble Pase with Low-E Door l: Solid Baiser�t Wall 1: Salid Carnaete or Ma�onrq, 8.0' ht/7.S' b�/8.0' ins�1 Ftoor 1: Ali Wood JoistlTruss; Over U�side Air Proposed a�M M�imum U-Fador Av� Abav�-Grade W'mdows and Glass Doors rndude.s Foundation Wimiows > S.b S2 C�oss A�st ar � I779 24?9 394 � 1127 43 P�mt Numbe� c�� sy� Cavity Cant. ar poor R_Value R Va1ue I�� 1�, �.o o.a 19.0 2.0 11.0 0.0 3�,0 0.0 � Av+e�e U Factar 0.320 39 113 Q.320 126 O.I6Q 12 55 1 � Altowed i�-Factor 0.370 COMPLIANCE STt1TEN1nVT: The Pl'apo�t b�d�►g desiJgn �'bed hea+e is con�istea�t with the � Plan�, s�ficazions, and other c�lculatioas � with the p�nit applicstioa The proposed l�d'u� 6as l�n desig�d to �� 2� ��0� E '��t � . 1�(c Vi�rsion 3.31ielease ib aral to comply witii the �d�' ��e� � � s on Checklist. Bu�cier/Designer Date r�—/v� Oa? FF��f�EY�1AUNICIPAL. CENTER 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 763-572-3604 Job Site Address: ��'`L%��i�1✓� �TP ENERGY CODE WORKSHEET FOR ONE & TWO FAMILY DWELLINGS INSTRUCTIQNS: Complete PaRS i, I[ and II(. Clearly mark plans with: insulation R-values; �vindow and skylight U-values; size and type of equipment; equipment controls; and location of interior air barrier, vapor retarder and wind�vash barriers. More detailed information can be found in the l�linnesola Energy Code Sirnrntary Sheets available from the Minnesota Department of Public Service. Part I. BUILDING ENV �ELrOPEo`V� NlnCheck method (attach report) Check option used: ❑"Cookbook" Mechod ( p ❑ Building Component method (attach calculations) 0 Systems Analysis method (attach analysis) "Cookbook" Worksheet Step l Step 2. Step 3. Step 4. INSTRUCT(ONS Check item(s) that design meets on �linimunr Requirc�»rents list to the right. Must meet all items to use Cookbook option. [ndicate proposed wall rype on table below. [ndicate Window U-value and source. Verify total window (including area of all foundation win- dows) & door area is equal or less than allo�vable percentage TABLE FOR DE' Maximum Allowable Total Window and Door Area as a Percentage of Exposed Wall -� Wall Type ( R-5 up to R 10 Foundation Insu ❑ 2�c4, R-13 insulation, < R-5 sheathing ❑ 2:c4, R-l3 insulation, � R-S sheathing O 2:c4, R-13 insulation, C R-7 sheathing ❑ 2x6 R-19 insulation, < R-5 sheathin� 0 2x6, R-19 fnsulation, n R-5 sheathing 0 2x6, R-2l insulation, < R-5 sheathin� ❑ 2x6. R-21 insulation, � R-5 sheathing Wall Type (with R-10 Foundation Insulation; ❑ 2.c4 R-13 insutation, < R-5 sheathing ❑ 2x4, R-13 insulation, � R-5 sheathing ❑ 2x4, R-13 insulation, 0 R-7 sheathing ❑ 2r6, R-19 insulation, < R-5 sheathing ❑ 2xG, R-19 insulation, � R-5 sheathing 0 2x6, R-21 insulation, < R-5 sheathing 0 2x6, R-2l insulation, J R-5 sheathing Wall Type (witli R❑19 Foundation Insulatior ❑ 2r4, R-13 insulation, < R-5 sheathing 0 2s4, R-13 insulation, � R-5 sheathmg ❑ 2x4, R-l3 insulation, i_" R-7 sheathing ❑ 2x6, R-l9 insulation, < R-5 sheathing ❑ 2x6, R-t9 insulation, � R-5 sheathing � 2x6, R-21 insulation, < R-5 sheathing ❑ 2x6, R-21 insulation, :� R-5 sheathing NiAXINIUM WIIYDOW AIYD DOOR 10°/u I 12% I 14% I 16% I IS% I 20°/u I 2Z°/u I..24% � 26°/u Masimum Av� 0.37 0.36 0.37 037 0.37 0.37 037 0.37 0.37 0.37 037 0.37 0.37 0.37 Maximum Av� 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 037 0.37 Maximum Ave 0.37 0.37 0.37 0.37 037 037 037 0.37 0.37 0.37 0.37 0.37 0.37 0.37 ; Window U-value (es 0.30 0.26 0.23 0.37 0.37 0.35 0.37 0.37 0.37 0.37 0.37 0.34 037 0.37 0.37 0.37 0.37 0.37 0.37 037 0.37 : Window U-value (ex 0.33 O:LB 0.25 0.37 0.37 0.37 0.37 0.37 037 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.37 037 0.37 : Window U-value (ex 03� 0.29 O:16 037 0.37 037 0.37 0.37 037 0.37 0.37 4.37 0.37 037 037 0.37 0.37 037 0.37 0.37 0.37 foundation windows 0 5.6 sf ): 0.20 0.18 0.16 0:15 0.3 l 0.28 0.25 0.23 034 0.31 0.28. � 0.26 0.3 I 0.28 0.25 0.23 0.37 0.33 0.30 0.28 0.33 0.30 0.27 0.25 0.3 7 0.3 5 0.31 0.29 foundation windows 0 5.6 sf}: 0.22 0.20 0.18 0.17 0.33 0.30 0.27 0.25 '- 0.36 0.33 030 0.27 0.32 0.29 0.27 0.24` 037 0.35 `A.32 � 0.29 :�� 0.35 0.31 � 0.29 � 0.26 � 0.37 036 0.33 0.30 - : foundation windows Q 5:6 s fl: ' 0.23 0.21 0.19 ' O.I7 034 0.3 I 0.28 ;°: 0.26 �- 0.37 0.34 0.31 ` 028 ° 0.34 0.30 0.28 0.25 ` 0.37 036 033 0.30 0.36 032 0.29 0.27 0.37 0.37 0.34 0.31 ' Window U-value: C� Source: ❑ NFRC ❑ Code Default Table (see Part 7670.070� �--- � _' j= %i< 1 % 100X • � � � � i '�""" window & door area gross exposed wall area � DESIGN ALLOWABLE (from table 28% 0.14 0.22 - 0.24 : 0.21 0.26 0.23 0.27 0.15 0.23 � 0.25 0.23 _ 0.27 ' 0.24 0.16 0.24 _ 0.24 0.28 Q.29 ,� Q Part II. DEPRESSURIZATION PROTECTION Check option used: 0 A�gregate (complete ag�regate worksheet on next page) ❑ Prescriptive (complete worksheet below) ❑ Performance (submit test repoR prior to final inspection) ❑ No fuel burning equipment PRESCRIPTIVE PATH WORKSHEET INSTRUCT[ONS Step 1. Complete the Cornbustion Equipment Schedule on the ri�ht. 5tep 2. Choose a �Lfake-up Air Path with a Y(Yes) for all selected equipment. Step 3. Complete the table belo�v for the rt�lake-c�p Air Pnth chosen, indicating flows in cfm for e,chaust and make- up air methods proposed. Only the capacity of largest e,chaust appliance in each category need be considered. Step 4. Fill out the Passive �Llal�e-up Air Opening Schedcrle on the next page. COMBUSTIODi EQUIPNIENT SCHEDULE Permitted E ui ment (check all es ro sed) Path 0 Path 1.; Path Z Path 3. Space heating ❑ Sealed combustion Y ' Y ' Y Y 0 Direct or power vented N Y>, ,: Y Y:; .;. - ❑ Atmos herically vented N -."N ; Y* Y:': Water heating ❑ Sealed combustion Y _ Y.. Y Y- � ❑ Direct or �ver vented N Y` -` Y Y'-' ❑ Atmospherically vented N -` N' :° N Y-` : Hearth — gas ❑ Sealed combustion Y Y: Y Y� :: ❑ Direct or wer vented N Y- Y Y-: - 0 Atrnos herica[I vented N -N Y* , N �:<:- Hearth — solid ❑ Closed controlled N Y" Y* I�I '� . fuel D Decorative l�t .: N,. ;Y* . 1V,;�;`: * Only one atmos herically vented appliance may be installed in Prescriptive Path 2:. ,` `" C1 Path 0— Prescriptive Make-up Air Method Exhaust Passive Passive Powered' - infiltration O emn - Make-u '�= ,� Clothes dryer: Passive infiltration for up to 17� cfms Passive o eninas for cfms over i75 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: j' Passive openings for up to 140 cfm Powered to match flow for cfms over I40 N/A �' Need not include central vacuum exhaust in Path 0. TOT�LS 0 Path 1— Prescriptive Make-up Air Method E.cha�,sc Passive Passive ;- Powered :; ;, Infiltration O eninQ+ Ivtake u: Clothes dryer:� Passive infiltration for up to 17� cfm � Passive o enin s for cfms over 175 Kitchen e.chaust: Pa�sive openings for up to 250 cfm Po�vered to match flow for cfms over 250 N/A Other exhaust:$ Passive openings for up to 140 cfm Powered to match flow for cfms over 140 ` N/A TOTAIS $ If.closed controlled combustion solid-fuel burnin� appliance is instatled in Path l; then the clothes dryer and any central yacuum that ;�i exhausts to outside must be rovided with make-u air by passive o enin� to match flow. Othenvise need not include central vacuum �� ❑ Path 2-- Prescriptive Make-up Air Method ��chaust Passive ` Passrve �> . , Powered i: Infiltration O enin Make u"5 � Clothes dryer. Passive openings For up to 175 cfm Powered to match flow for cfins over 175 NIA Kitchen e.�chaust: 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 Methoci EXha�st Passive Passive Powered :' lnfiltration O enin Make-u ' Clothes d er: Po�vered to match flow N/A 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 N/A AGGREGATE MAKE-UP AIR WORKSHEET INSTRUCTIONS Step 1. Complete Exhaarst Schedarle on the right indicating cfin of largest device in each category. Step 2. Complete the Comba�stion Equipment Schedtrle on preceding page. Step 3. Choose a path with a Y(Yes) for all selected equipment. Step 4. Complete Aggregate �fake-up Air table below for chosen path. Using the total cfrn from the EChaust Schedtrle, indicate flow in cfin for proposed method(s) of providing make-up air. Step 5. Fill out the Passive Nlake-zip Air Opening Schedzrle above. ❑ Path 0— Aggregate Make-up AiC MethOd Passive ,Passive Power.ed � Infiltration : O enin Make-u Passive infiltration for up to 425 cfm Passive openings for cfins over 425 Powered to match flow for cfins over 985 ❑ Path 1— Aggregate Make-up Air Nlethod Passive Passive Powered [nfiltration O enin * Make=u Passive infiltration up to 175 cfm* � Passive openings for cfrns over 175 Powered to match flow for cfins over 565 * If a closed. controlled solid-fuel burning appliance. is installed in Path l, then a passive opening must be installed to provide make-up air for the clothes d er.and for. an central vacuum that exhausts to the outside. . ' ' ❑ Path Z— Aggregate Make-up Air Method Passive Passive Pbwered � ,.. infihration O enin Make-u � : Passive openings for up. to 175 c&n' �� ' .: ,. , : ; , Poweredto match flow for cfins over I75 - - .N/A ❑ Path 3— Aggregate Make-up Air MethOd Passive ' Passive -� . Power.eci :. Infiltration O enin Make-u Powered to match flow N/A N/A �Part IIIa. VENTILATION INSTRUCTIONS Step l. Complete the Yentilation Quantity worksheet belo�v. Step 2. Check the Make-up Air Path (from Part II) on the Yentilation ,tilethods table belo�v. Step 3. Choose permitted method(s) for Peop(e and Supplemental Ventilation from the ventilation �l�lethods table. Step 4. Complete the Ventilation Fan Schedule. VENTILATION FAN SCHEDULE - Fan descri tion or location TOTALS Fan Purpose 0 Peo le ❑ Peo le ❑ Peo le 0 Peo le c&n'.: 0 Sup lemental ❑ Suppfemental ❑ Su plemental ❑ Su lemental cfm: VENTILATION Intake cfm cfin cfm cfin cfrn �-: AS DESIGNED E.�chaust cfm cfm cfm cfrn cfin' Statement of Compliunce: 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. Applicant (print name) Signature Date _ Telephone number Part IIIb. VENTILATIUN (Submit Part IIIb upon completion of system verificarion) a� ----------------------------------------------------------------------- Job Site Address: Permit Number Fan descri tion or location - TOTALS .. MEASURED Intake* cfm cfrn cfm cfin ' cfrn: PERFORMANCE Exhaust* cfm cfm cfrn cfm cfrri " *Measurement re uired for ventilation system intakes and e�chausts from the buildin with desi n air flow of 30 cfin and reater. Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature � Date Telephone number F"" Jvb 5it. :1��ire�s: �c�Jl�✓�/�d �% l' "CATEGORY 1" ALTERNATE FOR ONE & T'�'VO FAlVIILY DtiVELLINGS FRIDLEY MUNICIPAL CENTER 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 763-572-3604 I\ji'RL'CT(O�S: This altrrnatice ma}• be used for une- and two-family dwellings built to meet the Category 1 requirements o ti[innesota Rules, Chapter 7b70. Cumplete Parts A, B, and C. Clzarlv mark plans with: insulation R-r•alues; window and skyli�ht [.' values; size and t�•pe of equipment equipment contro(s: and lucatiun oF vapur retard�r and wind�vash barriers. �ture dztaile information can be found in the ,Llinrresota Enrr�: Cocle summary shzets available Prom the i�linnesuta Department of Commerce. Part A. BUILDING ENVELOPE -- �-- -- Check proposed envelope joint sealing optiort -� p Prescripci��e (caulhin�, ;askets, etc.) � Prrformance (test per 7670.0-170 subp. 7.C. Check thermal energy calculation option used -� ❑"Cuukbuuk" (cumplete ��orksheet belo�v) ]� �1nCh�ck mechod (attach report) O Perfurmance �att�ch C-�alue calculationsl 0 Svstems Analvsis methad (attach analysis) "Cookbook" Worksheet Iv5-r�txrtoxs Stcp I. Check �tcm(s) that design meets on �Llutimtart Reqt�u•enr�•�tts lis[ to the ri�ht. �lust meet all items to use "Cuuhbook" option. Stcp' (ndicate proposed wall rype on table befu�v St�p �. Ind�cate Window U-value and sourcr. Stcp :. �'cnP� wtal �vindu�ti� (including area uf all Iwndztion ��indu�vs) und duur area i� eyual or less than allutvabl� percenta�,e. TABLE F'OR DET �I�ximum Allowable Total Window and Door Area as a Percen�aee of Exposed �Vall ��'all Tvpc (Standard Framine): � 3x1. R-13 insulation, = R-7 sheathin � 3x-l. R-l� in�ulation, = R-5 shcathin '� 's�. R-19 insulanun, < R-5 shenthin ❑ 3xG. R-19 insulation. - R-5 sheathin ❑ ?x6, R-2l insulatiun, < R-� sheathim � 2xG, R-2l insulation, _: R-� sheathin Wall Type (Advanced Framine): ❑ 2xG, R-l9 insulation, < R-5 sheathin� O 2xG, R-19 insulation, � R-� sheathin! 0 2x6. R-2l insulation. < R-5 sheathins 0 2xG, R-21 insulation, = R-5 sheathins � � .��IIYI�G �fa�C[�(U�1 �1 12% 1�"/� Ifi'%� �(a.rimum Avera 0.5� O.�17 O.S3 O.dS 0.45 0.4 t O..iG 0.43 0.51 O.�ti O.SS 0.5O �farimum Avera 0.�? 0.45 O.SS 0.50 OS� 0.47 O.GO 0.52 ��n,�[�IUDI REQUIRE�IENTS (fnr °Cookbook" option onlv) Ceiling Insulaaon: �linimum R-3S with 7;<." ener�y heel; or �tinimum R--{� with luw truss heel; or �(inimum R-3S �vith R-� sheathinq when no attic. Entrv Doors: �(as. U-value of U.30 or I'/a° solid wood with srorrr, Rim loist [nsulation: �Iinimum R-19 rioors over uncunditioned s �linimum R-'-1 Fuunda[ion Insulztion: �linimum R-10 Foundatiun windo�vs: '�_" insulated elass, «•ood or vinvl frame INDOtiV AND DOOR AREA �OU�� Op�l li0/� 1��I ?II��U 20��0 Windotv U-value ( 0.-11 0.3G 0.39 0.35 0.36 0.32 0.�13 0.37 O.�S 1).3�1 O.d-3 0.39 GVindow U-vafue ( 0.39 0.35 O.�ta 0.39 O.�I 0.3G 0.4G 0.4 ( Window U-value: � Source: i O NFRC 100X _ ►_�_oo�c window & door area gross exposed wall area DES[GN � rounaa[ion winuo�vs): 0.33 0.30 0.27 0.25 0.33 0.31 0.23 0.3G 0.2�1 0.22 0.29 0.26 0.21 0.22 0.21 0.3�i 0.3I 0.28 0.36 0.2�4 U.3t) 0?S 0.25 U.23 0.22 0.3� U.32 0.29 0.27 0.2� : foundation windows}: 0•31 0.2S 0.2G Q.35 0.32 0.?9 0.33 0.30 0.27 0.36 033 030 0.2=t 0.?2 0.27 OZS u ASHRAE 1993 Handbook i -%� ALLOWABLE (from table above) 0?3 MINNESOTA ENERGY CODE - WHICH RULES MAY I CISE ? TYPE OF RESIDENTIAL BUILDII�TG Detached R-3 occupancy 1- and 2-family� d��•ellings Examples: sinele family, ri��in homes, duplexes attached R-3 occupancy dwellings Examples: triplex totivnhouses and row houses R-1 occupancy buildings of3 stories or less E�camples: condominiums or apartments R-1 occupancy buildines over3 staries high Examples: high rise condos or apartments Chapter 7G72; ur Chapter 7G70 "Catc�;orv Chapter 767�1; or Chapter 7G7Q ��•ith eithe Chapter 7G74; or Chapter 7(70 �vith either Ch�prer 7G76 �� APPLICABLE RULES 1" �ti�ithstatutorvdepressurizatior r"Cate�orv I" or "Cateeorv 3" � "Category I" or "Cate�orv'" � an�i ventilation ons °� 'Part B. DEPRESSURIZA�TION PROTECTION Check option used: ❑ Fuel buming equipment (complete schedules below) ❑ No fuel bumin e ui ment s � r [vsTRUCTto�s EXHAUST / �IAKE-Up pIR SCHEDULE�" Step l. Complete the Combustion Equiprrrent Schedule below. Only equipment E.�aust devices over 300 eftn with a Y(Yes) may be selected under the "Category 1" alternate. Ftow .. Step ?. Comp[ete �rhaacst/.Llake-c�p .-�ir Schedule on the rioht if direct or power �� vented or solid fue( atmospheric vent space heating equipment is �� selecce�i. cfm CO�IBUSTION EQUIPi�1EtYT SCHEDULE (check all ty es pro osed) Space heatin� — nonsolid fuel 0 Szaled combustion Y Hearth — nonsolid fuel ❑ Direct or po�ver vented ,�tmos hericall vented Water heating — nonsolid fuel ❑ Sealed combustion y* . N Y Space heating—solid fuel ❑ Sealed combustion ❑ Direct or po�ver vented Atmosphericailv vented ❑ Atmospherically vented Y Y � y* 0 Direct or ower vented Y Water heatin — solid fuel ❑ Atmos hericallv vented Y Atmos hericall vented N Hearth — solid fuei 0 Atmos hericallv vented Y *[f atmosphericatly vented solid fuel or direct or power vented nonsolid fuel space heating is installed, then make-up air to match flo�v is re uired for each individual e,�chaust device which e.cceeds 300 cubic feet er minute. - Part C1. VENTILATION VENTILATIOIY QUAIYTITY (Mechanical ventilation must be provided per the larger quantity calculated below) . �� cubic feet r O.00S83 /minute =! :` cfm (� r 15 cfm/bedroom) + 15 cfm =�_� cfm volume of habitable rooms n u m b e r o f b e d r o o m s Check method(s) proposed � Fan descri tion or location � VENTILATION Intake AS DESIGNED Eshaust VEYTILATION FAI�i SCHEDULE �❑ Exhaust on(v ❑ Balanced (heat recoverv ventilator, air exchanaer, etc.) ' TOTALS _: cfin cfm �� . cfin cfrn cfm cfrn cfm - Statement of 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. Applicant (print name) Signature Date Telephone number Part C2. '�ENTILATION (Submit Part C? upon completion of system verificationj�) a. �, ---------------------------------------- Job Site Address: Permit Number Fan descri tion or location TOTALS NIEASURED Intake cfin cfin cfm cfm cfrn PERFOR��IANCEt E:chaust cfm cfm cfm cfrn cfm t Ventilation rate must be measured and verified when the performance option is used in lieu of the prescriptive option for ihe sealin of joints in the buildin conditioned envelo e(from Part A). Compliance Statement: Installed ventilation system is in compliance with NIN Energy Code and is sized to provide the design air flo�v. Applicant (print name) Si�nature �. � 6 Date Telephone number sue��tT � c�ty of Fridle� AT THE TOP OF TME TWINS � u I L D i N G P E R�II I T r � � ; �L _ COMMUMITY DEVELOPMENT OIV. r j � PROTECTIVE INSPECTION SEC. � j � �` �"'1 � CI7Y HALL FRIDLE� SS132 NuaBEA pEv L.��..�' �•J 612-571-345p 910-F15 JOB ADDRESS 5924 Benjamin Street NE t LEGAL ��T NO. 94.00K TFlACT OR ADOITION oesca. 2 1 Varichak Addition 2 PROPERTY OWNEq MAIL ADOR�$$ � Steven Hank 5924 Banjamin Street NE 3 CONTRACTOR MAIL AODRESS Same 6630 Lucia Lane NE, Fridley 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER I�IAIL AODRESS OATE 6/20/02 MN 55432 ZIP vAGE Oi � � 8E'RMI�VO ° 32717 � —' RECEIPT NO. ��o� ►PP110VED BY SEE ATTACHED SHEET PMONE 763-574-1658 PHONE LICENSE NO PMONE LICENSE NO. PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ' ❑ NEW ❑ ADDITION �7 ALTERATIpN ❑ REPAIR ❑ MOVE ! O REMOVE B DESCRIBE WOfiK Finish third levei of house 9 CHANGE OF USE FROM STIPULATIONS See notations ox� plan. SEPARATE PEfiMITS AqE RE�UIHED FOR ELECTRICA�, PLUMBING, HEATING. TYPE OF CON T. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIOM ypNING AUTHORIZED IS NOT COMMENCED Y�1ITHIN 80 OAYS. OF IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANQONEO FOR A PERI00 OF /20 DAY$ A7 " ANY TIME AFTER WOiiK IS COMMENCED. ' NO. OWLG. UNITS I HEREBV CERTIFV THAT I MAVE READ AND EXAAqIN�O THIS APPUCATION 1 AND KNOW THE SAME TO BE TRUE AND COQR�CT. ALL PROVISiONS Of LAWS yALUATION AND ORDINANCES GO flNING THIS TYPE OF pRK WILL �E COMP�IEO WITH WHE7MER SP I ED HEREIN ti N E GRANTING Of A PERMIT �12sOOO DOES NOT PRES � TO GIVE M T O V�OIATE OR CAMCEL THE pEWMIT FEE PROVISIONS OF NY O q O OCAL LAW REGULATING CON- STRUCTION O M FO C CONSTFUCTION �ZO9 . ZS PLAN CNECK F E '°� a .NATUAE OF CON'PACTOA � R AUTNOpiZED AGENT � s�DATEi � �O . ..._ . __. �DATEi SQ. FT S7ALLS OCCUPANCVLOAD CU FT. OFFSTREET PARKING GARAGES SURTA)f � $6.00 SAC CMARGE F e SC $12.00 TAL FEE $227.25 � ED THIS IS V UF PER 17 � � � � �� iafF NEV1/ [ ) ADDN [ ] /° ALTER [a.j� Cohstruction Address: CITY OF FRIOLEY EffecWe �hp2002 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� ¢� �� Legal Description: �wner Name & Address: v �d •�..J� Te� #� �'7c�% / �� c�% Contractor. MN LICENSE # - • . a r m, _ , _ _ . 1 / Tel. # Attach to this appiication, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length �.�� Width �� Height .� a Sq. Ft �� GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width HgUGround OTHER: Sq. Ft Construction Type: /"i.✓s�i,�� rJ�� Estimated Cost $ ��e �� c� Driveway Curb Cut Width Needed: Ft + 6 Ft - Ft x$ _$ �� .�Ty-/L�s`� DATE: �`��°°� �- APPUCANT: Tel. # �/� 7'�i/ �✓�/ Call (763) 572�604 for Permit Fees if mailing in appiication or Fax to 763-571-1287 if using credit card and we wiil call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $J�t�•o`�,5�.. $ /�. � v $ G $ � s''r� $ $ $. � CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit �aluation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined tiy�Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �°�� STIPULATIONS: BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,0(� $25,001 to $50,000 $50,001 to $100,00D $100,001 to $500,000 $5(}0,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to a.nd including $2,000 $69.25 for first $2,� plus $14.� for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,OQ0 or fraction thereof, to and including $50,000 $643.75 for first $50,(300 plus $7.00 for each additional $1, �00 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $5(X?,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 � $1,000,001 and up $5,608.75 for the first $1,OQ0,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. • VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the loca.tion of the e�cisting proceeding with the framing. New Houses Onlv � . . foundation will be required before � =.' /�!l�/ �;%%��i� e J/iI�:�/.I �� D � �. � O � � � � � O� �' � N � O y � n � � O � � � 0 � a� 0 �' � �• c� w� fD 'D �" O � (�D � � N � a O � � � � � � c�o Q � � 0 � � � m Z � � m C� � O Z � m m �69 -P v 0 0 � _ � 'a D N 04 o � Q Q.. 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"' z � 0 � o = 0 � .��r fD v ��i � ,� � ' ' �D+. �� fA �6A � � � � � D � m � �i D -i m 0 C� O � -� �' `� �� m � � z O �� /V � I � ".� m N n _ m v C r m C � O � W � � � z o G7 � c !j -,, rn � N m �� Dv , �� cn :� � , �� \ � _ ��;y _ � `' � �� r �� 1 \ ' �R, �� --� � � � �, %? „ li � � v � � n W� G`�� C)'1 � � 0 V � � N � ,�• -,i WZcp � -p � � � W � -< N cn Z Z � m� m � --I O z � < � a � � z � r � � � O �ii Z rn� a� �� O � Z� Z� v� a� � Q N vZ �v o= ?a '� Z -�'c � -�i n mo O N Z a� v� vZ c '� n� NO Z m m t� < (D � � L � 7 C � �G i--� N O O N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED •��i•� I ► I ► •►� •: _►� •�i: •► _ : _ •► When r�nlacine an existing f��,ranc-e-, the undersigned hereby verifies that the venting has been examined and is free from n.ist, deterioration, obstructions, 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 termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's speciflcations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The eYist�ng �emh�,�t�nn air is sized and installed to meet the current codes and manufacturers specifications. When required to �►+�'all a n_w _emb �cfien air� it will be sized and installed to meet the current codes and manufacturet's specifications. 1Nhen inc_±allin� a new ventin9�yctem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is 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 ( ) Yes ( ) No ( ) Yes( ) No( ) Yes( ) No( ) Yes( )No( ) ! • • . / ' • ' . � • ' • 11 11 � � ' � . � • ' � • � 1 ' M � �1 • �11 . • � 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 � •► �- .•- HEATING CO: Signed By: Date : \/' � D � , � � � O � � Q. 3 0 N• � y � .� o N � � � �' o � � � 0 v � Q � 0 �' � �• a� Ot� n N � � o � � �' y � Q o fD � � -. � � � � 0 � � � � a O a � a � 0 C Uq � � � m m � � � � v m � a � � � m Z i/� � m n � O z � m rn � � V 0 0 \ S � D X � -� m r � � n 0 (N)'1 � �� o � d nCi � (D Q� c o N D `� .a �. � — c�' _ � CD 0 � 0 � O � D (D r � m � � m � � N OU � � � � tn O -� -� tn ._..� � �• � c�u N � (p� � a ,-�r p fl- (D � a� r« e� ��. \ N W �. fD � � _. � 4 � ��o� a Q �•oo� ��•°_' � � S N p� N j• O (D , � �y � � � � — > >' a �' o- a v, — �+ �. � c�. D� m �- •°_;; Q o m � � � � \ CD tl C) "� � A p O � c � � a� v � � m � y � � a -+ n nSi � r: o �-•� 3 ._,, ��,�o —�'.+ ,�rt.scu � m C� fD A `<o y O � �' �- m m Q y fD � _. � D `�o _ p� � °. � < fD � � N � c m � � o � D �� 'D y "� Qo �' a � � fAD � O .-r � O �� O N xi N --I � Z � D n v E� � W C � � m � -� � a m Z � m _ 'D v� N fD Z 0 m 0 � D -i' � 0 � a 0 � �� aa D � N� m N � � a�i D c � fA N fA f/1 "t o � -v �, °� � � `� � � �!? m m � � � � � � s � � ^ < � c� ��'�� o m ��-a m �"=c � � �O� c�i n � � n G � � W � O fp � C� � � ~' v v � W � _ v � � m � �G9 (y9 �69 <A �69 N � � � W cn o 0 0 0 o° °o °o o° o° °� c� � � � � � � 0 D r 'nW�Z m C � ° � O fD � �� 3 �� v��a�a11 1 � ��" � � '�y^♦ � � N 1`�. � W; _ �l O � � � � n c� m 1 o � O � � � t � � � m � �- cn m O fND � � � m 3 t � � � 2 C �o � `'� e n� �� a .�.. �� 3 D � � m N _-I D -i m 0 n O � -� � � � r� � m � � Z O � � W C I"" 0 Z c� c � m 0 O Z a -� m N C'i _ m v C r" m � O W n � 0 � •-• -TI O� (7 V � W � W � � cn `-� c � � nyi��•„ w Z m � � �� W<� N cu Z z� m� m C� � � Z � < � a � 'C z � r �� O ci z m� a� �� O � Z� Z� v� aa � C� -Z-1 ON vZ �v o= Zm � � z � � � n m 0 N O aZ � v< v "' Z <� ei � N O Z m m � < m O � � � � C N `C � N O O N THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED (`pl�nh�Of` t�1�T, �/EI`T Cnl�l`EGT(]R AI`D G011�gllSTl(]I� AIR VF_RIFIGATI�N When �,h�. acin_o an�xiyting f i� ranr_g, the undersigned hereby verifies that the venting has been examined and is free from n�st, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plasticlPVC and meets all current codes and manufacturer specifications including s'izing, length, number of elbows and termination. 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 Fumace Venting Tables for fan assisted and natural draft appliances. ThE pxictin� remb ��on air is sized and installed to meet the current codes and manufacturers specifications. When requil'ed to ��all a n_w .emb �ction air� it will be sized and installed to meet the current codes and manufacturer's specifications. When inc alli a n_w �� _n in�i�ctem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's speaflcations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is 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 ( ) Yes ( ) No ( ) Yes( ) No( ) Yes( ) No( ) Yes( )No( ) �.. ,� - .- .�. - .��.� -. .�. -� .��-«. . ..��.�.� Appliance #1 Type BTU Input Fan Assisted or Nat Appfiance #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 Appliance #2 Vent Connector Height ft Appliance #3 Vent Connector Height ft P . i _� Length ft Length ft Length ft Diameter in Diameter in Diameter in Type Type Type HEATING CO: Signed By: Date : _ _ CI"IYOF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 September 9, 2002 Steven & Karen Hawk 5924 Benjamin St NE Fridley, MN 55432 Re: Final Inspection at 5924 Benjamin Street NE, Fridley Dear Steven & Karen Hawk: A final inspection was conducted on September 6, 2002 for the completion of the dwelling at the above address. The following .items were noted which must be completed before the structure can be finaled out: 1. Provide sod in the front and side yards by October 1, 2002. 2. Provide a hard surtace driveway by October 1, 2002. The structure is approved for occupancy. If you have any questions conceming this matter, please feel free to contact me at 763-572-3603. � DAVE��NSEN Buildi Inspector DJ/mh SEP-10-2002 09�01 FROM CITY OF FRIDLEY TO O y N � � � G � � c m N W m U d � i-r �� -1 � vi �� nt o: � .,.,,, o� c,, m W o° �� .� G 77 � m m�� s�'� O�'I �- q � cD � p � �� 2 2 � � � � � � rn �i. 2 � � o�i � � '� _" mR � m � � � � o0°i � �� t� 1 Z � � � C � �1 � � � � _. Gl y m � �9 Z � � � � f� V�! � '�C � � �v' bj � 0 'A � 4; - � _ � xi o 7p � t> >� x D � n � � tn p m 3 6 `D �D � � � � m m > � �- �a � .. � � � fn ..� � c Q --� � � � t�b v � � $° � v � � `r � � „ m o u r C � � � � � C � m � � c rn � I I I I I l I I I I I I I`�`/ � � � tfl �a v� en �► \ � � m c� � O z �, � g/�` o v � D � ao m � 3 ,o „ cn °' � � z •D N3 � � m 2 3 a I � m _ �' � O � z m 2 � Z 1'I � Z � n � CA m � 0 � � 7 d � T 5 ot v N \� v • �� ..� �_. � v° � tfl u► � t�A t� t� v► tn o a o � o;�1 �I �i �I Cn ;A ;.� m °o °o o°o o°o a o° °o o° o° °o °o � � Q a � � r � � �m a�o � � a � � � � a y O y � �S y � 2 -G � `r m � � � � m 0 0 � � � � � `�' O.r V W O � m � i 4 O I� � ,d�� i a r� m 3 2 �; � � �O m u� � � ��. � r � �' �. ► � � � c o � � -:°-aa � c° °' `` ;•v� d �. o � I' N� � N i' o _ � i > > v ' w'^� � � r�' A. I �- .� .Q%+ � � R1 O I � � � 1 �, � � i � � � � ^ � H �• 3 � � � s � � i M � S i = n � i � �+ Q � �n � S � y l� � 7 `o 00 n 0 v � � � � 7B44B44 P.03iO4 rn� An W �'�� m y '� �`;O iu�q�.� :Ii ` A T asv,� � ��,�0 N,D� m m� m � O i %� Z ,: isg O � � � � 0 � rn N � 0 W m a � � m v Z a C7 T � r O � � m < � � ` � 7 O N SEP-10-2002 09�02 FROM CITY OF FRIDLEY TO 7844B44 P.04iO4 THE BELOW MUST BE FILLED IN WI�IEN REI�LACING FUEL BURNING APPI.IANCES OR THE APpLJCATION WILL BE RENRNED C�MMOl1L\�NT,y,VENT C�N�CTAR AIUD _�MRl1_ST1C)N AIR VERFIC_Q�jQN When �placia,aaaexistiup.fi�ou�, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioratian, obstructions, and is securely supported and fir�estopped where required. Yes ( i No () ihe veMing system is plas6c/PVC and meets all current codes and manufacturer sp�ifications inGudirtg sizfig, length, number of elbows and termination. Yes (► No ( � The undersigned also verifies that the replacement unit is a listed assembly ar�d meets the current codes and manufactunars speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assist�ed and natura) draft appliances. The �tjStitip.�OmhuSti�l1� is sized and installed to meet the current codes and manufacturer's specifications. When required to ��au a npw �em�-�o.ai�it will be siced and installed to meei the cument codes and manuia�tur�e�'s specifications. Yes()No() Yes ( ) No ( ) Yes ( ) No ( ) `�p� �p�p,' a nR+±�! ventinA�*ystprn� the undersigned hereby verifies that it is � listed assembly and meets the aarret�t oodes and manufacturer's specifications. This daes in�lude AGA-GAMA Category I Centrat Fumace Venting Tables for fan assisted and na�ural draft appliances. Yes () No () Is the common vent and vent connectors si�ed and instaUed correctly atter �n appliance has b�en removed from the commo� vent and vented separately as per cument codes. Yes () No ()� ;�� .�.,� �.,� .�� .�� -� .�. •� .�� r. . ..��.�.� AppGance #1 Type 6TU Input �an Assisted or Nat_„_.,_ Applianoe #2 Type BTU Input,_, Fan Assisted or Nat Appliance �/3 7ype BTU Input Fan Assisted or Nat � Total Appliances Total Btu Input Common VentType� Venc He(ght Diameter inches Appliance #1 Vent Connector Height �, ft Length �. ft Diameter in Type Appliance #2 Vent Conne�tor Height ft � Length ft Diameter in Type � qppGance #R3 Vent Conneclor Height _�ft Length T ft Diameter in 7ype M � : � r•� .:- �Ta HEATING CO: Signed By: Date : TOTAL P.04 SuBJECi City of Fridley AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T r � � � � �: - COMMUNITY DEVELOPMENT DIV. r � � PROTEC7IVE INSPECTION SEC. 1 , l-�--� ��'�' �•� CITY NALL FRIOLE� 55132 NUMBEN REV L 763-571-3450 s� a F� s 10B ADDRESS 5924 Benja.min Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oescR. 2 1 Varichak Addition 2 PROPERTY OWNEFi MAIL ADDRESS Steven Hank 5924 Benjamin Street NE 3 CONTRACTOF MAIL ADDRESS Steven Hank Same a ARCNiTECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAIL ADDFiESS 8 USE OF BUILDING Residential 7 CIASS OF WORK � NEW �7 ADDITION � ALTERATION 8 DESCRIBE WORK Con.struct a 16' x 16' Deck 9 CHANC3E OF USE FROM Tp STIPULATIONS See notations on plan. , SEPARATE PER��TS REQUIRED FOR: �LUM�Il�G� AND SNG�� 10/7/02 21P 2IP PAGE Oi / / 331�0 � REC IPT NO. �� APPqOVED BY SEE ATTACMED SHEET PNONE 763-574-1658 PHONE LICENSE NO PHONE LICENSE NO. PHONE LICENSE NO O REPAIR O MOVE O REMOVE � > ;,�-; � �� ,�' ��for� �iggin� ��A oc�� ia uto�'�y co�� 4�00�' �1�� °��£ ,�� ; �� SEPARATE PERMITS ARE REOUIpED FOR ELECTAICAL, PLUMBING, HEATING, TYPE OF CONST VENTILATING Ofi AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORI2ED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY 71ME AF7EF WORK IS COMMENCED. NO DWLG. UN I MEREBV CERTIFV THA7 I HAVE READ ANO EXAMINEO THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION WIJ H WpHETMER SPECIFIED EREIN'OR NOTOTHE GRANTING OF AO ERMR �2�944 OOES NOT PRESUME 70 GIVE AUTMOR�7Y TO VIOLATE OR CANCEL THE pERMiTfEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STqUCT10N OR TME PERFOFMANCE OF CONSTRUCTION �83.25 $�GN4 Ri AGENT iDATE� � � � GROUP SO.FT ICU FT. OFFSTREET PARKING STA�LS GAfiAGES SUqTAX $1.47 SAC CHARGE Fire SC $2.94 TOTA�FEE $ .66 ALIDATED HIS IS VpUR PEAMIT LOAD NEyy [� CITY OF FRIDLEY Effective 1!1l2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572�3604 Bldg Insp ALTER [ J SINGLE Fd�t�11LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPUCATION Cohstruction Address: �Q � ��"�-�'•�i�� i � �- Legal Description: � Owner Name 8 Address: Contractor. Tel. #�%� � 7�, �,�'°r� MN LICENSE # Address: Tel. # Attach to this application, a Ce�tificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length 1 Width e HgUGround �_ Sq. Ft 7 OTHER: Construction Type: Estimated Cost: $ � � � Driveway Curb Cut Width Needed: Ft + 6 F- t x$ _$ DATE: ° �d � APPUCAN • Tel. # %C��.�%�� Call (763) 572�604 for PeRnit Fees if mailing in appllcation or Fax to 763-571-1287 if using credit card and we wili cali you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ �3e�� $ $__ 1 _; �O i � $ $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 per SAC Unit $5.00 (�tate Licensed Residentiai Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ p l� _ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or. structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $SO,OQ 1 to $100,000 $100,001 to $SOO,Q00 $500,�1 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional$1,�0 or fraction thereof, to and including $50,(}00 $643.75 for first $50,000 plus $7.� for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,�0 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv ,, ,, ;:. - - I�, � ,{ �� ,, f� s ,� �a.__.--, .�,. ..� ....�.. <<< . t_Q u - .. � _ �,� 2 • 2u � c� 't"c��4—r�+�` c �►\ � � � � �� i � s~_ °�'', � �-► o k c.r, r� - � ��` t�`� � �' �. � � . `_._ .___ w-_ ._V�___ �- ___.� � � �= � �� : � � � , �� rn` � " � � � � �� a_, _ ��'=o,,.. � � � 1 s . � _ i� . � �� ► - � � � �: �. �� ,� �, . �.� ��. � • �. �� q . � �� '� �� '� O �U �\ � � � N 6� M� � - � _ +� t i� � �� w � � ��'l� � � N"� � � � �� _ � �;, . _�� . _ _�� C� � � � � ��, � � � � � � � � � � �� . � � � � � � - . � � O -� � � r v j '� E i � i i Q ,� � � � ;� fi ' ¢ '' � � ; � � � � � iI � f "F � :� � ;� � r '; `��+i � - .�� t ;� � f i '1 ,' ;� `� �� i � �6 � � �� {; � �� a� I� � • . s CERTIFICATE OF SURti�EY F0�2� STEVE I-�ANK 1 sss�sz'�o°B o oR, » fss_an .- 56 t(') ,5 (�---- �� x 98R� �a Q I J �� EX. 4' WOOD FENCE z (OVER 2.4') k a � O Z Q � " 15 984.29 I � —,�------ Z � � � � U Z I � O O N � Z , 2� � � �Z� �- rn '� = U a � I � O � ? l� I 9�� 25.33 � � a 9BJ IJ \ �� 6 � _ x _ _ �y i�= `--� -� e6� 919��Y- � W � 980 q9 C� EX. 6' � � S88'J2' 10"B' WOOD FENCE �J EX. HOUSE �� q19 y� � 1 10 � I� � i Ii 9�39 � � 1 I I , ___i g1�'� � 9.�� i-'- I -- � 10 976 �f8 � N --�— -' 31.31 � � � 97� 11 x 979.I? <o � � � �� I ._= � _. . = =. � 97J.70 � � 971.QB � BL�p6�fG g.EVAT10� 4/3/02 Top of wall = 981.1 (12—Course) Garage floor (Top Block)= 977.7 NOTES= �� An�t Top of wall = 980.6 (12—Course) • Denotes monument found Garage floor = 978.0 � 990.0 Denotes= proposed elevation Basement floor = 972.4 per grading plan. House Type = 4—Level Split—Entry Builder to verify service locotion Drop Garage Floor 3—Courses or 2.1 Ft. (before construction) �ESCI�IPTIONI Lot 2. Block 1. VARICHAK ADDITION. Moka County. Mtnnesota. LD'T' ,QQFQt 10.034 Sq. Ft. (Lot Coveroge (House only)= 2,477 Sq.Ft. or 24.6% ) ADDRESSr BENJAMIN STREET ML�TRO LAND SURVEYING dt ENC�IIVEERIl�TG 412 FASf COUN[Y ROAD D LT1T1.E G�NADA, �OR'A SSll7 �lg. (Q� 71S6-q12 FA7C 7I56�Og2 FMAIIJ survey�metrols.com .1ob No. 467.002 Scal� r-3o' Drawn by �► Diec No. Foundotion I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly licensed d surv yor under, the�aws o,f the state of Minnes� Date �s ay f r`� � 2002. B y. Ronald P. Alwin, Land Surveyor CERTIFIC�TE OF SUR.��EY FO�� STEVE �-IANK EX. 4' W000 (OVER 2.4') 984.� 979.55 Z15 w � N Q W 1-}- �� 0 z ¢ w � a z a � 0 15 1 ses�sz'to°� a B�.�z �ss.so � � r x 98!l.BS � g0�� — — — � ^ 4 � 'n O �„ I � � UZ I � � II O � � Z � n�L � o� z� � G � � x c� o � �o � ? � I �� zs.3s � 9831J ; � gA N— x — — � -}� -----o�f � �� q9 � EX. 6' � • S88'S2' 10 "B WO00 FENCE � EX. HOUSE � N y1°�� g19 � � 1 Q � I� i i Ii 9,�:� � � i I —i9�ee� I 9.09� � �— I 10 �(� L�� 976.48 �972.?Y � � � � � 97611 x 979.12 �o Q �N �y i�" I r/1 � � � gU�py�lG g.EVAT10� 4/3/02 Top of wall = 981.1 (12—Course) Garage floor (Top Block)= 977.7 PROPOSID �.ItiDGVG B�VATiON� NOTES' Top of wall = 980.6 (12—Course) • Denotes monument found Garage floor = 978.0 990.0 Denotes proposed elevation Basement floor = 972.4 per grading plan. House Type = 4—Level Split—Entry Builder to verify service location Drop Garage Floor 3—Courses or 2.1 Ft. (before construction) DESCRIPTION� Lot 2, Block 1. VARICHAK ADDI110N. Anoka County. Minnesota. LQT QQEQj 10.034 Sq. Ft. (Lot Coverage (House only)= 2,477 Sq.Ft. or 24.6% ) ADDRESS� BENJAMIN STREET METRO IAND SURVEYING dt ENGIIJEERINt� 412 FAST �ilN1Y ROAD D IdI'ITE Gi�iAD�°►, MQVIVLSOR'A SSll7 1Fl. (65p 7�6-q12 BAX 7i66-Og2 F1NAII� surveygmetrols.com .1ob No. 467.002 scale= r 30• Drawn b� -�► Diec No. Foundotion I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and thot I om a duly licensed d surv yor under, the aws p,f the state of Minnes� Date is oy f�/^� � 2002. B y: Ronald P. Alwin, Land Surveyor Minnesota License No. 17765