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AF - 36443� �, `� .3� City of Fridley, Minn. N° 913 9 BUILDING PERMIT • Date: ._...........�Februar.y_.�3�_.�6.7.._._..._._._......__......_._._ \ J • Owner: .--.-----Richard Yorston _...._......._...__.._.._..._._......._ Builder _.._...._RodneY.._Billman,.__Inc.,...---....._._._ .............___. Address------••---•--•---...---._..__....--••---._._._._--------•--•--------.----------._..._......._.._ Address _..__...�.QQD_...-....3.6.th...A'tzen�.�,e...14..E.._...._-••••--__._. Minneapolis, Minnesota LOCATION OF BUILDING No. -------1533------..... Street .....----Berne---Road............__...._...___-------•---------------•.--.---... Part of Lot ..------....._...._..._.._.__.__._....---...._. _.._____ Lot ....._......2�_...........__ Block ....._......._.�,...._....----•---.-••--.-----._. Addition or Sub-Division _..�A:4��1��,5:.��.d�.�.2..it�.___.__.._._._ Corner Lot ---------�...._.._.... Inside Lot ---.---•---- .....................•----- Setback -----35.. yard ._.....1Q..._.&..35�.._......_.._._.._._..._.._ �---�-�------�---....... Side � Sewer Elevataan t.QF.._.O.f..---£�20Z.7.11 �1......_�9.Q..2.Q.._ Foundation Elevation ..-----....._..._.......--•---•-_--..�_.______.._.__._.._._ g.._ _ Sew = 79' No. of M.H,; Wat = 912" No. of M.H.; M.H. at intersection of Berne Ro� Services came out of Berne Circle West) and Berne Circle West DESCRIPTION OF BUILDING To be Used as: 2,435 P_Wel.�in_g,._.._...------.._.._ Front __99.'_..._. Depth _.--34-�----_. Height ...20..'...._.. Sq. F't. ....Y.s.�� Cu. FL _.4.8,7..OD Garag.e........_..._.-•-----_..__. Front --26-�-�-----. Depth .....26-�•----- Height --•--10-�----- Sq. Ft. ------•--.�.7.� Cu. Fk gor� =""37, 200 Type of Construction •-----.....F�zbt�...---....._.---_._..---.. Est. Cost ..._�35..,.UQQ...Q4--.--_---•-- To be Completed ........T.un.e._.Li.....136.�. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set fo and in compliance with all provisions of ordinances of the city of Fridley. �� n Q�� /1- !1!'t?.tJ In ca�sideration of the payment of a fee of $...5$...44.....__...._., permit is hereby granted to...�S2.d]At.�y B�,j lm�,, Inc . Plus $100.00 Sewer Charge ._.._.._,......._.._.._..__-----•-..--___..._....__... to construcf the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinancea of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinances. _N �1�CE BELISLE _M Buiiding� Inspector . NOTICE: Yhis psrmM doa not eov�e tlu eonstruetion, inshllaHon fo� wirinp, plumbing, su h•atieo, s�w�r or wN�r. 6� wn to »� tho Building Intp�eM� for s�pa�aN p�rmiTS for fh� iNmt. / /�/' J ,/� y T�*y+y �..' �j •� / _s�i F�� 7„'"Y�3.�..., ."�.. ...�3" d1' . � � � 7 �' s APPi,ICATION FOR BUILDING PERMIT CITY OF FRID�LEY, MINNESOTA . �� OWNER'S NAME i BUILDER ' � ADDRESS ADDRESS�G�'-�� - ��o �� i�/L� i LOCATION OF BUILDING N0, I�� STREET �..e R N•Q ��, a� , PART OF LOT a� r LO� Z 7� BLOCK � ADDIIZON OR SUBDIVISION ��%�L�r'�l-��/G ��h CORNER LOT l.� INSIDE LQT SE�.'BACK .�� 5�DE-YARD / O �"�...5 SEWER ELEVATiON FOUNDATiON ELEVATIOft Applicant attach to this form Two Ce�tificates of Survey of Lot and proposed building location drawn on these Certificates. A DESCRIPTIQN OF BUILDIN� To be used as ; : � � �� f� Front Depth�Height f�i S � Sq. Ft . Z� �� Cu. Ft . �;(� __-�—Lr-'� ,�--. �-�- _ U ` � `� . Front � � Depth 1,�Height�_ �� — Sq• Ft• i, _''✓' �1 Cu...Ft. ��L�� S 7� -2 /n Type of Construction -�/�,�'�/,,�1'�'C/�" Estimated Co To be completed � � �� :� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do ail work in:strict accordance with the City of Fridley -0rdinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations etated in this,application are true and correct. � � �� , DATE �--- - -� � SIGNATURE �-� (Schedule of Fee Costs can be found n th everss Side). �S �� r� �., . . , h f 4. � � , ,d� ( � � � � �' � ' � �� } . _ . « , � � . . BUZLDING PERMIT FEE SCHEDULB SECTION 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition Co any existing building or structure, or'for any alterations or repairs to any existing building or structure, upon applicati:on therefore, require the payment by the applicant for such permit•of fees to the amount herein bel,ow set forth and in the manner hexein provided to-wit; 2.1. For any such permit for the erection of any fire-proof building, other than a garage, warehouse, factory o� grain elevator, or for the erection of any fire-proof addition, for si�iilar occupancy, to any esisting building, stiall be at the raCe of $1.40 for �sch��one thowsand cubic feet, or fraction thereof, in such cubical contents. �� 2.2 For any such permit for the erection of $ny fire-proof garage, warehouse, factory or grain elevator, or for the erection af any fire�proof addition, for similar:occupancy, to any existing building shall be at the raCe of $1.25 for each one thousaud cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code, � flOIISES 2.3. For any sueh permit for the erection of any non-fireproof building, other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for similar occu�iancy, to any existing building � permit $1.00 for each one thousand cubic feet. GARAGES 2,4. For any such permit for the erection of any non-fireproof garage, warehouse, factary or gxain elevator, ox for the erection of any nou-fire-proof additioa, for similar occupancy, to any existing buiidisg or,for�each such building or addition - ninety cents ($0.90) for each one thous.and cubic feet or fraction thereof, iri the cubical contents thereof with the minimum of $4,00. For the purpose o.f computing fees for building permits, the cubical contents of any building or addition ta a nniform heighC throughout by multiplying Che ground area cover.ed fram a point six (6} inche"s below the £ioor line of the basement or cellar to the average hcfght of the upper sur£a:.e or to the average height of the roof surface of the main gable of a pitched roof. _ 2.5. For repairs "or alterations to an_e�isti�g stru�t��re, the fee shall , be at the rate of $3.00 per each Five H+�ndred Dol3ars ($SUO.�i�) or fraGtion thereof in the cost of a11 proposed wo•rk. 2.6. In no case shall`the fee charged tor any perinit as set forth in Section 2 be less than $4,00. STORM REPAIR DAMAGE '^�FS: � ResidenCial; �stimated�Cost of work.up to $500.00 - $5.00 Esti�ated Cost of�work over $5��.0� - �iU.00 Comdnercial; Estim_a.ted C,�t of work .�p to,$5��.00 -$10.� � , Estimated � of work over $SGQ�.00 - $20. } � , . City of Fridley Application for P'�umbing nnd Gas Fitfiing Permit � Dept. of Bldqa. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Loeatian of Fixiures Location / � � � "'" �� ' ��' ^� �" f �' r'` �l � �� _� Z � I y Z Z 3� � �F� � � 3� o � Base � lst � 2nd 3rd � � K Q�' Z = N W Y+ ? 3 O� F' � O 7 <� 7< 7 a N LLa sm <3 �� o z WATER HTR. � � F N GAS ELEC. 4th _ �� I 1 i_L�_L_—. L—Conne � ith�--�-- I I � ' F'utuze ConnectioA Openiags I Sewer � * New i�xtuse, Old Openiags � � Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. R�►'1'E TOTAj� � Number Fixtures . . . . . . . � � �\ � . . . . . x $�r6�- $ � _-.�_ �� ° ��° Future Fixture Opening .:.:-:........... x . �� New Fixture Old Opening . . . . . : . . . . . . . . x -i.06'c $ Catch Basin ...... ................. Water Heater (Up to 200,000 BTfJ) . . . . . . ' N w Ground Run Old Bidg. . . . . . . . . . . . . )J1 �/ �.�'t�'f'��'c t C l�i0e� [! � iVkd�2- CTAS FITTING FEE3: � NO. ist 3 Fixtures ......................... x 3.25 $ � Q X � ��- x 3.25 $ � .B-�1 RATE TOTAL X �� $� Additional Fixtuxes . .... ..... .......... x �.��.it} $ S dc� Gas Range to 200,000 B1'CT. . . . . . . . , . . . . . x --2.�69 � ' REg1►IRS 8c ALTERATIONS--Refer #o Code City of Fridley: The undersigned hereby makes application for a permit for the work herei. specified, agreeing to do ail work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn. /'�i�la i L .2 � , 19� Owner --�'�J-- 'c'c�'...a-�.c-� �a-r,� Kind.of Buiiding �'-'```�''�- ��`'"` �a' Used as �� _ - To be completed about �� ' � g� � � o Estimated Cost, $ � � d � � � ` , Old— ew. uilding Permit No. �� °' � Permit No. ��JV—` , ' � 5igne . %� � �o-.�. ./� !-� � . gy "� . �;c� �,-.�.��..�.� Business Phone No. � 9` 7 3�� ROUGfi y' 2 � � � / FINAL Description ..............:.................................$ TOTAE. F'EE $�� a z Application for Power PIaM�s and Heating, Cooling, Yentilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GAAVITY WARM AIR: Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . Replacement o4 Furnace ............................. Repairs & Alterations—up ta $500.00 . . . . . . . . . . . . . . . . . . Repairs dc Alterations each add. �500.00 . . . . . . . . . . . . . . . RATE TOTAL 8.00 � 5.00 $ 5.00 $ 2.50 $ MECH. WARM AIR � � � Furnace Shell & Duct Work to 120,000 BTLT . . . . . . . . . . . . 8.00 $� " each add. 60,000 BTIJ . .. . . . . . 2.00 � r............... . RePlacement of Furnace ............................. 5.00 $ ! Repairs ac Alt,erations--up to $50U.00 . . . . . . . . . . . . . . . . . 5.00 $ Repairs dz Alterations each add. $500.00 . . . . . . . . . . . . . . 2.50 $ STE�G[ K l�A3' RA?EA SY� PY�rn�ce Sheli & Ianes--to 400 sq. i� EDR Steam ...... � Furnace Shell & Line—to 640 sq. ft. EDR Fiot Water ... Each add. 20d sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 8.00 $ 8.00 $ 2.50 $ 2.50 $ , OIL BURNER—to 3 gal. per hour . . , . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule � GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $�� GA$ FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x$1.50 $ i_�— Additional Fixtures ................. x .50 $ Gas Range to 2Q0,000 BTU . . . : . . . . . . . x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATION$ & REPAIRS ROUGH FINAL �I See Fee Schedule Dept. of Bldga. Phone SU 4-7470 �� G' ' / City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. /j � Fridley, Minn. ^� — � � , 19 �� Owner � Kind of Buii ng Used as To be completed airout �' / Estimated Cost, $ �� ' ew. uilding Permit No. �..�3 (� Permit No. ��1 DESCRIPTION OF WORK HEATING , , Warm Air—No.� Trade Name „��r.e.� Size No V.'/6 Capacity Sq. F� E.D.R./��, coG� g� _ g,p, Total Connected Load�?� �� + Kind oi �e BURNER — Trade Name �/ � Size No. Capacity Sq. Ft. E.D.tY ' TU g,p, C� - /�� O TOTAL FEE $� � � �,OC'- �S� -3 y �.-�, ��.� C�v ��` r �az 2M � .. � .,_ ,.. � . .. . • t � ,,,l�fp„�._._�: .:_-.. .:r:>, (REMARKS—OVER) � k�,, 5 - � � p j � � ��G� � '�l'"" ° . , , a � �� HEAT LOSS CALCULA7IONS DEPAR��ENT OP INSPECTIONS Weatherstrips A.S.H.V.E, Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes—No Yes—No 19_ Fl.� �1�, �. Room � Length � Width Height 8 � Fl.� -"�Q�( Room � 1 Windows and Doors—Gackage and Area Windows a Doora—Cr Nfdth Helght No. of Lineal [t. Area � - Width Helght No� No. ot oane o[ Dane lighta . ot crack eq. ft. No. o[ eane ot Dane Ui: Coef. Btu Infiltration Glass � Exp. wall p Net exp. wall ZL Int. wall Ceiling Floo '�' Total Btu.. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.� � i oom ( Length Width Height Windows and Doors—Crackage and Area � Wldth Aeight No. ot Lineal ft. Area No. o[ cane ot pane llahte of crack eq. tt. Coef.1 Btu In6ltration � `Z, � , Glasa Exp. wall Net exp. wall Int. wall Ceiling Floo Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. � f Room � Length Width Windows and Doors—Crackage and Area Width Helght No. ot Ltneal ft. Area � No. ot Dane ot Dane I�Bhte ot crack ep. It. lnfiltration � � Glass � Exp. wall � Net exp. wall Int. wall Ceiling Floor �' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area Infiltration Glaaa Exp. wall � Net exp. wall Int. wall MINNEAPOLIS. MiNN. Inaulation How Width t d Area �eai cc. wre. crack w. tt. Coef.l Btu Ceiling Floo g< Total Btu. 62.� Required aq. ft. E.D.R. or aq. ina. W.A. L.eader area 1 � i,} Room I 1.ength Width Height Windows and Doora—Crackagt and Area W►dth Helght No. ot Ltneal ft. Area No. ot Dane of pane 11tht� o[ crack sQ. tt. In5ltration Glaaa Exp. wall � ; Net exp. wall Int. wall Ceiling Floor T tal Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area Fl.� � Room I L.ength z Width' d Windowa an Doora—Crackage and Area Width Helsht No. ot Llneal [t. Area No. ot pane ot pane lishts ot crack �Q. tt. Btu �� In6ltration O 0 Q Glaas Exp. wall Z' � Net exp. wall Int. wall Ceilin �_ Floor � q .i(� Total Btu. ft. E.D.R. or sq. ins. W.A. L.eader area Btu 0 1 s = v ` J • HEAT LOSS CALCULATIONS DEPARTMENT OF IN6PECTIONS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Conatruction No. Insulation Guide Windows I Doors Reference Out. Wa{1 Int. Wal1 Ceiling Roof Floor Kind How ' Yes-No Yes—No 19_ Ft. �� Room � Length Width Height Fl. oom Length �,p Width Win ows and Doors—Crackage and Area Windows and Doors—Crackage and Area tVidth Height No. ot Llneal ft. Area Wldth HefBht No. ot Lineal it. ATaa No. ot pane ot pane lighta . ot crack sa. ft No. of pans ot DAne IIS6b of crack �Q. tt. Infiltration Glass ( (� Exp. wall � Net exp. wall � Int. wall Ceiling Floar To 1 Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area F7. Room � Length Width �� Windows and Doors—Crackage and Area � Width Helght No. ot Lineal ft. Are4 No. ot Dane o[ Dane IlBhte ot crack eq. ft. . Infiltration Glasa Exp. wall '� Net exp. wall Int. wall Ceiling •..� Floor Total Btu. B�U � ln&itration �_ Glaaa Exp. wall � 2 't1 Net exp. wall Int, wall Ceiling �� ,��diC3 Floor q-� Total tu. Coef.� Btu � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area , FI. ,�ti,�+ Room � Length e\ Width c Windows and Doors-Crackage and Area Wldth Hefght No. of Llneal ft. Area �� No. ot Dane � o[ pane Ifghts ot crack eq. tt. � Infiltration Glass Exp. wall Net exp. wall Int. wall _-�� . . � . :c �i ��+ tl:�7 � Btu I Required aq. ft. E.D.R. or aq. ina. W.A. Leader area FI.I _ Room I Length Width Windows and Doora--Crackage and Area Wldth Hel�ht No. ot L1nea1 ft. Area No. ot yane ot Dans U�hts o[ crack w. tt. BtU i. �I�n G��7 In&Itration Glasa Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or sq. ina. W.A. Leader area Fl.� Room 1 l.ength Width Height Windows and Doors—Crac�age and Area � Width Helsht No. ot Ltnerl [t. Area � No. ot cane ot cane lishb ot crack �a. tt. Coef. Btu In6ltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area �/ 2� Application �or Power Piants and Heating. Cooling, Yentilation. Refrigercrtion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: g�►� Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 Replacement of Furnace . . . . . . . . . . . ... . . .. . . . . ... . . . . 6.00 Repairs & Alterations—up to $50Q.00 . . . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations each add. $500.00 ............... 3.00 MECH. WARM AIA Furnace Shell & Duct Work to 120,Q00 BTIT . . . . . . . . . . . . $10.00 each add. 6U,000 BTU .................... ... 3.00 Replacement o£ Furnace ............................. 6.00 Repairs & Alterations—up to $506.00 . . . . . . . . . . . . . . . . . 6.00 Repairs & Alterations each add. $500.00 . . . . .. . . . . .. . . 3.00 TOTAL � � $ $ g 10� � $ $ 3TEAM oz HOT WA1'ER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDEt Steam ..... $10.00 $ F'urnace Shell & Lin�to 640 sq, ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 6.00 $ � over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . b.00 $ `� ' over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ............. .... x$ 2.00 $ Z~ Additional Fixtures . ............... x .75 $ Gas Range to 199,000 . . . . . . , x$ 5.00 $ AIA CONDITIONING '�'C"ON � 1 n w FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ; ALTERATION3 8c REPAIRS TOTAL FEE ��_ ROUGH FINAL � De t. of Bld . Phone 560-3450 � P 98 LoC8tion i � 33 � �-'=�a1'1.:i City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �idley, Minn. � " � , 19 � Owner � Kind of Building -�' �-d�ll�� - Used as �� Mcs _ To be completed about Estimated Cost, $ �� Q�n,` l �/ Old—New. Building Permit No. — 1 1`�� Permit No. �7'� �i °j DESCRIPTION OF WORK HEATING or POWEit PZ.ANTS�team, Hot Wa , Warm Air No. � _._.._.._,.._� Trade Name p�`ZArv� Size No. �E+t� �3�- 1N�V�� Capacity Sq. Ft. E.D.R. �3 BTU H,p, Total Connected Load '� �y � 6 O Kind of Fuel � A S BURNER — Trade Name �� Size No. Capacity Sq. Ft. E.D.R. BTU H.P. �.z 4 (REMARKS—OVER) Signe /J � O �vt� B- Business Phone No:�� °' 2�6� �`�e � f � �/- %�' / ! .�� .. t ��f, ,,�� -�'�� _�a�C4:�y�<<-z-- : � �� C�� . � /.S'�3:3 ✓�-�� -°,.�> ��•�c � �� G��u...v ..,t�z,�y ` �,/��°%'`�. ��^�_j ' � � 6A�A�� / � 0 %� ' �'�' �`�3 ir� � .r . __ � City of Fridley, Minn. BUILDING PERMIT Date: _..September 30_,_.19L___.__.__._.._�..__.,_____ �r .- , -'} s3s�? �4, __ 108 4� � Owner: Richard Yorston . Builder _.Poo1s�I_nc...._..........._._._.__ ............._.._.._..._....._�— Addx�ess ._1533....Berne_Road: __..__...._.._.._...._...-.-------._ Address _.229 .W. __60th_�,_._1`:I�?].�.........��412.._..___..� LOCATION OF BUILDING No. .._1533._..__._. Street ._..Berne_..RQaa_---__._._.__..__.___. .... Part of Lot ...___.____�-.---._�.._.._ Lot ....._....22_..._.__..._ Block _.____.1_._....__.._.._...._._._._._. Addition or Sub-Division .....In.n.s.br.u��5.�h_A�tli i nn� Corner Lot ---__ X._..._.._.._ Inside Lot ...••--••----..-----..._._.....----- Setback ---_......---..._.....__._.._ Sideyard .__._...________..._..._.._.. _._.._ Sewer Elevatiari ----_.._._._._-•-------_...._._..--•-------_......._..-----•------.__..._.._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Deep S7o7.i.mmiilg._P�.Q1.___ F'ront _..42�._..._. Depth 21 �------ �'i�gtpt ---8. �..9.��_ Sq. F't. .._.$La.O._ G1. Ft. _._..._._...._.. _._._.._.____._..._.._._...----..__ Front _�___......._ Depth _...__..._.__.._ Fieight ._.._.._._..____ Sq. Fk _.._._._.._. Gii. F'� _. Type of Construction ..... Concrete....._.._.__.. Est. Cost .._�Sa_000....---__......---•..... To be Completed _��l%ZQ.�.._..� In consideration of the issuance to me of a permit to construct the building described e, I agree to do the proposed work in accordance with the description above forth and in complia�e all provisions of ordix►attoes of the city of Fridley. �� Ea car�sideration of the payment of a fee of �3.Q...i?1L..._.._..._.._.., petmit is hereby granted to_.E�nl S_ Tnr _ to construct the building or addition as described above. This pern�it is granted upon the �express condition that the person to whom it is granted and his agents, employees and workmen, ia all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving oE bufldings ordinancese. aty lu�ts and this permit may be revoked at any time upoz� violation of any of th jrovisiana of said � ��8 � � ' NOTICE: '�his p�rmif do�s not eowr th� eonskuefion. fnstal�alion fer wiriny. plumbine, ��s h�aMng, twvK or waf�r. B� wn M tN , th� Buildiee Insp�ew� for s�paat� p�e�oHs for fh�a iNms. • • v r " � -. :, . _ � APLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY QF FRIDLEY, MINNESOTA OWNER' S NAME :,��G� L"Ld�-��-�. BUILDER :�� ADDRESS : ��J� ��z,e�` �La� ADDRESS : �' � � � /�% -s�//% NO : . /.�3. J� � S TREET • ,��i%1�N-e� ��7� LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT:� SETBACK: SIDEYARD: Applicant attach to this form Ztao Certificates of Survev of Lot and proposed building location drawn on these Certificates. �ESCRTPTION OF BUILDING To Be Used As: � Q �a' �' a� , �,' �'�9 „� �'zrnr�i� T� Front : Depth • Height • Square Feet; �'i�� Cubic Feet: Front; Depth• Height: '. Square Feet; Cubic Feet: � � � � T�pe of Construction:��ci �pjt�=2�� Estimated Cost: $�, t't%r� ��-�. [.��'� To Be Completed: /�.c�/ 70 • � The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ,�J' �-� �� UATE : � °� � �'�'" � ' � S IGNATIJRE : G�`"/� �/ � �� G'�� (See Reverse Side For Additional Infozmation.) �� :� r' '.,...�..��..' ,. �,, � :�� r" �,, ,� .. • • • ' ' j . .� ;;; . � �� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector oi Buildings shall, before issuing pennits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs 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 ma.nner herein pravided to-wit: UDTIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the averager height of the roof surface of the ma.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Pennits for construction will be issued a minimum of 24 hours from the ti.me of application, to allaw for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceedint� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. • � LI � • ` c. '�� Permit for UMBING AND GAS F tNG N.B. When work covered by tlus permit is ready, the Plumbing Ordinance requirea that request for - inspection ahall be phoned in to the plumbing Inspector, 560-3450 giving number of thia permit., yz��.nir i ivtr vr w vxsA Number, Sind and Location of Fixtures 6 �p tl/ Y = W WATER HTR. Stoiie$ I F� Z I � 1 z I Y��_} I Z Z I � I o z i U z� Z N I u � J I � I 4 J a Q 7 < Z a K LL O I � aLL' t¢ Q 0 N K 6 pa, Q< GAS I ELEC. .; U � m F- m N 3 I- ❑ LL N LL p U tl! K J i Y. (7 Q U' C Basement lst 2nd 3rd 4th *, �. t�� Qi�� Connected with Sewer-Ceaspool Gas Piping Permission is hereby granted � b� to do the plumbing and gas fitting in the building described ' the statement hereto atta ed, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in th.e plumbing or gas fitting of said 5uilding shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Finallnspection Date 7nspector. az iM-6-69-V F . � . N° 52�3 S3 6S�- iPermit F� � 7 5 d City of Fridley �,SL�'� R-��/� � 7 ,19� � � " � � ' a • � � i Location �S"33 ,L4� �Px/� /Qcs �4.!) Kind of Building n dA1 ►C Qf_i �. Used as SC.c1 � m/1� i/�J(o �a d L.. To be Completed /i%O ✓ , 19Z Estimated Cost $ 'S�G�.Od Ol ew. Building Permit Date � I� n ' , Inspector of Buildinga. sua�ECr P City of Fridley 16 0 5 AT THE TOP OF THE TWINS B U I L D i N G P E R � f ' ' R � ► • COMMUNITY DEVELOPMENT DIV. ' j L'_"_' , � �� r i � PROTECTIVE INSPECTION SEC. ` ► � � i_-_- �,��,,� CITY HALL FRIDIEY 55432 NurneEa REV. DATE � PAGE OP APPROVED BV Z � � 612-571-3450 910-F15 3/2/8.1 / � JOB ADORESS 1533 Berne Rd. 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. 22 SHEET 2 PROPERTY OWNER MAI� ADDRESS 21P PHONE Patricia K. Y rston 1533 Berne Rd. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Norman Larson 11 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP P O LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Resid nti 1 7 CLASS OF WORK C7 NEW i� ADDiTION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add ' ' 9 CHANGE pF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR A{R CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 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 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 �`L1 �OOO.00 �lO.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHO TY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVI S OF ANY OTHER STATE R LOCAL LAW REGULATING coN- $126.00 STR TI OR THE PERFORMAN CON UCTION. � , PLAN CHECK FEE TOTAL FEE . : �c. c..i.. - , ` ,� � � � ; .. / $31. 50 $168.00 SIGNATUREOFCONTR ORO THOR12EDAGENT IDATEI *.:��r +�' �-.� WHEN PROP RL� V, ATED HIS IS YOUR PERMIT / ��/.:�//{�) � � J�� `�� SiGNATUFEOFOWNERiIFOWNERBUILDERI IDATEI ��V " BLDG iNSP DaTE O1dtfCR: �'tQDP,ESS �re� n;o: G1TY tlf" {�RIUI_i Y • A('f'LI(:n�rl�`d F'(1(� i:i�Sll�E-i•(TIf;i_ C3UlL(lI!!G f'i ft�'�ITS . �.� ,, . . . _ . .iLio��s, or Rcpairsj , LUI LDL-'R : L� �i�L AUDRCSS: � � ; re�. ��o: ��/ � .� l � � , � �/ 'v� � ��_ Consi;�•uction Location � ' . sr.iu�� .:o: �� --��--� s2��x:T: �!��cJrf ,�� z.o��: __�� sLO�c : �_ ��nzTZO�1: r�-��`�'[�i1 �! =�C� � �� , Corner Lot: �� InsicTe Loi:: Setbacl:: _ Sideyards: � Ap�lican� attach to �.his fozm tcoo Cer�ificates of Survey of lo� and proposed building .locatiotz clr_a�an on certificates to scale. � �. DESCRIPTIOi� OF CO��aSTRUGTIOrd • - G��,�� I'ront: �+ I�pth: � Q IIeight: ��/ � '�" Squar.e Feet: �� Q.l�ic Feet: �tcN��1�C. � �'ront: . . Depth: Height: ..-�-�—° . Squar.e� T'eet: C11k�ic T'eet: - Type of Construction : Estimated Cos �: �� Ta Be Cbr,�pleted: l'��,%/�„e. . _ � Alt. A Att. B Pzoposed Driveeray S•i�dth Tf Ne�a Opening Is Des:ixed: $' $ . , S�� R�VERSE SIDr^, QF SFIEET �iie unc�ersicned hereby :Tic3};es appla.c�-;t:1CI1 for. a pernizt fcr the t:nr3: herein specified, i3C�I'C`_E�1I]C3 �o do ,all c�ork ir: strict accordar_ce U�3.th tt:e City of I'ridley prdinances and rtilings of i:he DeZ�zrtmeizt. of: J3u�.ldi_ngs, and h �by declares that � the i'acts and rapresen�.itiens stat�� ui this applic�:tion �rue and correct,./�Ji D.'�Tr: — �/ SIGNIITUF:�.:: �_�� St:ia�ulaLi�ns : �1 X �•� = 1'Z 6. 00 � P.�, 3� Sz� . "� t O. � t�_ ,� �, �j�gva . ' ' - 1iUI1_t)IhlG i�r�f<<�11� f=i:�� Ci((:r)Ul_f� `� . . , �;1.:�:'.t'�017 �2. 'J.'li� 7n•.c>>ccL•c�r. vf� 13u.i.].c?.i.i��rr, ::iiri)..1., bcf:c��:c� S.r,�ciai�ica ��c��niLs !'�r t:he crr.ct:�.on u1: t�ny l�u�.).�l.i.i�� c,z :�t.::UG1:11L'C� c��.- J:a�_ tiny acicli i:.i.�>ti !:o tiisy er.i_ct_�.tuJ l�t�ilclincJ c�z :>L•z-ucLur_e, . cir_ !'<>r ai-,y aJ.t:c•rr.tt.io�i or. r.cl,��.ir.:; i�.o •�Z�7y c::.i. :t:a.»�1 J)111.�.�1J1�� az s��:uct�irc, ua�c►il a}�>��l.i.cat.z.v» �thcl:�f.or:c, r.cc�!i.i.�:e th� ��ayrnci,t: }�y tl�c ar�p].i.��z��l: f.or. :;i�cii }�r�r.mS.L• of: tee., tc� Ll�c arnount- hez'u.i.ii beJ.c��•r sc:l: foy.-t)i �uicl �.i1 t:lic ��ai�r►c�: hcrci.r. �,�:ovzcic:cl Lo-t•::it: 1.1:1•� CC�i3�;�1'I:UC7'IUIJ: Sincrl.e 3.'��mi).y ]lotces and Gar.�zqes : ; 4. 00/J_, 000 cuba.c �eat:. . )?J,A:�2 C:IIi:CI;. 7.5 �,�cr.cciit: oL l�u�.l.iii.n�! 3:�cr.mii: Lee. . Ultl:��l.t•?nY llk:l'P.i:SS20I•;: (C�ncretc, �.11'f.}� �Lx'eeL� On1y) � ' ' AI.L-ern�-�i:e n; Itc:moval at�d rep].accmenL ot con�•rete cur.b and �— quLL-er only; 1)riviway �•Il(�t�l plus 6 L•eeL x�:�,�.75 111L�rnutc B: }2emoval and r.c��accment of concrete curb and . gutter and install a 3 iooL- wi.de aPpro�ch �aith �' ' . 6]3lC}1 CIL'j�L"Ilj i�rivcvray �aic:th �pZus G feet x$17,85 • � �DI i Iot��nt�. tr��=oR'��1l1TTOr Far the purl�se of co:n��st.i.ng �ees for_ buildir►g permits,. L•he cubical. contents of any bui.I.d.i.ng or. addition, is dei:er_:niticd by xnulLiplying ':he c3round area covered f-roal a p�5.nt s5_x (6) inches below the' floor J.ine of tlie basemeni: or th� cellar to t2�e ave�-�zge heights oi thc �upper surface or to the average height of the roof: surf:ace of tlie ;aain qabl.e of a,pitched rooi. �_ x'or. xeF�-cirs or alterations to an existing structure, tne fee shall be at the xate . o� $3.00 per. cacli iive 'nundred dollars �� ($500.00) or fracf:ion `.:i1�1C.0� a.n �he cost •- oi al� proposc.d wor.k. . " In •no case sha�.l f�h� _f�e charger fior any gennit �� set �orth i.n Sectian 2 be 1`ss �- than $7.50 plus $.�0 state swrcharge. � • � VERIFICl�TIO�! OF f=�...U;�(D/1�'IOtd ' NOTE: Permits for cansti-uction ��ill be issued a minimur,i ai' 2�I hours �rom ilie time �i application to al.].ow fox proper rc�ie�a of the proposed stxucture and oi the . construction site. A Certificate of 5uiveX of ihe lot, shoc,ring the location ot tiie foundation once it has been cons4ructed �.*i.11 be requircd be�ore pr.oceediitq �•rith the �raminq, �.�;T��=�c�TE �F ��cup�r�,cY ' T+rpxi.cation for a Certif�c�zte O� OCCL1��7J1Cj� shall. k�e mad:? ten (10) �3zys prior t:a the u�:e or. occu�atzcy oi an}� st�.-ucture for �al�icti a buil��i_sig pexr,ii� I:as been issut�ci; and s.�i.d stL�tct.ure : iiall iiot be used ar. occupied t:titi.l a CeT:i��.iicate o� Occui�:lncy h�s �3G•CIl JlSSl2CCi. 0 0 0 r � . �� .� _ � . + . ' � ' �� ! .• • � � � J � V Q 9 r � t^ �� V ' � � �� 1 (_ i � � � � � � •� \\ � � �� ) `� � �` � \♦ �. w `C \ � �� 1 � + � . � �� ; I ;c , � �, � � � � a � . x � r v � rL � ,iw V' ' �' ' �` ,� aa�s +�,�,►,»�,r r+<. as N c �.,,.� r .,�.:,,q �i ►AL k�'i. J� ��I✓�! Ltin�+S Sv rtymg . � �' { / • M�•+neapoliy� 5�.:,ii F.. t�nc� . . . � �� 3� e ��Jt��{�C ��,j p ��• Miti�. 55431 rr � Tvltrphpne 71i1-60A6 C.a�{ ! �-,��.��• �rr � . M�:�+i ul t�e�a ;arinr,� l.�Tl`.�-�IT]E�E°i`�i t�iL :711!"Vl..'1'<?Y�'�!i . Ar�es� Cede 612 , ��e>�t��.��€� �.r�:�.� :��.�r�a�� c�r ��.�.: _!_ ` - �" `�-:�_ _.� _ ,� ._ _ , , �_ , � ._ _ . � , , ,.. .. ; b,.� .. ;.:�; ,-. .. , � , �� _: , . . .. . � � 0 � C. "'� . S �,.._-=.r' -��---- 6 1 ._..,._...-----".� _._. --�''' —' ;� �v' ' ` � � � �,".m. .� / � �} \ lf � — �f'� '� r � .�A`� � �'� ,i"��' ''�y ". r, c ; � 1 . : J 'r`� � uy ` � ; ' � -, .. r • i „ � _ _ <_ �" n y! l.._ � � f � � �� 1 � ` � ~ � � f 'Y; f ��. ��4 � : t�.. � �"*4 1 i.rt ti__ ��/, ( �„ ,y�� P, '1�• ��x�7 � J4'#ti.c.,.,, ,�_�' � 11 � b J`' �.:� 1 4j� ` ip�` � �� ! �='t'or.� �t-arr,q � �rirk 9 � , � � � 1533 �� , �•� �,,, \ . �`�..�--t, � r�� j y jf� � Y ��.�" �'_ �� :� _ r :� • 1 ;�•Z C� f�` � :,- '2�,.7 r . � � �i'�� 1 ,, ., `'..�iCTi� � � �+�--` � ` , ,,.._.._ `\ti�..�...,�� \ .� �� . �F ��, � :�, _ z : t i •'�� _ �� ,.� � �� 13.r � '�,� � i V C��t�19.�� . � �\ �i _ � _ � � �� ,�.., �� .., � � _ `�.,.�� _ �.. � ? � _.. � � j � _ . � � � . . . . �{ � � �. 1_ _, i ' wj_ \_ � �.... �: � � + � ~ /` ''`. �: % 1,...� '4 [ y '.,..J �-..` 1 � . ` - � � � � 1i1 i � i �..� i �'� � , � �+ I �.�, �. �e ., rer:aa:, r.F n t,�.,..s ,:t �` . L..d::� . 5 r.� r��. ir.<,.. c�°>ovr �.W�tr;h.�� ort:l n! rt., . ,.,,, < . - , :. .. � - ,. . . r, ..t . ... � ... .,71 . .�t,; . .. . . . ,� .,, r :. , f, �.., r,. . >c•..t i.;:�,:!. T��:e >4�*ery te - . � . �. . . . � . �.� , , .. rr ... :j , . ,r,. .,., t � , 'y .. .r n:Y I�uU�l�lv �� .+�s�em.�.at .... ,. . ... �.�<. �f�.� >r . _. ...t .rr.r.�.4;.• jt;l.<,ri �.. ..;�t6`t Oi �l.l17 1}:Jlft,j<:tl�t i� {1 .. ._. , . . ... , ,. .. .. .. .' .��.�, .j-,7 r�r c.. r:_..�a%>�.��..,� �US hn�� or b�o��s�errY � . i , •{ . , r . . . `- ,t. 1 . .s�`� r? °�asf i �ae-a;.s i�ia�. i sue�ecT PERMIT NO. City of Fridley � 18231 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � ; L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. / g �' � � � , , � /"�1 � CITY HALL fRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED 8V �'"""�� '' 612-571-3450 910-F15 10/7/85 / / JOB ADORESS 1533 Berne Road N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 1 Innsbruck 5th Addition SHEET 2 PROPERTV OWNER MAI� AODRE5S ZIP PHONE Dick Yorstpn 1533 Berne Road N.E. 571-5797 3 CONTRACTOR MAIL ADDRESS 2�P PHONE UCENSE NO. Exterior Design Studio 2109 Grand Avenue, St. Paul 55105 690--1225 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residenti�l 7 CLASS OF WORK O NEW [� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a 3Q'.x 15' Deck Axea and � 14�' x 20" Screen Porch 9 CHANGE 4F USE FROM TO STIPULATtONS SFPAP,ATE PER��6TS ��RE� F�� t�"Jt?��.;�,, 6—��::� i l;�,�l�, �'$,;,,`f��:i�l;j y�'ir��a� �� 1�'A��m=V� ;� �s.` Be#o�e diggir�g c�;�� nul '?il�l';�'i: TELEPNO�;E - EL�CTi'� ; �� '�=,::, � . .. R��ati�� °� 4 ;�� . ;r� SEPARATE PERMITS AAE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTlLATING OR AIA CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK Of± CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTlON OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION �' STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A!L PROVISIONS OF LAWS yALUATION SUR7AX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`2[��OOO S12.00 WITH WHETHER SPECIFIED HEREIN ON NOT. 7HE GqANTING Of A PEFiMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE P OVI ONS OF ANY OTHER STATE OR I,OCAL LAW REGULATING coN- $164. SO None S7 TION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE � Jd - Z��'' $ 41.13 $217.b3 SIGNATUAE OF CONtan OR AUTHOfiIZEO A ErvT IDATE� ---; yyHEN PFOPER AUOAT D 7HIS IS YOUfi PERM17 . �O ✓i SiGNA7URE OF OWNER iIF OWNER BUILDEAI IDATE� BLOG WSP q7E NEMI [ ] ADDN. [ ] pLTER. C J Construction Addri �Legal Description City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/84 Owner �Iame & Address: ��—p�� J�'%sr ^ _ Tel. # .5�7/-.5�47 Contractor: ;�rf,�v�aY Cl�s►�, 5�� Tel. #��%f' 1� �.� Address Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCRIPTIO�i OF IMPROVEMENT LIVING AREA: Length �lidth Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. ' DECR AREA• Length �D Width �_ Hgt/Ground /�+•� Sq. Ft. OTHER : Su��n �Ovr�� f'`� ` ,� �2 G � Corner Lot [,Y� Inside Lot [ l Ft. Yd. Setbaek Side Yard Setback Type of Construction: �D�/'.� Estimated Cost: � �i`! C�d(� Approx. Completion Date: /1- 1 '�� Alt. A Alt B Proposed Driveuay Width If NeW Opening Is Desired: a � See Back Page for Explanation DATE: 9-��-85� APPLICANT: �.�� Tel. #_6 3l-�1��`� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�rer Main Charge TOTQL STIPiJLATIONS: CITY IISE ONLY s �.-J� � �I I� r3 s �a��v $ $ S � a . � Fee Schedule on Reverse Side 25x of Building Permit Fee �.50/�1,000 Valuation a425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 BQII,DING PERMIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erectio n 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 �he amount herein below set forth and in the manner herein provided to-Wit: _ Total oaluation ;1.00 to �500.00 �501.00 to a2,000.00 E2,001.00 to a25,000.00 �25,001.00 to �50,000.00 550,001.00 to �100,000.00 a100,001.00 and up Fees #10.00 (Minimum Fee is �15.00) � �10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof� to and including �2,�00. E32•50 for the first a2,000 plus a6.00 for each additional �1,000 or fraction thereof, to and including �25,000. �170.50 for the first �25,000 plus �4.50 for,each additional �1,000 or fraction thereof, to and including �50,000. �283.00 for the first �50,000 plus a3.00 for each additional �1,000 or fraction thereof, to and including �100,000. �u33.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEHAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times a13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach �aith 6 inch depth - DriveWay Width plus 6 feet times �15.75 VERIFICATION OF FOUNDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to allox 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 been constructed Will be required before proceeding With the framing. a��o� `� �Ut�' � �v . �� c� �G"" � � '� c� � c) U l��'�v i � � ; ; k �su. .., �.�.�. . �....a rt�.,....,� •��s N,yn.«y �w ��.. t . �i�liEE/��i/ . . � . luwd Sv1+� � S' f��1��1��f� •1 �� • M�ww��p�l�►� i • M�nn. SSt7i fOil� fa�� /% �rlt��ww• 7��-00�0 C.r�! lny�necr�wQ Ma�.�{.�,ellnq�me.�.M �:Il,�'.lt7P@TS dc �'.lLifVl3'l)T!! ♦•�oC�1e �1� Mortg��e Loan Survey for �-��.��=�i..�:*-%�.. F� . , _ _.�.��.�... � ` _-.� ". � � • 0 t� �`� ►� . � {�i \ ' • � • y `- � r � - r_ �- �. �. � . . �. . L ♦..y ! . . 1 • . _ • .. � . • • �, r � 4 0 1 ,`; , `- ��,,��' u� � � � -� � � � / n^1 �1 �' �� ,: i^-� j l � .�r � � l , �l � � � � �t • ( � ,J� ..t w �� n iY � +c. �\ � � i �� . , i �. � j�/ ".,.r� , � �� ; �wo ?, .`` 1�. •: f� 6�5� t 0 r =p ' �! � """'t'_TIi"' � r+�. .+ t' � � _�..� ! �`tor.j Fi a.r,� � L�icic r� � '�° '` i53� . / �S � . 1±.3 p� E � o _„ _ � \ ,- � � -�--;z.z. < '�\� ��:�%"� �`��_� � `� �l �rn-h� � �n � '�,� .4. , � . 2 ��...... 0 --�"+�� 6 Q' ''�T'�� Nc � 6 I 1 I � � � � � io.�! � t i� , � ., �v �6 f � 13.6 ; ?,� i 1�• �o4v. 8 t � C 1r'� G` 1"� 4....1�V 1 'Z2 ,i �` ' � {' �rt� � t� i��'� ;� U C►�. 5�'" .�--�..l�C� i�T' 1 C� 1.1 � i � � lfJ�'� —•=; � i•-- i T{� ; >• .. a erc�< r�..d t.i•re�• •�pr.�it��u��P• O� p w�.e� C� �fir Lnun.�ror,.-♦ CI �ti� tanA o�tOVe JrN�ib�A o�td o� H•�' •• .. � - w+ att �„ � . - ..�+�a�, .1 c•= t:,e.e�.,-, a..� u{! v..::le e•.••.�.�eh�n. n�� .t �...�� /...r.� ns J.• ao.A I.rna iM.1 s�I��Y r �� .w ,,., ,. ,t... .. �h o .s.a.t4�.x�$. !t�aw no.. .r..-.aj p;:..r.. :.. �:,, ,..��..; ty .. �:S wu I.u4.t��y �� .�•fv�n. d s r. �.,,, s.. - :. ,.s . e�..�?r+ t�'�u, �aww`��;oyr �.r.s..� a++•.r �n.r.e�r r.ta�a� aA n•,- .�..- .eo�e•� of •�r4 n:orlqc�p• 1� �s ...y r� ,.,�•• A. t+.+en l...• � i�:. eA.y j. p... p � �.� oi ei�n6�.sh.nry !Of h��s o� bornda.ry � ��, ,a„�,,. �,..� �.� _ �. �� a � ° :i > ,�y . •"`L1;. c '.�!�1 �>:C•;N: E «.'.!i.r� �l�C. � ;t, �r�, - - - s � "'""-,-� J ,� �. 1 . :�. � . . � F � _ CITYOF FRIDLE.Y /�=sr✓ � ` CIVIC CENTER • 6431 UN[VERSITY AVE. N.E, FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 11, 1992 Mr. Richa�l Yorsten 1533 Berne Road Fridley, N�I 55432 Re: Snowplaa Damage Dear Mr. Yorsten: In response to our telephone corrversation on May 8, 1992, I irrvestigated the snawplaa damage to your fence and yard that oacurred last winter. 'I'he fence that sustained damage is located within the boulevartl. It is the City's policy not to asstune responsibility for damage to anything a property awner may place in the boulevard area. Zhe City has repaired the lawn area with new top soil and seed. If the replanted area is not re-established in a few weeks, please call me at 572-3563. Siricerely; , C�.�.� � Paul Iawrence, Superinte.ndent of Public Works /Iw �/ cc: John F1ora, Director CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION F��R POWER PLANTS AND HE,4TING, COOLING, VENTILATION� 572-3604 REFRIGERATIO`� AND A{R CONDITIONING S'fSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Wo�k, Burner - so Rep acement Furnace Gas Piping (N6eded with new furnace) Gas Range Gas Dryer "Air Conditioning - A(I Sizes Rtite $ 20. �0 JOB ADDR The ;�ndersigned hereby makes applicatian for a permit for the work T'OTAL herein specified agreeing to do all work in strict accordance with the G� city c:odes and �uling of the Building Division, and hereby declares a� that all the facts and representations stated in this application are true and correct. //% � �199�. $ 10.00 $ � 10.00 $ a 10.00 � $ 10.00 $ All Others/Repairs & Alteration� (LIST ON BACK) 1 aYo of Value oi Appliance or Work CommerciaUlndustrial 19b of Value of Appliance or Work State Surchar�e TOTAL FEE BUILDING USED ESTIMATED COST � PERMIT NO. �% /� � DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units � Circle One (Steam) (Hot Water) (Warm Ai Trade Name �af�Gif`d l Size No. ' BTU f�S�� HP EDR � Fuel Gl�-S Total Connected Load S .50 Burner Trade Name Size No. „_ � BTU HP EDR a�� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONJAIR CONDITIONING PERMIT IS 15.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE a30.00 HEATING COMPANY, Signed By, - �. Approved By Tel No.�� Rough-In Date Final Date - I b-�,3 'Air Conditioners can not be placed in a side yard without written permission trom adjoining property owner. FILL OUT BACK SIDE FOR STHCK VERIFICATION ON REPLACEMENT FURNACE �-----. sue,recT � ERMIT NO:�� City of Fridley �T ' AT THE TOP OF THE TWINS � �J O� O O � BU ILDING PERMiT ' ' RECEIPT NO. � � • COMMUNITV DEVEIOPMENT OIV. � ��.------ � r � � PROTEC7IVE INSPECTION SEC. i . , `--.-�; �'�' �•� CITY HALL FRIOLEY 35132 NUMBEN nEV O�iE PAGE OF �vvnOVEO Br i 612-571-3450 9t0-F15 / � 11 12 9 �oe nooaess 1533 Berne Road NE t LEGAL lOT NO. 9lOCK TRACT OR ADDITION SEE ATTACHED oesca. 22 1 Innsbruck 5th Addition SHEET 2 PROPEfiTV OWNEF MAtI ADORESS 21P PMONE Dennis & Jud Mur h 574-2003 3 CON7RACTOR MAIL ADORESS Z�P P�ONE LfCENSE NO Goty Construction Inc 1001 6th St S Ho kins 55343 933-3536 9356 4 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAI� ADDRESS ZIP PHONE LICENSE NO 6 USE Of BUIIDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ AITERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPf OF CONST. OCCUPANCY GROUP OCCUPANCV lOAO SEPARATE PEFMITS ARE FE�UIRED FOR EIECTRICAL, P�UMBING, HEATING. VEM7ILATING OR AIR CONOITiONWG TNIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZpNING SO. fT CU fT AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 pAYS AT ANV TIME AFTER WOfiK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEAEBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION STALIS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUpTAX ANO ORDINANCES GOVERNING THIS TVPE OF WOfiK WILL BE COMPLIED WITM WHETMER SPECIFIEO MEqEIN Oii NOT. THE GRANTING OF A PEFiM1T 4370 �2. LH DOES NOT PqESUME TO GIVE AUTNORITV TO VIOIATE OF CANCEL THE pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- STRUCTION OA THE PERFORMANCE Of CONSTRUCTION i l], .2rj Fire SCi ��I .3% PIAN CHECK fEE TOra EE Lice 5 22.80 S�GNATUAE OF CON�AA(;TOQOR �UTNOp�ZED�OGENT iO�iE, ME PR P VA�IO THIS IS V U PERMIT l%/�s`"` ^— S�GNA7UAE O� OWNEQ��F OWNEQBU0.0Ep� iDATE� B G�NSP �iatE �� NEW ( l ADDN [ ] ALTER � CITY OF FRIDLEY SINGLE FAMiLY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: � �.3 3 ��y� /w Effective 1 i l /95 � P�QS� Legal Description: Owner Name &. Address: ��.v,v�s �- `Sl�`/ �'1'1 f�i� `/ Tel. #.,S 7y r�2�.3 Contractor: ��-� Gi%-sr2:(�LT10� � S�G MN LICENSE # �6 Address: %�f � 6� S�, Sd �lri�f�t.✓�c' �3�f3 Tel. #�J��3S3b Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT �ng� Width Height Sq. Ft. Leng#h Width Height Sq. Ft. _ �n� Wld� HgtlGround S Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setb Type of Consuuction: ��°DD� Estimated Cost: $: Approx. Completian Date: _ I "7 �v �9 , (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATCONS: � �11.�S' $ N,37 $ a, . 18' $ $ S, �G� $ $ $ $ $ ,�'�� 8?) ('ITY USE ONLY � `� L _$ Tel. # Fee Schedule �a 2everse S:�'� .001 of Pernut Valuation (1 / lOth %) $.50/$1,000 Valuatiou $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or A1t. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering : � Agreement Necessary [ l Not Necessary [ l � , 37� - sue�ecr P IT c�ty of Fridley 3 631 AT THE TOP OF 7HE 7WINS g �� L D I N G P E R M I T r ; � pECEIPT NO. � ; y __�� COMMUNITY DEVELOPMENT OIV. �� r � ' � PROTECTIVE INSPECTION SEC. � 1 �"'1 � CITY MALL FRIOLE`1 SS�32 NUMBEp pEV O�TE P�GE Or AvnROVED B� �"""�"� �'' 612-571-3450 9t0-Ft5 5/24/02 / / r JOB ADDRESS 1533 Berne Rd NE t LEGAL LOT NO. BLOCK TflACT OR ADOITION SEE ATTACMEO oescR. 22 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWN�R MAIL AOOpES$ iIP PHONE Dennia Murphy 1533 Berne Rd NE 763-574-2003 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Pe11a Windows & Doors I5300 25 Ave N STE 100, P1 outh, MN 55447 763-745-1400 4 AqCHITECT OR DESIGNEti MAI� AODRESS 21P PHONE LICENSE NO 20165884 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO 6 USE Of BUILDING Residential � 7 CLASS OF WOFK O NEW � ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE B DESCRIBE WORK Replace 23 windows within exyst�ng openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in al� sleep�ng rooms and on a�.� levels of the dwelling per Section 310.9.1.2 or the 1997 Uniform $ualding Code. Perm�t insp�ction Card� Wtll Be Mailed Ta NomeownerTo Post TYPE OF CONST. OCCUPANCV GROUP OCCUPANCv IOAD SEPAqATE PERMITS ARE RE�UIRED FOR ELECTiiICAL, PLUMBING, HEATING, VENTl�A71NG OA A!A CONDI710NING TNIS PERMIT BECOMES NULL AND VOIO IF WORK OF CONSTRUCTION ZONING S4. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED Oi± ABANDONED fOR A PER100 OF 120 pAY$ A7 ANV TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PARKING I HEFEBY CEHTIFV THAT I HAVE READ AND EXAMINEO TMIS APPLICATION 1 $TA��S GAqAGES ANO KNOW TME SAME TO BE TRUE AND CORF;ECi. ALL PROVISIONS Of LAWS yA�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE CpMP�IED WIThi WMETMER SPEGFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �19,946 $9.9% OOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS Of ANV OTHER STATE OA LOCAI LAW REGUTATING CON- STRUCTION OR TNE PERfOf:MANCE OF CONSTFUCTION �321.25 � Fire .SC, �19.95 PLAN CNECK FEE TOiAL fEE Lice S $5.00 $3 .17 $�GNA7U�7EO�CON'AdC70ROR1UTMOR�zED�GENT iD�TE� EN P OPE LIDA7 HIS IS YOUR PEeR�M�I(T S�GNOTU�iEO�OWNEp��%OWNEpBUiIDER� �p�TE� . ' , `r �`� v � B�D �aSO � r�crE ♦ N� [ l ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FA1I�IILY AND DUPLEXES R i AND R 2 BUII.DING PERNIlT APPLICATION �onstruction Address: � �S 3 3 ��7-e.•�'�. �c�. � . _ - . Legal Description: � Owner Name & Address -D-QY1'(1', S �,'� ��'1v� � Tel. # � � •�'y - a o03 Contractor:; PELLA WINDOWS & DOORS MN LICENSE #� Address: 15300-25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 Tel. # AttaC �63-745-1400 e . of the � LICENSE #20165884 y lot, v _ . - --- -- - --- _ _ .. . .. _: to scale. LTVING AREA: GARAGE AREA: DECK AREA: OTHER: DESC��fii OF ��i+�, �'M�1VT. _ . � � Length Wisith Height � Sq. Ft. Length Width Height Sq. Ft: Length � Widtli - Hgt/Ground Sq. Ft. Z_ �..,.., 1a . . --- �,_ ..�. . ,��s_•..... _ n.,-c.4:...,. n�n.�,:...tir, . Construction Type: Estimated Cost: $ � 1�� 7�. QD Driveway C�.irb C�t Width Needed.: Ft. + b Ft =_ Ft x$ _$ - DATE: � APPLICANT:w?CY).�. Tel. #�o'�i•345�CDO��' Permit Fee Fire Surcliarge State Surcharge SAC Charge Licsnse S�ircharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIl'ULATIONS: $ 3a1.aS � !°�.95 $ �•9�- $ $ � � C)O $ $ $ $ � �Sl� • 1� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,000 valuation $1050 per SAC Unit $5.00 (State Liccns�d Residential Contractor�) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] , � �-3�� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 N'AX: ADDRESS : 1533 BERNE RD NE PIN : 253024110044 LEGAL DESC : INNSBRUCK STH ADD : LOT 22 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL 571-1287 PERMIT NO.: 2004-02050 DATE ISSUED: 11/15/2004 VALUATION : $ 7,072.25 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 2 WINDOWS, 2 DOORS, 1 STORM DOOR WITH IN EXISTING OPENING H.O. #763-574-2003 STATE LICENSED CONTRACTOR 1 APPLICANT PELLA WINDOWS & DOORS (20165884) 15300 25 AVE N STE 1 PLYMOUTH, MN 55447 (763)745-1487 OWNER MURPHY DENNIS E& NDITH T 1533 BERNE RD NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant _ Date _ Bldg Insp Date BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 37829 S�YAKA"1'� P�;RNIITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 153.25 7.07 3.54 5.00 168.86 ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 N'AX: (763) 571-1Ztf7 REPRINTED ON 11/16/2004 : 1533 BERNE RD NE : 253024110044 : INNSBRUCK STH ADD : LOT 22 BLOCK 1 PERNiIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWJDOOR REPL PERMIT NO.: 2004-02050 DATE ISSUED: 11/15/2004 VALUATION : $ 7,072.25 ` NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 2 WINDOWS, 2 DOORS, 1 STORM DOOR WITH IN EXISTING OPENING H.O. #763-574-2003 STATE LICENSED CONTRACTOR 1 APPLICANT PELLA WINDOWS & DOORS (20165884) 15300 25 AVE N STE 1 PLYMOUTH, MN 55447 ' (763)745-1487 OWNER MURPHY DENNIS E& JUDITH T 1533 BERNE RD NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authoriry to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. BUILDING PERMIT FEB FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 37829 SEYAKA`l�E Y�RM17�5 REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 153 25 7.07 3.54 5.00 168.86 cr� c�g�� ITY OF �RIDLEY BUILD{NG 1NSPECTION v D i431 University Ave ME 1 9 =rrdley, MRf 55432 i 763-5723604 FAX 763-571-1287 � 9 D n RATE SCHEDULE � Residentia! Furnace Shell and Duct Work, 8urner & also Re{�lacement Fumace Gas Piping (New Furnace, Firepface, Insert) � Gas Range Gas Dryer �_ ol � �9 �s" Effective 4/1,/2004 APPLICATlON F'OR POWER PLANTS AND HEATING, COOUNG, VENTILATfON REFRIGERATIdi� AND AlR CONDITIONING SYSTEMS AND DEVICES ee To JOB ADDRESS ��'3?i �E� r1 L°_ �UC�� N� . ��I,�►� I�V1,�,�-- $35.00 $ Building Used As �e � � C �° �` � $10.00 $ ESTfMAT�p COST�SC�1`C�O PERMl7 f30 $10.00 $ $10.00 $ *AirC�nditioning-All Size�s $25.00 �v vc1 l��'I`�YIL'. D�-f'g' � -�� All dther Repairs or Aiterations (List on Back) �- 196 of Value of Appliance or Wor�c a(Viinimum Fee $15.U0 for Residential or 5% of cast af Y Improvement whichever is greater on work less than $300.00 � � CornmerciaVlndustriaUlnstitutional ?� 1.2596 of Value of Appliance or Work (List on Back) �� Minimum Fee $35.00 for CommerciaijindusiriaiJictisiitciiiunat c. � �► • $ $ YState Surcharge $ . 50 1 TOTAL FEE $�S,SO v v � REINSPECTION FEE $50.00/HOUR �*Air Conditioners can not be placed in side yard wlthout �vritten approval �+ from adjoining properly ovrner - copy to City i � N � FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ¢ �'. DESCRIPTION OF FURNACE AND BURNER k of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel _ Total Connected laad Bumer Trade fVame Size No. BTU - - _ _ HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do ail work in strict aocordance with the C+ty Codes and rulings of the Building Division, and hereby declares that all the facts an� representations stated in this application are true and correct. CENTERPOINT ENERGY HFATING GO 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed ��-`'� �° �`\ i� Tel # �63-757-6202 FAX �t 763-757-6701 Date � ` 4 ' �5 Approved Rough-in Date Final Date c��d �dlol FILL fN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTI�JN AIR VERIFICATION When replacin� an existinq furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, de�terioration, obstructions, and is securely supported and firestopped where �equired. Yes (� No O The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, lengih, number of elbows and termination. Yes (� No () The undersigned also verifies that the replacemeni unit is a listed assembly and meets the curreni codes and manufacturer's specificatians, This doe;s include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existinq combustion air is sized and installed to meet the current c;odes and manufacture�s specifications. When required to install a new combustian air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( � No ( ) Yes ( � No ( ) Yes � ) No ( ) When installinq a new ventinq svstem, the undersigned hereby verifi�:s that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnar,e Venting Tables for fan assisted and natural draft applianc�s. Yes (� 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. No ( ) Yes � ) No ( ) Appliance Tvpe and Size/Common Vent and Vent Cunnector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan �ssisted or Nat � Appliance #3 Type BTU input Fan Assisted or Nat Total Appliances Tatal Btu Input Common Vent Type Vent Height Diarr�eter inches Appliance #1 Vent ConnecEor Height ft Length ft Diameter in Type _ Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) -- CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 _ Signed By: ��, � - � " ..�._ Date : �G1��R',� �G1J,9lSL Ol .l3'1Q1�1� �� J,11� WO�J-I S�:TT b00Z-LZ-�Idd� Ff�QM �City o� Fri�iey Fi�X t�1. :75?-571i�7 Apr. 1i 2006 11:4�''f Pl 1 T1 " .. — . _ ��iJF+�� V I ��ISTllT+�..�.. � �� Builcii�g PP�I�ATI�3N R�� `— �I1S�}�G�1tJY1S ��i��i.�+ ��.� .� 7fi3-57Z-3�� I7ate Ree'ci�� . ,�. . . 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TYPL, C�R WU�: UNEw [� rtnr�rttoN .. -- - , .` Q Ml1IT�TF�IANCF1RElPAIx ��on�unrc _ .. ... .. . •. - "". t S 1 � S�,nL✓{ �r:^i�5 ��S*^'i '_ DLSt"RiBE Wt�RK SLING I�N�: ,� CdU`' "^�9_ _ ' v� UF NLTMBER t)F �QIJATttS �, �.s�t:�5 FKC?}�c]SLD ti�r�: PR�POSF�U i�It3fi'1': _ . — � ❑ V;nyi C! hi�imit�um ❑ Other . .._ WTi�DQi'4'� IA1 E?CIS't'IhFGOPRN11VtiS C:lYea DtdD c�it FC?It 2�lEEW €1PENINt39-D�.SCRiJ3F slc� OF CF1f1NCrii� �'r, p N�USE 3c �iAitA1GE C3 Ai°4'At`.Hr� GARAGH I7 i)�"FA£Ilki>GAitACif» Q:inffil ❑ Trim CI Fsuria �c:A�,�art a� werri�ws _ . -Sy Ft B '�. n�i • _ '.�.�,i�� i . IaiiSLln$ Fic�[ PiBR 2. T'i�� * T+�' 3. List af stTUCtural mcm4xs� h� �: u�t i�t')�C NEW Ct7t+iSTitU4'TCCiN FtiC1.Ut71N� DEf'KS, .nnnfflElNS.��%F)FS 5t1t3w�r.l': i. Sii� PtanlSurvey sht�witaR ��x►sanB svctetures ,mci pmpaa� psnject, 2_ 'ttir�a �u u!' wrastNCti+m Fl�s 3. F.ncr6Y Calcuhtirnu �lp�NtA1t't Nt�r�B�+RO� 1�tiM)OWS,��. I r�Yi aF wnv��w To r�F ir�sTn.r,r.r�,,,�,,,_ �., - ALL FEi�;S A�t� BASEA �N VA.�.t7A'i`�ON, iNCLUT?�NG T$F C.'UST U�' �.r�Bt3R ANU [iTSti�t+G'iH� t997 LT.R.0 F� Sf'RElliJ�.F.} --- 'tU't'AL Permit �ee P1a� Rcvi�ru Firc �uccl�arge �urchxrge �iccn� Sr�rGh�*Se S"AC Gharp,� Cuzi� CuC iscrnw �T4Si(xii �RI�b"�1 Park Pee Sewer Main Charge � i �. � ,� See Back �'a�e far I'ee Schec�ule �.._ ��? •?_�__.___. b5%a trf Builtiitlg Pexmit Fee $ �O .4i}f tirs�es the to�►1}ob vztu�tii+n. �..��_..�.. S �. SO .i)(iC�S x Pcr�t Valuatio� Minimuna �.50 � �, p c�— ! $S.f?(} (State LiGeitsed RCSidentiaf �tmtx'acfrn�} �._. . �� i ssa �r st�c [lnit f F. tsns eo Rrlwcc fc�r derer�tior►? $ ` ft+fitt- ftx�i2(?'$.._ q '� � $450 C:crnservatic�n �'f�za Review � �CC I}2t8l�fliftGti iJj� �Dg1ri�f1�l�,T � `' ._ .4gceem�nt necesssry � } Non Nzcessa,ry { � .. � rl U C' .�T Make checks psy�b)e t�: t'.fh' nf FetidlCy � At#at -,-- -- - , TIIIS f5 AN AFFL,i�A't"�C3N C•OR � Y�;EtMIT•Nt,3T VAL)D ).fN'!'!L PROCF��E}? I kcr�by appl� fsrr a huilding pemvt and 1 a�icnowl,�p,� that the infarrnastion abc�ve is c�mpleta and acctscat�; ti��t tY►e w��rk w�il tr� it� �:c�nfoem�cc: wiCh tf� crrd°u�aB.ces and cx�des oi-the Gtit�' Uf Fc[tlley arnf with thc Mis�nesot:t Gt�nsmYCti�n Cades; �i F tuldCT!�buu3 t%is 'LS ncst :a �em�it but only an applxca ' n F en.d wnrk ia ntrt t� st�trt wiih�tzt ��ermit, that t,hc wark wili l� 'sn �cco�dance with the appr�veti �tan in the cA�e crf $11 wor � rec{uires v' w�nd ag►�S�roval Qf glFU�s. , � rx�rr�eN,�tx . �-A'��"-'__�...�i�"k' ua� �f . 2 � � . __ srcrrn�Fr�r• nrrt..�;a ` -.. � A... . ._ . National Evaluation Service, Ir�c. ..�'+_�:3 Lt�c:s:�ury Pih�. Sui;E: GCiU. F�;!�5 Churrh. \j�r�in�� ''2U.:��.;�-7tj� ti�:'� ��;.y��. i�_,�;.u..-1�;;? www,nateval.org �=,:�,: -�,:::,...�.�;�;�: '.•;`�„'�•'" .__ .. •.�� ..:� NATIONAL EVALUATfON REPORT Report No. NER•635 lsscled J��nu��ry 1. 2O03 DtVISION 07 — THERMAL AND MOISTURE PR�TECTION Section 07210 — Buildinginsulation D(VISION 09 — FtNtSHES Section 09770=Sp.ec.ial Wail_Surfaces REPORT HOLDER: r;;;n�ENS C�)FZNING :.;f�E 0�:}ENS CURfvING PKWY T��LEuU. UHIO �1sG5J EVALUATION SUBJECT: � . "t .'�. ti"v'�,. . ! li, .. . . . . !. . Page 1 of � l;Opyr�yl;F`;.� 1JU3. P•i�l�c.�rt,7i E;��ii� :;1r�•,�i S�r:�ir.:�. ir;c:. � � . •� . .. ..., ,. . �,:, . . , . �i, „'�,: , .,,:�� J�::�r .;�:;; r� ,� r��;, �rr, ��l�nr,... .i % . , �,< ��; � ,� ..r,: :�: ., ..r .... . , � ••i:�:•, ... 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Su;'�;..°r! ?:'ti��ilti U�iS;i° !.;cl:lttt :�I:.. .�:r:� �� ,:`.:ir:.- . . � . fJfl.'Ltl:$Il�i: `i��eryl�59 �i::�r'�<.-.;� �-'c711C'151�irt. i;ri;fu��1�<<t: •..�iY��; �23lJCt: Ct�:�'r� :ict�:''��t'+' ':�illi F�!'uChi�K) Jj`tili:r!�,ti f;hltl;ilil'. �Ill�:!r;l.•L �Cit �I'y:,.i.i;�'i..:�'..1:l..^.:�..7�`I::�:i�.il ; :. ... . E3�seme�� `,';�ai! f tI11Jl'�t(li:} :�'f$�Ctl' j.li.i(Itl'r5 fl?C'U: :'lt,: 1,_�,.j4,S�,:11'�.'!`i� ��,i .:!ti'+:::i...:r. ' i7S i't ;If:iSfi �;Ci��ss A� �nlr.:r+i�r ftf7f5h 4.0 INSTAL�ATION �rl�? �i:iSf3i11�;(1� �'i�di'III f'!1-!��'ill?�f `j��J�Qllf :i�:il�� _�L" 1111�;ji11�[.' :(': c1...'.:..:I�:itl?f t' :..!'. ' manufacturcr's put�hsnC:� in5l.9;l8lion n�SUu�'t:i:��i� t,.,i;�i.ic1 lt; �t.�: ,.;.:iu.:�t:.:� •: .", . fCE)Ufl. If1�I3118U011 IyulCillij C0�1S1515 i7( USU1C� �ililt•I !1'�tG.'l�II;IGcII fil$li'�iltlj :i.::n..:�,•. Of �] GU(Il�!O[ili(')Il Ol �+U.h ip $CCUfC 1r)� g<lSfJl:;t:l!! :':�9i! F11'H�I)ui�.j J::iiu" ... ... Suppoiifng sub;U�ilc, . 5.0 lDENTlFlCATION 11��(�V1�Er�Sr��i'�N��V�il�['.ITt[;fll�v"��i�lIIFilliSl:�t1•;�:i.�jl'c�il;..��:i:�;.;f':i:��e�t� �.+.r,... � c�5 dE�SCril'>i�d in Ihis repp�� St1211 beer � i�ihC�I inefic�jl;r�;.; !I��• nta��:��,=,: t4nc•r �� •,:�� .: tYi+S re{3or1 r'ounibi:r. for I��;it: rdei�trtic<�UOr: 6.0 EVIDENCE SUBMITTEO 6.� l)R`ii':1�1 i-�i.i:!11 1.rllii�l:3{(:Itt1J. i��1�.ii!I'I ivG : ?s�l.ii. ...... ��:,.c ,_i•.. . �'.�'<f. �• �. ... .;Glllanli!1� ;'i1iu��S li;f ��re tc5Uny •n :iG+.:.. 'cll;�:�r ...:l� i��! .� �:.' • ' , . flhQf��:i>� N��7�� 4)r31'il'',":� i!S@(;� �il bidSG11'?l';fil .:,:i�i f' �Ill �'1'lllli{ :�;:;ilt!�' 6.2 r�n��aq�� Po�r:l L,�k�ar�lor�es. RCpr.irt Nc� t�;il in• 1(iuvy». :::.�te:;.1 ;,�:r�i �: ... �oni��in�ny rasulls iui (�re lest�n�� IIl �(;(;:JfCii1{1..V y"ii(�l ii,��. � �•:1 �ij: �tJl :. .. .:i?�.: •. i�srd �n 63sen•.enl :'t'�il (=inishiny S}�sit�m 6.3 Umey� Puinl L�tuGr�icor�r:s. Rcpart No 1:SU(s��• �i�:.+� 1:i. t��t��::.�i:r.�.: '+' '....� ,,: �: RCpurl No. 1306��•104470�. datE:d A4�3rG►' 2�, Ic?c1c�. r•c,nt,:-ui:.r;i r��;�,�'� s.•r !.�. tGStmg iqr f�ill-5c�1iG rr;�,n? cCr��er 6.4 l�l�`dEfJ:' 'c 'n!If�!(: U,r�il;,(7 �.rP(:•r;.1lt;�'!.�. �"�iii•�J �:��; ��iu�: � (_ :){'; 6.5 Ob'��hJ'� LUIi��:IN(� Juf.?�17�1;i)1 ;i!)c.'i•I i'c�� :ir�:,t'it;r•!'r! :•1•'ir:r F' �... �•_/ ��. -.. (5"vI�FS;. .;;ili;c; !',pn( 1;�C)G 6.6 U��vENS CURNING i:3�i��lTi(J/i/ �'�✓i)l� F!li!:;!+�ti:j :ij•:1(f.'�' `7::i1:.':.:).'::�. �.?.� ... U�li;Cl JJnutiry 2UUl; 7.0 CONDITIONS OF USE ��li> °v�1��11{ii1� �'.�rili(iiilUti JC!'•NC�,;� �.(llll(tlliif.'4 1N��':y i�:ifi ItiC' ��b:t-�'.J '_..:ii'.!'..;.r 519�Erni;ili `;�?811 f-�r?�;;Pur�i) S•{SIC!?�t vs Clc:'SC'r�bi:i; �r� tl1tS .'C�ii�'l ;'c,it:�;�u_. .. . • • . tilll�iiF)�('. c1��:)ffl�l�(? �G ��1�3� �(:t2�.:i�ILC1 I11 ��li! 1�.1.1�i 11:!j;;!ii•11i::1(�i! E.i;i'!'.hRt} i_ ..�. _.� i' .. 2�1;1 Su,t.,�i:r'i!ri:,�l ;liir �'l!C!G ;�)(er7i,?l;C,;t�r( !;r_�•>ri:�,r;,:;ir i.J�:<.• ..:t�'� . . . . 5�:�,ljil�rlllV!!i. (ilE: L,SUL'1 ri:lbl'tli�li Guudri�y Cs(1i/t: �;)�1:i. ��il'. 11].�' S:U:t:lu�t: ........ .. l.Ui7i:' . �I1C 14yJ U�!:lii!!!t Eiielldu)e,f.' �.VU�. �ill:; 2�!(�J f!fli;7;::ii;i:!i�fi (.lir- :�:._ i.,. i-;)�?�dy C��ro�i;;lirii; C�Oiic? Suf)�Ci:i lU lYu. fC31lO•:,�ny CC�;r„iU;;:n� p,; National Evaluation Report No. NER-635 7.1 Concealed electrical, mechanical, or plumbing components shall be inspected prior to the instal�ation of the Basement Wall Finishing System panels to verify compliance with related code requirements. Evaluation of these components is outside scope of this report. 7.2 Framing supporting the Basement Wall Finishing System shail be inspected prior to the installation ot the panels to verify comptiance with reiated code � requirements. Evaluation of the supporting traming is outside scope ot th�s report. 7.3 The maximum permitted area of the PVC trim niold'rngs shall riot exceed 1a percent of the aggregate wall and ceiling area of the room. 7.4 Installation of the Basement Wall Finishing System shail be in accordance with this report and the manufacturer's installation manuai. 7.5 The Basemeni Wall Finishing System shall be limited to instailation over cast- in-place concrete walis, concrete masonry unit walls, wood stud framing or metal stud framing. Supporting struct�ral systems shall comply with applicable code reQuirements for that system and are outside scope ot this report. 7.6 This report is subject to periodic re-examination. For information on the current status of this report, consult the NES Product Evaluatlon Listin�t or contact the NES. TECHNICAL BULLETIN # 2 � Study Objective To validate the theory that no vapor retarder should be used with the Basement Finishing System. This would be accompiished by obtaining point moisiure condition and combined system moisture transport data for various vapor retarder configurations with the system. Of key interest is the locations in the basement system where moisture leveis are high; the interior humidity and temperature conditions under which such high levels are achieved; as well as the interior temperature and humidity conditions required for complete moisture removal (wettingldrying curves). The study was conducted at the University of Minnesota Foundation Test Facility and began in November of 1998. The Owens Corning Basement Finishing System ( R11) was installed with three vapor retarder configurations: ➢ A polyethytene vapor retarder placed between the insulation and the foundation wall "Exterior Side Vapor Retarder" � A polyethylene vapor retarder placed on the interior surface (between the insulation and interior air.) Interior Side Vapor Retarder" „ ➢"No Vapor Retarder" on 2 of the module quadrants (opposing corners) From 12/98 through 2/00, measurements were taken of: interior air temperature, humidity ratio, and barometric pressure, ambient exterior temperature and humidity ratio, and humidity ratio measurements at 40 locations within the insulation (10 per quadrant). Additional data was collected for: amount of dehumidifier condensate (water) removed, mass of 8 �emovable sq. ft. sections, electrical energy consumption Discussion The envi�onmental conditions were estabfished to be representative of "typical" MN basement conditions. Testing began with the basement module under ideal indoor conditions — 65°F and low relative humidity (40% RHj. Conditions were later modified to represent a worst case scenario" — an unconditioned basement at 56F and 70% RH. Following is a brief discussion of each quadrant performance. University of Minnesota — Foundation Test Facility: Evaluation of the Rll Basement Finishing System Exterior Side Vapor Retarder: During the winter months, condensation formed on the insulation side of the vapor retarder. The amount of condensate was enough run down the vapor retarder onto the fioor. As the climate transitioned into spring and summer, water dropiets accumulated on the exterior wall side of the vapor retarder, in both the heating and cooling seasons, this vapor retarder configuration was clearly unacceptable. Interior Side Vapor Retarder: When the vapor retarder was placed on the interior surface, condensation aiso accumufated on the insulation side of the vapor retarder. Additionally, the insulation panels showed moisture gain during the spring/summer at levels that exceeded the drying potential during the heating season. This cycle would resutt in the insulation becoming progressively "wetter" over time. Thus, the interior vapor retarder configuration was unacceptable. No vapor retarder: The two quadrants with no vapor retarder clearly showed a"stable wetting/drying annual cycle in a heated basement." As expected, a more significant moisture gain was observed in the panels during the "unconditioned" phase of the study with no dehumidification. However, the data also showed the ability of the system to effectively "dry ouY' once conditions changed. This can be extrapolated to conclude "the zero vapor retarder con�guration has a stable wetting/drying annual cycle in an approximately unheated basement as well." Conclusion When insiallirrg the Owens Corning Rt t Basement Finishing System, a vapor retarder should NOT be used. The use oi a singls vapor retarder, regardless of the location, provided a condensation plane where liquid water formed and remained trapped in the system. Add'+tional information regarding this report can be obtained by contacting Owens Corning at 1-800-GET-PINK. BOCA International Evaluation Report o,�r �%/ � ��■ ♦ � i/ � q , _II � ��,s�:n� �-� a �, 11:1 � - e�a�uatloe�� _� �� y; condition of use Research Report �: a ■ �� ■ Sect�E;a vua;l� ■ . Seet�o :a�rc(: '� Secxio ■ . S�ctio � . secuozz �.i�..�ti (flarrie�:.�. ,re ,:k?:. . ■ S�cdon 31$ 2 �ndex ■ Section 318:3 description ft^"'�" `' ` This re ort is limited to a lications and ��:.<:��:n;. p PP �`j��f` pha�this resort be sed b he�cod official�to ��.�� ` P Y :: deternune that the report subject complies with � @� the code requirements specifically addressed, �� : provided that this product is installed in accor- �;�r:;; dance with the following conditions: .. E� ;� �.. ...: �:,, %sttng;, ` OWENS CORNING Basement Wall Finishing SystemT"' is an alternative toconventional wall framing and gypsum wallboard. The Basement Wall Finishing SystemTM consists of PVC support lineals, base, batten, and cove mold- ines, and rigid prefinished fberglass panels. Panels are prefiiushed with a fabric cover. Basement Wall Finishing SystemT"� is primar- ily intended for installation in residentia] applications. Refer to Figure ! at the end of this report for illustrations of the Basement Wall Finishing Systemr"'. The Basement Wall Finishing SystemT"� shal] be installed in accordance with the manufac- turer's installation instructions and this report. lns[alla[ion [ypically consists of either me- chanical fasteners or adhesive fastening or a combina�ion of both to the supporting sub- s[raie. Thermal resistance (R-value) for the tiberglass p�nels is 11. Basement Wzll Finishing SystemT"' panels mezt the requirements for classi�cation as a Class I interior finish as tested in accordance �vi[h ASTM E84 and also has demonstrated that it will not spread fire to the edge of the specin�en or cause flashover in the test room in accordance with the� testing requirements specified in Section 803.6(2) of the BOCA Nn�iona! Building Code/1999. ■ OWENS CORNING Basement Wall Finish- ing SystemTM is intended for finishing walls in basement applicaaons. Oiher applicadons are outside the scope of this repon. ■ The maximum permitted area of the PVC moldings shall not exceed 10 percent of the aggregate wall and ceiling area of the room. ;■ Installadon of the Basement Wall fiinishing SyscemT"� shall be in accordance with this repon and the manufacturer's instaliation manual. ■ Basement Wall FinishingSystemTM shall be installed over cast-in-place concrete or concrete masonry unit walls, or wood or metal stud framing. Supporting structural systems shall conforming to code require- ments for that system and are outside scope of this report. ■ The etectrical wiring in the chase at the bottom of the Basement Wall Finish Sys- temT"' shall conform to the requirements of the code and is outside the scope of this report. iterr�s requiring verification The following items are related to the use of the repon subject, but are not within the scope of this evaluation. However, these items are related to the deternunation of code complianCe. ✓ Concealed electrical, mechanical, orplumb- ing components shall be inspected prior to the installation of the Basement Wall Fin- ishing System'�'"� panels to verify compli- ance wich related code requirements. Ev11u- ation of these components is outside scope of this repon. ✓ Framing supporting the Basement Waii FinishingSystemT"� shall be inspected prior to the installation of the panels to verify compliance with related code requirements. Evaluation of this �rar�ung is outside scope of this report. ,�, . ii�if 21 •24 MANUFACTURER: OWENS CORNING ONE OWENS CORNING PKWY TOLEpO, OHIO 43659 DIVISION 7 — THERMAL AND MOISTURE PROTECTION Section 07200 — insulation DIVISIOIV 9 — FINISHES Section 09540 — Special Wall Surfaces EVALUATION SUBJECT: BASEMENT WALL FINISH SYSTEMr^" PRINTED AUGUST, 2000 Page 1 of 2 Copyrighf0 2000, BOCA Evaluation Services, lnc. A Participating Member oi the NES, Inc. Ps�ge 2 of 2 Research Report No. 21-24 inforn�ation submiited ■ IntegexT"{ Testing Systems, Report No. 73I43, dated Aprit 17, 200d, containing results of physical testing. ■ IntegrexTM Testing Systems, Report No. C423-99065, dated August 19,1999, containing results of physical testing. ■ Omega Point Laboratories, Report No. I3�60- I03216a, dated May 14,1999, containing results for fire testing in accordance with ASTM E84 for rigid .fiberglass wall panels used in Basement Wall Finishing SystemTM, ■ Omega Point Laboratories, Report No. 16218-106644, dated April 13, 2000, containing results forfire tesung in accordance ' with ASTM E84 for moldings used in Basement Wall Finish- ing SystemT"'. • Omega Point Laboratories, Report No. 13060-103213a, dated June 7, 1998, and Report No. 130b0-104470a, dated March 24,1999, containing results for fire testing for full-scale room comer tesdng in accordance with requirements contained in Secdon 803.6 (2) of the BOCA National Building Code/1999. � OWENS CORTTIIVG Product Lirerature, dated May 1998. ■ OWENS CORNING Submittal Sheet for Basemenr Wal! Finishing Sys�em (BWFS), dated Apri12000, ■ OWENS CORNING Basement Wal! Finishing System lns�allarron Manual, dated January 2000. application for pe�mlt To aid in the determination of compliance with this report, the fotiowing represeats the minimum level of information to accompany the application for permit: ■ The language "See BOCA Evaluation Services, Inc. Research Report No. 2l-24" or a copy of this report. ■ Plans indicating the aggregate area of the room and the area of the PVC moldings being used. ■ Plans and specificadons of any electrical, mechanical, or plumbing items installed within the wall system. ■ Details and specifications of the supporting construction to which the system is to be applied. product identiticailon AII OWENS CORI�iING Basement Wall Finishing SystemsrM manufactured in accordance with this reseazch report shall bear the following identification: ■"See BOCA Evaluation Services, Inc. Research Repon No. 21-24." � if#ii Alt Molding Snaps into PVC Support .�'•�: Grid 2 5" Glass �'�. Fiber Board `�. Panel with Facing t . . PVC Support Lineal —. (top, bottom, vertically every 48") PVC Molding Vertical Batten Existing Foundation Wali or Interior Partition PVC Cove Moiding avc Molding Base Figure 1• Sketch of Basement Wali Finish Systemr"' Showing Typicaf Components •THfS DRAWING IS FOR ILIUSTRA710N PllRPOSES QNLY. IT IS NOT INTEN�ED FOR USE AS A CONSTRUCTiON DOCUMENT FOR THE PURpOSE OF DESIGN, FABRICATION OR ERECTION. NOTICE TO REPORT USERS • ■ This repon is subject co annual certification. Reports that are not ceni�ed shall not be used or referred to. To determine �he stntus of cercific�tion of chis report, contact BOCA Evaluation Services, lnc., orconsult the latest edition of the BOCA buernarional Produc� Evaluation Lisrr�ig published periodic111y in the BOCA magazine. This repon is sabject [o the conditions listed herein and to the specific product, data and test repotts submitted by the �pplicant requesting this repon. Independen� test were not perFormed by BOCA Evaluation Services, Inc. und BOCA-ES specificully does not msike any w�nty, either expressed or implied, as to any ftndings or other matter in this report or as to any product covered by this report. Evaluation reports ure not to be conscrued as representing aesti�etics or any other attributes not specifically uddressed nor as 1n endorsement or recommendncion for the use of the repon su6ject. This disclaimer includes, but is not limited to, merchantability. Please contact BOCA Evaivatton Services, Ine., with any questions you may have regarding this report. Additionally, please coniaci us if yoa have any information on the perPormance of the product described herein which is contrary to this report. 4051 West Flossmoor Road • Country Club Hitls, IL 60478-5795 telephone (708) 799-2305 • fax (708) 799-Q310 e-mail: boca•esC�bocai.org • http: //www.bocai.org e� lill �E ♦ �. � �vI`, �l� _. �..,..�"°' - �'l0�'�= - BASEMENT FINISHING S75TEM Owens Corning Basement Finishing System 952-891-1407 Customer: ��4C�`°,� �i �� V�Q�� Address: � O �� ei i1� � ��%►�@'�*e �'� �o�` Phone #: �1,4�J J�� '+o��J Basement Specialist: �� Date: ^l' v� '�� O 7 � • �^ _ ` � � � � � / �., � '\ �� ♦ ' Y � � • I ` � " � /. „� �� i , _..__ . �.. � . . , I r 1 � � 1 � , ` � � � , ' � � � �� ,' . `,� ^ i � � � t. • ., ' � • , r � • • 1, + i � . , ��1 � �� ■ :: ■ ■ i - � 1 " ■ � �� I •� ■ . ��.- ., � � . � : 1 ■ '� ■ �►'� ■ ■ � ■ ��. . � � 1 '�'� �� ! ■ I ! • � �r �� "� � � � � � � � ~ � . �.. • . ■ �� ` 1 � ■ � 1 , .. ■ ' ■■ i��n�Na�� SCALE� 1/4 = 1 foot 1/4 = 2 feet Measurements and scale are only appro�mations. FR�'1 :City of Fridley FAX N0. :7635711287 Apr. 21 2006 12:36PM P2 �3uildin,g MEC�IANICAL � nennit xo.: Inspectians R,�SIDEI�TIA►,L AFPLI�ATION �"'� $y: 7b3-572-3604 QF FRIDL�Y D�` �'�: �� Cl�.'Y' _ � � - 3LTE Arn)[tESS / - 'CHIS �►PPI-ICAN'f I:i; r�orFRTv QWNER/ T�v�rr�' CONTRACTOR sv�aMrr � co�Y c�� YpUR STATE LTCr1�tSL WTfH APnLic:ATION PERIVUT TYPE CI AWNER Nt1A'�E: � ADI�R}�S.S:' � ,�:_ `�� y�/MrHl\� iVll�r•_'y� OONTACT P�tSODi: : STA'1'k; (.ICQJSE #_ A�w • I�� P'IIO�N��%71-L"�' YOUR � �` _r. . � nn�ro.. : �`"1.,_ FAX �/�-J '" i`T, �r t _/ J ,H. �AMiLY O TWO FAMILY TYFE O� WORK: �,N� C7 RHYLACQvlENI' pF•TAii.ED D�iSCRIP7'10N OF WURK _. _S� " L__ � � �� -�. --�.Y�—. - � r� .t.l,.�'_ O At TEltATK)NIRFaKOD61. _ :4TATL�,G�� 1 � 0 P�Et MS 16R.665 the pexmit tea is a mioimum o[�1S.A0 a� 5% of t� Mt91 eo� ap to :�568.00, whidtever is greator, for tl�e improvement� inst8llati� or re{�lacemert �f a residerrtial fixmre, exclad�ng the fixtures. (This slwutd rofled only thc cost of labor ) T,atx�r cost under $300 =$15.00. Labor oost betwcen �300 ta SS00 = c�t of labor l°�-.� x.OS ��' �'� - FUR PfcO1EGTS wHERH I,nBOR IXCA}�7�i SSQO, FEES nitB IIA3&D ON f10.00 PI3t FIX'PU1tE, t7cC�1' wt�tci:l�f'Rn. wx[URES: (ihm�cA� TOTAi, NfIMLiT:R OF }3A(:H BGLOVh . �qnjprnCnttnstatkd Mi�'G: A�ADT;1.: s�aT� - IvQ'di: � , MtN�I-: ..._ SI'LTJBTU — - IdFG:._. MODEI,� _. S1Y.!!/8TU . — n�c szs.00 N��c,nca (cw� sts_oQ ��S Kwr�ov�x s�o.00 AIK TO NR RXGHANGEER. x15 RIRB� ,ACt (VP�001� �i3:90 , NEW t3AS (3RILL SI O.U(1 � 130IL,�R S35.Oa _ FL1ltNACii 535.00 L9AS UNtf HI'R S10.00 ��;}11MN�Y LiNFR S14.p0 _C:AS t)RYER S1p.00 POOL NtiA1'GRt35.00 �,rrwn�erc�nnn . c+ASPtP'111(3SIU.00 ._ VEl1fILA'fARSI5.00 - Permit Fee - Sur�hargc � ...� TOTALD(J� S`�3 .� Number of f�xaurs N�nbac of 8o�du�s Numbea of fixuucs ZIO.W __ x �LV.W = } �J5.00 xZ1S.00-•� .. �25.ai ,_ X sz5.ito = s . S35.Q0 _ ._ x 535.00 � S S�e Surcharge - �_ .50 Tatat = $ , ,_ IiiGS iS AN APPLICATIt�`i FOR A I'FItM1'1'-NOT V1i1,}� UNTiL PROC&SSiSi) t her�Y aPArY fix a building petmit and i aolawwledgd tbat tlt� infacmatton abovc is comPletc �fd accutabe; that the woric will be in conformancc with �e ordinances and «xk,s of tha City of Fridley and with tl� Minnesota Constructias� Codes; tbat I understand this is not a permit but only aa ap licaiian for a it and w ' not [o start widwnt a po�mit; that tho wo�� will be in �ordance wid► d�c approved plan in ti�e c� o h" i vat of p � �� 1 ��' ��' �(�l L � SIGPiATURE OF AHPi 1CANT NAME., � "`'" City af �'ridley l3uilding lnspections Dep�rtment 6431 Uni�vcrsity AvenuE NE, Fridl�y, MN 55432 7b3-572-3604 r,Ax: 763-soz-a9�� Bui��din� Cnspeciions 763-572-�604 �ATE � 3IT'E ADD SS _i I'HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER SUBMIT A COPY OF STATE L]CENSE YOUR STATE LICENSE .°.DDRESS:'�Q WITH APPLICATTON pHONE ��b�. PROPERTY TYPE PERNIIT TXPE TYPE OF WORK: •►�� ►�ti►IL� ,' - .. �. ��i�'��iw1 �'�� • �`.r.' �ln i � .t, �t�� • � � �� . ,` � . O TWO FAlvIII.Y/NEW CONSTR ION STORIES � ADDITION GARAGE/SHED ❑ WIND�WS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL AIR Permit No.:, Received By� � A' � A'F�P��6 � � � �i � � � � � - L,1. � L'� ♦ �r ^ Il � .� �L _ a � ✓ SIZE OF IMPROVEMENT'� ROOFING NUMBER OF SQUARES GARAGES PROPOS£D SIZE: PROPOSED HEiGHT: SIDIlVG ❑ Vinyl ❑ Alumintun ' ❑ Otfier . ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE �, DETACHED @R�?'�9'� ,�is�".� �Soffit ❑ Trim ❑ Fascia wnvnows 1N EXLSTING OPEIIJNGS OYes ONo LACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF � WID7'H HEIGHT BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION MCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing swctures and proposed project 2. Two sets of corsslruction plans 3. Energy Calculations AI.L FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LJSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�D, 040 ~ OCCUPANCY (�( TYPE �..� Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Gharge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ !(?.6D $ 5.�,`� $ .�f�U7� $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total joh valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) f}+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit a acknowled,ge e information above is complete and accurate; that the work will be in conformance with the or ' ces a de of th City rid y and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap ication for a er t wor ' not start without a permit; that the work will be in accordance with the approved plan in the case of a w i e' rev' val of plans. � ,�J� f�_ � ,,_/ SIGNATURE OF APP ANT PRiNT NAMT;-��/G�. /a9 %�M DATE Page 2- Building Residential Application r . BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernufs for the erection of any building or. ' sixucture, or for any addition to aiiy �xisting liuilding or structure, or Ffor ,any alteration or repai'r � to any existing building or structure, upon application there�`o're; reqii�u-e �ie"p�.yment by the applicant for such permit of fees to the amount herein belaw set forfh and in the manner herein provided to-wit: '� . � . , ' , . 1 . , .. ' �` ♦. . •• � � • . .. _ � .'� 0. . TOTAL VALUE FEES $1 to $500 , $23.50 (Minimum Fee is $23.50 plu� surcharpe) . _ , _' . . ri:. _ �a � "x .. $501 to $2,000 � - ' $23,50 for �1 �` $500 plus $3.05 for ea.ch -a2iditional$100 or fraction, to and , { , including $2�00� �. � ,i, . � ,� . , ,. �. ,. . , . � . 4, , , , $2,001 to $25,000 � $�9•.25 for .1�` $2,000 plus $1�:fbreach�addit�onaT.��1,00,0 or fraction, to and includin $$25,000 ' $25,OO1 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 � $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $I,000 or fra.ction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5..60 for each additional $1,000 or fraction to and includin $500,000 � " �$5�0,001 �� $�,OOQ, 0 � �3,233.7=5 fi� th�:��' $SOO.,U��plus $4.'7-S '�or ea�ft dirional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1� $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a m;niT„um of 24 hours frorn the time of application to a11ow for proper reviev�r of proposed structure and of the construction site. A Certifica.te of Survey of t�ie lot, showing the location of the existing founda.tion will be required before proceeding with the frazning. New Houses Onlv City of Fridley Buildi.ng Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fa7c: 763-502-4977 � . � � •,.,� . � • . _ � . . , ... ��. l�: � � � � _ � � �4y, q :.; ��'c jl � - �- `i, ^�' � i 1 � "'� a ::i� � . �� yk� � . .� �,}n :� y va. -".....�„�,� � r . � �•,'�, � �,�'�e-w. 8g�x ..� � � ".�. � � `< SZ 'i�3� _ ."�'��.a,.i� � �� 7 � . � � �R T . � � .-.'. i � �� .�, • 7c�ail t . 3�� x 'q"^'.� Sj ....,. " :a r � T . ' #"_ FA � T N ��`: x �� wf` � � t�k �� s,s' ,� � � -° _ � s � �^� �� .�. �x. i � �� - r a�c.:ti � , _ - 1' ��( �� rs 3� �,r n � ��; � *d� r kw � r f'' ¢$� ,d �. � :Y ?�� ,� '� '� , , �. ��,. 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Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT Wi�RE NOTED. FIXTURES: (INDI� NUMBER OF EACH BELOV� , BATH SIIJK/LAV ' FLOOR DRAINS SIiOWER _ WATER PIPING BATHT[TB GAS PIPING (xEm c�rL�NSe) SWIMMING POOL _ WATER SOFTN] CLATHES WASHER KITCI�N SINK WATER CLOSET _ BACKFLOW PR DISHWASHER LAiJNDRY TRAY WATER HEATER (S3� FOR IRRIGATI( — — WATER METER _ OTF�R PERIVIIT FEE ERO Permit Fee TOTAL DUE ) TOTAL (S35) . ($15) [JNDER $500 PERMLT FEE FOR PRO�E(>T'S vr:tt 3�uu $ Number of fixhires @ $10.00 x $10.00 = .50 Number of fixtures @ $15.00 x $15.00 = $ ,� Number of fixtures @ $35.00 x $35.00 = State Surcharge = .50 Tota1= THIS IS AN APPLICATION FOR A PERMIT NOT VALID LJNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the i�oanation above is complete and accurate; that the wo will be in co�ormance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I unde this is not a permit but only an application for a permit and work is not to start without a permit; that the worlc will be in acco e with the approved plan in the case of all work lrich s review and approval of plans. SIGNATUItE OF APPLICANT � �•'�� -°�.•-"."" PRINT NAME V w' ` J PJ �. I/,TM C.� DATE �.�(- I� pr F n'cF Nn�• S�AR . 77FRMTTS ARE.RFAUIIZID FOR BUII..DING, ELECTRICAL AND I�'�CHANICAL ORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 � n v. ^�« cn� �n�^� �� `,�