AF - 36557SUBJECT P .
c�ty of Fridley � i319
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO
� � __��_ COMMUNITY DEVELOPMENT DIV. ! �
r � L � PROTECTIVE INSPECTION SEC. �I'
i � ,
1 �
�4 � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
""•�'� ,�� 612-560-3450
910-F15 g/12/75 � �
JOB ADDRESS 1589 Briardale Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 2 R1CH Creek Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Briar Homes Inc. 8535 Central Avenue
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USEOF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCFIBE WORK
Construct a 24' x 39' Dwellin and a 22' x 24' Gara e
9 CHANGEOFUSEFROM TO
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before
capping. Provide sod in the front and side yards.
90 � �v, .�,�� yc�. ir
SEWER LOCATION (lo' Deep approx. ),�S' North of Manhole fir�.�G�Gi.G�}
Wye Elev: 9G4.b5 905,'%�
Top of Footing : 99,z..6�b 90$. 7„5
WATER LOCATION: $.{r+� South of Sewer Service
% � � � � i �i ��
(SERVICES OFF BENJAMIN STREET)
SE��RATE F'ERMiTS REt�UIRED FOR `�iVlt�l1�G,
HEATING, PLUMBING AND S{GNS,
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FYaICIe
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-].
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 33 3OO 16.65
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
/ PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
� STRUCTI N OR THE PERFORMANCE OF CONSTRUCTION. L}Fj.2S 325.00
/� PLAN CHECK FEE TOTAL FEE
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IGNATUREOFCON'RACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
�
l �� �.�r.�.���, 9-�� - ��,�—
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI � BLDG iNSP DA7E
�l'�L1C11TION POI: 1ZL�.SI:DI:N'I'InL, ALTL'I:J�TION,
OR Allll1Ti0N BtIILI)ING P�RMI"T
CI`lY UP FPIJL��Y, I�1II�?`'LSO'.'A
, � ' �
OT�v'IVER'S I'�l��v�:� ��'��. `�O�b \� EUILDER: �Y�'f�_�� _
ADD;:LSS :C�?��. ���Vr�1-A-�- �Vi�.��ADi112ESS _ CZ`� 1
.� � � r � �
NO : ` �TIt�LT : ��1 �.,
LOT : � BLOCK._ � ADDTTIOPJ : \ � w� ��Aj�,���l�?� ___.
. _ / "
CORIVI,R LOT.:_� INS?'D� ?OT: S�'i�ACIZ:��`� SIDEYAiZD: �, (�., _
�pplicant attach to this fo�-m 'lt��e Certilicates of Survny of Tot and proposed
buiJ.di.ng locai:ioiz drawn on thes� C,rL-ificates. ��
m
D�;SCRIPTION OI' BUILDING
Be Jsed As:
� �� Front : o `i _Depth :_ � I Height : � �� "'I'�R�
Square Feet : Cubic �Feet : % � � �] a �
��r1,� F.ront : _Depth : � `1 Iieight : 1 S�w ,_
Sq�sare �eet; Cubic reet:_ � Z. QQ _. _
Type a£ Construction: ���� /�%j�I-���Estimated Cost: ^ ,,,��
To �e Completed: ������ � � ` , 3� �C� �/
�-- �
The und�rsignecl Ilereby makes applicati�n fo� a perr.�it for. tl;: work herein
specified, agreeing to elo all worlc in stxict accordance toith the Ci.ty of
kx•idiey Orciinaiices and rul.inos of the Department of Buildings, and liereby
declaxes tha� a'll. t;.e facts and representatiens sta.ted in t�.is application
are true an� c�rr.ect.
� � .
DA7�'}i : � % .`� SIG�3ATLTR � • �•c�� ----_.._
�_��� ,
(See P.�verse Side For Addi.tional Infoi-mation. )
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�BUILllIPJG PL1��9I'I' P�L SC1iLllULL' ,
S�CTION 2. The InsPector of liuildings shall, before issuing permits for the '
erection of any building or structure, or for any addition to any existing
building or structure, or f_or any alteration or rePairs to any existing
building or stzucture, upon appli.cation therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in �
the manner herei.n provided to-wit: '
�
UNIl�ORM l3UILDT.NG CODr: Type l, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in sucli cubical contents. Type 3& 5-$1.L5 for
each cne _t.housand cubic feet.
ADDITIONAL INFORTII�TION
For the purpose of. computing fees for buildino permits, the cuUical contents
of a��.y building or addition, is determined by,multiplyin�; the gxound area
covered from a poi.nt six (6) inches below the floor line of the basement
ox the cellar to the average heights of the upper surface or to the average.-
height o� the rooi surface of 'the main gable of a pitched rooi.
For xepairs or alterations to an existing structure, the fee shall be at the
xate of $3.00 per each five huridred dollars ($500.00) or fraction thereof in
,the cost of all proposed work.
�
In n� case shall the fee chaxged for any permit as set forth in Section 2 be
le�ss than $5.00. '
' VERIFICATION OP FOUNDATION
NOT�: Perriits for construction will be issued a minimum of 24 hours from the
ti_me of application, to allow for proper review of the proposed structure and
of the construction. site.
A Certified Survey !of th4 lot, showing the location of the fouizdatioiz, once it
has been construct.ed� will be xequired be.fore proceeding with the framing.
CERTIFICATE OP OCCUPANCY
Application for a Certificate of Occupancy shall be ma.de ten (10) days prior
to the use or occupancy of any structure for whicn a building permit has been
issued; and said structure shall not Ue used or occupied until a Gertificate
of "Occupa�icy has.Ueen issued,
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_- ^-------� Aept. of Sldas. Fhon• SfA•3,�50 ... .
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P�RT�AL RATE SL;H�GULE
S�A.1t �
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�'LUMBI�G FI:CTUA� RATES: HO. RATE TOTAL
N:u:tbe- Fix!ures . . . . . . . . . . . . . . . �_,.,�..�..� x 52.00 a�.. �_ .
fl.rture Flxture (���cr.ing ..... ...... .� x 51.FA S__-
tiew Fixture Olci Opening.... .... x 51.50 a�___.
Catch Basin . . . . . . . . . . . . . . . . . . . . x 53.25 S
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' Water Hca:er '�'p to 99.9�:� BTLT�. ... �• x S3.C4 E 3°, "
tiew Ground Run Old B:dg. . . . .�. . •. . _. x �3.25 S
El�ctric 1fia;ar H�atar . . . . . : . . . . . . . . s S2.GJ s
.;1�3 FITTING FEEB: • NO. RRT'L' TOTAL
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Ist 3 Fixtures ••••••••••�•••••�• �L X 52.� � '�• J
/�dditlonal F'(xtures . . . . . ... .. . . .. � x � .75 S '
Gas RanYe to 199.000 BTU . . . . . . . . .. , x SS.CO L
C9ty oi i1-idley:
Thc undersigned hereby makes apDllcation for a permit tor thc wazk herri
specificd, a�: ecing to do all wo: k in s:rict accordance wlth the Cit� OrCinance
and ruling of the Department of Build:ngs, and hereby declares that a2I the tad
and representaUons sLated in this apD:ica�oa are true and correct
fi-idley, biinn � ` � � � 19�� _
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Owner i�:- ��s /� � �jL � S
r
Kind of Building C��/t` K
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Used as it < �,_%�' �/.. C t' - .
To bc completed about ��' � -- --
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Estimated Cost, S
�-_ � (t,� i'�
Old A'e ; IIui3ding Permit No. P.rmit No.
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Signed �` �-'_,• � C � ,f �_/� c�
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-� ��— f�� � � �I
Busincss Ph�ne No � ' � 5 � -
ROUGH
F�N�u.��`�I- � •
P.I:PAIRS ic xt.TERATIOHS—R�!o: !o Code .50 State Surcharge
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PA�.TI��. R�T� ��l;��U�L�
v�.�i►i't^.' �I�RM 14..rFt:
h:raacr S`ell Fx D�Jrt �ora
Re�?acemrnt cf il�r-sare
P.�pa�rs & Altcnt.cr.c---up to SS00.00
Rr�airs Gc A:tcra:ior,� cach add. SSOU.00
p¢c��. wa�s.i �
TL•rnace Shctt F� ITsct Wc+rk co 17d,600 B'IV
er..� :dd. GO.J00 BTU . . ..
R.cpi:crr.�eat of F��rnace
Re�sin & ATte*a�aons---up to =SOO.W
i'.r�aJ:s & Ai,�ratiocLS each add. SSOO.GO
39.�a i� TO i tV.
.. S10.W R
6.00 :
6 00 S
. 3 (x1 f
. a� o 00 ; %�e?, � 4-�
3.W i
6.00 !
6.00 ;
3.00 i
ETEA![ o: HOT W1lTER EYBTEid .
i'��rr:acr She!1 Sc Lires- - to 4�?0 �Q. t: F.DR Stcarn �:O.�J S.
F1:rna.e Sh..l �C Line�- te 640 �q. ft EDR F{ot Wa:rr 2000 S. '
iath r�i�a ".� s�. tt �f�(2 5te»rn �(1f1 ;
Each ad3. 3.0 sq. .t E:DR Hot Wgter 3.00 b
OIL H�A*iEP-ta 3:,aL per hour 6.� s.
ovcr 3 Qal. per hour-See Fes 5checiuls _
�
GA.� �iLT',RTP. (�p to i�'3,C� 13T:J) 6.Q0 ; `J r���'
o4zt 1:9.Uti1 $'I'IJ Ssa Fr� 8chedu!•
GI►!S 7'I7T1YC f%L3: ' It'O AATE TOTAL
.� ey�.
lst 3 flx:ures _ x= 200 S•�`�
Add�tic�al Fi�tuccs ____ x .T8 2_._. _...
Gas Ran;r p I9�J.q� _ zZ 6.OR =- —
�a co.:�rtto;zir:a=
tA.*� � :�nrc JYbZ�1J.�I
�rru..�-ssc a��sr,:�t
�LTLItXTIOFi3 Z REP.�IaiS
ROt7C3H
�u. �-�s-7�
State Surcharge .50
�
�i0� �t� �t�r'�i.�►
�
�roT�u. � � 7 S ��
%�QrZ. O� �1��f3. �1GS16 .Qi.i.�-.� i�
L�� � .5� � �� ��i��'.�1�'��� o;
Cuy o! �ridlcf:
The �:ndersiPncd he�cby makes aDplicaticm for a ptrmtt for the �vork nerdr
spccifi�•d aSn���r,g to dc all N'Crk ;n str�ct accordance k�itA the Cit� Ord:n�nca
and ru�inp, of the DeL�a� tm��nt of Iiuil�in6s, ar.d hereby declnres that a11 tAt fscl�
and reprecPnlatiuns statrd in this appLcatiun are tn:e aad correct.
Fl��dley, Mian �� �� � �.1��
n.vner . �/��/¢`%Z /�G4'f`i � S
Kind of Building � /7��5'�
Useaa� , ��C�fLCiNCr
To ►�e complelc�l about
Estima?ed Cast, E �� � �'C'
Old ew Bti{ding Pertnit No. ------ — P�rm�t No. (i'����3c'
��^Rii�T[ O� 0 F i�l O;t�
NEATTNG or POFdE:t i'I.!►NTS--Stear�. fiot Woter Warm Air-�No._L.`_
Trade Name `T/7 �`� ��� �� _ Size Mo '3�-I��' _
Capacity �l�.� �' � Sq. Ft E.D.R DT'(J �,p
� � .
Total Cennected Load s�� �� lUs�d of �Let G� �
EiURNER — T?ad� Nomp S!u No
Copacity 3q. �'t. ED-R F3T'iJ S?
(�sa�„axs-oraR{
I
0
n
si �.. „� .�' �
• „
� . /���✓4��
qo.. � � ""� ��,.�,.._
i3u� I'�.aut . .�,..
/ S` � �� /.� % c'/f� 2f�/� L %a
NEAY LOSS CALCULATIANS DEPARTMENT OP BUILDINGS
Weatherstrips Gu�� Constructan No.
Windows I Doora Refereucs Out. Wall Int. Wall CeilinQ Roof �'loor Kiad
Yes—No Yea— 0 19_
Fl.� 0� 1- Room L.ength %0 Width j Hei�ht j� Fl.� /j� Jr%� Room � �
Windows and Doors—Crackage and Area Windows and Doon—�Cn
�Vldlh Hel�ht No. o( Lln��l [. An� WIQtA Hd�et No�
No. ot pane o[ Dane Il�ht� ot crack p. Pt. Na o[ p�n� of pano 15�
.� �% �3 �' � � rsZ � " �
/ 3 � !l c � % �% .� C'i
Coef. &u
Inhitr�tion ' �' j rj";� c9
Glass .3 � }�(� % f O <~�
Esp. wal! %.:� C
Net ezp. wall � /Li j ° .�, �J
Int. wall
CeilinR ' U / � C� �J
Floor
Total Btu. � � �-Cf'
Required sq. ft. E.D.R. or sq. ias. W.A. Leader area
Fl.i L/L� A1('rRoom Lt�gth a.y� Width IS�, S�Height �
Windows and Doors—Crackage and Area
VJl�dih Hel�ht No. ot Lln�al [t. Ar�a
No. ot pane ot p�ne II�Ab o[ cracic p. tt.
� � b y" 7 .7� �
.2 ` S�% �l fl .Z Z o R
Coef. Bcu
In6lcracion " "�� C� / � �� G
Glass 3�, S'� �y r
E:p. wall 9
Nec e:p. wall i 7 /G ,� S" "7 G
Int. wall
Ceilin6 � ) /�j �.;.�% U
Floor
Total Btu. � b' C:)
Required sq. ft. E.D.R. or sq. ina. W.A. l,eader area
Fl• - Tc' yF oom � Length %� Width % S Hcight
Windows and Doon—Crackage and Area
Wldth Hel�ht No. ot Llneal tt. Area
No. ot pan• of D�n� Il�ht� ot crack p. tt.
� � � � �3 %
.�, / � � I 3 �
7 .� k � :3 � 5� �
Coef. Btu
lnfiltratioa G� =fC �? � ,�, Zi
Glas� S 5 f� :� �� 4�
Exp. wall � 3
Net e:p. wall >.2 � j�i �' u
Int. wall
Ceilin6 �'•� � /LI �� j G/
Floor
Tbtal Btu. I � ` �>
Required aq. ft. E.D.R. or aq. ias.'W.A. Leader area
L�Itration
Gls�c
Fap. wa!!
Net ezp. wall
Int. wall
Ceiling
Fioor
Total &u.
,--�
S , a/�.
VILLAGE OF�
Inaulation
How Appli
w�
and Area
in�al tt. Aru
f crank p. tt.
0 3 ��
��
� �i.�
��
��
��
��
Z'�
Required aq. h. E.D.R. or �q. ins. W.A. i.eader arca
Fl.I � L� Room I l.�n�ch 1 S" W�dch �
Windows and Doon—Crac�age and Area
Wldts H�I�At No. ot Lln�al tt. Ar�a
No. ot We� of pen� Ila�ts ot cr�cl� p. tt.
I
Inbltration
Gla�s
Ezp. wall
Net e:p. wall
Iat. wall
Ceiling
Floor
Total &u.
BQY
��' c.
3 �� ��
S � �'
..7 .� v-
�jv
Height ,�'
�t j /O .� a'��
� i G�
Required p. ft. E.D.R. or sq. ins. W.A. l.eader area
Fl.� f i� Room I L.ength /� Width �',
Windor�n aed Doors—Crackage and Area
Wldth H�I�ht No. of Lln�al tt. Are�
No. ot pan• ot Dae� Iliht• ot cracl[ W. tt.
� � �- � � � / �
� �� �� i� �
I
Infiltratioa
Glai�
fsp. wall
Net e:p. wall
Int. wali
Ceiling
Floor
Tota) Btu.
Coef. Btu
.3 �Q ,� �
:� C S� � a �i
�/l
EJ %�' % " � (;.
..�i U f.- U
� G c�
k. ED.R or �p. ins. WA. L.eader aeea
6ROOKlYN ►RINTING i ADV. CO.
_ __ _ _ _ _
f.S 5�=� l3f(//�/Z/.4er
HE/iT LQSS CALCULATIpNS DEPARTMENT O� BUILDINGS
Weatherstrips G��� Construczioa I�1o.
Windows Doora Reference Out. Q/all Int. Wall Geilin� Roof �loor Kind
Yes—IVo � Ye— a—lTo 19_
Fl.� j� ', Room L.ength / Width /' Hei�ht Fl.� Room � �
Windowa and Doors—Crackage and Area Windows and Daon—�Cr+
tVldth HN�At No. o( Lln�al t. Ana WIQLA HN�et No�
No. ot pane ot D�ne Il�ht• ot crack p. ft. No. ot D�n• of Dan� Il�
,; �_� � � � _ .,� 3 /
� f� �� � / �3 ��
Coef. &u
Infiltration � L �G � U
Glass '� L S�v " '� G <:
Eip. wall ��/ Z
Net exp. wail � C� f(, � U
lnt. wall
Cei�ing � � � /�j ��- � �
Floor
Total Btu. ,�' S �-S
Required sq. fc. E.D.R. or sq. ins. W.A. Leader area
Fl•i /��iSr ���Rp'om Length s�'° Width �+ � Height 5�
Windows and Doort—Crackage and Area
Wbdth Hel�ht No. o[ Llnaal [t. Ar�a
No. ot �,ans ot.pane Il�ht� o[ eracic p. [t`
Coef. Btu
In6ltr.tion �1 5�� '� ��U
�o
Glau S`U j�i c: G
Fsp. wall ��Lc;
Net e:p. wal! f� �� Zl
lnt. wall
Ceiling '
Floor �'/ Z %C� �`/� �
Total Btu. � C: U r�
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
Fl. Room ( Length Width Height
Windows and Doors--Crackage and Area
Wldth Hel�ht No. ot Llneal tt. Area
No. ot uan• o[ Dane II[hb o[ crack �a. [t.
Z
InLltration
Glaas
Exp. wal)
Net esp. wall
int. wall
Ceiling
Floor
Total Btu.
ft. E.D.R. or �q. ias.'W.A. L.eader aroa
Btu
�
In6ltracion
C�lasc
�p. wal!
Nct ezp. wall
lnt. wall
Ceiling
Floor
Total &u.
�l�U /G
VILLAGE OF G'�-
,
In�ulat;on
How Appli
w�aa�
and Area
Required aq. h. E.D.R. or p. ini. WA. i.eader ana
Fl.I Ezoom ( Len�th W�deh
Windowi and Doors--Crackage and Ana
wiace x.�see No. oY Lln��l tt. Ar�a
No. ot wn� o[ pen� Ilabb ot er�ck �p. [t.
B¢u
Ia6lttation
C.la�s
Ezp. wall
Net e:p. wall
Int. wall
Ceiling
Floor
Total &u.
Required sq. ft. E.D.R. or sq. iris. W.A. L.eader area
Fl.� Room I Length Width Height
Windows aad Doors—CrackaQe and Area
Wldth H�1sAt No. o! Lln�al lt. Ara�
No. ot pan� ot pae� Il�ht• o[ cr�cY W. tt.
Coef.l Btu
Infiltration
Glass
fsp. wal)
Net ezp. wall
Int. waU
Ceiling
Floor
Total Bta
Required �q. k. ED.R. or w. ins. QIA. Leade� area
lROOKLYN ►RINTING i ADV. CO.