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CHIMtdEY ANJ STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (,�o ()
2. Is free from rust or deterioration Yes (�o ()
3. Has no foreign objects lodged within Yes (� No ()
4. Is securely s�pported Yes (�No O
5. Meets a11 current Code requirements for size and
total BTU connected Yes ( No ()
6. Nas Total hea ti ng BTU' s of ��, � c� p
All other BTU's
TOTAL
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� Heat Gain Calculatio� Form
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OUT9IDE D.H. TEMPSRATURE °F HOU9H DIINEN910N AND CEIIdIVti HB[pi11' X R
TYPE CONBTRUCT[ON pggp gQ, �, MUL,fPLIER
BUTH
, Glass
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w8u �.� � � �fL �
Masonry Wall � � �� �
Ceiling ` � � � � /
i Floor �
� Ventilation - `
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IPeople Load 400 BTU per person - see note below � ��
I
Appliancea
1,800
Total r�
o� ..�
CHART II
Outside Design D.B. Temperature {'p ) 90 95 100 105 110
TYPE CONSTRUCTION Q 73 ° D.B. INBIDB NO. M�,,�,��g�g
1- Ciless
Single - No shade A 65 70 74 7$ $4
Double - No ahade B 52 55 S8 62 6$
Single -+h ahade C 49 54 59 64 79
Double-+hahade D 42 46 49 52 i5
Single - sFiaded E 39 44 48 S 1 S4
Double - ahaded F 32 39 42 ¢�
2- Wall - Framo or Venoer on Framo
No insulation A, S.7 6.6 7.6 9•S 10.3
�" �nsulation B 5.2 5. 6.1 8.2 9•5
2° insulat�on C 4.8 .0 S.� 7.2 8.
3" or more Insulation D 3.5 3.7 4.5 5.9 7.7
3- Masomy wau - above grsae only
Ple�n A 6.3 .0' 11.9 13.8 15.5
Funed - No Insulation B S.4 6.4 6.7 9.1 � 12.2
Furred -1" Insulation C 4.6 4.8 S. 6.1 7.0
Furred-2"Insuiation D 3.S 3.8 6.5 4.9 5.9
Furred - 3" Inaulation E 26 2.9 3.2 3.6 4.4
4- Celllag - Attic mast be ve�od
No inaulat�on A 12.1 14.5 15.9 17.8 19.6
1+�" insulation B .4 6.9 7.9 8.8 10.Q
3�/z" insulation C S.1 i. „ 6.1 6.9 8.2
4^ or more insulatiori D 4.0 .9 S.3 S.8 6.S
S - Floor -
Over open space or uncondit(oned room A $ 6.7 9.1 11.1 1�,2
overbasement, crawf or slab - B d � ; O O-
6 - VentllaHoa
BTUHperCFM Z3 �� 4s S� 67
People load - 400 BTU per peraon. Allow 2 people per bedroom but not lese than 3 per housing unit
Note: When figuring on Individual room t�sis, people load should be edded to Iiving room end/or femlly room ony.
Appliancea -1800 always add to totel. When figuring on Individuel room baeis, this ehauld elweye be edded to kitchen.
Note: Whlle the ebove la Irrtended to determine the BTUH requlred for the entlre house It also can be uaed to determine Individuel room requlrements,
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SuBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� .
� �
� `y ______ COMMUNITY DEVELOPMENT OIV
f � � PROTECTIVE INSPECTION SEC.
, ,
;
L---_�� �"' �.� CITY HALL FRIDLEV 55432 NuMBER REv
i 612-571-3450 910-F15
JOB ADDRESS 6200 Carol Drive NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. $ 2 Shorewood
2 PROPERTY OWNER MAIL ADDRESS
Nancy Knapton 6200 Carol Drive NE
3 CONTRACTOR MAIL ADDRESS
OATE
5/15J95
Panelcraft 3118 Snelling Ave S, Mpls., MN 55406
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER
6 USE OF BUILDING
Residential
7 CLASS OF WORK
MAIL ADDHESS
ZIP
ZIP
ZIP
PAGE OF
/ /
PE .
?���9�
RECEIPT NO.
/ %��
APPROVED BV
SEE A7TACHED
SHEET
PHONE
571-1754
PHONE UCENSENO
721-6628 2179
PHONE LICENSE NO.
PHONE LICENSE NO.
❑ NEW ❑ ADDITION CJ ALTERATION � REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling; soffit/Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCf
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOFiK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STA
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL 8E COMPLIED
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �C,045
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CO STRUCTION. $90.00
PLAN CHECK FEE
License SC $5.(
SiGNAT E OF C 'RACTOR OR AUT ED AGENT IDATEi � yyHEN PFiOPER
SiGNATURE OF OWNER �iF OWNEi7 BUILDEfi1 IDATEI I'
�. �
GROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
_LS GARAGES
SURTAX
$3.02
SAC CHARGE
Fire SC $6.04
TOTALFEE
0 $104.06
VALIDATED THIS IS YO�JR PERMIT
r I •a �
/
N E W j) �� Effective 1/ 1/95
ADDN ( � C[TY OF �[�IDL,EY
ALTE[Z (� S[NGi.E FAMILl� AND DLJPLEXES R-1 AND R-2
Building Permit Application �l � � �
ConstrucdonAddress: _� � �� L-�t{`� ` r �',1-�--. Jli�
Lega1 Description:
Owner Name & Address: /t%4 v� e�.�� Q��� Tel. #,� 7/ �/ ���
Coniractor: ��.,.ie f�{��.�'_ f- MN LICENSE # J"7
Address: 3 /� �" � �,,� �//� � LJ� Tel. # %� / -�,� � �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTgIER:
Attach to this application, a Certificate af Survey af the
lot, with the proposed construction drawa on it to scale.
I.ength
Length
Length
DESCRIPTION OF IMPIiOVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
Type of Conshvction: 5': a�.11� ��; ��� o� Estimateri Cost: $ �° l� ,/�.^
'7
.Approx. Completion Date:
(Cost on Ba.ck)
Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x$ _$
DATE: � � 9,� APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
Fire Surcharge
Sta.te Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��, c��
$
$ �. D
$
$ � , C��
$
$
$
$
� ,,,r„
- �
Fee Schedule on Reverse Side
.001 of Pemut Valuation (1/lOth�)
$.50/$1,400 Valuation
$850 per SAC ITnit
$5.(� {State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary ( ]
- < -,.�
IcUll.l)iNG 1'i:KMI"1' FGL' SCHEDtl(_r_
i'hc (;tii;:f i3uildinf, Uftici<jl �hall, hciorc issuing permits for thc crcclion of any huildin�; or stnicturc,
ur fc>r any a�i<iitic�n tu any cxisting buildinl; or struclure, or for any allcraiior� or rcpair lo any cxistin}�
(>uiliiing e>r slructure, u�n a����licaUO�� iherefore, reqaire the payment by d�e a[��licant for such Permit
c�t� I�e;s te� thc; IilI1pU[l( l�erein belbw sc:t it��th aad in thr ��ianner herei� �rcividul to-wit_
"I'O"I'AL V�LUl:
� 1 to $S00
�SO1 to $2,000
$2,001 to $25,000
�25;001 w �50,000 -
$SO,OQ1 to �100,000
$100,0{? 1 to �500,000
$500,001 to $1,000,000� -
$ I,000,001 and up
�I:I_S
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $S00 plus $L for each additioaal $100 or
fraction t6ereof, to and including $2,000 -
$45 far first $2,000 plus $9 for each additionai $1;000
or fracbion thr,�-oof, to and including 525,000 '
$252 for first $25,000 pl�s $6_50 for each additional $1;000
or fraction the�reof, to. and including $SO,IX?0 --
$414_50 for first $SO,OilO plus $4S0 for each additionai
$1,000 or fradiou thaeof, to and including $iIX3,000
$63950 for €�st -$100,OOQ plus �$3_50 for each additional �
$1,000 or fradian �etco� to and includiug �500,000
$203950 for tfie fi3rs# $500,000 pins $3 for each additional
$1,000 or fraction �eof, to and including $1,000,000
$3539_50 for the first $1,000,000 plus $2 for each additiouai
$1,000 or fraction thereof -
DRIVEWAY DEPRESSION ESCROW
(Concrete Cru-b Streets Oaly)
Alternate °A": Removal and replacement of curb and gutter only - Driveway width plus b feet times
�13_54.
Alternate "B°: Removal and repiacement of curb and gutxer and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $i5_75.
VLR[FICA"fION Or FOUNDATIOI�t
i'ermits for corrsl�uction wi(1 be issued a minimum of 24 hours from the Ume of a�plication to allow
fvr praper review of ehe propc�se.�ci structure and of the construction site_ �
A Ccrtific;:itc of Survey of tlie lot, showing the iocation of thc founclation once it has it has hccn
conslructc�i �vill be cex{�irui i�efc�re proceeding with lt�e fraa�iag-
-- � . a
City of Frid�ey
AT THE TOP OF TME TWINS
' � �72-3�,��,
; �v �__�_ UNITY DEVELOPMENT DIY.
r � � PROTECTIVE INSPECTION SEC.
, _ ,
` .--_� ��"' �'� CITY hIALL FRIDIE� 3S13I
` 612-571-34b0
JOB ADORESS
6200 Carol Drive NE
1 LEGAI LOT NO. BLOCK TRAC1
DESCR. 8 2 Shi
2 PqOPERTYOWNER MAIL�DOfiES$
_ Winton & Nancv Rnanton
3 CONTRACTOR MAIL ADDRESS
Panelcraft of MN 3118 Snelli �
4 ARCHITECT OR DESIGNER MAI AODRESS
S ENGINEER MAIL AODRESS
8 USE OF BUILDING
Residential
7 CLASS OF WOFiK
O NEW ❑ ADDITION
8 DESCRIBE WORK
Sidin� and fascia
9 CHANOE OF USE FROM
STIPULATIONS
EU I�.DING PERMIT
REV
910-F15
DA7E PAGE Oi
10/22/98 � /
�RMIT NO.
28365
7l� 4
APPqOVED BY
SEE ATTACHED
SHEET
J/ 1�1 /.7�F
PHONE ' UCENSE NO
21 79
PHONE LICENSE NO.
PHONE LICENSE NO
O ALTERATION � REPAIR p MOVE O REMOVE
TO
�� Call for building wrap inspection before covering.
SEPARA7E PERMITS ARE REOUIRED FOfi ELECTFiICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCV
VEN7ILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK OF CONSTRUCTION 20NING SQ. FT
AUTHOfiIZED IS NOT COMMENCED V111THIN 80 DAYS. OR IF CONSTRUCTION
OFI WORK IS SUSPENDED Ofi ABANDONEO FOR A PER100 OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED NO DWLG. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS
AND KNOW TME SAME TO BE TRUE AND COHRECT. ALL PROVISIONS OF �AWS VALUATION
AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMP�IED
WITH WME7HEq SPECIFIEO MEREIN OFi NOT. THE GRANTING OF A PERMIT $2494
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OF THE PERFORMANCE OF CONSTRUCTION �]/�..75
S�GN4TUpEOFCON'i7ACTOpON4UTNONIZEOaGENT IDATE�
�GNaTUaE OF OWNEA a� OWNEA BU4OHR� ID�TEi
TE
ROUP OCCUPANCVLOAD
CU FT.
OfFSTREET PAqKING
IGARAGES
$1.25
SAC CMARGE
Fire SC $2.49
TOTALFEE
$83.49
D THIS IS YOUR PERM
�v i� �v �. � . � �
ADDN II
Al.:l'I�R � �
C1'I'Y O� I�RIDL�Y
SINGLI: rAMILY AND UUI'1_CXrS R-1 AND R-2
I3uilclin� I'crtnit APPlication
� i�slivclitmAcl�rctis: �,�C��
Lcbal Dc;scri�tic�n: -----.- —
O�vncr Nainc & /idclress: (r� l�T'�.� � �' �- N ��- �� �=
ConU�uc;lc�r: f� E�� i�- � i
�� ..------ --- ------
Aciclress: �l �,� lSaU�Cc_iNG
� �-�vL- ��� � � �
LIVING AR�1\:
GARAGC ARCA:
llCCK ARrA:
OTI-IrR:
� � �� a�
t . �eJ �
L'IICCUVC 1l tIJ�
�
, �� '��l J
r
" � 2c�� �
__�� J���
.----
/ �
:� i� (= T r> ,� , Tel. �l `� ��/- / `% `% �1—
MN LICLNSC �l ,�' / i� ------
�_,� /�%iL= ��.5;1C�H Tel. �f ��'/ -��G�n� f�
Aitach to this aPplicalion, a Cerlificate c>f Survey of tlle
Iol, witli tlie Pro�osecl const�-uction drawn on it to scale.
Lengd�
Length
Length
D�SCRIPTION Or IMPROVIsM�NT
Corner Lot ( � Insicle Lot ( j Ft. Yd Selback _
'I'y�e ol' C;��nslructi�n: � �'�� � �'� /'� -�,� S�' � a�-
� i•ox. CoinPlclian Date: �
Wicllh
w��tf�
Width
I Ieight
Heibht
Hgt/Grouncl
sy. rt.
s�. rr:
Sq. rt.
Sicle Yard Setbacks
Cstimated Cost: $ � ���`��' ��
(Cost on D�ck)
I�rive�vay Curh Cul Wicllh Ncccica: rc. -�- G r� _ ��t x$ __ _$ ___�_
DA"f�: � �o �i' � �1PPLICANI': �_ � Tel. �l 7 Z / - CP !v Z �
I'ermit I�ee
I�ire Surchar�;e
�iatc Surcharge
S/�C Ci�arJ�c
Liccnsc Surcl�ar�;e
I�rive�vay �scrow
Trc�sion Conlrol
P.irk ree
Sc;wcr Main Char�;c
'�l'OTAL
STIPULATIONS:
CITY �15� QI�L_Y_
$��� _ �ee Scl�cdule on lteverse Sidc `
$__� .001 oi' Permil Valuation (1llOth%)
$_�,� $.50/$1,Q00 Valuation
$ __ �_ $�00 per SAC Unit
$__�`' _j�U $5.(� (State Licenst;c( Resiclential Contraclors)
T'
� nlc. ��A~ or ntt. ��I3�� Above
$ $450.OQ Conservation Plan Revie�v
$_ ___ _ __ ___ ree Determinecl by �ngineering
$._..---------------- A�;rccmcr�l Neccssary I I Not Ncccstiaiy I I
�� �z � i C? ��! �.
� �"'' �>'' ri �`��
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