AF - 43933SUBJECT
City of Fridley
AT THE TOP OP THE TWINS B U II L D I N G P E R M I T
r .
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� �• COMMUNITY DEVELOPMENT DIV.
�' PROTECTIVE INSPECTION SEC.
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i--_-� �"' �'� CITY HALL FRIDLEv 85432 NUMBER pE�
� 612-571-3450 910-F15
JOB ADDRESS 6075 Central Avenue NE
t IEGAL LOT NO. BLOCK TFiACT OR ADDITION
DESCR. 7 2 Moore La.ke I�ills
2 PROPERTYOWNER MAILADDRESS
DATE
7/3/91
Howard Bohanon Homes PO &ox 486, Anoka, MN 55303
3 CONTRACTOR MAIL ADDRESS
Same
4 ARCHITECTORDESIGNER
5 ENGtNEER
fi
8 USE OF BUILDING
Residential
7 CLASSOFWORK NEW
�
MAIL ADDRESS
MAIL ADDRESS
21P
ZIP
PAGE Of
/ /
2091
� � C�
� B�
SEE ATTACHED
SHEET
PHONE
427-0041
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LiCENSE NO.
❑ ADDITION ❑ ALTEFiATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 42.� x 26� 4 Leqel Split Entr�; and a 22� x 22� Garage
9 CHANGEOFUSEFROM
TO
STIPULATIONS ppoyide sod in th.e front �nd side yards. Provide a hard surface driveway.
Provide City w:ith.copy of verifying su�cvey before capping. See notations on plan.
Permit from County �equired for excavation to sewer. Paid $750.00 Park Fee.
WATER & SETniER LOCATTON: Must be tapped.
MINIMUM F"LOOR ELEVATION: Expose Wye prior to setting floor foundation.
SEPARATE PERMITS REQUIRED FOR �������
WIRING, HEATING, PLUMBING AND SIGtVS. Befare digg�ng call for
ali utility iocations
THE ClTY OF. FRtDtEY DOES NOT GUARANT�E THE 454-OOQ�
ACCURACY OF UTt�fTY LC�CATI�NS AND ELEVATIONS, REQUIRED BY L��
7HIS DATA IS Ft)R INF�RPtATION P��POSES ONLY�
ANI� PERSOI�IS USIN(; TH;S iNFGRn7A1JON SHOULD
. c,
YPE OF COPIST. OCCUPANCY (iROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED POR ELECTRICAL, PLUMBING, HEATING,
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION �ONIN(3 SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Oti ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. • PIO. DWLG. UNITS OFPSTREET 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 yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7'��10Q $3$.SS
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE
PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $540 .50 $650. QO
STRUCTIO�OR THE PE�ORMA�ICE Of CON�STRUCTION.
��P e,f��l a .�'%-�--�� �
SIGNATURE OF CONTRAC OR OR AUTHORIZED AGENT l0ATE1
:E TOTAL FEE
77.10 $ 1,306.15 + PF
PROPEFi Ai. AT 7J111S IS VOUR PERMIT
IDATEI Ip—�° BLDG �NSP _ na
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I�1 ArID I�2
Builcling Permit App
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Effective 1,/1/91
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Attadh to this applicatian, a C�ertificate of S'�uvey of tiye
lat, with the propos�ed oar�c�t,iar► drawn an it to ��"" _�
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. � �� t:.. � ��' I
r��II�1G AR�,: Ier�gtn wiath � He.ight sq. F't.
(�R�GE ARE�i: ip*�*�+ a� Width � 2-- Heic�t � Sq. Ft. J`_BOt�
D�G'R ARF�i: IP.I�qtrl �— Width Hgt/(7otu�d- Sq. Ft.
OT1�R•
Con�er Iat [] It�ide Iat [�. Ft. Yd Setback 3� Side Yard Setbacks �� /
Zj�pe of �tn�ctian: f1%w Fstimatsd ocst: $ '�'�,� �� Q
Approx. Oa�q�letian Date: -
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Pro�osed Driveway Width If New Oppninq Is Desired: �Ft. $ r��-a'`� � 2� $
��%�+ 6' See ffick Page
n�: 6 /i- �/ �c�r: �. # �� ���i/
F�rmit Fee $ � �s
�ire svr�arge $ ^ � ,� � �.
.'�tate S�lrchat�ge $ ��a ��- � `�
SAC Criaxge . .. $ c��; �B�
Driveway Escrow, $ .
Park Fee � . $. �1 �`�, � �1
Sewer Mair� C�iarge $
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sizx�r�,�ta�s:
�c��
$ � ola
ler�� �, �,x�r;�
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Fee Sche�ule aci Reverse Side � �.
.001 x Permit Valuat3aa'i (1/lOth �)
$.5o/Sl,000 valuatian
$650 per SAC ihiit °
Alt. pAn OZ' Alt. pB�� AbOV2 .(�� �!�% � _
Fee Determined by
Agre�ent Neo�saz'Y Not Ne�ssarY [ l
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y (�P P� ��
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� y3'a.R—y 1�� : ?,;'1, t" 1 �l, ' � �� A,i �_J i�'�i �`"� ��ts_� � ,� 3 � ,'if .� �' �P�� f�.; � ����� ,r`�r' � :� r � r � ti„ {`� ?�`j;�
:_11� � �� � i-i.'r�4 �lrn: ]�4:I:n�_II
'�e Chief Buildirg Official shall, befame is�ir�g pe�its for the eraction of a�
buildit�q os �e, or' fc� any ac3diticn to atiy e�dsting buildit�g o�' �, or
for ariy alteratian cr re}�ait' to anY �s�n4 buildinJ o�' �. �'► aPPlicatioai
thex+efore, requite the p�y�oerrt by the applicant for such permit of fees to the a�t
here3n below set foYt2i aT1ci 3n t�e �anr,�r here3A p�ovicleri to�-wit:
'lt7I�I, VAIIJE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
��
$15 (Mini�nn Fee is $35 plus �an�e)
$15 for fixst $500 plus $2 for each additiaa�al $100 or
fractian t2yet�eof, to at�d ir�cludir�q $2, 000
$45 for first $2,000 plus $9 for each additional $1,000
or fractian thereof, trc at�d ir�ludit�g $25, 000
$252 for first $25,OQ0 plus $6.50 for eacii additional $1,000
ar fractior� t2yereof, �c at�d it�cludit�g $50, 000
$414.50 for first $500000 plus $4.50 for each additional
$1, 000 a�' frdctioe"1 t2�t+e�of, to and inCludiTlg $100, 000
$639.50 for first $100,000 plus $3.50 for each �dditional
$1, 000 or fractiaci t�of, to and includir�g $500, 000
$500,001 tc $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$l, 000 ox' frdCticcl th�s+eof, to ar�d inCludirrg $1, 000, 000
$1,000,001 arid up $3539.50 for the first $1,000,000 plus $2 for eac� additional
$1, 000 or fractiaai th�t�eof
�iIVE�Y �PRF�SICi�i EBCImW
(Ooncret�e Qirb Sti�eets O�l.Y)
Alternate °A" : Removal ar�d replao�sit of ani� ar�d gutter anly - Driveway width plus
6 feet tim�s $13.50.
Alt,ernate "B" : Re.moval arid r�laoe�erYt of curb ar�d gutter azrl install a 3 foat wide
approa� utith 6 itrh depth - D�iveway uridth plus 6 feet t3mes $15.75.
• :�- .- ..�. . .�- -. �� �. . .
Permits for c�or�structian will be is.sued a�inimmm of 24 hours f-rc� the ti.me of
apQlicatiaai to allow for propex review of the proposed stru�c4ire arxi of the
�iaa1 site.
A Oertificate of S�uvey of the lat, st�owin� ti� lccatiaa� of tiye faaYiation aa�oe it has
it has beeri will be required before prooeeriir�g with the fra�irig.
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CITY OF BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
One or two family dwelling
All other
Contractor N��,,�,�a,�c � �r� �r-���°:�,;, aa ME�
LINEAL FT. OF
EXPOSID WALI. j �.�.. �!'v�•� : �r�t�`�'t ,�
OPAQUE WALL CONSTRUCTION "U" value x area
PLAN NIJP4H�,I: ! i - � �° , r
Owner
Site ad ess
Da t e �" ,i i_�_ Phone
Ft. above grade
TOTAL EXPOSED WALL AREA SQ. FT.
Reference f rom �5�1 `� �t.f'���,. "U" _ r���x sq . f t . _ '(U) (A)
attatched sheets ��� ��U�� U45 x sq. ft. ' 9 (U)(A)
GvNc. "U" �� x sq. ft. • (U)(A)
"U" x sq . f t . (U) (A)
a
"U" x sq. ft. (U)(A)
"U" x sq. ft. (U)(A)
_
WINDOWS: "U" value x area '
Malce b type ��*Fj�"�'� �, � "U" x sq . E t. (U) (A)
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c�;. B� - -Z,�t;�' "U" . �-(� x sq . f t . _ (U) (A)
'� " "U" � x sq. ft. (U)(A)
�ORS: "U" value x area
Make & type Y�;WI'� ��`� "U" .��. x sq. ft. � (U)(A)
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�. �_,�e �'"�r� . ��U�� , �} I..��—x sq . f t . � _ �U) iA)
�� �� ��U�� x sq . f t. `�.(U) iA)
CALCULATED I
AVERAGE ��U�� _ �U) iA) _ ` �/ � , �i.- _ l 0 TOTALS l�=^`i • '� `� I _S � O 'L
AREA , ^ . •
���r°��, -� Q�
AT.LOWABLE .lt or less for 1 6 2 family dwellings
AVERAGE "U" .23 or less for all other buildings
ROOF/CEILING:
TOTAL AREA: ( i�� ��� ' sq . f t.
Ref erence from -� ���� "U" v Z- L x sq . f t. ��?•�� 7 _ Z: ,�`� (U) (A)
attatched sheets ��U" x sq. ft. _ (U)(A)
"U" x sq. ft. (U)(A)
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CALCULATED �
AVERAGE ��IIn iU) (A) L�. ��t TOTALS ;1 v"�, `� '° �%S. ��
m Q e r) ��f
AREA � � 3 i .�' ' ,
ALLOWABLE .OZ`for ventilated roofs
AVERAGE "U" .08 for all other construction
EXPOSED FLOOR:
TOTAL AREA `�" sq. ft.
Re f erence f rom �,}Cp _ rj,��, "U" , og x sq . f t. �{- , s- �� (U) (A)
attatched sheets "U" x sq. ft. (U)(A)
CALCUL.4TED
AVERAGR "[J1° (U) (A) a- -� TOTALS `�- � '� - �'
� �� _ � _' _ , -1 �a
�ALLOWAB?.E ' - '
AiIERAGE "U" .0$ FOR ALL CONSTRUCTION
�P�.I�1o1 1�iU M�P�Z., ' ( - ( 4-�'�
'DhTy,_ ;�/ ,. r. j ,
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�I r �fi �—��i �UMN�A�?`�
�1�►fi �.o�i 'Ro� � WALL FXP �La,2
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��� Ptru /NrL �RF� u a �AR�a u A ARr r�, u A
— ��°� �q 7 � 1 �� a. , ; ,�.-� —�. � � . .__ �... ,.
L1 v. j� M• � J L 6%.� '�, �7 ZS ��l �?�''�J- , �''�" -- - e._.
�I�TG F1 � 1� "(� ��b ( D �, ,, J v,?.g I 7 j. J 1 14'. S -----
�` i (� f � �'� '� � � iG+ � � L � �' ' � �. `t �� l ` ^ � ` �J � S -�-_
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r�,Tti N` �� � 5 S 1:� � Z. 4 4�-, �� Z, �=� , ZZ
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�l'" ��� ^'f „r�`�' I r� � "�' {o �J ,�.� � �'v l�%� l , J Gj . ._.. .�
L � ,�ti �- � ��7 � z, �� Z .�l I z, s � 6 � , 47 ---- --
v� w1 �� -- �� l �1 y � � ' - q- � � , �� '�� e - - - - --
A
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ML��. �Alt. ���t�,�e�_ ov�u�° �I ��-7 J X t`�io=_� `� ��iUlu�.
�dORKSHEET �1 �
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.E�S (z i l �+ � �:-• R �
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AREA ��U��
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Z . v ��
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Z ��Z� . �a�S
"UA"
.76
✓.��
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1. e� S
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PLAN NUMBER � ` E `'i ���
DATE � 1 � �:; .� � � ,r
"UpT" BTU/HR
�,� r�� J
'� : � S .� �= 3
s'.�� �i►�
�; . 1 �� ( �
WALL TOTALS: � 1 �7. ?�- � I.� . �-' .3
i a � � li l.. e`Ze �C � � �7,r� ": T�fJ � iL . 75 � ] . C� �'�1 %� r� � . ` s Ve� q" �
k
TOlAL RM. HEAT LOSS: BTU/HR �'� ��
L� Vt SJ r �c{,.': �r�
= Zl� X �.'i,��
L�c.� v 1� t I 3. 3 3
., �.
r.� c� -� .,,,
'� �. a �
'� ..'�'J�6 �t� t 1�.33
AREA ��U��
Z�<c . 6� '' , Ci Z-Z
Z � 4, �4
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� 4, ��-- U�t �'
��UA��
S. � 7
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"U T"
? _ �J
' � . �-
� `J� �
�- �R._
BTU/HR
7 .� �
ZU !
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lU��.
WALL TOTALS : L �'� , '! � �S , ,� `''I
�, ti �� t _ au.' B i.t Li 3 � �`'' dt ?�" i - �.1,°r ,?c �j I - , �" � �'
TOTAL RM. HEAT LOSS: BTU/HR � i�
WORKSHEET 0 �
�— ---• , �,. .� ,._
i �=�y%�,`-
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; �� �: ��v, _. � ., _ .,
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,'� rf; _ �"a , ,.°',� y- -, . � �,
WALL TOTALS:
■�
■�
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■�
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� ✓ TA ,
. � j
"U" "UA"
� �
i� � �-e � . r_�-L�
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PLAN NUMBER � � ° l -t �
DAT� �%�-
;
"UpT" BTU/HR
� �
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■ _
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T01AL RM. HEAT LOSS: BTU/HR '�'� �f�'
..,.,.-„ �;,i , , , , ''� ,
'(tr).,1� �U. �� 'r � %�'.�`�
_, �� i, ( � �J. .�_.
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; a �"r '� � . ty
. 1 ,�, � .
y A =.
C I !✓1 . �l t u ' "- -'
WALL TOTALS:
I:i;i�1
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i�' -
a
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° + _
-j Z. � :
��U�� ��UA�� ��U T��
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a
BTU/HR
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� � ,: �' -r` , , � � -� ,� �� � � � -�-� ,,� '�� � � r..r —��.7 � �
� `i
TOTAL RM. HEAT LUSS: STU/HR ��r �
WORKSHEET �l ��
wr�1/ ;:� , —� � .� � �-1 /�
r,_ ��, i � ,��
�
.;'10 >:� i 4 j t i�.�
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L'; /��_ '�de (� � � T' I �
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1`' ' I^�, . '�,. � � � �
�-, �
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AREA
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"UA"
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PLAN NITMBER � I' "� N , t
DATE � �� ��� p �
,
"usT�� BTU/xR
�, v 1 �
� , U j .�J ��
� . � ' � �
� . �
WALL TOTALS: L= �', i � .� —'`-) �
TOTAL RM. HEAT LOSS : BTU/HR �°,� �
__s_
�vvri� -,-�-- , .
�` i %j - �C � ; , . f°,
� , � %� }� ;
k�'J— r
,
�^r %'' '/1.� �°' � 1'i• =' � ? �
_�, . .
_ — �� ; '7� � ; �� w � "� �;�
. i �., �i�Y ,P'.:. � �,` . V �.r
l<'; p'1 - !J � E, � `'r_ : , , ,
AREA
--�-
' ?l
:�1�
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_ .�. � `>
��U��
J ""
, _,...�.
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a ;
.:�=�:
"UA" "U T"
� �� � 2° ��
li.S � .J �� . `
� 7 � � U
1.'�', `°�-a i
�.
BTU/HR
� r �
�
�
WALL TOTALS : � �`�'� � ���' < I � Z;', � 1 �
l �1 �� t� •�.*v � � � i'. �✓ ;� �� i - ! b��• � � ..�1 � �
TOTAL RM. �IEAT LOSS: BTU/HR � � ��,
�`�_
0
WORKSHEET U w PLAN NUMBER � `���
DATE ; r
s, �,° � t¢' -� : ,; f .. - ' �,� X � A o ' I'� 1 ' ° `,.% � r�
TOTAL RM. HEAT LOSS: BTU/HR ���� ��
OOM/ �,, , . : .. ;
- .. i
I .. ?� � �Z, +
`� *` r - ?�S` x I\i
N�',f , v�^ l� :� 1�, A�'' %,' ?� 1
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WALL TOTALS:
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TOTAL RNi. HEAT LOSS: BTU/HR . Z���
WORKSHEET l� �
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PLAN NUM�EFt � N ; �_�f` �
De�TE '�:F°�' _
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"UOT" BTU/HR
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WALL TOTAL S : � �`� 7 ? � `�- � � J I , (� . I
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'v � L L� � ! !.: L' � � �; . � � � T � � - ,.1 � '�,, � `_" f,� �-i /� �
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Y �
T01AL RM. HEAT LOSS: BTU/HR �� ���
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AREA � "U" � "UA" �"U T" j BTU/HR
WALL TOTALS: , 1 � �
TOTAL RM. HEAT LOSS: BTU/HR
f
�
!VUTE
�
__ �,l f.�'�%/,_ r' �' . � _ . / /: . .� � `� � � �G1 ��
WALL SECTION - � 1 �% � /�%;�`7��_� �`y ,�N���1 •,�iT I• �� �,�'�',�j�� PAGE
USE 12q OF OPAQUE WALL AREA FOR
FRAMF. CC�NSTRUCTION CONSTRUCTION (R) VALUE
FIG. lll PLAN VI�W
FIG. 1i1 SECTIOh
FIG. It� SECTION
FIG. �13 SECTI�N
1. Interior air film O.bB
' �/� ����� ��J. .�i�
3 . - " , Ta /J �
4 ..� .�� `' '� J�•�'� °' . ' •i ,' ,c,: 'Tf,,� � � . Gr
S �' p ' '�� ,G� • � �
h. Ex[erior air :ilm �� •�^-�
TOTAL ( R) ,';' j' �
�
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4 '��^y,' T��',, _�, t�f, _FG,'y�» / �,/i n ,ti
5 . � ::+� �d. � • 5 �
n. Excerior air f ilm �•���
TOTAL (R) �/, j � .
��1.,�_ 1 i R= . �._.��
FIG. "1
� ^ � r �
CO''4B. ��j.��=( . 1' X . �"J;° )+(.88 X__'��1=1= <r
• =' � rI � , �, "'� `,Y
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1. lnterior air f ilm 0.6$
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------ TOTAL (R) r,.�. e .,
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1. Inter i�� a! r f i lm � 0.68 _
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s,
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air film 0.17
TOTAL (R)
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CHI�IIIEY AND BTACR VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported Yes () No ()
5. Meets all current Code requirements for
size and total BTU's connected Yes () No ()
6. Iias total hea�inc� B'I�J's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Heiaq Done:
HEATING COMPANY
Signed By
Date
.a
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,
�� � ,-� � • Qra 1 � � � -d. '� ���,
Weatherotrips A'S' ' COA��NLhOD NO.
Guide �
Windows � Doora Refereace Out. Rlall Iet. Qlall Ceilina RooE Floor Kiad
Yes—No Ye�—No 19_
� FL� ., Room L.ength "_'- Width --„ Hei�ht � Fl•� �i�� Roew � 1
Windows and Doars—Crackage and Area Window� •ad Door}---Cr�
w�dih Helght No. of Llneal tt. An� Wldth Nel�bt No
vo of vane ot D��e I��hts ot erack p. !t. No. ot pan• ef ae• ll�
��'�=�_ �' i• r cFj �° � e , '�• � ° �. `
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Coef. Btu
Infiltration �� � � � . " 4,
Gla�s c, ,? � --
F.xp. wall ��
Net e:p. wall � � �' d �' `� <
�
Int. wall L '� ^ �� �, �
Ceiling ��� � d <� ,�
Floor
Total Btu. �a `. '��%
Required aq. ft. E.D.R. or eq. ina. W.A. Leadsr area
Fl.� `� tSi� `� ��' f2oom L,ength t� Width `` t,� Height
Window� and Door�--Crackage and Area
wldeh Nel�ht No. ot Llne�l tt. Ar�a
No. o! pane of p�n� II�At• o[ er�clt p. tt.
� ,��_
�,x- d. i r_ u �� i r_�- �/ ' L.
Insulation
How Applied
� Wideh �^�
and Area
aul [6 An�
� C�lt� �. �l.
� � � {.,—
1 C� e c 9
� Coef. Btu
In6ltwtion 1 � �� ���`➢ ���
Glau i�-'�_ L� _, i� �`
Esp. wall �.S
Net e:p. wall ��'t � •� " // "�
lat. wall 0' � 9::�L= o� e�� �'
Ceiling °L``P � '° � � ' % ',
Floor
Total Btu. � �
Required aq. ft. E.D.R. or �q. ia�. W.A. Leader are� M�
� Fl.� �� �.. n �m I t�� �_�� Widch ��• Heighc
Windows and Doors–�racicage and Arca
Wldth tl�l�bt No. et Lln��l tt. Araa
Ne. o! pan� et an� II�Ab ot or�ek W. tt.
� , R �i � .��E� r� .
d� ( @^ C � � 1 /_',� -� (Y-
Coef. Btu
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,
Glas� {,� 1Q� - - �. Glui
�cp. wal) ��-� `-! Esp. wall
�
Net e:p. wall � 6�; -- p°,� s' Net e:p. wal)
lnt. wall Iat. wall
Ce�ling � � � ' , '' Ceiling
Floor Floor
Total Btu. � e : __ :. _ . _
Required sq. ft. E.D.R. or �q. ina. W.A. L.eader area
Fl. �=� iZoom � Length -�`L QVidth �.
Windowa and Doora—Crackage �nd Area
Wldth Hel�ht No. of Llneal tt. Area
No. ot pan• ot D��s Ilfht� ot eraek w, tt.
In6ltretion
Glaia
�cp, wal)
Net exp. wall
Int. wall
Ceiling
—_
Floor
Ybtal Btu.
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l� �.�-�.Y '_ �
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� � � �_
1,, � . _ 2
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l.� Room 1 [.engch Width
Windows end Doors—Cracicege mnd Area
Wldth IiN�ht Ne. ot Lln��l tt. Are�
et O�n� et pse� Ilfht� et erack W. tt.
Coef. Btu
°'� ��,+ '� � In6ltntion
`i ��' - _ < Glao
r; �. � E'sp. wall
y,�; I: =�' ^ G� Nec e:p. wall
Int. wall
sq. ft. E.D.R. or aq. ina. RI.A. Leader area
Ceiling
� ,� p ,„ Floor
,
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Heighc
Btu
h. E.D.ft. or aq. in�. WA. Ltader irea
BROOKLYN VRIVTiNG d •Dv. tC.
, � HOUSE HEATING TEST RECORD .
�ADDRESS ��� � � �'�����-- Q � � � APT. FLO�O�R ��ITY ��SUBURB � ���
�CCUPANT OWNER � � �
HEAT LOSS DATE HTG. INST.
SOLD BY
INSTALLED BY � � �� � Q � ���i �
Elechical Work By Goa Lf�s By
TYPE OF HEAT GA FA �HW STEAM SPACE HTR. _
GAS DESIGN
MAKE �� ��� � MAKE OF BURNER _
Model � �► �.`% � �-- � Model
Serial � Max. BTU Rating —
INPUT � � � �% � MAKE OF FURNACE
Model
UNIT HTR. OTHER
CONVERSION
CONTROLS . � �1
THERMOSTAT ��j eat Plug Vent Size
Valve ���� ��"� KIND OF LINER SIZE NONF �
Limit �-- � � � � Draft Hood � t (--� � � Regularor
Limit Sstting l � Filters Size ��+� �%� � ��umber �
Fan Setting ��� ` �� Chimney Loeation (nsids � Outa de
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Pilot Make
Pilot Modal _
Pilot Timing
L.W. Cut Off
Smoke Bomb Wiring �
Qraft � � Test Tag
Door Presaure — Lighting Inst.�
Preasure �` Y` Psrcent CO � Dafe Tested �` � ^
laput CFH � Percent 02 �4� � Company Testing � � � �� � � ���� �C —
—7
Staek Temp. Psreent CO , Q� � Name of Tsster �� ��-�
Form 235
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ClTYOF
FRIDLEY
, FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55�32 •(612) 571-3450 • FAX (612) 571-1287
August 27, 1991
Howard Bohanon Homes
PO Hox 486
Anoka, MN 55303
Re: Fina1 Inspection at 6075 Central Avenue N.E., Fridley
Dear Sirs:
A final inspection was conducted on August 27, 1991 of the above
address and the �ollowing item was noted which must be completed
before the structure can be finaled:
Provide sod in the front and side yards by November 1, 1991.
We will expect this item to be completed by the scheduied date and
a reinspection called ior. Occupancy of the structure is approved.
If you have any questians on this matter, please feel free to
contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Occupant/Owner
6075 Central Avenue NE
SUBJECT P
City of Fridley 219 41
' , AT THE TOP OF TME TWINS g � I L D i N G P E R M I T CEIPT .
r
� � COMMUNITV OEVELOPMENT DIV.
; �L - -- c�0��
r � � PqOTECTIVE INSPECTION SEC.
i� ` �
--•. A�'�',,� CITY HALL FRIDLEV $$432 NUMBER REV. DATE PAGE OF APaROYED BV
Z '� 612-571-3450 910-F15 6/29/93 � �
JOB ADDRESS 6075 Central Avenne NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. P't. 7 2 Moore Lake Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Dawn/Wane Baker 6075 Central Avenue NE 571-5312
3 CONTRACTOH MAII ADDRESS Z�P PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Res i denti al
7 CLASS OF WORK
❑ NEW � ADDITION O ALTERATION ❑ REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WOHK
Construct a 26' x 16' Deck.
9 CHANdE OF USE FROM TO
STIPULATIONS
See. notatons on plan. T�stall smok.e detectors as per UBC 121Q, adjacent
to all sleepi.ng area.s and in b.asement,
WAR�1lNG
Before di$ging cail for
all utility locations
454-0002
REQUlRED BY LAW
TYPE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OH AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SUfiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $2. 948 $�., 4%
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEF;MIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $r�/�400 Fire SC yfi2.9S
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$5S, 42
s n ovC TP RA HORIZEDAGENT IDA Ei WHE ERL IDATED THIS �S VOUR PERMIT
. (� � l' 6-��-�3
Si NA EOFOW IF EABUILOEAI �DAT 1 ° BL �N �IATE
NEW
ADDN
AL1 ER
Il
i�
ta
CITY OF FRIDLEY
SINt�LE FAMiLY AND DUPLEI�ES R-1 AND R 2
Building Permit Application
Constcvcfiion Address: %� �I ��%�(��Ki �%� �
Legal Description:
�ffe�ve 5126/93
�
,�� �
Oaner Name di Address: ��K�r (� �� ����� Tel. � �i � _ �[�
Co�ador: P��"�0� MN IdCENSE #
Addres�s:
LIVIPIG AREA: Length
Attach to this application, a Certificate af Suivey of t6e
lot, wit6 die praposed construction drawn on it to scaie.
DESCRIPTiON OF Il1�IPROVEMENT
Widti�tt
Tel. �
Height Sq. F�.
GARAGE AREA: I.ength Wi�6 I�eight �. F�.
DECK AREA: �..engtht � Width � Hgt/Grc�md _� Sq. F�.
OTHER:
Carner Lot (] Iaside Lot [] Ft. 'i�d S�b�ck Side Yazd Setbacks
Ty�e of Consavctian: ��?� ��3�.fi� Es�timafied Cc�t: $�,� C�� `�� d�7 ��
Apgrox. Completion �ate: t L _ � ° ��%L/v , c5"U
(Cost on Back}
Dtiveway Curb Cut Width IV'e�d�:
DATE: 1U1,� 1 �
��t ��
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Drive�vay Escrow
Erosion Condoi
Park Fee
Sewer Main Charge
TOTAL
s s�-1, �d
� a.9�
� /. �'�
�
$
�
S
$�
$
$ ���
+6
M_M. • � .!_ .
Ft x $
�� ��e � ��►� s�
.(�fl of Permit Valuation (UlOth�)
$.50/$1,000 va�uatioa
$'I50 p�r SAC Unit
$S.Od (State Licensed Residential Cotttracto�s)
Al� "A" or Alt. "B° Abo�►e
Conseivation Plan Review $450.00
Fee l�mined by Engiaeering
Agreement ATec�sary [ j Not Ne��ssary [)
STIPULATIONS:
,
�
_�
Tel.# �i 1�� (2�
� -1�2� v�
BUII,DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the er�;tioa of any building or structure,
or for any addition to any existing building or strucdire, � or for any alteration or regair to any existing
building or stivcture, upon application therefore, require the paynnent by the applicaut f�or such permit
of fees to the amount herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25;001 to $50,000 �
$50,001 to $1�,000
$100,001 to $500,000
$5�,001 to $1,000,�
$1,000,001 and up
FEES
$15 (Minimum Fee is $15 plus sarcharge)
$15 for first $500 pins $2 for each additional $lU0 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for �ach additional $1,000
or fraction thereof, to and including $25,000 -
$252 �for fitst� $258� pl�s $6.50 for each additional $1,00Q
or fraction thereof, to and including $50,000 -
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction th�eof, to and including $100,000
$639.50 for first 5100,OQ0 plus $3.50 for each additional
$1,000 or fraction ther�f, to and includi�ng $500,(�0
$2039.50 for the f�ust $500,�0 plus $3 for each additional
$1,OQ0 vr fraction thereof, to and including $1,(m0,000
$3539.SU for the .first $1,000,000 plus $2 for �ch additional
$1,�0 or fradion thereof �
DRIYEWAY DEPRESSION ESCROVf/
(Concrete Ct�rb Streds Only)
Alternaf.e °A" : Removal and replacement of curb amd gutt�er only - Driveway width plus 6 feet times
$13.50.
Alterna,te "B" : Removal and replacement of curb and gutter aad install a 3 foot wide .
approach with 6 iach depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for constructioa will be issued a minimum of 24 hours from the time of application to allow
for proper review of the propos� structure and of the construction site.
A Certifica.te of Survey of the lot; showing the location of the foundation once it has it has been
conslructed will be requir� before pr�.ing with the framing.
L
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STt�R'E IN �M APPQ(7�YED MANNf'�
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- �..'`' ".`°�'�•, . :,� � TO AYPLZCAW.E COD �� ORDINAPCES .
BUILDIDG INSPECT�R
CITY OF �iIDLEY, �cINNESOT.�
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