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MINDER F.�TGINEERING CO., INC.
ENGI NEER�S AND SURVEYORS
LANO 9URVEYINO 301L8 TESTINO
GIVIL 8�. MUNIGIOAL ENOINEERINO LANO DI.ANNIf�JO
6418-56T" AVENVE N.
. MAINNEAPOLIS 2'f, MINN.
KE 7- 3637
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WE HERE9Y CERT�FY THAT TMIS IS A TRUE AI�O CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF THE
LAND ABOYE OESGRl13ED ANO OF THE LOGATIOtJ OF ALL �UtLOtNGS, IF P�1Y, 1HEREON , AND P.LL VISIBLE ENCROACHMENTS,
!F ANY, FROM ORON sA�o u,N�. MtNDER ENGINEERING CO., INC.
OATE� TM�S DnYOF����B ��•��59 Ea1G�tdHE ANp SURVE O�LS �
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City of Fridley, Minn.
B�CTILDING PE�IIT N° 5 3 8 4
Date: --��--"�- """' .
r � i�� , , f � �� �
Owner: - - - Builder ____
Adclress Address �'
, �"� LO„�ATI,�,IV �F BUILDIN%
No. �.,�— Street ��.�.�� �y�,--�-re-- Part Lot ,�-
G�
Lot Block +� A tion or Sub-Division . °
L-�"'" � ' � '� � � ,,�} ,,
Corner Lot __�.� Inside Lot Setback _��� Sideyard __.,�!�S�`
Sewer Elevation _ Founda.tion IIevation
�, DESCRIPTIOiV OF BUILDING
To � Used . .� � +�, f
F Front �� Depth ..�� Height ,t"�-^' Sq. F`t. �� Gii. F�..�L�.��
_ � Front ��— Depth ��� Height .�`__S�''�z Sq. Ft y�.� Cu. F't ��
Type of nstruction -�-�"�"��`�--��_.�� F�st. st �..�.��� �To be Completed
Ia considerai3on of the issuance to me of a germit to construct the building described above, I agree to do
the proposed work in accordance with the descriplion above set forth and in compliance with all provisions of
ordinances of the dty of F'ridley. � .
.i.
# � -� _,.....x
In consfderation of the payment of a fee oi�$ �.�., permit is hereby granted to
to construct the building or addition as described above. This permit is granted u�n
the express condition that the person to whom it is gre.nted and his agents, employees and worlanen, in all work
done in, around and upon said building, or atty part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regardfng location, construction, altera.tion, maintenance� repair and moving of buildinge
within the city limits and this permit may be revoked at any time upon viol,atf oY any of the provisions of said
ordinances. �r
����� � ":�
_ ���' � •a Bwllding Insgector
��
NOTICE:
This permit does aof eove� the eonatrueHoe, installa�ton. fo� wiring. Plumbine, eae heaNng, aewer or water. Be wre to see
f6e Buildteg laspeetor for aeperate permits for thess hema.
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Owners Name
��zc�TZaN r� Buz�,nndG �
CITY OF FRIDLEY, MINNESOTA �
� y :.. -
. . - 6�//L .
OF BUILDING
�io. - Stree� / e • Part of Lo
I�ot _,,,��Block . _� Addition or Sub.Div
� � r
Gorner i�ot�„Inside �t Set Back �� Side-Y.�rd l�
S�'t�tFd� ELEVATION FflUNDATZON ELEVATION
Agplicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BZiILDING
To be sed e :
. .
Fro�t . Depth Height,� ,,� , , ,,,.,�_
Sq. Ft. Cu. Ft.
�
^�. Ft. �„_...��°� i
�
T�rpe af
To be
� `� -- � �_„
��
� �t�atea cost
The undersigned hereby makee application for a permit for the work herein specif'ied,
agreeing to do sl� rrark in �tri�t accordance with the City Ord3nances and ruling of
the Department oP Buildings, and hereby declar that all the facts and representa-
tiona ata,ted.ia this epplication are true co , ct. �
DATE �' ,� �SiGNATUKE
(A Schedule of Fee coste can be found
�1
Reverse Side.)
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�ction 2. The Inspector of B�.iildinge shall, before issuing eny psrm�:t
for the ereation of ar� bnilcling.vr structure, or for any addit3.on to
an� egi.ating buildirr� or atructure, or for any alt'erations or repeirs
tv any exiating bui3.d3ng or structure, upon application therefor, require
tbe payment by the applicant for such pexmit of feea to the amount herein
l�io�r set forth and in the manner here�.n proe3ded to-wit:
2.1. For any auch permit for the erection of an� fire-proof build3n�f.other
than a garage, warehouse, fae�tory or grain elevator, or.for the erection of
�qy fireproaf addition, for ei.mi].ar occupancy, to e.ny existing building
ahall be at� the ra.te of .�1.40 for each one thous�nd.cubic,feet, or fraction
thereof, 3n such cubical contents.
2.2. For ang sueh permit for the ereotion of a�r fireproof gare�e, ware-
house, fa.ctory or grain alee�tor; or for. the ereation of any fireproof
addition for aimilar occupancy, to any axieting bui].ding ehall be at the
re,te o� �1..2� for each one thousand cubic feet, classified as "fireproof�
by 3ection 502 of the Minneapolis Build�..ng Code.
OIISES
2.3. For ang suoh perm�t for the erection of any nor�fireproof building
other than e garage, warehouae, factory or grain elevator, or any non-
fireproof add3tion, for s3mi].ar occt�pancg, to any exi�ting building.
Permit �7..� for each one thoueand cubic feet.
GARAGES ..
.�
2.4. For any such pera�.t for the erection of any non-fireproof garage,
warehouse, fac'tory or �rain elevator, or Por the erection of an� non-
fireproof addition, for similax occupancy, to any exiating building �r
for each auch building or addition, Ninety Cente for each one thousand
c°ubic feet or fraction thereof� in the cub3cel contents thereof w3th a
min3mum of �l�.00. � .
'� For the purpose of computing fees for biai.lding permits the cubicaT cont�nts
of any build3ng or addition to a uniform height tlaroughout by multiply�.ng
the �ound area covered f`rom a point six.(6) inche� below the floor line of
the ba.sement or celler to the avera�e height of the upper surface or to the
� e,vera$e hei�ht of the roof surface of the main gable of a pitched roof.
e
2.5. For re�,irs or alterations to an exiating etructure, the fee ahall be
at the rate of �3.00 for eacla Five Hundred Dollaxs (�500.00), or f�action
thereof 9.n the coat of all propoaed work.
2.6. In no -ce�ae sha].1 the fee cherged for any perm3.t e.e set forth in
Secti�n-�� be less than �L�.00. �
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HEAT LOSS CALCULATIONS DEPARTMENT
Weatherstrips A.S.H.V.E, Conatruction P
Guide
Windows Doors Reference Out. Wall Int. Wall Cxiling
Yes—No � Yes—No 19_
�/ '.-,c � oom � Length Widfh Height a�
W'ndows a Doors—Crackage and Area
Wldth Height No. o! Llneal !. Area
No. ot pane o[ Dane Ilghte ot crack aq. ft.
�
O � �
G � ,�}i Coef. Btu
InGltration
Glaas
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
F7.� Room � Length Width Height
Windows and Doors--Crackage and Area
Wldi.h Hefght No. ot Llneal [G Aret
No. ot pane ot pane 1lahts ot craak rp. !t.
� � � / O
i �
i o ia
Coef. Btn
In6ltration
Glaaa �
Eap. wall
- Nec e:p.�waU
Int. wall
Ceiling
�r
'fota tu.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
Fl. Room � Length /� Width s
Wind ws and Doors—Crackage and Area
Wldth Helght No. ot Llaeal tt. Area
No. ot pane ot pane Ilghts ot enck sQ. it.
� .�%D � D 1/ �/7 /
Infiltration � � �
Glaaa �
Eup. wap �
cv�� �xp. Wau
Int. wall
Ceiling �O
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�� �. ' /6 �
OF BUILDINGS RIDLE�MINN.
�o. Inauladon
Roof F1oor Kind How Applied
FI.� // oom Leagth p Widt6 Height�
Windows and Doorsr-Crackage and Area
Width Helght No. ot Llneal tt Ares
No. ot Dane ot Dane llghts ot crack eQ. !G
� �
Coef. Bcu
Wiltration p
Glaas pp
�.,�u
Nec eap. wall d p
Inw wall -
Ceiling D O 00
Floor
Total Btu.
Required sq. k. E.D.R. or aq. ins. W.A. L.eader area /,3 �; O
F7.1 / Room I Length Width Height�.�'
1Vindows and Doors-�-Crackage and Area
Wldth Helght No. of Llneal ft. A�ea
No. ot psne ot pane Ifghts ot crack aQ. lt
D o i
/ /
Coef. Btn
In6ltration � / � /�; �
/ ' �O Glaaa
Eup. wall
%O 7v Net ezp. wal)
- �—
' Int. wall
��O Ceiling
O G D Floor
�" Total Btu.
/O
Required aq. ft. E,D.R. or aq, ina. W.A. I.eader area
/ Fl.� m I LenBth VNidth - 02/
Windowa and Doora—Cracl�age and Area
Bcu
�O O In6ltratioa
3 p p Glaas
Eap. wali
� Net eap. wall
In� wall
�O O Ceiling
Floor
1'otal Btu.
aq. k. E.D.R or sq. ins. R/A. L.eader area
If% ` .-
Btu
G�/f�
�p� �
, ` d�� N.���! �� Y R r� ��� '
sa� -.._. .4z /�'f` �
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HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS IDLE , MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out. Wap Int. Wall Cxiling Roof Floor Kind How Applied '
Yes—No Yes—No 19_
F7.� Room � Length Width Height Fl.� Room Length Width Height
Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area
�Vldth He�ght No. ot Llneal f. Area Wldth Helght No. o! Llneal tG Ares
No. ot pane ot Dane tighte of arack eq. tt. Na. oL pane o[ pane tlghts of crack sa. tt.
O [? / O /oZ�
�
�
� Coef. Btu Coef. Btu
Infiltratioa p O Infiltratioa '
Glass
Glaas
Eap. wall �. w�
Net exp. wall f� O Net e:p, wall
Int. wall Int. wall
Ceiling � �
Floor Ceiling
Floor
Total Btu. Total Btu. ',
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area R�ry�� sq, k. E.D.R. or aq. ins. W.A. Leader ana '
F7•I Room � Lengch Width � Height �,� Room ( Lensch Width Height
Wi dows and Doors--Crackage and Area jVindows and Doora—Crackage and Area
Wldih Hetght No. oL Ltaeal tt. Area Wldth 8elg6t No. of Llneal tt. Area
No. ot pane ot pane ll��te ot erack w. ft
In6ltration
Glaas
Eap. wall
Net ezp. wall
Int. wall
�ei�r
Floor �
Total Btu.
0
Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area 9
F7. Room � Lengt6 Width Hei
Windows and Doora—Crackage and Arca
Wldth He1gAt No. ot L1nea1 it. Area
No. ot Dane o[ pane Ilahte et cr■�� ... ��
�
Infiltration
Glaas
Exp. wall
Nec e:p. wall
lnt. wall
Ceili_�_
Floor
Tbtal Btu. _
Required aq. ft. E.D.R. or aq. ins. W.A. L.eader area
Bcu I
GoD
Bn� I
No. o[ paoa ot pane Ilghts of crack ea. tt
Coef. Btu
Infiltration
Glaas '
Fap. wall '�
Net e�. wall
' Int. wall
Ceiling '
Floor
Total Btu.
Required aq. k. E.D.R. or aq. ins. W.A. L.eader area
F1•� Room I LenBth Widt6 Height
Windowe and Doora--Crac�age and Area
Wtdt6 Helsht Na ot Llneal [t. Ares
No. _ of psne o! Dane Ilahb o[ crack w. tt
In6ltration
Glaas
Esp. wali
N�t ��. Wau
Int. wall
Ceiling
Floor
Total Btu.
Requued sq. k. E.D.R or aq, ias. WA. L.eader area
F.I Bc�