AF - 43356Mil�TDER��I�TC�iN�F�R.iNG Co.,INC.
ENC�►tNEE�2S AND S►VRVEYORS
�wNO evavEYinio SOIL:1 TE8TINp
CIVII. d�, M6JNIGIPAI. ENOINHEAINO ' LANO GI�ANNIN�
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6418-56Tw AVENVE� N.
MINNEAPOLtS 2T, MINN.
KE 7- 3fo37
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L�@r 5 �L� �' �'r�����r��� $�����:��,���° E�-��� �� �'��� .���'�a.��
WE HEREF�Y C�RTiFY THAT TN�S IS A TRUL AND CORREGT REP1tE5Eh1TAT10N 4F A StJRVEY OF THE BOUNlOAR1E5 OF'CFtE
�ANO A84YE DES6RIBEp ANO dF Tt1E ZOCATION OF ALL 81JtlDINGS, IF A1�1Y, TNERECN , At�10 ALL VIStBLE ENCRO�,tHMENTSf
,� ,�,r, FQOM O[t ON SAtO LANp. N►�ND�R EI�GINEEt21NG CO., INC.
QA'fED TN15 � pRY oF � �� A.0.17y�A
EIdG1 S �ID �EY�
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City of Fridley, Minn..
BUILDING PE�t.MIT
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Address
Address
,
N° 5898
, OC:A IOiV F BUILDING
C'A
No. ���� Street � ��.� P Lot
Lot �� �� �
_ Block � Addition or Sub-Division �; .-�
Corner Lot ..... —.. 7nside Lot � ._._.. Setback .���.-. � —� Sideyard __� ��" �
Sewer IIevation .� Foundatton IIevation
QESCRIPTION OF BUILDING
To Used � /
a� Front Depth "� Height +�""°� Sq. Ft��� � Cu. Ft
, � � ��.
Front Depth Height �� Sq. F't. �,��=�.– Cu. FY. �
Type of Construction Est. � __ To be Completed
In conaiderailon 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 forth and in compliance with all provisions oP
ordinances oP the dty of Frfdley. �
. �
In coesideration of the payment of a fee oE .,_._._, permit is hereby granf.ed to
to construct the building or additfon as descxibed above. Thia �rmit is graz►f.ed u�n
the express condition that the person to whom it is granted and his agents, employees and worl�en, fn all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley� Minnesota regarding location, construction, alteration, maintenance, repair and moving of. buildinga
withiu t&e dty limits and this permit may be revaked at any time upon vio�of any of the provisions oE said
ordinancea. � .e`'°"'+►.. � a"
Building Inspector
NOTICE:
'IWs peemH do� eo1 eover ihs eonstwcHoe, lastaqadoe foe wiring, plumi�ing. 8as heaHnp, ssrver or watsr. Bs sun to ses
ths Butldl� Inspeeror fo� aeparete peemNe for fheee items.
�"'�.
4 �
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APPLICATSON FO� BU2LDiNG PERMIT
CITY 4F �RSD�,LY, MII�I.UESOTF�
owner.�s
��i���:�
Address Addtess
LOCATION OI� HUI.�.►DING
No. street �art o� Lot
Lot �lock Addit�.on or Subdivis�.on�
Cornor Lot ineide Lot Setback�,�„ 3ide-Yarc1
SEWER EZEVATION FOUNDAti'IO1Y ELEVATiON
Appiicant a�ttach to this �oran certi�icate of Survey of Zot and
propoeed builditig location.
To b�, used as s �
DE�CRIPT$ON OF BIJILDING
s�e Ft. �`.�''� � cu. Ft. ���'�'�
■ � w .+.�+.w��. r
_ � � � ront -� �—Dep•�h Aeight ��, _,,,
SFt .� r Cu e Ft .,_,�,�,�,,....
�� � �
�e� of Construc�ion � ' Estimated Cos� ,��'_
�o be Completed
The ur�dersigned hereby mak�s application.for a permit �or the work
herei� specified, agree�.ng to do a11 work iri strict accordance with
the � City of Fridloy prdinances� and suliag o� the Departmer�t o�E Huil�-
ings; and hereby c�eclares that a11 the fac�e aaui represen�aicione
's�ated in this ap�lication are true and correct.,
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(Schedule o� Fee Costs can be xound on the Reverae Siae) . ��r y,�,.
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BUIL►D�i\iG PERI�lZT FEE SC,HEDULE
Sec�ion 2. The Inspector o� Bu3.ldimgs shall, ba�ore 3ssuing any
pe�ai� �or the e�cec�ion of any building or structure, or for any
addi�tion to any exist�n� building or s�truc�wce, or for any altera�tions
or repairs ito any exis�ing build3ng or s�:ruci:v,�e, upon application
�hereror, requir� the payment by the a�plicant �or such per�uit of
rees to the amount herein below set forth anc� in �he manner herein
provided to wita
2.1. For any such p��nit �or the erection of any fire-proo� building,
o�:he�c than a garage, walcehouse, iEactoYy or grain elevator. or �'or the
erectlon of any ��re-p�oo� addition, for s3milar occupancy, to any
exist�ig buildinc� shall be at the ra�e o� $1.40 for each on� thousand
cu�ic �eet, or �rac�tion thereof, in such cubical contents .
2.2. For any such pernn��t �or tche erec�ion of any fise-proof garage,
warehouse, �actory or grain elevato�c, or ror �he erection oi any �ire-
proo� adc�3.tion, ior si�.lar occupa�cy, �o any existirsg building shall
1oe at the ra�te or $1.25 for each one thousand cubic feet, classifiea
as "�ireprooi" �y Section 502 ofc tha i+�.nneapolis Building Code.
HO�
2.3. For any such perm�,�c for the erec��.on of any non-�E3�ceproo� build-
ing otcher than a gaTCage, warehouse, �ac�ory or g�ain elevator, or any
non-rireproo� addi�t�on, �or si�ailar occupancy, to any exis�t3ng buildingo
Pe�cffiit $1.00 for each ono thou�and cubic feet.
GARAGES
2e�. For any such �ermi� for �:he erection oy any non-fireproo�
garage, ware�iouse, �acto�y or g�a1r► eleva�or, or for the erect3on of
any non-�Eireproor addi�ion, for 8itn3.lar occup�ancy, to any existing ,
building or �or each such buiiding o�c add�tione Ninoty Cenics �o�c each
one �chousand cubic �eet or fraction �hereof, 3n the cubical contents
�thereof with a min;mu�n o� $4.00.
For the pur�ose oc compu�ing fees fcor building permits the cubical con-
fien�s of any buildi�g or add3tion to a uniform height thro�ughou� by
multiplying the g�cound area covered �rom a point six (6) inches below
�the sloor line of �he Toasement or ce11a� to the average heighfi of the
upper sur�ace o�c �o che average he�.gh� of the roof surface o� the ma3a
gable os a pitched roo�.
2.5. For repairs or alte�at3ons to an existi.�g structure, th0 �ee
shall be at �he ra'ce o� $3.00 pQr each Five 8undred Dollars ($500.00}
or �raction �hereor in �che cost o�' all pro�osed work.
2.6, 3n no case sha11 i:l�.e �ee charged �or any permit as s�t �Eorth in
Section 2 be lees tl�� $4.Q0, ,-�
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Compliinents of North Central Public Service Co.,� ���'`���f `� '
HEAT LOSS CA�(:Ln�AR`ION&S TowN e�O�' `�/ I
DEPARTMENT OF BUILDINGS V i LLAGE �,
WeathersfrYps A.S.H.V.E. Construction No. Insulation �,
Guide �i
Windaws Daors ReferenCe Ou� v'►t Wall Ceiling Roof Flaor Kind How Applied
Y�No I Y�a•—•�N'o 19.. � I I```� � ( I I ��
��
� FL I �, � � Room I I,ength � ,�, Width !� � Height � FL I - 'v � � Room I Length � � Width � �' Heig'ht ,�' �,
Windows and Doors Cracka.ge and Area �� Windnws d Doors—Crackage and Ax�ea
Widt11 HeighC No. of Lineal fG Area Width IielghC No. of Lineal ft. Area �'
No. oP pane oP pane ]ighta oP Crack st1. ft. No. oE pane oY pane lighte oY crack s4. ft. ,
� �'�'' � � F �'.�e � �'�: � ,,.� �? ?n e�aa � � P�; �,`' p `� `� �
.'b ,�' � f =` ` �G�.��� � «� � �� I
I ( I Ccei. Btu
In81'tration "�,� '�°� � �°��
Gla.� � �,'E� � � T �'°r '�
Exp. wall � � /"- �= �-f �
Net exp. wall ,���� � 6' �' ! `1 '� �A
Int wall
Ceiling �° �' �- 6 � `� %� �°
Floor �- ����.�
Total Btu. l� � � 1'� �
Required scl. ft. E.D.R. or sq. ins. WA. I.eader area
��, I � Room I Length A�' Width �' � Height �'
Windows and Doors—Crackage and Area
Width Height o. oE Llneal ft. Area
No. oE pane oE B�e lights of crack sq. fk
� 2 "�1° �: �? � � �, � �� � ��"
�i �; �s �� �'' _�� 't`� �;-!' � e�; p;
� I I Coef. Biu
InSllaat%n �'� . �j `,� � � � ,-�c"��
Glass �, �i" � ;� � G ��
Exp. Wall � Ay'= � �' �
Net exP. wall � � � � A<.� ,� f �' �
Int �va11
Cei],ing d 1+'°�� � �° � � �
Floor �I„� ,�+,��
Total Btu. �� � �
Required sq. ft. E.D.R. or sq. ins. W.A. L�ade�r area
� � I �� �� � I L�,gth � ° Width �= Height J
� Windows and Door�Crackage and A�ea
�Width 8eight No. of Lineal it Area
No. �oE pane o4 pane Iighta of crack sq. Yk
/ I �? � 1 �R7 � � �, �, G�. �
/ � � � � r� � ��
In81'tlatioll c3' Oe � �� ! e�'- ✓�' �
G� � ��. � � �� � � � �:
Exp. wall � ��' s A �.� :
Net exp. vvall F . ,�g ° - . , 3 �" i �a ?',� .�
in� wa11
�ii Cgiling � d �,� �
�, Floor fet/ aa��.
{ Total Btu.
' Required sq. ft. E.D.R. or sq. ins. W.A. LeadeT area
I � � Coe1' ( Btu I
In81'tration � �; �' °�� � �'�' �'
Gla� �,t, �' ��� � f.� � �
Exp. wall � rU �, �f' = � � �
Net exp. wall i�i T: �'� ��� �
Int wall
Ceilir►g ��' °� " � �-% � �
Floor ��P ,�.,�,,,,�.
Total Btu. � �a i"� �-
Required sq. ft. E.D.R, or sq. ins. W.A. Lea.dez area
Fl. I,�/�'�"F�',�i�R.�m I Length ;i v Width �a- Height �
Windows and Doars--Cracka.ge and Area
�, �� �i� N� of L � � � �
o! pene oE pane ligflts oE cia.ck sq. ft.
I I I
InSI'tration
Gla�
Exp. wall `�' ,�,t�' =
Net exp. vvall
In� wall
Ceiling
ln
Floor � k
Total Btu.
CaeP. Btu
/- �f � � � i �' �
a, o ,� �+ U' � 's�
�
u� �'� � � �
�if (a �F' � �-_ C�
Required sq. fY. E.D.R. or �q. ins. W.A. I�ader area �
� �, �,� R.�m I Length / � Width / '�: Heighi
� Windvws and Doors—Cra.ckage and Ax'ea
No. �Width Height No. of Lineal ft. Area
oE pane �o4 pane lights of crack sq. Y�
� I � �' I �� �' � 9 _ �
Inflltration
GlaSs
F.�cp. wall
Net exp. wall
Int, wall
Ceilizzg
FIooP
Total Btu.
= ���
��
a � ���
l�� 1 �
Aequired sq. ft. E.D.R, or sq. ins. W.A. Lea.der area
stu
/f��
B .S�
��
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Comp�ments of North Central Public Service Co.,� '
P `
HEAT LOSS CALCULA7.°ION6 DEPARTMENT OF BUILDINGS V I LLA(iE
,
Weathersirips A:G��V.E, � Conslruction No. Insulation
Windows Doors fteference Out Wall Int Wall Ce�ling Roof Fl�r Kfnd How Applied
Yc�s—No I Yes—No 19.. I I (
� FL I� Room I Length ,P �f' Width �� Height � � F`l. I�� Room I Length �4 �/ Width �' � Height � ,
Windows and Doors--Cracka.ge and Ar�a W3ndows and Doors—Cra.ckage and Area _ B,�, A�, �
Widtlt Height No. oY Lineal f� Area Width Height No. of Lineal Pt Area
No. 04 pane oE pane lights oP crack s�. ft. No. oE pane oY pane Ilghts of crack sq. ft.
oP" ti1 � ' 8' � �� cG �. �' . V. 6� � . , J� �i - � �°!' � . `� (�J' .�,,
� �? � .�Et° 1 �-�; '�` ��. � � �� �c��' � f F� � � �'; l ,
I � I Caet' Btu
InSI'tral3oa �'�`� �v �L �7�Y�
Glasa �% �, .� �,�'l�` �'
Exp. wall � Q���= ��
Net exp. vVa11 �° � � / �' e� �' �'
Int wall
Ceiling ,� �^�` � v �
Floar ,� � �t�,�
Total Btu. � 'p 'U `�
Required sq. ft. E.D.R. or sq. fns. WA. Ieader area
��, I��f� Roam I Length 0�- Width /� Height �'i
W3ndows and Doors—�Crackage and Area
Wldth Height 1Vo. oY Lineal ft Area
No. oY pane of pane lights oE crack sq. ft
� .� 6 '' � � `? ��� P�.
� � 2- �� � �.�p �� 6
I CoeP. Btu
InSl`tration � �, � "�'� � °`� ?� `�'
Glass � �° � ,�' �� � '�
Exp. �vall � �'�,� — �` i�
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Tn� wall
Ceiliulg �.!� ° � � � � �
Flaor � �"+� �
Total Btu. � � � '�
Required sq. ft. E.D.R. or sq. ins. WA. I.eader area
,tF�, ��P, R�m I Length � g� Width G�� Helght �
v
� Windows and Ibors—�Cracka.ge and Area
�Width Height No. of Lineal !k �a
No. 04 pane oP pane lighta oP crack s4. f�.
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Net exp. wall �� � D � � �
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i C�g �' `�� � � f � �
; -
Floor J ��,.�
' Total Btu,
� .�� f,�-
Required sq. ft. E.D.R. or sq. ins. W.A. L�a.der ar�a
Tnfll�raarion � �t�.
r
Glass
Exp. wall / �r^°1��= %� 0 �-
Net exp. wall
In�. wall �� 2t ti ��`�' �
;oet. stu
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l��-- �A �— �
.�Sa fl ��� I
Total Btu. � � ,1�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
� �, I ,�� Room I Length �' �' Width / ,� Hefght �
Windows and Doors—Cra.ckage and Area,
No. W� Height No. oE L�eal ft. Area
01 pane oP pane llghts oE crack sq. ft.
�P � ✓ � 5�' l' � .�. � P Ea. `�'
�
InSTtratlon
Gla�
Exp. wall
Net exp. wall
In� wall
Ce�ling
Floor
Total Btu,
r� �t�-,
cceP. stu
,� _aP� �' ��
• % �a . � '.�' l' �
�
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Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ��
��, (�� Room I Length �,e Width � y I�ieight
Windows and Doars—Crackage and Area
I Width I Height I No. of Lineal ft. Area �
No oE B�e oP pane lights oE crack sq. ft.
I � �� � �z!� � i�', � �!
I i I I
ms�tra.t�on �' a
Glass
Exp. wall � .zS- � = �
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
B�
� A t� � � �
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��
IIRequired sq. ft. E.D.R. or sq. ins. W:A, Lea.der area
� _ . �.
Comp�ments of North Central Public Service Co.,t
y .. arv
HEAT LOSS CALCULATIONB TOWN
DEPAiiTMENT OF BUILDINGS V i LLAGE
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows Daors Reference Out Wall Int Wall Ceiling Roof Fl�r Kind How
Yes--No I Y�s—No 19........ ( I I I
� FL � Room � I.Ength �'► � Width f� Height � Fl. i Room I Length Width
Wind�ows and Doors--Crackage and A'rea W3ndows and Doors�rackage and Area.
WSdtYl Height No. 04 Lineal fG Area Width Height No. oP Lineal ft. Area
No, oE pane oP pane llghta oP crack sq. ft. No. oY pane oY pane lights of crack sq. fG
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Net e�cp. Wall , ��,/ Dr� ,q �vv ;� Net exp. wall
Int. wall in�. wa11
�g Ceiling
Floor �.���_ � �, � � � / � � Floor
Total Btu. � � '
Required sq. ft. E.D.R,. or sq. ins. WA. Leader a�a %
Fl. ,� r� Room I Length �! � Width �0� Height �
Windows and Doors�--�racka.ge and Area �� �� �
Width IieiBht No. of Lineal ft. Area
No. of pane o4 pane lights oY crack sq. ft.
�
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CoeLl Btu
In8ltration �
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b`lo�or � �•�'� �- �`�
Total Btu. � �' .�
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area `
�, I R,00m I L�ngth Widbh Height
Windows and Doors—Crackage and Area
No. IW idth Height No. of Lineal ft Area
oE P�►e I oP pane lights I oY crack sq_�f�
InSl.tratlon I
Glass
Exp. wall
Net exp. vva11
In� wall
Ceiling
F`I08P
TO't81 BtU, �
Required sq. ft. E.D.R. or sq. ins. W.A. Lea.dez� ar�ea
fieight
Btu
R.equired sq. ft. E.D.R, or sq. ins. WA. Leader area I
�, I Room I Length Width Height
Windows and Doors—Cracka.ge and Area �
�
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Glass
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Net exp. wall
Ceil�'tg
Floor
Tota1 Btu.
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Windvws and Doors--Crackage and Area �
Btu �
In8ltration
Glass
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��� � CEhlTRAL SUPPI.Y CO.
HEAT LOSS CALCULATIONS 2929 Fourth Ave. So. TA. 4.0�05 Minneapolis 8, Mipn.
,
Weatherstri s �%�S.H.V.E. Construction No. Insulation
p Guide `
Windows I Doors Reference Oufi. Wall Int. Wail Ceiling Roof Floor Kind How Applied
es— o s—No 19
FI. Room Length Width Height FI. Room Length Widt Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Infiitration
Glass
Exp. wal�
Net exp. Hrall
Int. wall
Floor
CeiL
Totcl. Btu.
- Koom � �engm- F wiaTrr • neig
Doors--Crackaae and Area
�
Infiltration
Glass
Exp.
Net exp. wall
Int.'�� •
Flcor
Cei4+
Total Btv.
Requ' sq. ft. E.D.R. or sq. ins.-W.A. Leader arE
�� Room � Lengt Wid �
Windows und Doors—Crackaae and Area
Infiltration
Glass
Exp. wall �
Net exp. wall
Int. wall _
—Floor�-� „
Ceil.I' r �,�,/
Totcl Btu.
a�
��
��,�.i�■
Required sq, ft. E.D.R. or sq. ins. W.A. leader area,
Infiitration � jC� �" %"'° ��7`�,�'%*`
Glass
Exp. wa
Net exp. wall
Int. w I
Floor
Ceil.
1'otal Btu.
equir d s, h. E.D.R. or sq. ins. W.A. Leader area
FI. � Room � Lengt Wid yHeight
Windows and Doors—Craakage and Area
Width Height No. of Lineal A. � Ar
ne e hts o k H.
Inflltration � "°°�' �'°�'" "�"�`�
Glass
Exp. wal
Net exp.
Int. w
Floor
CeiL
Totai Btu. �
�Require sq, ft. E.D.R. or sq. ins. W.A. Lecder area
FI. Room � Length Width Heigh
Windows and Doors—Crackage and Area
Infiltration
Glass
���
Exp. wal{
f�let exp. wall
Int. w�JJ.,. � �
Floor
Ceil.
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.,
HEAT LOSS CALCULATIONS
Weatherstrips � A.S.H.V.E.
Guide
Windows I Doors Reference Out. Wc
Yes—Mo , Yes—No• 19
FI. '" °�''�� `�� �� Room Length � �` Wid
Windows and Doors—Crackage ond Area
Infiltration � ' "'�
Glass �� � ��
Exp. wall x ;.� .� �, '"t,��:`,
Net exp. wall
Int. wall
Floor - ;,,
Ceil. '�
Total Btu.
,Required sq. ft. E.D.R. or sq. ins. W.A. Leader
� FI � �' '`` `' '���� Room � Lengt � . Widt{i
Windows and Doors—Crackage and Area
CENTRAL SUPPLY CO. ,
2929 Fourth Ave. So. 7A. 40705 Minneapolls 8, Mi�in.
Construction No. �nsulation e
Int. Wall Ceiling Roof Floor Kind How Applied
�
�' Height '��' � FI � " ��'�"'"' Room length Width � -y Height �
Windows and Doors—Crackaae and Area
Infiltration
Glass
Exp. wall�:� �
Net exp. wall
Int. wall
Floor n ,�
Cei�•°;� �
Total Btu.
�uir�,d sq �f�. E.D.R. or sq. ins. W.A. Leader area '�
h.. � ��-� �T'=r_..—
FI' �" I L h'�� ��':� Room � Length�` �'�` + Width :Y� �'� Hei
ndows and Doo�s—Crackas�e and A�ea
Infiitration � `��� � � �` `�� ; � ��'"'"� Infiltratlon
� � �°
Glass `� _ `�� �' �` �'�'' Glass �r�
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Floor ? �, -�-, _ _ � „;s
Ceil.,�°" 'w`"a,..�� � - ;«-<`� �- } , -�-�
Totol BtL. �' �
RequireCJ sq. ft. E.D.R. or sq. ins. W.A. Leader are`'a
" FI ,�" `� Y Room I Length c� : Width' � Height
Windows and Doors—Crackage and Area
.
Infiltration � '�� 2 ��� �r ,,.
�,� �; �'
Glass 2 ="P � �;;a� �` �=t
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Net exp. wall - ``"�°� `�,
Int. wall
Floor = :� ��
Ceil. � � w� '"
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
_ �
Exp. walf -� `"
� Net exp. wail
�' � Int, wal)
, Floor � �,
I Ceil. ��
� I� Total Btu.
RequireMd sq t�. �E.D.R. or sq. ins, W.A. Leader
�
�
FI �-��� "��� =� Room � Length ��'� WidtF
Windows and Doors—Crackaae and Area
Infiltration
Glass � �:
Exp. wall � �
Net exp, wall
Int. wall
Floor , r�
Cei��
Total Btu. _ �
Required sq. ft. E.D.R. or sq. ins. W.A. Leader araa
.
� `��, CENTRAL SUPPLY CO. e
HEAT LOSS CALCULATIONS 2929 Pourth Ave. S�. TA. �t-o��5 Minneapolis 8, MiOn.
' A,S.H.V.E. "
Weatherstrips Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
s— Yes—No 19
FI. � Room tengt Width Height FL � Room Length Width Height
Windnws and Doors—Crackage and Area Windows and Doors—Crackage and Area
Widfh Height No. of lineal k. Areo Width Height Ne. of ' Lfneal N. Area
►e. .,a�...,. ,.6......e JIaM. ef neck m. No. of pana of pane lights of aack sq. h._
�
Infiitration
Glass
Exp.
Net ex�
Int. wa
oor �"
Ceil.
Infiltration
Glass
Exp. wall
Net exp. wall
Infi. wall
Floor '
Ceil.
Coef I Btu
equi ed sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq, tt. E.D.R. or sq. ins. w.�4. �eaaer area �
FL Room �lengt Widt � Height FI. ( • Room � Length Width � Height
Windows and ,Doors--Crackage ond Area I Windows and Doo�s—Crackage and Area �
Width Hatght o. of lineol H. Area Width Height No. of lirteal k. Area
No. of pane of pa�re Iighfs of a'ack sq. h. No. of pt+na of pane ifghta of crack rq. H.
Coef Btu Coef � Btu
Infiltration ' ' Infiltration
Glass Glass
Exp. wall Exp. wcll ,
Net exp. Net exp. wall
Int. wal i Int. wall
Floor , Floor
Ceil. Ceit.
Total Btu. , Total Btu.
� Re uired s ft. E:D.R. or s ins. W.A. Leader area
Required sq. fi. E.D.R. or sq. ins. W.A. Leader area . q q• q•
FL'l Room � Length Width . Height FL � Room � Length : Width
Windows and Doors—Crackage and Area Windows and Doors—Crackage and A�ea
Width Helght No. of ltrroal h. Arsa Width Haight No. of Llnecl h. Area
No. of pane of pana IigMs of waek sq. ft. No. of parre of pa�re IigMs of crack sq. k.
Coef - Btu
Infiltration
Glass
Exp. wall / ,�„
�.
Net exp. wall
Int. wall
Floor
Ce'tL
Totol Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -
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Net exp. wall
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e
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SuBJEGT
c;ty of Fr�a�ey
AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T
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� `v __��_ COMMUNITY DEVELOPMENT DIV.
j � � PROTECTIVE INSPECTION SEC.
1 � �
1 � �'�'1 � CITY HALL fFiIDLEr SS�3Z NUMBEN pEV DATE PAGE O�
�----�' '•' 612-5»-3460 9�aF�s 4/27/99 / /
J09 ADDI;ESS 230 Craigbrook Way NE
1 LEGAL �OT NO. BLOCK TRACT OF ADDITION
oescR. 5 7 Pearson's Craigway Estates 2nd Addn
2 PiiOPERTY OWNER MAIL ADDRES$ 21P PM01
Ken Betzler 230 Craigbrook Way NE
29316
RECEIP NT O.
ri c-° ` �
AVPROVEO BY
SEE ATTACMED
SHEET
3 CONTRACTOii MAII ADORESS ZIP PMONE LICENSE NO
Four Seasons Builders & Remodelers 1410 Quant Ave N, Marine on St Cro3x, MN 55
4 ARCHITECT OR DESIGNEii MAIL AODRESS ZIP PMONE LICENSE N0.
(651) 433-2443 20153478
6 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WOpK
❑ NEW O ADDITION O ALTERATION L� REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof House & Garage (22 Sq) Tear-off
9 CNANOE OF USE FqOM TO
STIPUTATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPE OF CONST
SEPARA7E PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, NEATING,
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHOR12ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO fOR A PER100 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UN
I HEREBY CEIiTIFY TNAT I MAVE READ AND EXAMINEO TMIS APP�ICATION 1
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. A�� PROVISIONS Of LAWS yq�UATION
AND OFDINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMP�IED
WITM WMETNER SPECIFIED HEiiEIN Op NOT. TME GRANTING OF A PERMIT ���885
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE Oii CANCEL TME pEFMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGUTATING CON- @
STRUC R THE PERFORMANCE Of CONSTRUCTION y�S9.SO
( 1,`�� � PLANCNECKFE
J ��1I Lic s
S�GNSTUaE OF CON'aACTOa Op AUT RIZED 4GENt IO�TE� � ME I
��� OwNEa BUi�DEA� �D�1E� ' �
GROUP �OCCUPANCVLOAp
SO. FT
OFFSTP
STAlLS
SURTA7
$.94
SC $5l/.00
CU FT.
GARAGES
Fir SC $1.88
TOT FEE
$67.32
TMIS IS VO PER IT
�' ' �
f�LfF
NEW
ADDN
ALTER
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ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
;�b
Effective 1/1/99
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G� ��'
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Owner Name & Address: [�t-+� 1� �� Tel. #
Contractor: �0 � � � 1�6 �f, MN I,ICENSE # �� � � 3 � � �s
Address: 1 �\ � ����.� � � �i%� Tel. # �.5 ) ���3 �.LI��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
DESCRIP'rION OF Il�ZPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
� �� 1 �� .
Sq. Ft.
Sq. Ft.
Sq. Ft.
. U - . �
Construction Type: �e�� �� �JC Estimated Cost: $T��°�� / CJU�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
L � PLI ANT: Tel. # � S � � � � � �-���
DATE: � �-� �'1 AP C
Permit Fee
Fire Surcharge
State 5urcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ � ���Fee 5chedule on Reverse Side
$ , � � .001 of Permit Valuation (1/lOth%)
$ � $.50/$1,000 Valuation
$ $1050 per SAC Unit
$ s:,(� b$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. °B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ � �� --
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection 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 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 $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge} � " ' '
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits %r construction will be issued a minimum of 24 hours from the time of application to allow 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 it has been constructed
will be reqnired before proceeding with the framing.