AF - 43327sue�ecr PERMIT .
City of Fridley o 17890
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT O.
� �v _ _ COMMUNITY DEVELOPMENT DIV. ��/�
r � � PROTECTIVE INSPECTION SEC.
� ' r'�'1 � CITY HALL FFIDLEr 55432 NUMBER REV. DATE PAGE OF APPROVED 8V
�"""'�� ,�� 612-571-3450 910-F15 %� 4/3/85 / /
JOB ADDRESS 1455 Creek Park Lane N.E.
1 LEGAL ��T NO. BLOCK TRACT OR ADD�TION SEE ATTACHEO
DESCR. �.3 2 Creekridge SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Traczyk
3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO.
Brickner,Builders Inc. 6170 Heather Place N.E., Fridley 55432 574-9871
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
C� NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOHK ^
� W + �
Construct a 57' x 27' Dwelling and a 24` x 24' Garage
� ..I. !) ��,(?;;
TELEPNONE - ELECT�iC - G�5 ECc�
9 CHANGEOFUSEFROM TO � �=��D B" L`�
l f�A
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards
Provide City with copy of veri�ying survey before capping.
SEWER "Y" LOCATION: 65' West of M.H. WYE ELEVATION: 879.68
TOP OF FOOTING: 882.68 Minimum Elevation
WATER LOCATION: In same trench as sewer.
PAID Park Fee of $1500.00
wr�� ����>�� t � ��"' s��'`�� ��C�IJlR�l� FOR
THc C1iY GS� �'r'.�I r�l ��[�S ['J�T GU�`�%:�fVTEE T�i�,���� e�� �- � d �� , > � � '�'�,.1�;�,�',�y� I�'�.7 �J`��D �i�i�
ACr` '�p r ,�^ !' { =�_�V!a i i"..�� 6'k�1 a�.ay & e `, s <!�� r e.� i C'S�iV
��.:Ut+,f-iC��� l.�i t, ( .. a . � �_.. !� i ... .� �i�.;� . �'�.J.
c� q �^ �n r,+r-��r�i`,51;""'r'}t1 �� r-• .
T�ai� ca-� �, ����:��t i,�:���, �:.:. �:,�, a�u::1-u �L , c��.i�.v,
AND PrR�ONS USiNG Tt-IIS INFORMATION SH�;�iLD
VERIFY 1T QN THE SITE.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING. WOOC� FY'dICIQ
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 ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINEO THIS APPLICATtON �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS VALUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 94, 450 547. 23
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRES ME TO GIVE A ITY TO VIOLATE OR CANCEL THE pERMITFEE SACChIARGE
PROVISIONS NY OTHER S TE R LOCAL LAW REGUTATING CON- 418.00 CREDIT
STRUCT HE PERFOR ANC OF CO TRUCTION. $
l�,w PLAN CHECKFEE TOTALFEE
'�`� � � � �J � $104. 50 $5��9. 73
SIGNATUREOFCONra T RAU7HOAIZEDAGENT IDATEI WHEN PROPERIY-,VALIDATED THIS IS YOUR PERMIT �
� ` x n / � � _ b ", � 'L _� �; :�
�= _�..� �� c ti.
SiGNAiURE OF OWNEAUF OWNER BU�LOEA1 �DATEI BIDG �NSP O TE
,
NEMI [ V]
ADDN. [ ]
pLTER. [ ]
Construction Addr�
Legal Deacription
Owner Name & A i
Contraetor:�
� Addreas: �' %
City of Fridley Effective 4/1/84
R-1 AIiD R-2
Building Permit Applieation
9
Tel. i
Tel . � J � � �� 7�
Attach to this application, a Certificate of Survey of the
lot, xith the proposed construction draWn on it to scale.
DESCRIPTIOH OF I!lPROYF•I�NT
LIVING AREA: Length ilidth Height Sq. Ft. �!�
GARAGE AREA: Length Width Height Sq. Ft. �
DECH I1AEA: Length Hidth Hgt/Ground Sq. Ft. _
OTHER:
� S� U 1 �
Corner Lot [] Inside Lot [�Cj Ft. Yd. Setbaek � Side Yard Setback �
Type of Construction: ✓/ �-G�"-�c� Estimated Cost •�
' � �i . 'r
Approx. Completion Date: i � ~ �S � �, `��� � �
Alt. A Alt B
Proposed Driveway Width If NeW Opening Is Desired: � �
See Back Page for Explanation
• f _ ,2- G -- �j.., °� ���� ' ��Gi��-- Tel . # �`� � J�l
DATE: APPLICANT: /
CITY IISE OAI.Y
Permit Fee � �.� ��d � Fee Sehedule on Reverse Side
Plan Check � i U�,�SC� 25� of Building Permit Fee
State Surcharge a y�►�3 a.50/�1,000 Yaluation
3AC Charge a �'���� �425 per SAC Unit
Park Fee � � S� O Fee Determined by Engineering
Sewer Main Charge � "--
,. Agreement Necessary [ ] Not Kecessary [ ]
zoraL a
STIPULATIONS:
0
!
BIIII.DING PERNIT FEE SCHBDIILB
The Chief Building Official ahall, before issuing permits for the erecLion of any
building or structure, or for any addition to any existing building or atructure, or
for any alteration or repair to any existing building or structure, upon applicatio n
therefore, require the payment by the applicant for such permit of fees �o the amount
herein belo� set forth and in the manner herein provided to-Wit:
Total Yaluation
=1.00 to =500.00
Feea
�10.00 (Minimum Fee is E15.00)
�501.00 to �2,000.00 �10.00 for the firat �500 plus �1.50 for each
additional a100 or fraction thereof, to and including
a2,000.
�2�001.00 to a25,000.00 �32.50 for the first a2,000 plus �6.00 for eaeh
� additional �1,000 or fraction thereof, to and
including a25�000.
�25�001.00 to �50,000.00 $170.50 for the first �25,000 plus �4.50 for eaeh
additional �1,000 or fraetion thereof, to and
including �50,000.
�50,001.00 to �100,000.00 a283•00 for the firat �50,000 plus a3.00 for each
additional �t,000 or fraction thereof, ta and
including �100,000.
�100�001.00 and up
��+33•00 for the first �100,000 plus �2.50 for eaeh
additional �1,000 or fraetion thereof.
DRIVEiIAY DEPRBSSION ESCROH
(Concrete Curb Streets Only)
. Alternate "A": Removal and replacement of curb and gutter only - Driver�ay �idth plus
6 feet times 3i3•50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Wide
approach xith 6 inch depth - Driveway Width plus 6 feet times �15.75
VERIFICATION OF FOIINDATIOH
Permits for 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 CertiPicate of Survey of the lot, shoWing the location of the foundation once it
has been oonstructed will be required before proceedirig �rith the framing.
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RONALD F. MEYER
LAI�D SIIRVEYOR
LJ�Np 3URVGYING SUSOIVI310N D[sIGN
TGLt�HOr�s 771-4S6d
�8`..i Jiel�t Sr. 5T. P,nU4. MI►dN. '35101
I hereby certify that this survey was prepared by me and that I am a duly
Registered Land Surveyor under the Idws of the Stdte of Minnesota.
��---�i��
Reg. No. 9051 Date: o�/. % /%�¢
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Scale: 1" = 30'
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county, r�.innesota.
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� EXTERIOR ENVEIAPE AVERAGE "U" COMPUTI�TION
OWNER � / � 1
SITE ADDRESS �% S S� Lii�¢¢./C. ('� •r� �
� 1
//'��.►�LY/� DATE � " � � ��,� PHC?NE `� % G ' / �%/
CONTRACTOR d,ar--��o
. • Determine working square footage o� each.
1.
2.
� � Z��3 S. ft. x�_ = s�• ��
Total exposed wall area .... q
� � ' �a�= �6•�'
� otal roof/ceiling area ..../% 3�6 sq. ft. x -
. . �
• Total exposed wall area above floor =
a. Tota1 wall window area .......................... Z �' �
b. Tctal. door area ................................. 3 7,(,q .
c. Total sl.iding glass door area . . . . . . . . . . . . . ...... ____� q• �
• d. Total fireplace wall area..• .................•.•-
� e. Total �wall � framing area (average 10/) . . . . . . . . .. ._,_ 17�• 13
, f. Total net wall area above f loor ................. 153 ►'�•'v-
w •g. Total rim joist•area ............................ � �
• Total exposed foundation area = � U •
� , .
� h. Total foundation window area .................... �—
i. Total net foundation a�ea above grade...........�
, . .
3.
Determine "U�" value of each wall segment.
a . �i �L c7 X "U "
,
• b� �. ��j X ��v ��
.
�. 3 g• 9G X„U„
, 3g = � ��,L
. ��' _ �l• �.6 .
- "3 � _ >�• / �._
a x "v" _ - -
.
e ��a•/3 X��U��-�. . U9 _ J�- 3�
.
f. � s'�3 �� tiz X��U�, , a� = G/- ti�
s.
� X „U„ , � y� = 3 .3 �
h� X ��U �� _ . .
.
�. 1/ X„U„ �, ��'1 =/� 7
.................. ..........Total � = i. 2 a. �
. , , • •
�
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:
If item #3 on previous page is the same as, or less than item #1, . '
you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area = � 7 3�
. � ,
j. Total skylight area ......................�,,., •
k. Total roof/ceiling framing area (average 1096)
1. Total net insulated roof/ceiling area........
t ' -
Determine "U" value for each roof/ceiling segment.
� X ��U �� _
� � � � .
. k � X ��U �� _ � �
.
�, l � 3� X.,.U„� , a v = 3 7L .
.
' 4 ..................................Tota1 = 3 y�7 1/
.
' If total of #4 above is the same as, or less than #2, you have met
the intent of SBC 6006 (c) l. . �'
0
A lternate BuildinQ Envelope Desiqn •
To utilize the total envelope system method, the values established
by the sum of items #3 and #4 shall not be greater than the sum �
of items #1 and #2. •
1•' +2. _
3 . +q. , �
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sue�ecr PE O.
City of Fridley 2 8 7 41
AT THE TOP Of THE 7WINS g U I L D 1�1 G P E R M I T
r
; � RECEIP .
� • COMMUNITY OEVELOPMENT OIV.
r � ~ � � PA07ECT1vE INSPECTION SEC. �a�7
�
i-._- A,��"' �,� CITY HALL FRIOLE� SSIJ2 NUMBEA pEV O�TE PAGE O� •PVROvEO 8r
L J` 612-571-3450 910-F15 / /
12 11 98
�oe Ao�aess
1455 Creek Park Lane NE
1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACMEO
OESCR. SHEET
2 PHOPERTY OWNER MAIL ADpRES$ ZIP pNONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
a AfiCH17ECT OR OESIGNER MAII AOORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDfiESS ZIP PNONE UCENSE NO
6 USE OF BUILDING
Residential
� c�nss oF woaK � REPAIR O MOVE O REMOVE
❑ NEW O AODITION O ALTERATION
8 DESCRIBE WOHK
Reroof house and ara e 28 S Tear-off
9 CHANGE OF USE FqOM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE Of CONST. OCCUPANCV GROUP OCCUPANCV �OAD
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICA�, PLUMBING, MEATING,
YENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTtON ZONING SO. fT CU fT
AUTHORIZED IS NOT COMMENCED WITMIN 60 DAVS. Oii IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONEO POp A PERIOO Of /20 OAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UNI7S OFF$TREET PARKING
I MEREBY CERTIfV THAT I HAVE AEAO AND E7(AMINEO THI$ APPlICA710N STA��S GARAGES
AND KNOW THE SAME TO BE TRUE AND COFRECT. ALl PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVEFiNING THIS TVPE OF WOFK WILL BE COMPLIEO
WITH WHETMEFi SPECIf1E0 HEREIN Ofi NOL THE GRA�NTING OF A PERMIT 2399 �� 1.2.0
DOES NOT PRESUME TO GIVE AUTMOqITV TO VIOLATE OR CANCEL THE pERMIT FEE- SAC CHARGE
PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON-
STqUCT p PERFORMANCE OF CONSTiiUCTION Fire C 2. �FO
I/�� PLAN CHECK fEE TOTA FEE
. V.-�� /� �r .35
S� OTU�7E O� CONCPA(;TOQ OA �UT�OQ�2ED AGENT �O�TEi MEN R P� ID D IS I��R PERMIT
! .�
S�GNaiuFE O� OWaEQ��c OwNEa Bw�DEA� �D�TEi � � B�0 �ti5� � � �i �E
� _
NEW [ j Effective 1/1/9g
ADDN I) • CITY OF FRIDLEY
ALTER [] SINGLE FA1�1II.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT AflPLICATION $��1
/ ��
ConstructionAddress: /�J;S".S� G�-��,� �c �r
, t�'G,
:_,egal iescription:
Owner Name & Address: ,(� �.� "� % v- G� .E.. S Tei. #
Contractor: �,,;�!i� �� � .-� �o---�= .� ,�,.�, MN LICENSE # � l 7�� q
Address: / .SUI ?�- �" � �r�--�' �� (,� y�/c%,. �-4, L,�..1 Tel. {� �6 �- �'� 33
Attach to this apptication, a Certi�cate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
Length
DESCRIPTIC)N OF I1�iPROVEMENT
W idth
Width
Width
Height
Height
Hgt/Ground
Sq. Ft. _
Sq. Ft. _
Sq. Ft.
Construction Type: � �� Estimated� :� �3 � l'�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
CITY USE ONLY
Tel. �
$�7`, �j``� Fee Schedule on Reverse Side
$ v�• 'l�b .001 of Permit Valuation (1/lOth%)
$ . o`�v' $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ ��U $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 [ ]
��3 3�