AF - 40686-�.�-
SUBJECT _P.. .
City of Fridley � � -`- � �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I rt � 13406
;,
� �
RECEIPT NO. =
� ; L __�_�_ COMMUNITY DEVELOPMENT DIV. --�y�
r � � PROTECTIVE INSPECTION SEC. 7 9� 1t� I
�
1 ; �
(__-_� �����,'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
� 812-580-3450
9t0-F15 3/12/76 / �
JOB ADDRESS
5457 Ea.st Danube Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 1 Innsbruck North 2nd Addition SHEET
2 PROPERTYOWNEH MAILADDRESS ZIP PHONE
Lee Athearn �
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Vo Co Construction 6242 Zea�and Avenue North
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct HOuse 27 x 41 and gaxage 24 x 26
9 CHANGE QF USE FROM TO
STIPULATIONS
l. Provide truss design. Serxted off East Da.nube Road
2. Provide a verification survey 5EWER (approx 12' deep�
3. Provide.a hard.surface drive 30' W of M.H. (Inv. 954.76)
������ �� Wye Elevation 955.27
Top of footing 958.27 (minimum)
Befare digging call loca) utili�fef water s� west of Sewer service
TELEPHONE - ELECTRIC - GAS �tc.
RE�UIRED BY LA11V ��. � � , ��^�
a t CaV�FAS�Ti� :Ss
�a�:
��'.IE4�t ��.f1C��$ L'i�li�• ,� �v. eT�` , ^,�J
EpERaTE PERMITS REQtl4RED FaR 1�iRtN� u G� ooF ugebe�r ,,��� ►�ur:����TM,r:� ,�e���
S cv�► b����',� ��►� `�,:.�.,..
PLI��B�tUG ANtJ SIGNS. . t �w`s DA.��, �s �� � s���� ��'a�t
HEATING, . so�s �s���
SEPARATE PEIiMITS ARE REQUIRED FOR ELECTHICA�, PLUMBING, HEATING, TYPEO� CCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �7Qpd fr�Re
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED W�THIN 60 DAYS, OR IF CONSTRUCTION � 36, 680
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT j��$$}(
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yS`6O� OOO 29. S3
DOES NOT PRESUME TO GIVE AUTHO Y TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISION OF ANY OTHER STATE R OCAL LAW REGULATING CON- 67 . 86 3 rjO.00
STRUCTI OR THE PERFORM OF ONSTRUCT ON. �
PLAN CHECK FEE TOTAL FEE
+�J �o� %�� 447.39
si� TUREOPCONTRA ToROR UTHORIZEDAGENT �DATEI HEN PROPERLY VALI TED TH S IS YOUR PERMIT
SIGNA RE OF OWNER IIF OWNER BUILDENI IDATEI g�p� �NSP �� ��E �-
�
' ', . •i�l'liJ��(+�\1jUN i'V1C dCL'.71.UL:�V11l�Li.� J�a�aa.a���•wv..� • . �
,� � . OR AL'llITI01V. BUILDItiG P�RI�IIT , �
. ' � C�TY Or FRIDLEY, MII�NESOTA • � ,'
• . , • . . , . • • � . ' • . • . �
. ot,���n's rr�u•�:�� TNFA�� $uiLVrR: � � .
' • RES S : ADDIt�S S : r�� Z�G„� �.D �� � � �
A]�D .
, . . .
IZO• �S�`�7 �STIt�ET: ��IST �f1NGt,.B'6 � � .
.. . • / . �D �
�OT: BLOCl::_, / � � ADDxTIOn : ..LN/dl1�B�GCG/c� /�/0 0���/�a���� �
. ;
. COItIv'ER i0T : �' II�5IDE LOT : SET��CK:��, STD�Y�.D ;� , . '
. .' � • ' ' . j
. . • �
Applican� attacr �o L-his for:r �•�o Certificates. �f Survey .oi Lnt an� _pxoposed . -'
buildi:�; locat:ion dY•s��n on these Cextiti.cates. • _ . �
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• . • . . � _ � . .. . . ,
. � , . ... � . • j
. �
. •DESCRIPTION�OF BUILDItiG , . . � � � '
. • � .
, Ta Be iJsed �s s /��'��'� , . . _ . . . .� 3 r . . .
� � .
� � �Q � Fron� : Dep�h : �°"�,'� H�eight : -
.• . . . . . Squaxe Feet: � Cubic.Feet:
� .�� ' � F�ont•� Depth: v�� �� Heaght: . -
�.. . � � � Sguare Feet; Cubi,c Feet: ' � ': •
.
• � �rpe nf �Construction: • �/+� �Si�� Es�i.mated Cost:�
�o� $e C�mpl�ted: �/�Nt� /S / % �� . • • •• � .
' ' . , .
The undersigned he�eby malces agplicatinn• for a permit for the work herein
speci.ii.ed, a�reeinfi to do aIl t�orlc in strict accordanre t�ith the City of -
�� Fxis3lcy Qrdinances nnd rulings oi tl�e Depaxtment of Buildings, and her�by
declwres �t}iat alI tlie iacts and representaLions st�ted in this application -
�xe �rue and correct. � ,� � ,.
, � y�L� � � . � � .
1�+� �
• ���► �: ; lo �i szcHn�cur ..� � f�� � -� —
. (Sce T�cve se Sidc For l�dditional Information: ' �
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� S�CTIOIJ 2. Tl�c Inspector oi Buildin�s cl�all, befoxe issuin� permits for the
cxection oi any buildin� or s�ructure, or tox any addition to any exisCii�g . ;
buildin� or structure, ox ior any alCcrati.on or rcpairs to any cxisting ;
bui.lding nr struc.�uxe, upon applicaCion thereioxc, requixe the payment by the ;
° arpl.icanC fo'x such pennit oi' fces to thc a�:ount hcxci.n bclow set toxrh and in
, thc manncn c�rcin pxovided to-wit: . . •
. �
UP27FOI'S1 i3UILDI2�G COD�: Typc 1, 2&�-$2.15 iox each onc thousand cubic
. ieet, or ixacL-ion thereof, in sucfi cubical Gontents. '1j�pe 3& S-$1.85 ior �
' each one tliousand cubic fcet. � ' ' ' . '.
' • . � , ADAITIOI�AL INFORl�1ATI0N � . ' !
• ' . :
.For the purpose �f .�omputin� fees fox building pex�mits, the cubical con�ents �•
�f any builcling or addition, is detexmined by multiplyin�•the gxound area
� • covexed from a point sis (6) inches below the floor line of tne basement • ;
- ox the cell.ar to• the average heiohts of the upper surface ox to the avexaoe � .
height of the•roof surface of the main gable of a pitched roof. ' '
. . �
• Fox repairs•or alterations to�an existing structure, the fee shall be a� the `
• ra�e of $3°00 per each.five hundxed�dollaxs ($500.00) or fraction thereof in .
the cost of a"11 �xoposed work. ' , . '
�' �� In no case shall the fae charged for any permit as set forth in Section 2 be • :
� less than $5.00. . .. _ ' . . ' . . . . . . ., .
� �� � VERIFICATION OF� FOUI�DATION � �
. ' . . � � �� .
1vOT�: Permits for construction �vi.11 be issued.a minimum of 24 hours fxom th.e
ti,me of applicaCion, to allo�a for proper ret�ie�a of the proposed structure and,
• o� thc construction siCe. . : • � .. ° •
A CerCified Survey of the lot, showing the location of the ioundation, once it �
has becn construcecd, will be requircd before proccedin� wiL-h the framiri�. �
� CLRTIPICATE OF� OCCUP�INCY ' . • -
Applieation for a Certiiiczte of Occupancy s11a11 be made ten (10) days pri.or �
. to thc use or occupancy of any structurc Lor wliich � building permit hzs bcen .
,�issued; 1nd said structure shall not be used or occupied until a CerL•ificate .
" • � of Occu.pancy tias Uecn issucd. . . . . , f
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• ., • , ' ' . ' , . :
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land Plamm�g s��/����rr�� 6875 Nigl+.roy No 6S N f
lond Surver�ng • • ( Minneapolir,
sti��. �e.��„9 ' J/!f!!/!'PI (�l�� •�!1!'. M��g,,�.� sso�z
C�vil Inginee.��9 � � Ielephone -7fl�'-60A6
Municipol Eng�nee.�ng Engineers Bi .S I'V y0i'6 t A•au Cod �
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Mortga,ge Loan Survey for __ _ _ _ _
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a�ka C��f,�
TAis is o♦rue a�d �o.rect represeotation o� a►u.�ey of the boveda.�es of rhe lond obovc descr�bed and o/ +he
b�ation ol oli buildings� �f awy� rhereon� and oll risible e�croa�hmen►e, �l ony� from or on sa�d land This su�vey ��
made onlr i� con�ea��on w�th a mortgngo loon nor be�nr ploced o� sl�o propert� ond no liobilit� �� assvmed
eaaep� to ♦he holdm of euch mortgage or any ofhe• infares� acQu�red br �he reoso� o! suah mor�goge 1� �s
understood and ogret�! �manume/�,n`6f!!!s hove 6ee� laced for 1l�e purpo�e o1 astablishing Io� Gneti or boundorr
corners. Da1ad �hi6 �� �_dar o� /�A. D� 19��i
I/ SUdURSAN ENGINEfRING, INC.
— — — — — „ �2/��TQS uTi/i{�f e• c�/[t�na9¢ ¢05¢/716'nf5 [nglney9.�s s�.veyo..
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Lond olo�ning s�C��,������, A875 Nighway Na.bS N.E.
lond Surve�ing �' • �, • � MinneapoUs,
so��s Te.r,� r:�Z��jIPE't�y��� ��2C. M���. sse�s
Civil E�girreering T�l�p6ons 7�4-8966
MuAicipal Fr�gineering ����ABBI'B $L ..g1Y1PV@y0�'9 A���+ code bf9
- /c�� � . ��,.
Certificate of Survey for � C�` C�' ��
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THE ��jl( �p F�16LElf DOES RfOT GU
ACCURA�1f OP UTILITY L0�110A1S AND E A
�'� �BS DATA IS Fpt� O�yFpRMAi{09V pUl►POSES OWL�f, A
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�:RSQIdS �SING R SHOULD VERIFY THE lNFOttMATip�
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��,�' TELEPHOf�E - E[.ECYRIC - GAS
R��1�1��� �'�f t�
�� P�RTANT--
�'��I� i'ME �RIDLEY ENGR.
�IVI�I�N F��GARDING CURB
F��M�V�6 AND REPLACEMENT
�� �RI10�WAY OPENINGS�
INNS6RUG� NORTN 2� PrDDITION ,��a� c�rt�� �'
1 hereby ca�t�fr that this is a t►ue and corrsct ropresenlalloet of o a�trver of the �oundories oi the above
dtsaribed_laed� and of the location o# o�i bu+ldingb ther�an� ond oll �isible encroachrt��nts, ii any, from w on
soid lond. As survered by me this dor of��EM�BER A.O. 19�,.
�ca1e: 1�� �0� SUSURBAN ENGiNEERItVG, INC.
En ine rb /}' p Snrve rs
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CITY OF BUILD!ING DEPA RTMENT � 7G �z 3
.�i- EXTERIOR ENVEL P� VERAGE "U" COMPUTATION =
(To be submitted with building permit application) ,
)ne or two family dwelling ��`' Owner
�11 other
Site address
:ontractor ��a �� ��..���-o �� , Date �-y- 7G
�INEAL FT. OF �
�XPOSED WALL �!�e� �/C!�/��,�' �`�T�✓. ft. above g ade
TOTAL EXPOSED
)PAQUE WALL CONST RUCTION: "U" value x area
j?tr� �G /- lA - l� �TU1P , A2 x
/nlS. �d 1�2� -�� nUn .u7 X
�� iv� Fi G ? - 2 �1 - � � "U" . o� x
►etail reference �.►�eFi� z-�A-z� "U" � x
f rom "U �t —_- x
�ttached sheets �tUn x
rrUtt X
' orUrr x
rr � rr X
nUn X
JINDOWS: "U"
take & type
n n
n n
n n
n n
►� n
value x area
sq.
sq.
sq.
sq.
sqo
SC�.
sq.
sq.
S�.
Sq.
rrUn � sq.
�r/�.yOocs' �a� �� U" X S q .
a ` "Utt . S� x sq.
'�°f+'�d rr U rt X s q.
"U" X Sq.
ftUn x sr�.
, � ��
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� g��a,
WA . Q . 'i : -
ft. 2?o.9z = tG,q� �
ft. ��sG. 4� = ii3. �� �
ft. 1z7. � � _ /?. �� i
f�• 4S. /4 = 44. �z i
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ft. _ �
ito = I
ft. = I
ft. _ �
ft. _ �
ft. = I
(U)(A)
IU��A�
;U) �A �
;Uj(A)
;U)�A)
;U� �A �
U)tA�
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u)(A)
ft. _ (U) (A )
ft. _ (U ) (A )
ft. 2��.25 = /zg".�'G (U) 4A�
ft. _ ��) lA )
ft. _ �U ) �A )
ft. = iU) (A )
�OORS : "U" value x area
[ake & type nUn x sqe ft. _ (U) �A )
n n o �f. - �r�.iaE rrUn
�. . �� x sq. ft._ /og.rso = � ��y' (U�iAi
?•
n n f�i!r lt,�ea,�:c' �'S TfU" x sq. ft. _ ((j) (q �
rr n "jj'� x sq. ft. _ �U ��A �
e e TOTALS Z49� , G Sq. ft. ��(U j(A )
'OTAL (U)lA) VALUES ,�v/.2� = .,/g3 A�.
�IVIDED BY TOTAL WALL AREA 29 92 _ L� y �
VERAGE "U" .17 or less for 1& 2 family dwellings
• .22 or less for all other buildings
OOF/CEILING:
OTAL AREA : Z 7 sq. ft.
etail reference o✓•g�sr� � iG "U" , a � x sq.
f rom "U" x s q.
ttached sheets. ,�i�� ,�,f "U" x sq.
escribe openings _ ,�"oe g� ' '�Un , s.�� x sq.
in roof. "U" x sq.
s�F ae��ra
ft. G/, g = S�r'S . (U) (A )
ft. _ (U) (A)
ft. //a � _ -��. 3�3 (U j (A )
ft. � �U) iA�
TOTALS 2 Sq. ft. 9. 3,� (0) (A )
OTAL (U ) (A ) VALUES �% �3 � � u�2 pyG,—
IVIDED BY TOTAL ROOF/ eB��
CEILING AREA i ��� �' 1S .-'��h"T dt�°°/,�' �i:�i�.9�+ �'O
�% � � i�����J i�Jr/�7�l��,�+T �'o,
"�RAGE '"U" .05 for ventilated roofs •
.10 for all other construction �� �°��°`�^�� ���'��''�°�
. �--� �'-�,� �� t
GUo�i �' �'%�T � / ,��r�'rr 7� �� /�.' i
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�Z,�v Page Two
_'�� ,�',�ALL S�CTZONS _ _FxTE�c'�o/1 M•Q'T��2iecL ��C�v�r2 Si�•�uc )
NOTE; Use !�c of opaque wall azea for ---�� • �
frame construction Construct3on R-Value
� `�_,,,1 � l. Interior. air film Q. 68
2 . ��Z �' G Y� $oA/r0 . �5
3. 9" i.nches soft �r�od , 37
� 4. Z� t" uiCT ���! 2.aG
Q� 5. R. S. c�v.o2 ,�.NC . �%
EASIC --' 6. Exterior air film � 0.17
[�mr� Total 8. 52
I . ' u= %R : .,2 . -
_1�,. #3
y v.' `r-
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1. Interior air film 0.68
2 . �/Z •� G /? oA�O . 45
3. ,��/Z" GGetSS ��/�Fi�Z ��i i�!'i I/• u o
n►. �5� " U/G?QiTls ,: . o�i
5 • �S. CG_ �A�P S,�i�vG • �
6. I'xterior. air fi2m 0. � 7
'rotal �5;�
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1. Inter:or ai.r filn Q.GB
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4. Z =s�3z'' ��//LT/ZiT� 2.oG
5. � S, CED/J2 SD��►G .c�/
6. Exterior air film 0.17
- Total /lo,Go
Cf - % : , o(�
1. Interior air film O.GB
2.
r 3. /Z " ca�uG. F.3c.� /.�°
• 4.
5.
' 6. Exterior air fil:� Q.17
� Total a, � 3
G/=%= .47 .
f GFADE
' ��-"% I
. � �
FIG. #4
NOiE:
_ e . r �. . ` �
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Indicate t}�ve, �'Tt" vulue, denth and
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�_ ��.•�O
Page Ttvo
-< *•�ALL S�CT�ONS .. FXTFi�/a�2 /Y1�4T�$Jeisl L �iC�IG/C, ,�lric��
NOTE: Us� � of np�que wall area for � �••�- •
frame constructioa Construction R-Value
a�` '.,,_,..� � l. Interiar aix film 0. 68
2. ��Z ��G yP. i1o,q,ev -.Q5
� 3. 4'� inches soft wood GJ, ��
� 4. � /92" �v�� rff� ��s ' . a(�
5 • /� i� .r. �i /.�Ir /r. ��i I 3�
F'�I� � 6. Exterior air film ' 0.17
4TALL .� __ - - Total ,J�. a �
FIG. # 1 �!► TOPViEtV OF
��` FatA1�4E WALL
=::'u?��TZCci
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= IG. #3
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1. Interior air filn: 0.68
2. �/� •� �„ �- y� C+� . 4 S
3. 3��Z"Gl.et'jS Fiij/.a2 (f�-�/ iw��i >1..�.�
4• ��/32„ �u�C°T,C, -�o'� �, vG
5. �cr- f3r:��� r.,38
6. L'xterior. air film 0.17
'rotal �q,?a
G� - %f'= , � ?
l. Interior air filn Q.68
2. ,�%2 " G�L� � a Fi �=/„ ��- /1 /nJ S !/. a a
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6. Ext�rior air film 0.17
ToL-al �(�, i7
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2. .
r 3. 8"CoMC . $G.r /. / /
' 4 . �,e c � �,�'i� i� . 3E
5.
' 6. Exterior air fil:a Q.17
Total 2. 3,q
G�-%R= . �� �
SI,AB ON GR71DE
ur� . ��
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placeraent oF insulatioh. °
— i2 �d
, , . . . Page Ztvo
_'- '��ALL SL•'CTiONS -••� Ti�RN �/'11�/�G�= f fj� l,�/ALL
NOTE ; Us� �► of op3que wall area for � � • � - • �
frame construction Construction R-Value
� +�� !._ l. Intcrior ai� film 0.6@
—�^ � 2. �/Z..G yP gpA�� . �S
� 3. �'p i.nches soft wood Q, js
` 4. �`�/3Z " Bv/G TRi d►E 2. oG
� 5. /g " G�v. /jo,vao . SG
P'�IC � 6. ��e�r air film ��vr�Aio�e � = �,� , G�
4JALL
Total �.7�
� . � :U= %R = . �i,� �5,= , iz
�
1. Interiar air film 0.68
2- '�i "G . i1o�v�ra . 95
3. ,�%�'.'GC.41! �iB�lZ ��/ � S / .00
�. Z3 ' u�G>�iT� , oG
s. �., G yn. Bo,�,�� .� G�
6. =�� � _�� air film �NT�,eio�) .
'lotal /s „tJ3
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_ _
= IG. #3
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y
air film(.�T��2�o,c) S� ,(�,_;
Total /G.�G
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1. Interior air film O.G8
i. /NS.(Nf�nsl�� - - - �.
r 3. � �� CG/lX . F.fLk �GR.O✓. .�G1 �. � /
' 4.
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' G. Exterior air fil:n �-?� , ��
Total 2_ 4 7
�il " ��/Q = . 40
7 GF11DE
us� . Q � s,v�,.� ,�s
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up
Page Three
Construction R-V«lue
l: Inter_ior air film 0.61
2. 's/�" G yP. P1o.4KD . S�
3 . ,.�� �iuS _ Z2 . o0
4. ��>;� r�rior. ai.r filr.: (:>til'1.) _ 0.6i
Tor.a'1 � �, 70
Gu -'/ . o4Z
R�=
• �+F e.T �$�.n v.� • � . t�,
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4. F>:'�e�':or air iilm st:t71 �•�-
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I�otc: Use additiotial shcets if noYe sl�'-cc is
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Guide
Windows I Doors Reference Out. WaU Int. Wall CeJiag Roof Floor Kind
Yes—No Yes—No 19_ —
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Total Btu.
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RROOKIVN PRIV7iNG 8 aDV. CO.
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Weathcrstrips A.S.H.V. . Conatruction No. lasulation
Guide
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No. ot pane o[ pane lighte ot crack sa• ft. No. ot pane ot Dane U�ht• o[cract �p. tt.
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Total Btu.
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Total Btu.
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Total Btu. ���
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560-3450
C�t o �`�fl� �
� �
ANOKA COUNTY
6431 UNIVER5ITY AVENU� NE October 7, 1976 FRIDLEY, MINNESOTA 55432
Mr. Lawrence Vossen
VoCo Construction
6242 Zealand Avenue North
Minneapolis� Mn. 55428
Re: Final Inspection at 5457 East Danube Road NoE.
Dear Mre Vossen:
A final inspection on October 6, 19i6 of the above address noted the
following items which must be completed be£ore the construction can be
finaled out;
l. Provide sod in the front and side yards by November 18, i976.
2. Provide a closer on the door between the house and garaqe by October 20, 1976.
3. Clean debris off from east lot line by November 18, 1976.
4. Provide handrail to bottom of basement stairs by October 2Q, 1976.
5. Provide additional step on patio deck in rear by October 20, 1976�
6. Reduce bottom step of basement stairs to within � inch of other ,
risers by October 20, 1976.
7. Provide a verifying survey by October 20, 1976.
We will expect the above items to be completed by the appointed dates
when reinspections will be conducted to determine compliance. If you have ���
any questions on these corrections, please feel free to conta,ct me at �
571-3450.
Sincere
RON H DEN
Building Inspection Officer
RH/mh
CC: Mr. L. Athearn
sue�ecT P NO. .
City of Fridley � �� � � 5 ` '
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
f
� � RECEIPT NO.
� • COMMUNITY OEVELOPMENT DIV
� � L ----- � f ��
f � � PROTECTIVE INSPECTION SEC
� �
i
' � ����1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APVROVED B�
�----� • •'' 612-571-3450 910-F�5 4/22/97 � /
JOB ADDRESS 5457 East Danube Road NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 1 Innsbruck North 2nd Addition s►+EET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dave/Pat Olsen 5457 East Danube Road NE 572-0084
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO
Roncor Construction 10740 Lyndale Ave S, Bloomington MN 55437 888-5578 2337
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House & Garage; Reroof House & Garage (36 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. Install
building wrap and have inspection of same unless manufacturer's specifications
state it is not required.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK Oii CONSTRUCTION ZONING S�. FT CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PFOVISIONS OF LAWS yp�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED $8 97O ��F.�iH
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF; CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $149.75 Fire SC �H.97
STRUCTION OR THE PERFOFM E OF CONSTRUCTION.
� PLAN CHECK FEE TOTAL FEE
License C $5 0 $168.20
SIG TU EOFCON'RAC ORORAUTMOAIZEDAGENT IDATEI fjO Y VAL ED THIS IS VO PERMIT +`
— G " "�1 ' ��
. -
SiGNATURE OF pWNEA iIF OWNER BU4DER� IDATE� °� 8 G iN$P qaTE
NEW
ADDN
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CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 �
BUILDING PEItNIIT APPLICATION
ConstructionAddress: , � ,y � � �;� �,��Q /�
Effective 1/1/97
�����
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,� � � _�,. .
' " r ' � �.� / .�� ��u � � ��/ � / / / ' /
LIVING AR�A:
GARA�E AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survcy of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length VVidth Height
Length Width � Hgt/Ground
s,�.` � r�l% � „� e1... _�� _ �
Driveway Curb Cut Width Needed:.
�
Sq. Ft.
Sq. Ft.
�S Ft.
�'/? ��
� � �O� � �� � � .� `'r'�C? C
Estimated Cost: $ c " ���
(�'ee Schedule on Back)
Ft. + 6 �t = Ft x $ — . $
DATE: c�� � APPLICANT: . � Tel. #
C1TY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� � �- ��
� �- �i'�
$ �-
$
� �a UC�
$
$
$
$
� /��?. �2(�
Fee Schedule .on Reverse Side
.001 of Permit Vatuation�(1/lOth%)
$.50/$1,OD0 Valuation
$950 per SAC Unit
$5.� (State Licensed Residential Contxaetors)
Alt. "A" or Ait. "B ° Above
$450.00 Conservation Plan Review
Fee Determined by �Engineering
�lgreement Necessary [ ] Not Necessary [ ]
.� a s -
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts 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 e�sting 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
$i to $500
$SO1 to $2,000
$2,001 to $25,0�
$25,001 to $50,000
$50,001 to $100,000
$100, 001 to $500, 000
$500,(}Ol to $1;000;000
$1,Q00,001 and up
- -��
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $1� or
fraction thereof, to and including $2,OOU
$62.25 for first $2,Q00 plus $12.50 for each additional $1,000
or fraction thereof, to and inciuding $25,(�0
$349.75 for frst $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $SO,OQO plus $6.25 for each additional
$1,000 or fraction thereof, to and including $1QO;OdO
$887.25 for first $100,000 plus $5.00 for each additioml
$1,A00 or fraction thereof,_to.and includwg $5�,(�0 ,
.� �., .
. , ,_
$2887.25 for:the fusf $500,� plus $4.25, for each,additional:
$1,000 or frachon;thereof, to'and includ�ng'$1,000;0� �
. �,. _
$5012.25 for the first $1,IX?0,� plus $2.75 for each. additional
$1,0� or fraction thereof .
DRIVEWAY DEPRESSION ESCROW `-
(Concrete (;urb Streets Only)
Alternate "A" : Remo�val and replac�ment of curb and gutter only - Drieeway> width plus 6 feet times $13.50_
Altemate "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 $15.75.
VERIFICATION OF FOUNDATION
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 constniction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
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NOIld�I�IZ13A al�d NOI1Sf18W0� aNd 2101�3NN0� 1N3A 1N3A NOWWO�
sue�ect P ��
City of Fridley 33091
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
�
; � CEIPT NO.
• COMMUNITY pEVELOPMENT DIV.
� � �: ----- � ��
r � � PROTECTIVE INSPECTION SEC.
i ` �
� /"'1 � CITY MALL FRIDLE� SS�132 NUMBEp REV DATE PAGE Oi APPROVED BY
�""'�� ��' 763-571-3450 910-F15 9/16/02 � �
10B ADORESS 5457 East Danube Road NE
1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACMED
DESCR. 9 1 Innsbruck North 2nd Addition SFIEET
2 PROPERTY OWNER MAIL AODFiESS ZIP PMONE
Pat Olson 5457 East Danube Rd NE 763-572-0084
J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777
4 ARCNITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
20130983
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WOFK
❑ NEW O ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace 15 windows within existing openings
9 CHANOE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
�e�m�t �nsp���ion Card�
Will �� �iailed
�o Homeowner To Post
SEPARATE PERMITS ARE REOUIRED FOF EIECTRiCAI, PLUMBING, NEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD
VENTI�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO If WOfiK OR CONSTpUCTION ZONING SO. FT CV FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OF IF CONSTRUC710N
OR WORK IS SUSPENDED OA ABANOONEO fOii A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFV 7NAT I HAVE FEAD AN� EXAMINEO THIS APP�ICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS yp�UAT10N SUR7AX
AND OROINANCES GOVERNING TNIS TVPE Of WORK WILL BE COMPLIED
WITM WMETMER SPECIFIED HEREIN Oii NOT. TME GRANTING OF A PERMIT $19,199 �9.GO
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMITFEE SACCMARGE
PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $321.25 Fire SC �19.LO
STRUCTION OR THE PERFOfiMANCE Of CONSTRUCTION
PLAN GNECK FEE OTAI FEE
Lice SC .00 $355.05
S�GNOTUpEO�CON�AACTOQOAAUTMOp�2EDOGENT iDATE� WM N P EALY VA�I TE�p THIS IS UFl PEAM�T
� �� - 6-�`�
S�GNGTU�7EO�OWNEQ��fOWNEpBU�LOEpi iD�iEi �OG �N o ri�rE
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Effective 5/10/99
CITY OF �'RIDLEY
SINGLE FAIVIILY AND DUPLEXES R i AND R 2
BLTII,DING PERMIT APPLICATION
�onstruction Address: � S�iSi• �L . 170.nulp�qr �
Legal Description: �
Owner Name & Address�a,� � � SpN '�' . '
Tel. # �3 .�� a .6Q$y
Contractor:; �t�ww\ '�u At���e S�.t� MN I.ICEN�SE #_oi01309 B
Address:_ I9 2l� CO�.�n� �� C. W�.S}��•�v�lk.� nc1� SS ll� Tel. #(a�vl ��1�4 �y�i'�
Attach� to� this app�cation, ��ertificate of S�rvey. of-�e
lot, with ttie �proposed �constr�ction dravan` �n-it to scale.
,
DES.C�i.�N UF ��&!b�ElYIEi�1T _ . '
LIVING AREA:
GARAGE AI�EA:
DEC$ AREA:
OTHER:
Construction Type:
Length Wirith Height Sq. Ft.
Length Width Height Sq. Ft.
�� Widtti � Hgt/Ground Sq. Ft.
� _ A w. .. A 1� • • _ _I _ _ .... _ • .I I • _. _ ��-
Estimated Cost: $_ � 9� ��] %�
� � . �.w�
Driveway C�.rb C�t Width Needed: Ft. + 6 Ft =_ Ft x$_ _$ _
DATE: • •� APPLICANT• ,p��iY1 Tel. # 95a •3�i,S•l�Oti�°
CITY USE ONLY
Permit Fee
Fire Surcliarge
State Surcharge
SAC Charge
License S�rchazge
Driveway Fscrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ a�.as
� �9. ao
$ 9.
$
$ �. �
$
$
$
$
$ � /
Fee Sche�iule on iteverse Side
.001 of Permit Valuation (1/1(hh%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licens,ed Residential Contractors)
Alt. "A" or AIt. "B" Above
$450.OU Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessazy [ ]
STIPULATIONS: � �� � �
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HEATING
AIR CONDITIONING
AND ELECTRIC� INC.
ADDRESS �� ��W��-
OCCUPANT P/
HEAT LOSS DATE HTG. INST. ��
SOLD BY e.�ol Q�LC7
Elecvical Work By �
TYPE OF HEAT GA FA HW STEAM SPACE HTR.
Ii�USE HEATING TEST RECORD
APT. FLOOR CfTY ��w�✓"� J�SUBURB
OWNER _ �c��l� �
INSTALLED BY _J W, �� 6�t"4
Gas Line By � �'�
UNITHTR. OTHER- _
� A � � ^ C3AS DESIGN
MAKE Ks� • ���
b�
Model 0�� VentSize �
Serial D�l�Ic3 � lCIFID OF LINER J
INPIfT --- - - ---0rat�li�--�'i�[
CONVERSIQN
SIZE �f � NONE
_ -Regulatar- - -
Filtera Size � Number
_� CONTROLS Chimney Location Inside Oubide
Heat Plua Chimney ConsVUCtion
Limit Setti CJ -
Fan Setti �
Pilot Type i C
Pilot Make �*�'��'
Pilot Model � L �
PilotTimina_ �{i`�5��°..
L.W. Cut Off
Pressure v 7 u I.t� Peraent COZ
Input CFH �!,�� Percent OZ � �
Stack Temp. Peroent CO ��
Smoke Bomb wring �
Draft Test Tag
Door Presaure Lighting Inst
Date Tested _ _ �� � 6'�
Company Tesung
Name of Tester
Pressure Percent COz
Input CFH Peroent O2
Stack Temp. Percent CO