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AF - 40956� �, . �' City of Fridley, Minn. 1�T° 8702 BUILDING PERMIT .: : ._ , � �- _ � � _ ., , ,/�'�'� � �/'� / � ' � - . . r .�: < ,� .. - , ' � .� � .� � � - � . � CA F BUILDING No. 3tiseet �_... �... Part of Lot Lat Block Additlon or Sub-Divlsion Coraer Lot _ Inafde Lot Setback .� Sideyard Sewer IIevatiam Fo�mdatioa IIevation ESCRIPTION OF BUILDING T be Usea aa,: � �epth Height Sq. Ft Cu. Ft t Depth efght .�� Scl. Ft Cu. Ft Type of Canstruction F�t. ��_To be Completed In c�nelderatton of the iesuaace to me of a perrnit to conatruct the building descrit�d above I agree to do th� proposed work in acc:ordance with the d�scription al�ove set Porth and in cbmpliance wlth afl prov7sfons of ordlnances of the dty oP FricIIey. � .:,`� ,�y .,� ,� ,� " � In cam�deration of the payment of a fee of $�_�_-, Permit ia hereby granted to to canatruct the building or addition as descrlbed above. This�ermi t 9s granted u�n the express condition that theperson to whom it is graated and his agente, employees an� worlmaen, 9n a11 work doae fn, around and upon eaid building, or anypert thex�eo� shall conPorm in all respecta to the o�dinanc�es oE Fridley� Minnesota glocalion, conatructton, alteration, matn , pa9r and moviug oP bufl�in�s wi�� dty limita�3and�tbis permft may be revoked at aRY ��%� // tlo� of an,y of the Provieions o4 ea�d / �8 � � Nonc� 1Ys p�emtt dea esf eoru tla �emteaeNen, teua0diee �er �riele�, pinmbino, oas 6eaHe�, uwu er w�ar. B� sur� to a� tM Bu��dioB Im�Or hr apuah pWmha hr tMa tt�f. APPi.ICATION FOR BUII.DIlJG PERNIIT CITY OF FRIbLEY, MINNESOTA •, -.� , ` o- a i i � � ., � OWNER' S NAME �r � �, ;, .�," � � ��.� ;,��- - � BUILDER � ��° ��-� �% r � ADDRESS �l � /� �� •.�?,,, l�r� `��°�J��<' ��DRESS � LOCATION OF BIITLBING- N0, , , STREET PART �F LOT LOT BLOCR ADDI7.`ION OR SOBDZVISION CORNER LOT INSIDE LOT SETI�ACR SIDE YARD r SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificatea of Survey of Lot aad propoaed buildiag location drawn oa these Certificates. � DFSCRIPTION OF BIIILDING � To�bg used as ; `�� • _ � l � � � '° � � �"-� ° � � � °' Front De th I#ei ht � . �� _��` �-( P g �� Sq, Ft. Cu. FC. Front Depth fleight . Sq. gt. Cu. Ft Type of Construction � � � � � � � Estimated .Co "�r��/� . � �_ � , _ � - . To be completed • The undersigned herebq makes application for a permiC for the work herein sgecified, agreeing to do al�. work in strict acco�cd�.ace caith the City of Fridley Ordinances and rulings of the Department of Buildi�ga, and hereby declare� that all the facts and representatione stated in this appl�.cation are true and correct. ;; • � DATE -�"' I � �� SIGNATIIRE � �� r�� (Schedule of Fee Coate can be found on the Reverse Sfde�. � ��. � p _y c P � 7. � � _ - $IIILDING PERMIT FEE S�EDULE SECTION Z. The Inspector of Buildings�shall, before issuing any permit for the erection of any buiidiag or atructure, or for any addition to any existing building or structure, ox fqr anq' alteratione or �epaiica to any existing building or etructure, upon appl�icatioa...thexefore,.require the payment by the applicant for such_permit of fees to the amount herein below set.forth and in the manner herein provided Co-wit; .�_.._ , ,, 2.1. For any such parmit'fo'r �he eiection of any fire-proof building, othei thaz a garage, warehouse, factory or grain elevaeor, or for the erection of any fire-proof addition, for-�similar occupancy; to any esisting building, shall be..at.the rate of $1..4.0 for each one thousand cubic feet, or.fraction- thereof, in auch cubical coutents. '� , � 2.2 For any such permit for the erection� o'f aay fire-prqof garage,, warehouse, fa�torp or. grain elevator, or for the ere�ction of any fire»proof addition, for similar occupancy, t�.any exieting�buildiag shall be at the rate o� $1:25 for-each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Build3.n� Code. HOIISES 2.3. For any such permit fvr the erection of any non-�ireproof buildiag other than a garage, warehouse, factory or grain elevator, or anq non-fireproof addition, for similar occupancy, to any existing bu�lding ,-, permit �1.00 for each one thousand cubic feet, � GARAGES. � � ..�. --- 2.4. For any such permit-for the erection of any non-fireproof garage, warehouse, factory or grain �levator, or for the erection of any non-fire-proof additioa, for aimilar occupancy, to any esisting buildiag or for �ach such� �� building or addition - n�nety cents ($0.90) for ea.ch one thous.and cubic feet or fraction theraof, in the��ubical contents thereof with the minimum of $4.00. For�the purpose�of camputing'fees for building�permite;�the cubical contenta of any building or addition to a uniform height throughout by m�rltiplying the - grouad area covered fram a point six (6) inches �ielow the floor line of the basemeat or ce�,lar to the average h�ight of the upper aurface or to the average height of the roof surfaee of:the main gab.le of a p3tched roof. � 2.5. For repa3r,s or alterations to an existing structure, the fee ahall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or frr�ctl�n thereof in the cost of all propoeed work. 2.6. . Ia no case ehall the fee charged for any permit as set forth in Sectio 2n be less than $k.00. � - STORM REPAIR DANIAGE FEES; Reaidential; Estimated Cost of �ork up to ��r�„Op -$5e�?a Estimated Cost Of L•dGl':S c•,3'�'.0 K'.�:��t1.�si1 -� ,'�-r:.i:9f+� .�, -r � �,�.. Commercial; Lsttmate,�n4*_ o� Ea��r� u� ��; =�.±:n��) -$1P-�� i:� Eatimatec. .;ost of 6Tt�Y� 01t�Y' $+L��.�.�1U -$2� J� � � � ^ City of Fridley, Minn. BUILDING PERMIT Date: July 14,, 1969 OWIIP.�': �11.��d. � 82.sZfi7�.gi:nn Builder �ama �ej�j�,gg �,�,g� RivPr Rna.d AddTesg Same �, � � N° 10333 LOCATION OF BUILDING No. — 7�7 Street T+'.a.q . Riv Road Part of Lot � 10 _ Bl� Addition or Sub-Divlsion A» �+or' s Sub . No . 7'j Coraer Lot Sewer IIevation Inaide Lot �es Setback � Sideyard Foundation' IIevation DESCRIPTION OP BUILDING To be Used sa: A l ._r . AddT1. . Front �' 2' Depth � 2' Height 12' Sq. F.t, 3s4 t (�, �, 46os � Front Depth fTeight Sq. F't Cu. F't. Type of Construction F�ame ��, � ��_�� To be Completed 10 Months Subject To:_ Structural membera to match e�isti.ng design & materiala. In conaideratfon oP the issuance to me of a germft to construct the building described above I agree to do the proposed work in accordance with the description above aet forth and in compliance with afl provlaiona of urtlinances oP the dty oP Fridley. r � In con�fderation of the payment of a fee of $�2.�_, permft fs hereby granted to �a • Reddington to construct the bufiding or addition as described above. Thiape rmit is granted uPon the enpress crondition that theperson to whom it fs granted aad his agents, employ�s and worlunen, in all work dane in, around and upon said building, or anyp�t thereof, shall conform fn all reapecta to the ordivances of Fridley� Minnesota regardiag location, conatruct3on, alteration, maintenaace, repair and moving of bufldfngs within the dty ]9mits aad thia permit may be revoked at any time upon violatioa of aay oE the provl�lons of said orrlinancea � �� CLARIIVCE S NOflC� T6fa psnoh d� eet sovar fhs eoesfwcHoe, Inshtlitioe h� �rhing, plambtee, gn 6eaHeg, awsr er wm�. B� wn to � t6o Bnitdteg IaspKtor hr wparatr parmks far t6as Ihm� r �PPLICATION FOR BITILDING PERMIT CITY OF FBIDLEY, MINNESOTA .. . 01hlNECt'S N1�ME, /�i� � �l(�� , ��)11'►ra�oA� BTfILDER �P'-� ADDRE�S �I� � � r �� I �_, �p'�° �,�o..� A'DDRESS ��.,'�^ �°.: LOCATION OF BIIILDING NO o fl � 1'1 STREET ,�, &-�� '� i 1l�? f� �� ' f _ � LOT BLOCK ADDITION OR SUBDIVISION '� �� %� CORNER LOT 6J � INSIDE LOT r� � SETBACK SIDF�3C9RD�^,_, SEWER ELEVgTION TOP OF FOOTING Applicant attach to �thie form Tvao Certificates of Suxvey of Lot and proposed buildin� location draw.n. on these Certificates. DESCRIPTION OF BTTILDING To Be Lised . As : � � � t ;�n 'Y`'-��tJ Front a ,�t �=�".�T Depth � � ��`i Height � � , Square feet ?, � � Cubic Feet � � �, � /� ront — Depth -�— Heigh�- � S� � i! .� � _- � Square feet �— Cubic Feet �— Type of Construction �� Estimated Coat��,�°�� To Be Completed I� ��^r�r;f`�� The underei�q.ed hereby ma.kea application for a permit for the work herein speoified, ag�eeing to do all work in atrict accordance with the City of Fridley Ordin.a.nces and rulinge of the Department of Buildings, and hereby declaxes that all the facte a�d rep�eaentations s�ated in this application are true and cor�ecte DflTE '� -- ,�C� �- I q (o �' S iGNATURE l X (��dd�� 3�irn� (Sohedule of Fee Coats can be found on the Rever�e Sideo) � I� �� l�ll � �E � l � ° ° � � �� a l� <--� --� -P � �-� �' S S�� ,� , s '� f � �-Q s � P �,� � r� � 7`� ,� �.� �- .� . . � � �, y � � �. � � / BIIILDING PERMIT�FEE SCFiEDIII,E SECTION�2. The Inapector of $uildings sha.11, before isauing permits for the erection of any building or structure, or for esiy addi�ion to any �xistin.g structure or building, or.for any alteration or repairs to any existing building or structure, upon applYCation therefore, requa.re the pa.yment by the applicant fox such permit flf feee to the amount h�rein below set forth and in the manner hereira provided to-wit: IIniform Buildin� Code: Type 1, 2, & 4-$1 075 fo'r each one thousa,n,d cubic feet, or fraction thereof, irb auch cubical c.�.n,tents. Type 3& 5- $1.50 for each one thousand cubic feeto For the purpose of oomputing feea for building permita, the cubical contenta of any building`or addition to a uniform hei ht throu�hout by� multiplying the ground area covered from a point s�.x �6) inchee below the floor line of �he basement or the cellar to the average height of the upper aurface or to the avera.ge height of the roof surface of the main g�a,ble of a pi�ched roof . For repaira or alterations to an existing etructure, the fee aha11 be at the rate qf �3.00 per each five hundred dollara ($500.00) or fraction thereof in the cost of all proposed work. In �.o case ahall the fee charged for any permit as se� forth in Sec�ion 2 be less than $5.00. NSSSD Coxinection CFiarges�'6ased on �ocation - �rea—t-or �.- --- -- � � � � _ ., q ,� � � A � � < � � W � � � � � � � b n � b b�� : �� . �: � � � �, �. �• ��' � �'�� 0 ��;�� A� �� .� � � � � f:. ��'o��. � � o � g �' � � � A �. r�� ,�o' �� .� � �S"�� b � I � � ~ � l�. � �• � V� � t�o' � � . y'nb°,��y',o � � C � � �►. � s:��,� s� �� •� % y A O i.1 O �-�'�o � �`� o ti • ,ti �; � � � � � � � Y � � � � �• � � � � s � �• y � � 0 � � � � � a� � � � � � � ►-. � �' � O M � � � � � � Q � � � � � � � � o � � � � � � y �. �. \i cv /' A � � �� \.Ie � 1 � o � � � � � � WATER CLOBETB BATH T�Bs BABINB IBINKS � � � I WABH � � � 4 c rRars p �= DRINK °Qi' � FOUNT. a � � M �' x �' g SHOWERS n � M �ar m FLOOR p � p � o O $, DRAINB M �y � � p CATCH � � BASINS �p � � �. RAINW. LDRS. � � � m�sc. Q, �• � FIX. �y' � � �A8 Fi � A APPL. � CiAB � RANOE :+ ro ��m a � _ A �� • �• � � �� O �• � � '� � � �� . �, e► � O . ~ � � � � � "� . ' � �s � � � � � a � � � v '� 6A � � �� z � . .O �� w �� SUBJECT PE � � c�ty of Fr�aiey � 3186 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � ; � R P . � • COMMUNITY DEVELOPMENT DIV. � � � j L ��_, r � � PROTECTIVE INSPECTION SEC. �� 1 ; � �l � /'��1 � CITY HALL FRIDLE� SS4S2 NUMBER REV. DATE PAGE OF APPROVED BY L"-'� � �`� 812-560-3450 910-F15 9/8/75 � � JOB ADDRESS 7r,17 EdS.t R1VPS Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],O A'u(3. $Ll�. �%% SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Wm. T. Judlin 7517 East River Road N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEW ❑ ADDITION Cj� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Insta.11 window and alterations 9 CHANGE OF USE FROM TO STIPULATIONS SEPERRTE PERM ITS REQ�3�RE� ��. �lR11�Go �E,ATi ��m �L�3#��i�� A�� $��`�5` TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 $790.00 .5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $( .00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $6.50 SIGNATUREQF NTRACTORORAUTHO I EDAGENT ID TEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT . r > � _ � � % i�p .Q l8/%� SIGNATUR F OW ERIIF OWN BUILOERI IDA EI BLDG INSP A APPL.ICATION FOR RESIDENTIAL, ALT�RATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S, NAME : �ea� 1 T IiYJ �UILDER Y �A�M �. ADDRESS : � S�7 E�i r/�� ADDRESS : a N0: . ��1 �f STREET:��4� � (�.U�2 �4 I,OT : � Q BLOCK: � ADD2TION : A• �- �%�' CORNER LOT: INSIDE LOT: Sr.2'BACKe SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building � locatio;.� drawn vil these Certa.f icates . p . DESCRIPTION OF BUILDING To Be Used As: � � ��L � L�Rr�n c�+� � I �� p�� Front : �,Depth : �� __Height : �. Square Feet: D�' Cubic Fee�: � Front; Depth: • Height: Square.Feet; Cubic Feet: � � o0 Type of Construction.: ��1 � jh�t • Estimated Ccst: $ ��if� To Be Completeda �C'� l, �/ %�' . . The�undexsigned hereby makes applicativn,for a permit for Y.he woxk herein specified, agreeing to do a11 woxk in'stgict accordance with the City of Fridley Ord•ina.nces.and xulings of the Department of Buildings, and hereby declaxes that•all the facts and represer�tations stated in this application are true and correct. _ . . � / ^ � . DATE : �//t �� ,� .S SIGNAT[JRE • (See Revexse Side Fo�' Additiona7. Tnformation.) ' , �'j (� lo- � . . � � b.�" :�. F . � � •�� • � �BUILDING PERMIT FEE SCHEDULE SECTION 2.. The Inspector of Buildings shall, before issuing permits for the � erection of any building or structure, or for any addiiion to any existing building or�structure, or for any altera�:ion nr repairs to any existi.ng . building or stru.cture, upon application therefore, require the payment by the applicant for sv.ch permit of fees to �he amount herein helow set forth and in ° the manner herein provided to-wit: • . IJNIFpRM BUILDING CODE: Type 1, 2& 4-$2.15 fox each one thousand cubic feet, or fraction thereof, in such cubical contents.� Type 3& 5-$1.85�ior each one thousand cubic feet. � � ADDITIONAL INFORMATION For the puxpose of computing fees for building permits, the cubical contents of any building or addition9 is determined by multiplying the ground area covered from a poinc six (6) inches Uelow the floor line of the basement, ox the cellar to the average heights of the uppex surface or i:o the average:: �height of the roof suxface of the main gable of a pitched roof. � - For repairs or alterations to an exis�ting structure, the fee shall be at the . rata of $3.00 per each five hundred dollars ($500.00) ox fraction thereof in the cos� of all proposea work. • I�.rLo case shall the fee charged for.any permit as set forth in Section 2 be less than $5.00. � VERIFICATION OF FOUNDATION NOTE: Permits for construction wi11 be issued a minimum of 24 hours �from the ti.me of application, to allow for proper review of the proposed stxucture and �of the construction site. � A Certified Surv.ey of the lot, showing the loca�ion of the foundation, once it ha� been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10)� days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure sliall not be used or occupied until a Certificate of Occupancy has been issued. - . ,� .., _ . � �� Field Engineerin.g - Lab. Service 571-78TH AVCNUE N. E., Suite 4 .. FRIDLEY, MINNESOTA 55432 TELEPHONE: 786-2822 september 20.1976 Test � : 15515 Time s 11:00 AM r ror: a Kitchen tap � Tos Northwestern Realty Compan� 40ZI�0 Lakeside Drive Brooklyn Center,Minno 55�29 Ree ?�+ater Test at: 7517 East R3.ver R�ad,Fridley�Nfi.nn. 55432 Baumgartner Gentlemen: The undersigned personally drew up and tested the water at the above address on Septsmber i8,i976 and the results were as fQllows: Nitrate Nitro�en � per Cac�mi.um Reduction r;ethod - �•3 Sux�factant (ABS) _ per Mett�ylene Green,i�'ieth� -1�egativa E. Coli Bacteria - per U.S.P.H.S. r� r�ethod �Negative This water DOES meet these FHA and VA and U.S.FeH.S specifications. Field Engineering - Lab Service is authorized to perforn► these tests by the Minnesota Environmental Health Division. W.ell Dept. �finnesota State Aoard of Health,I�aboratory ;dum't�eer 49. enclosure Twin City Federal � Dan Kester Sincerely yours, . , �.. .._..._ . , �'__�_.�- J � - Lewis V. Wenzel ' � 560-3450 ��fo ��ll� � � . AN:OKA COUNTY 6431 UNIVERSITY AVENUE IVE September 23, 1976 FRIDLEY, MINNESOTA 55432 Mr. Dan E. Kester Ztvin City Federal Savi.ngs & Loan Assn. 5205 Central Avenue N.E. Fridley, Mn. 55421 Re: 751Z.East River Road N.E. Dear Mr. Kester: Due to a lack of necessary information, this department is unable to co�nent as to the acceptabiiity or non-acceptability of the well water system at 7517 East River Road N.E., Fridley, Mn. Please feel free to contact me if you have any questions on this matter. 5incerely, � "'"�_, S EN J. SON .Environmen�al Officer SJO/mh 1 SUBJECT � . � City of Fridley , 14397 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � T NO. � � COMMUNITY DEVELOPMENT DIV. I.I �� r � v � PROTECTIVE INSPECTION SEC. � 1 ' � i..-- � �/'�h,J CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY i J� 612-560-3450 91 o-F� 5 10/4/77 � � JOB ADDRESS �517 East River Road N.E. 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.O Al1C�. S11U. #77 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Wm. Baumgar�ner 7517 Ea.st River Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Economy Builders Inc. 6725-14th Avenue South 341-3067 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS t�P PHONE LICENSENO. 1 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a l6'8" x 10' Addition with fireplace 9 CHANGEQFUSEFROM TO STIPULATIONS �crease hearth extention to 2Q inches minimum 1�A�� g0fote dig�ing call 4ocaB uiil��ics SEPE�pu.��y_a p y� r �{ RATE PERNIITS REQUIRE� F�1R �NIRIN.C�z 1E��pW�id�- EL�G±�iu ��'� �t�. �1EATIt�Gp PLUt��I�� AN� SIGNS. R Im �ti �� S�W ��f,.. w' �'/U� P., 4'�ae,�F TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMEWCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAM RUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANC GOVERNIIV THIS TYPE OF WORK WILL BE COMPLIED $Fj� OOO $`3.00 WITH WHETH SPECIEIE'Q1iEfi R NOT. THE GRANTING OF A PERMIT DOES NOT RESU1LrE TO GIVE A TH Y TO VIOLATE OR CANCEI THE pERMiT FEE SAC CHARGE PROVISION OF FINY OTHER STA E OR OCAL LAW REGULATING coN- $36.00 STRUCTIO OR TI�E PERfORMAN E OP C NSTRUCTION. I' � PLAN CHECK FEE TOTAL FEE _ _.. �.. � � _y _,) ? $39 . 00 SIGNATUREOFCONTRACTORORAUTHORI2EDAQENT (DATEI - wF{ p E V IDATED THIS IS VOUR PERMI �� D- -� �, SIGNATUREOF OWNERIIF OWNER BUILDERI IDATEI l BLDG INSP DATE �i i � ur t'It1llLtY APPLICATIOPJ FOR RESIDENTIRL BUILDING PER��IITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) ,� . • OWfiSR: -: �v M G /,�Y� ?N� BUILDER: � �� b�,�. Address: `%, ��.� Address: �e7�.S�N _ � Tel. No.: �� -,�Ol�� ' � . No. �� Street: �C� ��B u_a�-.�� -, ,6 LOT: /(� BLOCY.: ADDITION: ( 1'.t � � • 1�1 • � � � � CORNER LOT: INSIDE LOT: S;�TBACK: SIDEYARDS: Applicant attach 'to this form Zt�ro Certificates of Survey of Lot and proposed building location drawn on these Certificates. � DESCRIPTION OF BUILDING To Be used As: � q 1w � Front: Square f � 5�,�� Front: . t � l(n � � r� �p�: f C? � ` : iieight: �� Feet: (o� Cubic Feet: � � p � Depth: Height: � Square Feet: Cubic Feet: Type of Construction: ��y` Estimated Cost: $ ot� a Zb Be Completed: � Alt. A Alt. B Proposed Driveway Wi th If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersignPd hereby makes application for a permit for the work herein specified, agreeing to do all work in strict dance with the City of Fridley Ordi.nances and rulings of the Dep tmen � Bui c i , and hereby declares that all the facts and represe tation sta.t d in th s application are true and correct. See reverse sid for ad 'tiona info ation. DATE: �t`:J� ;�"'�i1��1 SIGNATURE: _ Stipulations: . . ; ''r�!��"'kOf'N � °Z� � i.��t�t �t�� — �,��i � �� 1 ,� �t � � 3.•a �y � 3�� ' �,� �� i ��.��. BUILDItJG PERt�IIT FEE SCi��DULE SECTION 2. The Inspector of Builditigs shall, before issuing permits for the erection of any buildin.g or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing buildinq 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: NEW (!ONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building �ermit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and . ' gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 : 11 � : 1 �' ' � For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area co�ered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. ' � • � � � � � � --- --- - - _�_-.�. -- � NOTE: Permits for construction will be issued a minimiun 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 been constructed will be required before proceeding with the framing. _CtRTI�ICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any stracture for which a builc3ing perniit has been issued; and sa.i.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. . � n, CITY OF EDINA BUILDYNG DEPARTMENT ,� (For�n Developed by the State of Min�esot� Build3ng Code Division) *" t0 BE SUBMITTED WITH BUIY.DYIJG PE&�SIT APPLICATION . . ' • .► ERTERIOR ENVELOPE AVEItAGE "L1" COI�UTATION � O�ER: �l�2 ��J.P.S' fl/�>. Ai alra�'�-N�� SITE ADDRESS: ?•�/7 E� �2/!/E.t' �2� F.2�� .c-y M�/ OONTRACTOR: ECo.dc�.yr 13 a�� iNG DATE: 9' •22�77 PitONE:�o6 7 Determine working square footage of each �� - 3 1. Total exposed wall area. .... ...._ 389,3 sq. ft. x .� 7 � loS, 33 �L� �_ � . 2. Tot�]. roof/ceiling area......... /66. h sq.ft. x • as � �.33 3.• Total exposed wall area calculations: . Total expoaed wall area above floor • 293.2 a. Total wall window�area .............................. 28 b. Total door area ..................................... za c. Tctal sliding glass door area ....................... — � d. Total fireplace wall area ........................... e. Total wall framing area (average 107) ............... f. Total net wall area above floar ..................... 245.�, g. Total rim joist area ................................ ,�4.� Total exposed foundatiori area � � 7./ 1�. Total fouadation window area ........................ — i. Total net foundatioa area above grade ............... G 7./ Det@rmine "U" value of each wall segment 8. 2B R n�� , SS ��/S. y� b. 2o R "0" ./z8 = 2.5� c X "U" _ d R "II" � e• x �� . � f. z9�: z ��v,� , o�� . 16. 9/ �� g. zg..� R„U„ . o ze �.� 8 t � h . R n�t� � s i. 6 7. / X ��D�� . /� � � �.'��"'- 3. f TOTAL .� � � *�BfJ n �_ If item #3 is the same as. or less than item O1. you have met the intent of SBC 6006(c12. � e i - 4. Total e�cposed roof/ceiling calc�ationa: ?ot�l exposed roof/ceiling area = � ��• � j. Total skylight area ................................... k. Total roof/ceiling framing area (avera�e 10�)......... 2. Total net insulated roof/ceiling area ................. /��.� Determine "II" value for e�ch rooi/ceiling segment � . . R nDn • k R nUn � . 1. /lo (o• !c g ��D�� , 03/ � .3: /�o . �,. � -sorai. - s i6 If total of �4 is the same as, or•less than 1t2, qou have met the intent o!` SBC'6006(c)1. ' Alteraate Building Envelope Design To utilize the total envalope system method, the values establislsed by . the sum of items �3 and 84 ahall not be greater than the swn of items �Il aand �2. 1. G.�S. �.� + 2. 8 33 • �3. � 6 3. ��d' # 4. S. i�e � �49.96 C E R T I F I C A T I 0 N I herebq certify that I hava calculated the "U" factors and R values herein and that the building hera.described meete or exceeds the State of PRinneseta Energq Conservation Act. r! 0 /� i '� ,�///�,�i� i 9-2z•7� . (Date) ' WALL SECTiONS N�TE: Use 10 0 of ops�qu^ wall area for ` frame construction FRF.N.E I�TALL ��lt �S[�L: :��i��1 =�i?N1»ZC*; 1d,AS.I. ?IG. #3 � �r•`` �L� ` , ts. ' , • � � •, , ' � a. � . • . / - • � b ' Page 7ivo Construction I�Value l. i�terior. air film 0.68 2. %" GlJ� .C�.�' 0.4�" 3. 3iZ inches soft w�od 4, 3S 4 � y •• na,i.� . . 5. 3/�" G�a.i • , 0.87 6. Exteri.or air film : 0.17 Total G , 7� u r . �47 1. Intcrior air film 0.6f3 2 • lz° uJa�l.� �.t�0 O. �'!s �. ��p..�.c�� .//.O� �i �z'� �i�G� /. � 4 . 5. �.'.' .�-��.� - �. S 7 6. Exterior air film 0.7.7 Total /9•3/' v_, m� 9 1. Inter9or air filni 0.6f3 2 O" .00 . 3. �`� < .�,;:�_ _ . S9 4 . y .. � . 5 . -� n �te�c�v � " D. £�7 6. Exteriar air film 0.1,7 Total �'4. �3` � v-,o28 1. Interior air film 0.G8 2 . � •' a.,�eP.�J ,� � /L S. 2E 3 . 8 " Co-��G . � /. // 4. 5. 6. Exterior air film 0.17 � Total 7 �� U-.�3� SLAB ON GRADF ��1� - r; � . � � FIG. #�4 � s � NOTE: . - . � p . � . � � t, ` � ,� � • ' �.:. (( '{ � .' � � � . � • .. � _ • `,� . �� 'r-� � . • • �� V � • ' _ � ' � � � i :� � , a • . � .� • . . � ..r � � t �t� = • /fl^/ . . =l' � r r 1 � f / w /1 / � \ ' ✓' • � � �.. . �/t� ,� ; rl� � ��` � � { � �� /l � ..� lr � s. �i� � Indicatr. ty,ne, "r" value, denth and placeMOnt of insulatiori. . . ' AOOF/CEILING • . • � • VEtTT ti`ented �� r-{ � ) (, - --� � �, � -r 4 � ( � n� n t1 �I �'�`"` i l� � � _ ±�:�,';��1�11 ��; �i""'_ •.�..��.. ', -�-o �--� � , �3cat flou up FIG. #5 � ?o�lte�iiN�'��'1.o1:T:i+��'�:Lfi��'n� `S�o�iF'.�.P��t'+G��.a � J lieat floa� up FIG. #6� .. � � NOy-V�h'TED Heat flow up �'7�. !►7 �vented 1 `/ Page Three Constzuction R-Va l��e 1. xnterioz air film 0.61 2. %y" �t! .B� a.9S 3.. /O" 30.08 4. Exterior air film (sL-ill) Q.6 � Total 3/. 8 7 (j-, 03 I 1. Interiar air film 0.61 2. ^ 3. 4. EYteriar air f�.lm sti __ . , Total 1. Inside air fi].m O.G1 2. 3. 4. . S. Outside aiz film " 0.17 Total Notc: Usc Additional �hcets if mor� ��ace is � needec3 for details and calcul�Cions. i � ,�' � . . � The Total Envelope Calculation rtethod 0 Paqe 4 The regulations state that alternative overall U values �for buildinq sections are permissible if it is sho�vn that the total building envclope heat loss/gain does not exceed that of�a siu�ilar buildimg that meets the regulation U value maximums. In this case, we will consider only the�walls and roof/ceiling criteria, assuminq that the remainder of the building meets regulatibn• •�• • requiraments. , ' A. Total Yieat loss as desi�ncd (walls and roof/cciling) BTU/hr. degree F. Wa :7 s= Avg ."U" x Z'otal t•1�11 nr�a = Rooi/Ceili..ng = Avg, "U" x Total Roof/Ceilinq Area = Total = B. Total heat loss if designed to meet the regulation maximum (walls and raof/ceiling) tnlalls = Avg. "U" x Total Wall Area = Itoof/Ceiling = Avg. "U" x Total Roof/Ceiling Area = Total = � SUBJECT City of Fridley o 19 4 8 6 BU ILDING PERMIT - AT THE TOP OF THE TWINS ' r � � � � . � • COMMUNITY DEVELOPMENT DIV. � ; V � r � � PROTECTIVE INSPECTION SEC. ��6 �� i� � � --__� ��,.� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVEO BY i 612-571-3450 910-F15 5/23/88 � � JOB ADDRESS �517 East River Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.O RE'.V. Allf3, Sll�. #77 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Bill Baumgartner 7517 East l�iver Road N.E, 571-8053 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Modern Insulation Inc. 10779 - 93rd Avenue North, Osseo, MN 55369 425-8899 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Res idential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFK Construct an 18' x 12.' Deck Qnto Dwelling 9 CHANGE qF USE FROM TO STIPULATIONS ' See nota,ti.ons on pla,ns., Flash deck to house. ee1o,e ��%� $�P/��A; Tf�EPyp �gf�� c�ll �� I�tR�N�� HEA7'RMITS REQC�Id� �� F.F��GrR�� rc�,�;�r��s lPVG, pL�M��NG � Fp� +L�d�� AS rt� l�i� SI�i�1�� `�' SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION 2pNING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEFi WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $].�SOO $.%S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER S E OR LOCAL LAW REGULATING CON- T CTION R T E PERFOR AN E OF CONSTRUCTION. S2S.00 A, PLAN CHECK FEE TOTAL FEE �� $25.75 n EoFC �aa�A THOR12E nGENr IDATEI WHEN PROPERLV V IDATED THIS IS YOUR PERMIT �, � a �I � SiGNATUREOFOWNER11fOWNERBUILDERI IDATEI LDG INSP �lA I�7a [ l ADDN AL�R [ ] City of �idley R-1 Al�1ID R-2 �,;iding Permit Application EEfective 5/L88 e Qonstructian Address: �.�f � - �� G�� r�; � Descriptian: Owner N�ne & Address:_ _ �-ri� � Tel. � �� °�� Coritr actor : �� - � �`-�-�c_ Tel. #��,� ��1� Ack7ress : �� % % 9 - �� - � _ �C �-�- � � , �5�-�� Attach to this appl ication, a Certif icate of Slarvey of the lat, with the proposoed oonstruction clrawn on it to scale. L�S(RIPrION � IM�'ROVE�Nr LIVII�G AREA: Length Width Height Sq. Ft. c�,RAGE ARF'A: Length width Height 9q. Ft. � ' � � /f DEQC 1�RF.�,: Length � width !� Hgt/Gro�ma � 9q. Ft. �:. a, e � ,_t�� v•� Gbrrrer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks �jipe of Construction: Estimateol Cost: S �� ,�� Approx. Completion Date: � � � �'- � � r �0 :� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desir : S � iy� Width ' See Back Page l]ATE : � �i � /� � APPLIC�TP : Tel. # � �� [ CLTY DSE �Y P2=mit F�ee State Surcharge �� Driveway Eecraw Park F�ee Sewer Main (1�arge TOTAL 3PIP�JI�TI0�1TS: , �� ..: ��a.;�a..: µ': �r� ..�4 �.. � t_ l�ee Schedule on Reverse Side . 5.50/51,000 Valuation 5550 per SAC Unit . Al� '�," or Ait. "B" Ab�ve F1ee Determired by E�gir�eering Agreeaent Neoessary [ l Nat Neaessary [] � �� .,�� 1�'�" Se ` — /�� z /S. �1'� �a Z�,�tr ��%�, ' �i�V M :�� M:I�i1. ) 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 belvw set forth anc7 in the manner herein prwided to-wit: TOTAL VALUE $1 t0 $50O 5501 to $2,000 S2, 001 to $25, 000 525,001 to $50,000 FF:FS S15 (Minim�an Fee is S15 glus surcharqe ) ' $15 for first 5500 plus S2 for each additional $100 or f raction thereof, to and including 52,000 S45 for f irst S2, 000 plus $9 for each additional $1, 000 or fraction thereof, to and including 525,000 5252 for first �25, 000 plus 56.50 for each additional. $1, 000 or fraction thereof, to and including 550,000 550,001 to $100,000 5414.50 for first 550,000 plus 54.50 for each additio�nal $1,000 - or fraction thereof, to and including 5100,000 5100,001 to 5500,000 5639.50 for first $100,000 plus 53.50 for each additiona]. 51,000 or fraction thereof, to and including 5500,000 5500,001 to �1,000,000 52039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including 51,000,000 51,000,001 and up 53539.50 for the first 51,000,000 plus S2 for each additional Sl, 000 or f raction thereof ��1�.�; � �• : • � _�;��.. • • - • Atternate "A": Remaval and replaoement of curb and gutter only - Driveway width plus 6 feet times 513.50. A1.ternate "B": Renaval and replaoement of c�rb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15.75. ��: : � � , • � �•< 1�� M • �I Permits for construction will be issued a minimum of 24 hours f rom the time of application to allaw for proper review of the proposed structure and of the wnstruction site. A Certificate of Sl�rvey of the lat, shawing the location of the foundation once it has been oonstructed will be required before prooeeding with the fraQaing. �_ +, \` �� ` \ `,\ \ \ � `. ��, `\\ ^_ \,� \ . -_ ' = \ % �\ � � ` � \\ �� `\ ` —_ `�` ``\� i�V _�� y \ �..\ � / • i � / f \\ ,. 1 • d1\ . r ' `\ � � `. /�;�.` `` �.�. ,�� \ .\\ \ � � ° ° ' o \ � � `a 0 � �i ` o `.. .� �`� o G �' � � �— \ ' • .` �n., .►��:�`t� `1 .`�..,a *- �;i..'.4% ��' ,A�'; . .�:�::``',� :,V ��=::� .,,:: �:�, `' � I ` i �.` ,y; ..~i ':; . � � I � � :.?,:.`�' �i �, ��! . ,�x O 0 /� o,,z _�_. _. �.� � � _. _ _ Y�� _.�r__ , _ _ _. � ��, ,� \\ \:� \\� \\�� e4 ,�E �a f � � � �� o � �* - C '� � • _�_.:�.-�--- =�--�----- - . , _-- � �� _ 4X4 -f�EP FD 02 k / O -f � c � -� = D �� - s t �1.�� ?i�n ot � � 7L /Q EJ�i 7� � I� � E.:. 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Has been carefully examined Yes () No () 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of . All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS Bein Done: HEATING CO: Signed By: Date: Yes ( ) No ( ) Yes()No() Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) sue�etr p , City of Fridley � 3 3 5 7 7 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. , ; � -.--- , � 13� r � � PqOTECTIVE INSPECTION SEC i = � � �"'1 � CITY MALL FRIOLE� SS132 NUMBER AEV DATE PAGE OF APVqQYED BY �'"""� � �'� 763-571-3450 9t0-Ft5 6/5/03 / / 10B ADDRESS 7517 East River Rd NE 1 LEGAL �OT N0. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. I.O Rev. Auditor � s Subdivision 4�77 SMEET 2 PROPERTY OWNEFi MAIL ADDRESS 21P PMONE Bi11 Baumgartner 7517 East River Rd NE 571-8053 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO E�.stman Brothers 23473 Varioi.i�e St NW, Elk River, M1V 55330 763-422-9880 4 ARCNITECT OR OESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO 20098635 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residentiai 7 CIASS OF WOFiK O NEW �7 ADDITION � ALTERATION O REPAIR O MOVE O REMOVE B DESCRIBE WORK Canstruct � 20' x 10' Addition 9 CHANCiE OF USE FROM TO STIPULATIONS See nota�ions o� p1an. ' � SEPARATE PERM�T� �efore diggs�g �II f�r REQUIREQ FORe �� li� ��cations WIRiNG H�ATING�S Q�11� �002 �LU��N� �� RE �Y LAUV TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS AflE fiEQUIREO FOR ELECTRICAL, PLUMBING, MEATING, VENTI�ATING OR AIF CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZpNING SQ. fT CU FT AUTHOR12E� IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED fOR A PERI00 OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTFEET PARKING I MEREBY CERTIFY TMAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 S7ALLS GAFAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WOFK WILL BE COMPLIEO �I/�,,532 �7.L7 WITH WHE7MER SPECIFIED HEREIN OR NOT. TME GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OF CANCEL TME pERMl7 FEE SAC CMARGE PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGULATING CON- QZSI.ZS F-�re SL�i $I�i.S3 STR TION O TME ERFOFMAN CO STRUCTION W PIAN GMECK fEE TOTAL FEE czn e SC $5.00 $278.05� S�GNatupE OF CON'p CtOp Au�NOA�ZED sGEHi iD TE� MEN PROPERIV VALIDATED THIS IS VO A PE MIT � ' $�GNeTUAE O� OWNEQ��f OWNEA BU�IDEA� �D�iE� ' BLOG �NSP �1� f „� �� C"`' �, _;� � � � �.., � �� i �, , � �� x`” �, ;,� .�, — '� � � •-, '. �� ,� _ _ �--, ,� � - -- ,� �� - �, _� �.-, � - - .^ � L-, � ��, J,- - - -- - - - - - � i� �� - - �� y"q _� � i � �� f �� /� - -�us�.-rn � �.u-'�r'� � �."� �- ------- -- -- — «uJ ._ � -_ _– i' ` �I �I �/ .-=° � n � �; - _ - - - � � �""�- . . � -- � �_ - r",�__ ,."�_ . � --�-_-- _ _ � - _ - . _ �"� , � - --- � -- - -- - r+j i � �. _ � -- . _ ___A"'y: - -- - ' I � _ i�' - - - P � rn'�/ _ -- � • --- ------ - --- -G?> _� _� _. _ _ _ �1 - - - .� _ _ - ---- -- - -___ - - ----- - � � - - - __ . � - - _ _ i � ,...,i . � � , � NEW [] CITY OF FRIDLEY Effective 1/1/2003 ADDN [✓]� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg I sp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-7287 F - BUILDING PERMIT APPLICATION � ��U�' Construction Address: 7.5 �7 �'�e:sf l��'v�' �a�� c��°�% Legal Description: ' Owner Name & Address: � '/l ��a� ��_�ivi�„� _ Tel. # � �� " �� Contractor. ��r��c_v� .�� _ MN LICENSE # �7� �8r�� 3� Address:� -r�'7 � li'.�� lr i�e s � �j/G✓ �f % ��e�' Tei. # J/3 �� -��CU C�el�� 7G3 -aZB�-�a3� Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. , DESCRIPTION OF IMPROVEMENT r LIVING AREA: Length Width � Height a Sq. Ft. i GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ HgUGround Sq. Ft. OTHER: , � :'�r' S � -�-�-r�� Construction Type:�, �-�►. v✓� Estimated Cost: $ a Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ _� DATE: � � APPLICANT: / Tel. # �/3 a d'� - �35� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ a � /� �� / / � 5-�/ $ '7, � 7 $ $ j � 00 $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $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 [ ] TOTAL $ � 7 �• o� STIPULATIONS� 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,�,�0 $1,0�,001 and up FEFS $23.50 $23.50 for first $500 plus $3.05 for each additional $1� or fraction thereof, to and including $2,IX?0 $69.25 for first $2,000 plus $14.00 for each addltional $1,0� or fraction thereof, to and including $25,000 $391.25 for first $25,0(?0 plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,0� $643.75 for first $50,000 plus $7.00 for each additional $1,OQ0 or fraction thereof, to and including $100,000 $993.75 for first $100,OW plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Q00, 000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. Permits for constivction 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv � � � � � _..l �� , ; � �i � �' � � �I-� � � � —' - S . � c� � /Vif1i6�� I 6 �� d �� / �� U� �� a,� �,-. � � .��, � ��a/ �/� � ,��' f . 3 �a / �Ci� � . ��'° �, �crf � c °��SSE,I' �� S� � �� ; � � � � ��k r � �D` t�.,` ��` � BI�ILDfNG OFFICIAL REVICW AND I 1��1lS JdB COPY SH,�LL �E ��AU1�tCRIZATION REQUIRED PRI�iR TO z�VAILAE3LE ON 7HE JO(3 CI1PI�ICES, P�OOIFICATIOMS Oft ALTEfl.A.TIOM1!S � aiiE FOR THE FRA�11rdG s _____..._.� �� ;�Ni� �=1N�L 6NSPECI'IONS EN6lNEERED iRUSS a�S16P�S AiVD L4YflUTS S1-1�LL 8E MADE AVAILAEIE Gf� TNE J�B 51T� �a� -��E F��e�� tisr�EC�t��cr � ��Ij _ � �. 1 `` `7^ � �' ; � � `. '�R04�ED , ' , ��D--7- -_ . .; ,�� :,� . . � : T�• R � ,, �� `� � � !� �'t �� O�i /�tJ�vl�i � �:� r.-� , f _, �� 4�¢ic Ventilation ��t�0of horizontal projection t� � ar' roaf ar�aa — 1/2 to be in �,�% �;�ffit. 1/2 Co De in` oof near ` ' . , ��r° � ., � A I ►�� ' + �� . . _ _�`� �� ,.,F h� � �` � � �� . ` �.. , -�_�. _..--- _. : , _ . � _,_�7� t'.ek� � K� e�`4� � ,�j� �► c� e oa�-em �` I� ��"n `�/ pa, .... 7( �. '1 a � � � � ' .•\a � "V 9 .e � � �...� � , . ,"�. ...��. �..� �. _ � �� ; �a �f ' _..�� ,� ;� __. �0__ �i.._ i� l� 11--�--t�--_ �: D � � Q� ��' �..� ` �� t � ,,aA� ax�o �t,�� , � � ,� . c�.�� Qv�-��°° �� x`�� - --- - _ � . _ -- - ---�._-- --_.. w �` oV/ � �� v��i�� k`�� `h � �� .� , �� ; "J�� „-., �� e� � h � ``� �`r� �h �" V� �C��/l �3oG.� 9� ��' � � �i i�/ , . ��. � x �� , \ � a,� `��L� � � � �, � � �� i�`y - r.� �x % � �� .-,�� ., _ _�.��_ _ . �� 1 � ��_��. v �� o-� , � a��o � 4c lu;, OC'' � � �� 3 s,��''� k•�`� �,�� `� _ h �� J�� ` + ��o�t�' �G --.�,�� y� � � ,, �,'�° k��'� S . ��' � �o � = � 2 0 �� y �' � � � ��. ��' �� \ � � �� e� -� � �. �' � -�� `� �i�,� .� �0 ; ; 3 �� -`� � �� y �� .�. /r� 3 �o �� r �, �� . �� ,ti �� -=°' �i � � �a� �. �� .�.�°� �` �� d � .-., ° f`� �J _,� `,��- � � < �- I I �� a� _�� :� �.� �s. j t� � �� ;�,. .� � �i�� .,_- - - o � _ � � o _.�._ ___ '-� ``�� --� -� -- -`'` � ► � / � ��. /�Gk��+Jt' �%/d r �Cll�'. M �i/ I� � �l UC� Cr A C / l �o / 3 y� /DO�C�I UM� ,�� C ��, �--�` �� \°� h� � � �l� � .� ��Q� �� V � �� y�_ % �rw k� � �� . � " \ �\ I �+ x,� l �°° . , J- � �� ' ��/�� '� _ � � S� 1� �,ls /� ddt� _ , �.s � � � �� 4Y � 4�� .r � , `�� ` � �. (�� dY , �� 9�� `�� c�� _.�____ __.�.�_�..�_�.�^._.__ __. � __ ._ _ : _�. . - --_�- . . _._ _.�,� �. ,_X�i- e�� ,�. G i� �� ''�� c a� ��,�� J✓ V' , �. �� 6 . �a � � .�" 1 � � �� a R t Number MECcheck Compliance Report ked By/Date 2000 Minnesota Energy Code MECcheck 5oftware Version 3.3 Release lc Data filename: Untitled TITLE: ADDITION COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: OS/09/03 DAT`E OF PLANS: OS/09/03 PROJECT INFORMATION: EASTRIVER ROAD COMPANY INFORMATION: EASTMAN CONST. COMPLIANCE: Passes Maximum UA = 58 Your Home = 46 20.7%o Better Than Code Value Ceiling 1: Raised or Energy Truss Wa11 1: Wood Frame, 16" o.c. Permi Chec Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R- U-Factor UA• 200 38.0 0.0 5 360 19.0 0.0 zo Window 1: Above Grade, Metal Frame with Thermal Break, Double Pane with Low-E 21 0.310 7 Crawl 1: Masonry Block with Empty Cells, 5.0' ht/4.0' bg/5.0' insul 200 0.0 10.0 14 Proposed and Maximum U-Factor Averages Proposed Ma�cimum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.310 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations subrnitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lc and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. Date MECcheck Inspection Checklist 2000 Minnesota Energy Code MECcheck Softwaze Version 3.3 Release lc DATE: OS/09/03 TITLE: ADDTITON PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION [] foundation wall insulation R-5 minimum [] foundation insulation extends from top of wall down to top of the footing [] exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER-SLAB INSPECTION [] slab on grade perimeter insulation R-5 minimum [] slab insulation extends from top of slab to design frost line or top of footing [] floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [] average U-value is 0.37 ma�cimum for windows and glass doors (excludes foundation windows) [] window U-values consistent with building plan and MECcheck Report [] window and door�s consistent with building plan and MECcheck Report MECHA1vICAL VENTILATION ISSUES [] residential mechanical ventilation system provides adequate ventilation per code requirements* � [] furnace efficiency is consistent with MECcheck Report or building plan {� ] protection against excessive depressurization is installed per code � ENVELOPE INSULATION FOR PLAN REVIEW [] interior basement insulation R-5 minimum (if no exterior insulation) [] ceilings with attics R-38 minimum or consistent with building plan and MECcheck Report [] wa11 framing and insulation level is consistent with building design and MECcheck Report INSPECTION ISSUES CONCEALED INSULATION Framing and Sheathing [] wind wash barrier installed at attic edge [] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed [] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * [] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed * Interior Air Barrier [] all fire stops are air sealed [] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, wa11s, and floor rim joist areas * [] air barrier behind tub and shower is sealed and protected [] recessed light fixtures are sealed Envelope Insulation [ ] basement insulation R-5 minimum [] wind wash barrier on wall separating house and garage is sealed [] loose fill insulation is prevented from entering the eaves [] insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic Insulation [] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [] attic card atta.ched to franung near access opening [] notification of attic R-value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? 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W � °Q � � �'` � � G J n�i �� c n�i, u�i W cWU � m —I c� u, w °: °: °: 3 5 ci ° � °' � o_�,., v� m c�o c�u -a �- � v-o -n �D o � � x x � � � a° � u►' m � � � � � � =t � � 3 � � � N -+ � * � � � <; � . �n � � � D � a � c�o Z � p) N -p -i N � m �► � � � � -n � � �, • � � � � � � .n m m �' c� o. � � m � � Z I I � ,c�r 0 0 � r C � � Z c� n O � � Z '� � � � � � -o r C � W Z ci � � C � m � m � I I I I.� � � � � � � � � � � � � � � 0 0 0 � o� � � � c�, ? � m °o °o o °o °o °o °o 0 0° °o o° °o y W .�► � a � � a C ci �' o �D y a �" D "\ Ul \ d 0 � � � -o m � � �Z 0 d "`. 0 7 m � 'b` � � N O �� O � � C3 � � W D O v � m � � � �l 1 J A � fi ?� � � %C � . � � � n w°-�� m cn � C p N��.-n �„>ZN � o c" v� � ��,�v � N C � m � m� w m � � � O � z o v v � � m r�+ N 0 � ` v � N O O , w THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCATION WILL BE RETURNED [_nMMnN VENT� VENT CC�NNECTnR ,4ND nMR ISTInN 41R RIFI ATI01� When � �n acine an �xietin� f��n�, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifles that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The px��g cnmb��ien air is sized and installed to meet the cuRent codes and manufacturer's specifications. When required to ine+all a n_w _nmb �etien air�it WIII be siZed and installed to meet the current codes and manufacturer's specifications. When in�p a n_w v_nting G � , the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specfications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes() No() Yes( ) No( ) Yes() No() Yes( )No( ) � •. ,� - �.- ,�• - .��.� -� ,�. -� .��ati. � •ui. �•� Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type r � �•► .- �.- HEATING CO: Signed By: Date :