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HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Cxiling Roof Floor Kind How Applied
Yes—No Yes—No 19_
F7.� Room � Length � Width � Height � Fl.� Room Leagth Width Height
Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area
�Vidth Helght Na. o[ Llneal tt. Area Wldth HelBb! No. ot Ltneal tt Area
No. ot Dgne o( pane lighte ot crack eq. Lt. No. ot pane o[ Dane lighte of crack eQ. tt
1 �l / �6• HL . '
O
�
In6ltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling ,3�'
Floor
Total Btu.
�
Coef.l Btu
/
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area �
Fl.� Room � Length R/idth Height
Windows and Doors--Crackage aad Area
�WtdLh Helght No. ot Llneal !t. Area ,
No. o[ vane ot pane li6bte ot crack eq. ft.
In6ltratioa �
Glaaa
Esp. wall
Net eap. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or aq. ins. W.A.
Fl.� Room � Lenet6
Windows and 1
wiaen x
ot oana o[
Infiltration
Glaaa
Exp. wall
' Net e:p. waU
: Int. wall
Ceiling
�' Floor
� Tbtal Btu.
area
aed Area
neal it. Area
crack sa. it.
Bill
Btll
Coef.l Bcu
Infiltration
Glasa
Eap. wall
Net e:p. wall
InG wall — - - -
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
Fl.� Room I I.ength Width HeiBht
1�/indows and Doors—Crackage and Area
Wldth Hetg6t No. oL Llneal Lt. Area
No. o[ nane ot pane Ilghts of crack eQ. [t
Infiltration
Glaas
�p. W8u
Net eap. wall
Int. wall
Ceiling
Floor �
?otal Btw
Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area
Fl.� �m � �ag� w�a�,
Windowa and Doora—Cracl�age and Area
No. ot pane ot pane 1lahts of crack �p'tt
Infiltration
C,lass
Esp. wall
N�t ��. Wau
Int. wall
F'loor
Total Btu.
ft. E.D.R. or sq. ias. W.A. Leader area � �� Required eq. k. E.D.R. or aq. ins. WA. L.eader arra
BtU
a
Sue.,ecT P NO. .
City of Fridley 2 9 4 9 0
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
; � RECEIPT�
� `y __��� COMMUNITY DEVELOPMENT OIV. ��
r � � PROTECTIVE INSPECTION SEC.
�
i ., ,
i---- = ����� �., CITY HALI FRIOLE� SSI�2 NUMBER REV DATE oAGE OF APPROVED BY
t �� 612-571-3460 9�0-F15 5/18/99 � �
�oe nooaess 8350 East Ri ver Road
t LEGAL �OT NO. BLOCK TRAGT OR ADOITION SEE ATTACMEO
oescR. 1-5 C Ri vervi ew Hei hts SMEET
2 PROPERTY OWNEFi MAIL ADDRES$ ZIP PMONE
Joe Frederick 784-6515
3 CONTRACTOR MAII ADDRESS 21P PMONE LICENSE NO
Owner
4 ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
S ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION O ALTERATION �C REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 Sq) Tear-off
9 CHANGEOfUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST OCCUPANCV GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOii ELECTRICAL. PLUMBING, MEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SO. fT CU FT.
AUTHOR12ED IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO POR A PERIOD OF 120 DAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO- DWLG. UNITS OfFSTREET PARKING
I NEREBV CERTIFV THAT 1 HAVE READ AND EXAMINED TMtS APPLICATION STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yALUATION SURTAX
AND OADINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO $214Z �Z.O%
W�TN WME7MER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TME PERFOFiMANCE OF CONSTRUCTION �53. ZrJ Fi re SC Z. 14
PLAN CMECK fEE TOTA� FEE
$86.46
S�GNATUAE O� CON'AG TOp Op • TMOp�ZED AGENT IOATE� WNEN PFOPEAL� �LIOATED THIS IS VOUR PEFMIT
�- � �� 1 - �� °�-��-��
S� 4TUAEO�OWNEp���OWNEABU�LDEpi �o�rE� Bl � 5� ���TE T
�[ ]
ADDN
ALTER
�l
�
Effective 5/10/99
CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R 1 AND R-2 �
BUII.,DING PERMIT APPLICATION � , �,�,�
� ����a�
Construction Address: �3 � 0 L�.,c�� O�v�- J� .
Legal Description:
Owner Name & Address: � � � Tel. # ? F�'-f —� $ % r
Contractor: MN LICENSE #
Address: �'C � �i O fa.� �. %�� a �� , f/1!il,� � Tel. # � � � — � � ( �
LIVING AREA:
GARAGE AREA:
DECK. AREA:
01'I�R:
Attach to this application, a Certificate of Survey of tiie
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height- Sq. Ft.
Length Width Height Sq. Ft.
Length Width H�t/Ground � S4. Ft.
Construction Type: D o Estimated Cost: $ �� �a
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
��
DATE: "�� � — / / APPLICANT: ` Tel. # �Z �' � ^ � � ( �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
�TIPULATIONS:
�
$ �3.�5
$ ��
$ /. r� �7
$
$
$
$
$
$
�' r ' �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuadon (1/lOth%)
$.so/$1,000 valuation
$1050 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 [ ]
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 elcisting building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 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 fracrion thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fracrion thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minunum of 24 hours from the time of application to allow for prop�r
review of the proposed structure and of the construction site.
A Certificate of Survey of the lpt, showing the location of the foundation once it has it has been cons�ct�d will
be required before proceeding with the framing.
SuB�ECi
City of Fridley '
AT TNE TOP OF THE TWINS g � I L D I N G P E R M I T � 3 8 � 4
�
; � RECEIPT NO.
� ; y _____ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �
� j �'�'t � CITY HALI FRIOLEY SS�32 NUMBER NEV D�TE PAGE OF AViROVEO 8�
�"""'� � ��' 763-571-3450 s�aF�s 8/18/03 / /
JOB ADDRESS g350 East River Rd NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNEO
DESCR. 1—S C Riverview Heights SNEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE
Joseph & Linda Frederick 8350 East River Rd NE 763-784-4515
J CONTRACTOR MAIL ADDRESS 21P PFIONE LICENSE NO
Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka, MN 55343 952-935-9669
4 ARCMITECT OR DESIGNER MAIL ADDFESS 21P PMONE LICENSE NO.
2173
5 ENGINEER MAILADDRESS ZIP PMONE LICENSENO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDIT�ON � ALTERATION � REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reside House; Soffit/Fascia; Replace nine windows within existing openings
. o
9 CHANdEOFUSEfROM TO �
e e
STIPULATIONS To Homeown�r To p��t
Per Section 1402, 1997 Uniform Building Code, requires that a weather resist ve
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if shea�hing is an appraved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not
a weathergroof covering unless the manufacturer states this in their application
guidelines. Call for inspectiog of wrap before covering or take pictures. Caulk
and flash all exterior openings. Soffit ve�tilation to meet the State Bldg Code.
Provide smoke detecfiors in �11 sleeping rooms and on a11 levels of the dweliit�g
per Sectiott 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV �OAD
VENTILA7ING OR AIR CONDITIONING
TNIS PEfiMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING S�. FT CU FT
AUTHORIZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTiiUCTION
ON WOIiK IS SUSPENDED Oii ABANDONED FOR A PERIOD Of 120 pAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV 7MAT I HAVE READ AND E7(AMINEO TMIS APPLICA710N 1 STA�LS GAiiAGES
AND KNOW THE SAME TO BE TFiUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION SUpTAX
ANO ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIE� @
WITH WHETMER SPECIFIED HEREIN OFi NOT. TME GRANTING OF A PERMIT y�22yOOO �LL.00
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI TME pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW qEGULATING CON-
STRUCTION OR TFIE PERFORMANCE Of CONSTRUCTION $349 . LS Fire SC �ZZ .00
PLAN CNECK fEE TOTAL FEE
icense SC $5.00 $387.25
S�GNATUAEOFCON:WACTOpOpAU��OA�2EDAGENT �D�rE� NEN PqOPERLV VALIOATED TMIS IS VO Fl PERM T
��
S�GNVIU�7EO�OWNEA���O�NNEpBU40EAi �DATE� BIOG SP D�rE
NEW [ ]
ADDN [ ]
ALTER, [ ]
.-
Construction Address: � ���
Legal Description: _
Owner Name & Address:
CITY OF FRIDLEY �G� ���i �r`�� �� �� ffective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (��572-3604 Bldg insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
���
. �YIII� ��y�z
Contractor: `�i� /U1.��> � �� � ��`- � , MN LICENSE # of/ �
Address: 5�58 �/YLQ.�Q./YA, ��'U/ll� �.i./%�1,e�7�'X.� 553 �3 Te�. # 95Z ' %35' �ILOIQ �
�a� q5Z � 9.�s � 9s�y
Attach to this application, a Certificate of Survey of t
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
C nstrucii0� n(� p�
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
�dth HgUGround Sq. Ft. °
��t c,� . An LI i.� 1�b ci�� i� �� i.��?, '� )/�t 7t�'t�' l t�S G��
�• 1���► ..
�
������,� � �°YY�%fi
cost: $ �� ����
Driveway'Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
. ��-
DATE: " � � � APPLICANT: ` � Tel. # �� � / �`��
Call (763) 572-3604 for Pertnit 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
TOTAL
$ ��
$ •F�f�
$ // • O�
$
$ �� 4 � �
$
$
$
$
$ � ��
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th°/a)
$.50/$1,?00 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� �
_ ..
NE1N
ADDN
ALTER
�� � ��
[ ] CITY OF FRIDLEY
[] 6431 University Ave IVE, Fridiey, MN 55432 (763) 572-3604 Bldg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: t1- �=-�-�� - � � �� � �{ t�� � �0 � �
Legal Description:
Owner Name & Address C�l dL� eJ �C �(�.� (�� �,�2. Tei. # 2�� � ?��'( � ��l �
Contractor. VVI, A� V C 2��G� C.O il� �'1'�2.1-��`%�)D►� MN LICENSE #��� � 2
Address: ! l Z2 �(L� 11�� FZD �1��. �. Te�. # 7� �` U Q�F' �`�D�
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certficate of Survey of the
lot, with the proposed construction drawn on it to'scale.
DESCRIPTION OF IMPROVEMENT
i l , �
Length l 2- Width i� Height �_ Sq. Ft �� .S ��
Length Width Height Sq. Ft
- . . . . . .
� � _ �.
� � � i �n. � '� + l� i� `� * � �� � � j ,� �
Construction Type: �.� S l�OC, ���i7 Estimated Cost: � ���, 7� d
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
�a-rE: �� 2�� b�APPLICANT: C, d� i� 2Y ,�� �c.-L.S Tel. #�� x 2� SS"1—o� 7�
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
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
� P 1�
� �7�,�
� 3
$ � �
$
$ �,
$
$
$
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 $ � � � STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits foa� 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 tawit:
TOTAL VALUE
$1 to $500
$501 to $2,(�0
$2,�1 to $25,000
$25,�1 to $50,000
$50,001 to $100,000
$1(�,001 to $500,0�
$5�,001 to $1,0�,(�0
FEES
$23.50
$23.50 for first $5� plus $3.05 for each additional $1(� or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,0� plus $10.10 for each additional$1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,�0 plus $7.� for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,�0 plus $5.60 for each additional
$1,� or fraction thereof, to and including $5�,000
$3,233.75 for the first $500,000 plus $4.75 for each addirional
$1,000 or fraction thereof, to and including $1,000,0�
$1,OOO,W1 and up $5,608.75 for the first $1,0�,0� plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.�.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certific,ate of S�rvey of the lot, showing the location of the existing founda,tion will be required before
proc�eeding with the framing. New Houses Only
. w
1
� Maverick Construction Compan�
�1227 River Road NE
� anover, MN 55341
763 498 7401
763 498 7f�09 fax
O&P Ite�
ACOi�TiCAL TRFATM�V'IS
APPLiANCES
,
CLEANING
GIIVFdtAL DFMOLIITON
DOORS
DRYWALL
FL�lCTRICAL
FLOOR COVFdiING - CARPEl'
FLOOR COVFRING- VIIVYL
FLOOR COVFI2ING- WOOD
Fll�SHCARPI+NTRY/ TRaV1WORK
I�II�IISHHARDWARE
FRAIIRING & ROU(�i CARPII�TI'RY
INSULAITON
PLUMBING
PANFLING & WOOD R'ALL FINLSHES
PAINTING
ROOFING
SIDING
SOFFII', FASC7A, & CiTI'l�di
TFINPORARY RI�PAIItS
WINDOWS - WOOD
WALLPAPER
Suhtotal
Base Service Charges
Matl Sales TarReirnb
Overhead
Profit
O&P Ite� SuHotai
Subtotal
Less Deductibles
(�and Total
1 1 1111
Recap By Category
@
�
@
6. SO4%
10.0(P/o
10.04%
Total Dolla�s
423.16
199.48
3,30752
5,186.5$
66035
1,37857
4,650.00
1,679.09
2,202.28
1,691.67
524.07
105.03
1�64.08
1,325.04
122.71
773.02
6,855.89
4,790.54
2,204.88
630.80
137.80
1,473.83
334.18
%
0.79 %
0.37%
6.15%
9.64%
1.23%
2.56%
8.64%
3.12%
d.09%
3.14%
0.97%
0.2Q%
2.54%
2.46%
0.23%
1.�4%
12.74%
8.91 %
4.10%
1.17%
0.26%
2.74%
0.62%
42�020.87 78.12%
1,916.96 3.56%
889.71 1.65%
4,482.75 8.33%
4,48275 8.33%
53,793.04 100.011%
53,793.04 100.00%
(500.00 )
53,293.04
OS/18/2005 Page: 22
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