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AF - 42087SUBJECT . PE City of Fridley ° 142"18 AT THE TOP OF THE TWINS g U I L D I N G P E R r � � RECEIPT NO. � • COMMU%11TY DEVELOPMENT DIV. ' j L �""'� � . { � � PROTECTIVE INSPECTION SEC. o�(�� 1 � p Y �4 � /��'1 � CITY HALL FRIDLE� SS4$2 NUMBER REV. DATE PAGE OF � APPROVED BY . ""'� � ,�� 612-560-3450 910-F15 g�g�� JOB ADDRESS 341 Ely Street N. E. 1 LEGAL lOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3B ]. RO'tt111T1C� Od�CS SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE The Rpttlund Compan , Inc. P.O. Box 32082 Fridle 3 CONTRACTOR MAIL AODRESS Z�P PHONE 110ENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK �� Canstruct a 42' ' � � ore �E�!�� c�li bc�{ Utili 'es 9 CHANGE OF USE FR T tC. ' REQt�� STIPULATIONS provide a hard surface driveway. Provide sod in the front and s,ide yards. Provide a verifying survey before capping. Provide copy of truss design. SEWER LOCATION: (Approx. 7' Deep) 38' East of Manhole (Inv. 844.46) WYE ELEV: 844.31 TOP OF FOOTING: 847.90 Mini.mtmt WATER LOCATION: In same trench as sewer service, 75.1' northeast of Hydrant DRIVEWAY DEPRESSION COST: N/A Existing Surmountable Curbing. 'rr'le cm o�' �i oo�s ,�ICn Q'c%�uuwree 1itE ACCURACY Ot t�iaRY IO�ATtOKt Mlp ELWAflONS. THtS DATA IS FOR IMFO�M,Ul11�N rNRrOiES ONIY AND �ERSON4 YSING R.iKO1JtD ' YER�'l 1NE IM�ORMAt10L� ON iM1 SR�. � SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEAT�NG, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. WOOC� Fl^aIIIE 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 R-�- �.092 �f- 484 26,680 Total ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. 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 $33� 17S $IE).S9 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR CTION O RFORMAJ�CE O CONSTRUCTION. SlOF). %2 $375.00 '�1 �`P � U�' �` ( V K 'Z..°� •,�J"f�ii°, PLAN CHECK FEE TOTAL FEE h '^� 26.68 $524.99 � � SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN P OPERLY VALIDATED THIS IS YOUR PEFiMiT V) � (�` SiGNATUAEOFOWNERIIFOWNERBUILDERI IDATEI � BLDG.WSP DATE ��l .��.�t � .8��►�� r �.t ' = �o �.z .r � ' - � , !, �� x �a' = lo 9-z �r � z.. �. 2 z'X Z L�� -s�87 � l� = oZG�, (v � `3� �'f`�.l �. 02,5 �% C''�c�� B- i�� Z x y�.�� = �y'i � ,—,a, Z ,�z2,�� =� �y,b�9, z � - �& 4� ./' : �a = 3 s�r, �, _ 33, / 7'f�� Zj �f � 3 j l%✓�' �' � ,fi' Od o3' 8, � �s � �3 � � y �i �� y��o ��J �o �a � ll>�, �'L �o�. � 8 � /lo, �"9 �4�, ��,5' o d 0 � `3"a� 9y 0 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PER«ITS CNEW, ALTERATIONS, ADDITIONS, OR iEPAIRS) , OWNER: `��D 7'7'' � U KN � - �Nr BUILDER: � � 7�'J`' � H d Co • .�jvP , Address : Address : �• i� i�Q X 3 20 � Z Tel. No. � lp/— f3 S�n No.: �� yi Stz�t: ,�"l'�' sT: LOT: 3 ,(3 BLOCK: �_ ADDITION: /�o)'`��v.r�� i4.�S CORNER LOT: INSIDE LOT: _� S;TBACK: SIDEYARDS: /Q� p[ /D � Applicant attach to this form �tao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As :,s'/�/��-G �'.o ti' � l X � 5-G Front: t/�. ' Depth: �� Height: Square Feet: /D�'eZ Cubic Feet: C�� r�,'+� Front: �� Depth: �a � Height: Square Feet: �'�_ Cubic Feet: Type of Construction: �y,I� e Estimated Cost: $ 3%i 9oa.o � Zb Be Completed: /(/��/, �� /p77 �r /A1t. A Alt. B Proposed Driveway Width If New Opening Is Desired � Q $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional,/ info/rmation. �% � .* �D 7'''' �/v tiC� �°O • �NP, N� DATE: �'-"' „S'` �� SIGNATIIRE: 6y j��. ✓��p r.�.S Stipulations: 1 �n��r �� 1 , � ��t-�2.c.�y� �° <� ��''� ,..1 ► ; � �f � r �, S�,G , � ��-` . 3 � �o�, y.� � d�,G� /�, 5q � �S, o� � � ---�— �.. 3a � y9 _.� CI fY OF F�ZIDLCY C, ;?PLIC:�TION FOR I�OWER ?LAN7S 1�1�D f�EA7IiJG, COOLI��, ��4t�1'ILP,7ION, aEFRIGERATIO;� AND ��d aIR �JNllIT10NING $YSTEh1S AND �ii:V1CcS PARTI.�L FATE SC}�EDULE R.>�'ITY ti:\�.�I :\IR: !:,\"1'Ii 'I'0'I'.�L .7ob A�dres� 5��T�i�v°� Fsraa=e Sae:2 S �uct kork 512.00 $ :'a -�c...:.e :��o'_ ?.:_.._c� 7.00 $ �cr,artment of Liuilciir.gs �e�- rs S nicerat:o.^.s-L: to SSOO.OG 7.00 $ ' - 4.00 S City of 'r'ri.dley� .__rs S tilt�zati�^s eaca a�c. 5500.00 Tel. ;57�-34�G � :c .::a?ca:. �;:�:.>� .�t�: 1;:^:a�e S`.eli & Duc� t,or?: to 100,0u0 �TU c1C : ��:. ._7v. vV.7 D=.. _ _. iacz.:.e::t c' : uraace �e�-_rs S �lt�r;...ion�-::� to SSOO.CO :u:� �TS & rii�E`�i:t:.O:S C3C:: nCL�. a�J�{i.00 ::� : 0.'� : iJT tii:�T.r.R S1:S : L� I: v_la_ &:._aes u� to 100,C00 3TJ C��.� : .:�.:�: . �:li�.��.�� J:J 3oiie: on:y a? to 2QO,CJO 3:U eaci: ac :.�- S0. 000 �Tli §ii. aL':\��- :0 3 gsl. per :oLr eac:: ad3. 3 gal. per :our ;`�$ SL�\�F.- - _ .0 199.9�9 STJ �(over 193,�9: 3:u sae Fee ScnecL•le) ' $1'L. 00 `�f . 0 0 7.00 7.00 �1. �0 5�.,�G? S S S $ $1'_'.00 $ �i.0� S %.oa s 6.00 S S1o.0o $ 10.00 S 52.0.00 a_f.�. � .. $ �:S FIiTIX� . �: �: ls� 3 °:xtc:eS =c $ 3.00 ��ditio:al Fi�tu:es Y S 1.00 Gas �^yc to i99,000 BTU a S10.00 �.IR C�\DiT70\_\<3 �� ='1� ==yj �� 1 �1 ��'� See Fee Schednle '=`;Ti�1=i\G jY�T��:S ;_ +iTEi.�TZC\S y RE?aiRS_% State S::rcharqe tiJ,:W-I Z\Sl. �ate :'Z�2,I. ZSS�. �%/O - %�_ i3t2 FP?u��i.: FOR P��?.Ii -�� To_ar. FL� i�:.::15?EC. ZON FEE (_$10.00) :f.:��,�:L':S P°,W cdR .lI4Y HE�lZSG PaR+'ST IS $7.50 s 3. 00 $ $ S $ S $ .50 s.�S.$,o Th� undc.r::iqr:e�i�hc:reby ma'r.es a: nlicution for a peznit :o: ti,e kor'r. i:erFin specifiecl agrc�e:ny to do all WGYY i.^. st:iet a�ecrcar.ce wit?: the City Co3es an3 rulings of che Ccpar:.mcnt :.f Bui1d'.r:gs, ur.d hezcby cecl�zes �I:at a:2 ue facts and representations statad in t'r.is ai.?licazion are :rLe anfl correc�. Fridlcy, Minn. �� , 19 7 % OltiN�R �_z��v KI^7D OF BliILDING ` �%��°' USN.D F,S ��2�/%IiCi TG IIE COMPLETED ABOUT `�.r�!`7' / � �,�p� O� ESTIMATED COST �� 7'_'r �'� � OLD - I��W IIliILDING P.r�.i�::IT I�O. F�Fi:fIT ::0. Q DESCRIP2?:GN Or^ r^UP..tiF.CE/B::IL7-^.R HEIITING or P0�^1ER PL7��1^S, Stear:�, Y.ot WeteY, Warm RiY- l70. J Trade Name �,°i'J/JO�( Size :Io. C� �l��s� �� CapaCity �c, ct. EDR BTJ � �? ._ Total Connected Load �� icir.d of Fuel �� _ BURVER - :'rade lame Size ho. CapaCity Sq. °t. EDR S':U H? Com� any - i'D fi�� t:.4. >, Sigr.ed By .a�//�'L��l-�` ��r�-�ra� /- a . . �\�'. _':3� . . .� J �:el. Dio. C4"y-lf'; �. k i �� r ,"t GEO. SEDGWICK HTG. & AIR COND. CO. ,l�-a� �� HOUSE HEATING TEST RECORD ADDRESS._..� �� `� c+�p2� CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY - Electrical Work 6v _ Gas Line By u '�` °e TYPE OF HEAT GA_. FA_ HW_ STEAM SPACE HTR, IfNIT HTR. OTHER_ GAS DESIGN CONVERSIOM MAKE + MAKEOFBURNER Model %� �3�1U 2- Model Serial Max. BTU Rating INPUT �/l1'rll�� MAKE OF FURNACE Model CpIVTROLS THERMOSTAT,e� Heat Piug Valve -��'L�j y Limit -- �-"��Sf�' Limit Setting - �--�1 Fan Setting �� Pilot Type ��-- Pilot Make � t/ Vent Size - KIND OF UN R SIZE ON Draft Hood � Regulator ' Filters Size �� Ijlumber .� Chimney Location Inside +� Outside Chimney Construction Pilot Model �� Smoke Bomb Wiring � Pilot 7immg � Draft �� Test Tag _ l..W. Cut Off Door Pressure Lighting Inst. Pressure �• 5 Percent COZ •t''7• Date Tested — `�� Input CFH %�—Percent 02 '�Z %y Company Testing Stack Temp. Percent CO �� r �'�' Name of Tester Form 235 � , � � �-:� �� r �'' _ �a t �i,�3 / ,�i�i , �� - " � , '� . _ . � �'.�.y� �� J . . 8 i�° q < HEQr LCS�� ,A+ C'ULAT � . � �•. --� IONS �E/�TI��t�l�R C.��D��I��±�� C�. � MINNEAPOLlS�,MINN. ' Weatherstr�ps A.S.H.V.E. Construction No. insulation ? Windows Doors Guide put. Wall int. Wall Ceiling Roof Floor Kind HowApplied ^ - Reference ' Yes-No i Yes-No �g — �/ FI. J' ��f �- Room ' Length rj � Width `� Height FI�j��Yj��, Room j Length �'� Width��° Heiyht f VJindows and Doors-Crackage and Area Windows and Doors-Crackage and Area No �y,�� He�ght No. ot Lineal ft. Area � No � W„��h He�ght � No. of Lineal ft. Area ,_ __ , of pana�,� of pane I�ghts of crack sq, fL --+ o�f pe-ne of pane �,I�-ghts � of crack sq. fL �—c� �> _+ =� s? - 7—__�,.! ./ I ui / I / � i �' �.✓��- I �'��s � � �=f Infiitration Giass Exp. wall f �% Net exp. wa t i Int. wall Ceiling , �-+ Floor Total 8tu �� Req�ired sq. it. E.D.fi, or sq, ins. W.A. Lead�r area � d� FI. ��'��'r%q Room j Length �`� '' Width VVindows and Doors—Crackage and Area No y�,dt�� Height No. of Lineal ft. 4rea p�,._ of pane lights of crack sq, ft. 1 � `f J � uC G.1 � � � � � � � �— �`—� � � � � I fnfiliration Glass Exp. wall � Net exp. wali Int. wail Ceiling �loor ToYal Btu. � 0 Coefl B tu Height B tu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T � Fi �,�� Room � Length Width v Height _�_L VVindows and Doors-Crackage and Area N� Widih Height No. of L�n�ai ft. A;ea of panc _;_of pane liphts of crack . sq, ft. Coef� B tu Infiltrafion Glass Exp. wait � --- - t�ieY exp. waii �`!"� �'� + �n 4 -- -+�- --� Irt. ia � � _ �� CE; , � �, r"; � _.. _ _ __-.------- F:e:�, i T;_ _. ., . _ . � _._.. _—� _ __ _ _ __ . � �,C;yu��r..... , . ...� _, - , r „ .. l'. i _....� ,�t�, Infiltration ' _—� �� 'o G`lass _y `__- r �� Exp. wall _��' _ ��j Net exp. wall � � I nt. wa I I �/, ,� j�,(�C',� 1 Ceiling � � ,�`�� /� -� �_,�_ Floor _ 7otal Btu. Reqwred sq. ft. E,D.R, or sq. ins. W.A. Lead�er area F I��`i �' Room i Length �� W idth � VJindows and Doors—Crackage and Area No. �N�drh He�ght No. of Uneal ft. Aree o! pa e of p 7ights of crack sq. ft. / � 1 _l / � l / � Btu d � ✓'�(� �� Height Btu Infiltration � y�`�I°! �L r''` i4/ ;CY�� 7 Glass �� o Exp. wall � Net exp. wa i l �� ` Int. wail Ceiling � `� L��'� S F loor � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F��+�f�?��'� Room Length Width� Heicht VVindows and Doors-Crackage and Area No. W�tlrh He�ght No. of Lineal ft. Area of pane � of pane lights of crack sq. ft. I o? ci' �P" �.J .�., ;, C�%. / 9 Infiltration I �� I Glass � Exp. wall � �� — Net exp, wall ` s Int. wall Ceiling�� I� � Floor , � Total Btu. Required s4. ft. E.D.P., or sq. �ns. W.A. Leader area Btu � - � - � � a � '� +� Vt �."'"....? //g',�(�b l...�� f� � � - • HEAT LOSS`CALC;;�ATiOiVS ��'��,�� Q� ��'��. C�� MINNEAPOLIS! MlNN. Weaiherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. 1Nail Int. Wall Ceilin Roof Reference 9 ��oor Kind HowApplied Yes—No Yes—No �g FI �'� Rocm Length � Width r Height F��iy ` Room Lergih Width � Height VJindows and Doors—Crackage and Area VJindows a d Dcors—Crackage and Area No. Wldrh He�ght No. of Lineal fL �Area � yy;dth He�ght No. of Lineal fL � Area . of pane of pane � �ights ot crac!c sq, ft. NO' of pane � of pane Ilghts of crack sq. tt. � / .� �� ' " � :� / � ��' 3 �- 12_ 02 C� / Infiftration Glass Exp. wa!! ;y� Net exp. wall Int. wall Ceiling Floor Total Btu. � 1 e Btu Required sq. ft. E.D.R, or sq. ins. W.A. Leader area F�,`��. ? Room � Length Wid2h Height VVindows and Doors—Crackage and Area No �Nlldth r Height No. of Lmeal ft. Area o� t D�ne` of pane IiGhts of crack sq. ft. B tu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor L(9 Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Fl,��j'� �� Room Length Width �' � Height U'Jindows and Doors—Crackag� and Area No. Width He�ght No. of L�neal ft. Area of pane of pane ligh�s of crack sq. ft. I ,��' � -� � �t� J/�, . �� Infiltration Glass Exp. wall / Net exp, wali Int. wal! Cei I+ng Fioor � Total BYU. Required sq. ft. E.D.R. or sq. ins. 4V.A. Leader area Btu ! Coef Btu Infiitration � � I C� !i('Q G l ass � �� Exp. wail � ' � Net exp. wall G' / _ Int. wall Ceiling Floor � / z � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - - -- - 'FI�(�� C�Room Length /; Width� Height VJindows and Doors—Crackage and Area No. UJ�drh He�ght No. ot Lmeal fL Area of pane of pane lights of crack sq. ft. /� 2 S� .� � G- / / i �� Z �- ,�a / Coef B tu Infiltration 3 Glass O Exp. wall 3 � Net exp. wall Int. wall Ceiling Floor � � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl�v� ��Room Length �' 3 Width '�, Height Windows and Doors—Crackage and Area No. w'�d�h He�qht No. of L�neal ft. Area � ot pane � of oane lights of crack �sq. ft. i I � �" 3 � �- .� D / � � Inflltration � � O Glass � Exp. wall � Net exp. wall �,� Int. wall Ceiling Fioor j�",�'' �� I/ p G Tpta! �tu. Requ�red sq. ft. E.D.P,. or sq. ins. W.A. Leader area Btu CITY OF FRIDLEY APPLICQTION FO R PUIMBING AND GAS FI�TING PERMIT N �. m �ro u I. K c� Water A i� m � s�+ c� y o �s�+ a w c Heater d u .-i m F•�+ ro s� m ro u 0. �+ v ro c �me '� e a `� o�� o� � o ai �i � U � w� � m 3 o u�. c�i� � U w a 3 � � � o as 2ec � � � lst � 2nd 3rd 4 th (R) _�ture Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU�iBING FIXTURE RAT�S: N0. RATE A'ua�ber Fixtures �_ x 53.00 ftiture Fixture Opening �_ x $2.00 hew Fixture, Old Opening x $2.00 � Catch Basin x 55.00 Water Heater - to 99,000 BTU / x $5.00 100,000 BTU to 199,000 BTU x$10.00 �later Sof tener x $7. 00 New Grou7d Run Old Suildinq x 55.00 Electric Water Heater x $5.00 GAS FITTING FEES: . lst 3 fixtures � x $3.00 Additional Fix tures x $1.00 Gas Ranqe to 199,000 BTU x$10.00 REPAIRS $ ALTERr'lTIONS FirsC 5100.00 $5.00 each add. $100.00 or fracti,on 52.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) TOTAL S � � S �•Op $ S S _,5,..�i�. S S S $ s 3.n� S S S S $ .50 $ �� Job Address � vt� �J'�1 %V'L �J' Department of Buildings City of Fridley Te1. #571-3450 The undersigned hereby makes application for a permit for the work hereSn specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildinqs, and hereby declares that all the £acts and representations stated in this applicat on are true and correct i Fridley, Mn. , 19� lii OWNER KIND OF BUILDING I USED AS TO BE COMPLETED ASOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. Compaa Signed Tel. r ROUGH INSP. Date FINAL INSP. /� ' 2 - % z � Date APPROVAL FOR PERMIT _�/� MINIMUM FEE FOR ANY PLUMBING PERMZT ZS $7.50 pLUS $.50 STATE SURCHARGE f ,s ' �4�� . �� . f 6431 UNlYERStTY AY�NUE N.E., FAIDLEY, MlNNBSOTA 65432 TELEPMONE (612)STt•345Q - February 28, 1978 � Mr. R�oy Lund ' : � Rattlwnd Company . P.O. Box 32�82 :. � Fridley. Mn. 55432 � Re: Final inspeCtions at 341, 35U, and 360 Ely Street N.E. Dear Mx. Lund: � . FinaZ 3nspect3.ons were made on Febzuary 27, 1978 .of the above addresses and the fallowing items were noted which must be completed befoxe the structuxes can be final.ed out; 341. E3.y Str'eet N.E. � . 1. Provide anchor bolts in garage by March 10, 1978. 2. Provide sod in the front and sid.e yards by June 15, 1978. � 350 Ely Street N.E. � Provide scd in the front and side yards by 3une 15, 1978. . 360 Ely Street N.E. 1. Insta.Zl make-up air to furnace area by Maxch 10, 1978. 2. Prov�.de sod in the front and side yards by June 15, 1978. - . We will expect the above items to be completed by the scheduled dates � when reinspections. wi.11 be made tro deteanine compliance. I£ you have any questions on these items, please contact me at 571-3450. S ' rely, DAFtREL G. CLARK Community Development Ac�n. � DGC/mh ,, E:,7EkGY COII5L:I<VATION SUI'PLEM�NZ' TC) BUILDIf1G PLEtMIT APPLICATION pI,T�Pif1ZPJG AN[) I;1SPI:CTI<��CI DEP71P7'^1L•;N'P CITX 03�' F'RIULEY, P•1I.ii:E�01'A 'r�.is sup��lement is provided to assist the a�>plicant in computing EXTERIOR ENVELOPF AVEF2AGL•' "U" F�CTOR INI'GRP�911TION. This information is required so the BUILDING Oi'F�'ICIAL can determine ttiat :;ubmitted plans comply with the EtJERGY COIISERVe�TION DLSIGPI CRIfiEF2IA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESI�t7 CRITERIA in trie plans; submit product specifications, if needed to sup�ort the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATZON: ��f� ,� f y s)'- OWiVER/CONTRACTOR : ��P � �-� ��,�� , ='NP, ADDRESS : _ ,�, D ,(,� D,!' � oZ O � '� PHONE : , �/— y3 ya A. Detennine the Total Exposed ivall Area as follows: 1. Total wall window area 2. Total door area 3. Tatal sliding glass door area 4. To tal fireplace wall area 5. To.tal wall framing area (average 10�) 6. Total net wall area above floor(average 90�) 7. Total rim joist area _ �_.�y-? �Q C 3s 9� o%, / y ,.�_ L� a. �� 07�10� Subtotal: Total exposed wall area above f loor �] . 6 3 8. Total foundation window area $Q .�. f 9. Total net foundation area above grade gj �,3 9, Subtotal: Total exposed foundation area �� ,�'3 GRAND TOTAL EXPOSED WALL AREA Lq ��g� B. Multiply the GRAND TOTAL EXPOSED WALL AF�EA X.17 = Item z 333. C. Determine the Total Exposed Roof/Ceiling Area as follows: � 10. Total skylight area 11. Total roof/ceiling framing area (10 0) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA EXPOSED ROOF/CE � � r � � s � / � X. 0 5 = I tem II ��i � d E;. L�ete�r.mi.ne the "U° value of each seqmcnt (1.-9) and m»lti�ly hy th� area a� zc�l �1�;��.; : 1 . � Q � ._ }. "1 J„ ` _ _._ _ _ _ �z___ ' __�__.__._ _�1_,_.z�� _ _ 2 • ___.� /f • �_._... X �� U �� _ � s J�° = i� d . � ��'� p� X �r�� ` � J � � - _�U� J . G �2 • ��1 / /f X fiT�ff . a a� - � �1 .�? . v �- �f"___ "'7� S . /'�� . Fs'j x "ti" !I �_______ � _____ ��_�a � __._ . E� • 1 � ��. ��.. � „U„ . a �_ _ ��. � �. �._ , 7� /D 7, /,/ X „J�, �C� 9 _ �._3.�` --�—� c� . ,-L/�� , �_F._ _ n n i� � i �C� _ ---d--��—=--[ l 9. 3 X „L„ , 7g = _-�=-_-�'�-- --y-�� °-�'-_ ADD 1- 9'r'OR TQTAL VdALL SEGt�1�:iJTS = ITENI I II „ j��_ F. Determine the "U" value of each segment (10-I2) and multiply by the area as follows: 10. X 11. �� ;2 a x I2. �o� � X ��U�� U�� U�� 03� , a3� _ -.--.__ ✓ - ,�� q 3 _ �D,��_ ADD 10-12 FOR TOTAL ROOF/CEILING SEGMEPdTS = ITENI IV 3�,��d � G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Iter.i IV is the same as, or less than Item IT, you have met the inten� of State Building Code 6006 (c} 1. z. Add :� t� s � 3 3_. _g� J. Add Item III 3 3%,,t� _ + Item II + Item IV Sy ,� a - _ 3_�g ._�i�._ 3_y. yd = 3,: ds:�J_.� �/' K. If the sum of Items III and IV are less than Items I and TI, you have met the intent of the Code for total envelope system. The unciersigned, as a�aplicant for a building permit, hereby afiirms the above infonnation lzas been prepared and submitted by himself or under his direction, hereby ac�.nowledg�s the information to be correct atid accurate; anc3 hereby presents tlie informat.zori with rec;uired plans in support of the building permit application. �j ,o %,- i �7� f u w ci �O , �"e�r�"' BY : /��.-r,�... /%� 1"' S • , DATE : _ � �- 7� ---��---- T----- � sue�ecr PERMI City of Fridley 9210 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � ; � EIPT NO. � i y_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �G y�%I � � � ( � �'�'l � CITY HALL FRIDLEY SS432 NUMBEf3 REV. DATE PAGE OF APPROVED BV �""'�� ,�� 612-571-3450 910-F15 9/30j87 / / JOB ADDAESS 3L�1 Ely Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE AT7ACHED DESCR. 3B 1 Rottlund t7aks Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ma.rlys Myers 341 Ely Street N.E, 784--0213 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADpRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 3 Season �oarch oyer existing Deck (17' x 15'� 9 CHANGE F USE FOM � TO � A STIPULATIONS �isting deck must b.e inspected prior to reuse for new floor. ��R�� SEPARATE p��5 �E U Before digging call lorel �:i?i;;�s WIRS1��, HEATlNG, PLUMg� IR�D �pR TELEPHONE-�t��r�rnc-GA$ ��. N� AND SIGNS. REQUIRE� BY LAVU SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOFIIZED 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 1 STALLS GAAAGES AND KNOW THE SAME TO BE TRUE AND CORfiEGT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WOFiK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT $3,750 51.88 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiMITFEE SACCHARGE PRONISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR THE PERFORMANCE F CONSTRUCTION. 544. SO � PLAN CHECKFEE TOTALFEE �, �� Y'1 3 $57. 51 SIGNATUR OPC NTRACTOROAAUTHORIZEDAGEN7 IDATEI y�/H PROPE LY V I T THIS IS YOUR PERMIT p r� /� � SiGNATURE OF OWNER �IP OWNEP BUIIDEAi IDATEI DG iNS� q�TE . N� [] City of Fridley Effective 4/1/8 6 ADDN. [ ] R-1 AND R-2 ALTER. I 7 Building Permit Application Construction Address: � �(/ � / S�. �� /= Legal Deseription: L'� f � h � I� I �;� �� Q 5�0�./� I �a f/�� 1 �.. Ki Owner Name & Address : �a�—�� a � 3 Y/ �_ �h �'�� % Tel . � 7 �' K - 0 21 .3 Contractor • � �. .-�-�r N ' _ _ _ _ Tel . � Address LTVING AREA: GARAGE AREA: DECR AREA: OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTI4N OF IMPRO`TEMENT , �� -\ ,S'_7�v� ;�' X lD� � �� ib Length Width Height � Sq. Ft. Length Width Height Sq. Ft. Length �r. Width � �� Hgt/Ground �� Sq. Ft . � S'N�, � „ ., o � -�, y a v�.--� � e �--�- - �� X �� lZ�p' 1�' � 2vSa` 3'1yy Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setback Type of Construction: w�o d. �� f^o., iP� wF�d Estimated Cost: $_ • - 3� Sti Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: `�, 2 S � ,�7 Permit Fee Plan Check State Surcharge SAC Charge /yi 6 ( , � �/ Tel . # 7 � `I - a 2 / 3 APPLICANT: ��.7�..1t �. � � Park Fee Sewer Main Charge TOTAL STIPULATIONS: �,��s-r�N� ��c�t N R�+ F � t�or�.- CITY QSE ONLY � y�l,� $ 1��1� $ � ,8� $ � $ $ _ 5�.51 Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/�1,000 Valuation � 525 Per SAC Unit Fee Determined by Engineering i�o a- 3� Sa 2,�� . y �.s� Agreement Necessary [ ] Not Ne�cessary [ ] m�� `�. ,�sP¢cTR.� �a. 'T� R�,us1t. 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