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AF - 42095� SUBJECT � 1425 � City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � i ECEIPTNO. � ; L ��_ COMMUNITY DEVELOPMENT DIV. r � ; PROTECTIVE INSPECTION SEC. �i,� 3C�> O 1 � /'�'1 � CITY HALL FRID�E� 55432 NUMBER REV. DATE PAGE OF � APPFOVED BY � �•°'� � •'� 612-560-3450 910-F15 8 4 77 � � 10B ADDRESS 3(1 ElY Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �j 1 RO'tt111riC� Od.�CS SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE The Rottlund Company, Inc. P.O. Box 32082, Fridley 561-4340 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SaICI@ 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDIT�ON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 44' Dwelling and a 22' x 22', Garage 9 CHANGE QF USE FROM TO NEATtNG, PlUMt3tNG l�ND 51GNS, STIPULATIONS provide a hard surface driveway. Provide sod in the front ar�ci side yards. Provide a verifying survey before capping. Provide City with copy of truss design before capping. SEWER LOCATION: (Approx, 6'Deep) Served froan manhole, expose service to establish top of footing � elevation. WATER LOCATION: Same trench as sewer service, 20.7' North of Hydrant, 25.3' W. of MH DRIVEWAY DEPRESSION COST: N/A �'�� H� cittr of �root�r qoes trot C�lARAN7l: :;� Befae di�gint c�it Ic�l �rfititie; ��uiu►Cr ��. t►nu1Y �tC�u►'troNS AhtO ELEVAT�'L: TELEPHONE - ELECtRIC - f�AS Etc. TY13 D�KtA I�t !Ot �RAAAZIEil1 1'URrOSiS tNvlY Ea�� ►� �s�c Q�fou�a �r tHE pr��wurreN REQUIRED BY LA11V oN nre ur�, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� Fl�@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 R—�. �.ZO4 + 544 29,A40 7.bta1 ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKWG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AL� PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $36, 385 $18.�.9 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $116.16 $365.DO STR CTIO R THE PE FORM/�NCE OF CONSTRUCTION. � "�.e � �'y- �v /( C� • ,�"'p � PLAN CHECK FEE T07AL FEE �i� ( r]. � �r-.-a.� $'- ..-7-7 $29.04 $538.39 SIGNAT eoFCO TRACTOROAA HORIZEDAGENT IDq7E� WHEN PR ERLY�VALIDATED THIS IS YOUR PERMIT� �SiGNATUREOFOWNERIIFOWNERBUILDEf±I IDATEI BLDG.INSP � DAT( e � — �� y �� , �3��.�- �� X �y � ,� y � x �, � _ .�,.�:�.-�- � c� �o x �f � = �l `�`/ -r- � X �o = � a ---�----_.._._ �� o� X > zr a�� c-� __e� � � a9 os�o �� o? Z X -� � �� i� � � �a ^ �v ✓ `'�� :�� ,°�� ,�' ji � ° � ,r l v � � - /�yS� .�' �! s� = s /y8 , a o �'- /2 �� k�2, � a d a�o � � o, �Yd �- 3F y5� ,r � YQ = �� d z.�" � v ,3 � � �i � � G d � d � cJ l� J cJ ��7 ` � � �'3 v� .�„�y — / / � � y �,� z / j �� 8 5� 4� D -�-9 v �� /� , �� a9, o y �8,�9 ��-c� �,s. � � ..3�, � � .�� (� _._.._._._.__... . ��--�--� ��, �9 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWPdER: //7'e /� d% C� U AC � C9n •�iY i°. Address: �� U.�,�'�.. � n� � BUILDER: � � p %/` ��.(,(� G�j • .�]'ii�! t°, Address :�- 23 ,� � X' a a p Q"Z Te1. tJo . : c�6 / — �3 SfD No.: �� Street: ��y S,T LOT: �, BIACK: �_ ADDITION: � �U•ir Q��S CORNER LOT: IN5IDE IAT: �_ S^TBACK: SIDEYARDS: %f�ol �� Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As : S/��"�-� �,.<1N1 l�y . / � /�i,S � Front: � �p Depth: � Height: � (9 Square Feet: �d�Cubic Feet: Z 3� 6 00 �,QrIQQ-� Front: �a Depth: �� Height: l � Square Feet: � Cubi,c Feet: � y� � Type of Construction: �y-,g p1� �p Estimated Cost: $ , To Be Completed: ,�(/D �/, 3 0_ J y>� .l /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired �� $ (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 Buildinqs, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for a-�ddition 1 in orntation. � `7'�! 5° /� o �`i �v �Y � �' • �'/.1/t° DATE : — oZ —�'� S I GNATURE : 6�' �_��T stipulations : ' �� //G � � � !� Y�i�v�-�! � �w� � � �� aE'�a� '� ��- ' a, i ��-�- C,Q�-c�.- �-�U .�x �� a9,a� l 8. � 9 � »� � �'�35, � 9 , . ,� ,� �?�-� � .S 38. 3� _..,�. �;+`�iERGY CUN:SLI�V7ITION � SUPI'LL;MEPJT TO E3tIILUIfdG PEI�f�IIT APPLICnTION P]:ANiJ:I�.NC; AND INSPt?CTTC�Td DE;I�ZIE'•`PP1.E;rIT CITY UF P'IZIDLi:�, MIPdr�LSO'I'11 Thi� su��E�l�ment is providcd to assist the ap��licant in computing F,XT�RIOR ENVELOPE �VF.kAGE "U" FACTOR I�'OFtf4ATION. This information is required so the BUILDING Oi`F':LCil�L cari determine tllat suY�mitted plans comply with the Et7�RGY CONSERVATION DESIGN Cl2ITEFlIA of the STATE BUILD?NG CODE (Section 6000). It is the �1PPLICANT'S respansibility to accurately compute the data; reflect the proper DESIGPI CRITERIA in the plans; submit product s�>ecifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: _? (� / �'�y �� OWNER/CONTRACTOR : �) � �0 T �► /V h, � �„�o � . �'�y r. ADDRESS: _��0�/ 3a e f� Z PHONE: S`��— y,3 yd A. Determine the Total Exposed �Vall Area as follows: 1. Tota1 wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area(average 10�) 6. Total net wall area above floor(average 90�) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. To tal t Y' window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA �aa•ai �D . d ��. 9y g a. 9u /9_S, /7 /7 S�. 6 0 L,��• o � GG . �'9 S9} So �5 o?G, �Z B. Multiply the GRAND TOTAL EXPOSED WALL AREA X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10�) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSFD ROOF/CEILING AREA �al��D 1 /� 9'/• �/D lal,�.00 D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X.05 = `� � �3�9,�'0 l� .3 zt�► I ya 9. y� Item II Q. f� ' ��` � � � E. Lk�t:er.mine the °U" value of each seqment (1-9) and multipl.y by tt�e area as � �_, � ; r: , , , . � . �a a � a�_ 4 "�J" -s�S ° �� 2. � D , D x �,U�� ` , .s �� _ ! / . o D � � � �.____ x �� „ _ _.._! ��_-- - -_� ! • 7 3 4. d'a . q�- x„U„ ,� a y = I.SC�_s,..9 s. 1 9� . �7 x��u�� 3 = a7� • o� E,. �56� X „�,,, ,o�.� = 1L� ! � �. /53�a X „U„ ,0�9 = 9. 03 a. ��a -s�� x „U,� . Sg = .� �.• S'd 9. ,s''q. � o X „U„ , 7 S� _ _�� , �,�- ADD 2- 9 FOR TOTAL �VTiLL SEGMEPITS = ITENI I II 3'7 �, 3% F. Determine the °U" va].ue of each segment {10-12) ar.d r.lultiply by the area as foilows: 10. X 11. ��/.`a x 12. �pq�/,yQ X ��U�� „Uf� , a3G .,�„ ,03/ � _ �, 3 ,� = 33. 93 ABD 10-12 FOR TOTAL ROOF/C�ILING SEGMENTS = ITEM IV �_3�_ 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 Ite.m IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. z. Aaa zt� z y�y, y� J. Add Item III 3 l,S + Item II + Item Iv 6� k0 = '��b . � 7 F�� 3 = � 0 9 . $� K. If. the sum of Items III and IV are less than Items I and II, you have met the intent of the �ode for total envelope system. The undersigiied, as applicant for a building perniit, hereby affirms the above inforn�ation has been pre�ared and submitted by himself or under his direction, herebv acknowledges the infor:nation to be correct and accuratt�; and hereby pre5ents the information with rec�uired plans in support of the building permit applir.ation. By , D11TE : �� io� , wK .m.. •!►. xce t '� YiUR�I�N !� ti �,.s. w-- ti r NOINttlf/Na M at ++� M�n�.eti.we "rtt: � ._.: �wc.. . .. . ..:-- .� ..:� .�_- _ - _.... ._- _. . . tic �i1n '�M+�. ♦ 4�(� 6 : , � . ,.r... . u .4.r.. • ,_ � .. • !J .. . �.��tll � ..oM PiM.vn� . r� �. ��. �n ♦ N�.., t �i♦ •��y e ,y y.,,�.x•�. s�?3 � .�' r � / - =--rr ( a � ,/ `': ; j � , r �. 1 c,..I �' ,` f ��+. � Certificate of Survey !or_ __t ��_=_ f ��_^�_______._ _ % � i � ,�v � �� i i , � / J� / � � /o ; � i � � �o � ;�. ,; � _. N�'"'" �Nt o p� l�t /,t��j0 E1'EVA� MJ / �w�"'" �yp� e� ON�Y �f �OC� ��4 �0� m �M� oE��o,�,�tc'� m� �"�' c �� NORTH t��s �S u�s�w' � � Ns�' �rw � ��"�� ldq' � I � � I � S � � i � I I � ' � �� . �e ��g caH bCSi ut��ties t��E.�CiRIC. ftc. U1RED ��` YV � '' ` �O r'�r . s iv' ` }�i �`�9 a � � / . °' 3 I 1 ' .� 9�, � -- ._ a -- 175. 02 � � J � �or5 1 S o h ` v y��.: � � '� �u .._. - ° �� 9 � - �. - , �°.> �....,.. � ` � �,- �.. x _ / �".� S' �, .. � 8L0 CK l ��1 7 3 �_ RD T TL UND OA K5 ° ANOKA COUNTy �'to�,4 4orc1 St�lbac.k 35�-0" tFO�sCs�c�e W,;.�,A.U1,Y. ��i.Dii i�� i , �r `„�' o� � ' N ��`- �, �, O , O \ 1l/� � �� v � � J 7 °�� i � �� Q-°�i�'� c, + V a � a _r . 4,,� 3 � E LY rREET . Dtnotes DrUlnn�e � Ut�l�ty Easerr�ent O�note5 �ron rr�onumenf 1 h�.�br c�.��fy rt�o� �h�� N o 1.u• end c�r.��♦ ��wr�s�nta��o� o{ a sur.�y •f tl�• bovndan�� o! eh.• olev• d�+vib�d to�d, ond ol �h• locae�on o1 all buildin�i, �h�r�on, ond all .�s�bl• encroochm�nt�, if o..�, i.e.� w ow snid lond Aa survay�d by n+• �i�i� do� •1 �'::� ��---A.D 191Z SU�UR�AN ENGINLlRING, INC. En��n• s{ .. S�►r Yq++ S�aJe jinth =�� . U1'r� � ��/ .l` � � . � � ,-.' � l � � �� X, � - - - �' ,�D�' E � �� '' (' V �'' P ��'�' � � d f'( . � LCXp o S �= / `�,� (`��eG'�' �'d � �"7;q.,�'[./Sl� `ra �F' �'ov � �.�w G�- ��.. �"' t/ y�t ?� / ta,�t,1 * � �� /�.. _ , . w�._._. _ .____...r ��i��.�� °�1 � /%7 � �f��j(,)G�t�� , .:-�,�'�, �F � w � ,� f� � f ��Y c �. � ! �G . � ' �tJ. �,�. _ �y't.�,, . � / % ' �`' t . ,-.:; �� /""' � !� � �' I/ �� /V � � �,..` � � � � � � � 9� V � ! � +� * �+-+ � • �' � , � ,�a��' 1 ,y CITY OF FitIllLEY �PPLIC.;TION FOR P�h'Efi pLANTS A;�!b ficATJ�dG, �OO�ID;�., ��idTILP,TIOP�, REFRI6ERATIGy AND AIR �ONDiTIOfJIh� $YSTE(•1S AND ��VICcS PARTI:aL fJ�T� SCi�tDULE. .r..>�' ? T`.' l� :1:ti�t :11 R : Fsr^�ce 5:^. :1 S �.:�.. hor;c aC� 3C.�.-.0 :L 0= :LT...-Cd : e: _rs S �_te:..�-o^�-Lp to SS00.0:, �e.3irs S :,lter�..:or.s eaCh adc. $500.00 :.Cri'i\ICaL l;:l��l AIi : �.`^11'^dG2 $::Qii & DL'.:L TCJY� CO ZI�Qr�li� �ii'iU cJC.. .��... 5'v, ^CJ a:.. �e. :ace� er.t c= : u=�a�a Fc� :.1=S S n�.'.BY....10^+5-::� �O .SSJJ. �+� ;.�; __S a ai��.._..:5 �.:�r. uaa. ssoa.00 1.�,.� : �� :�T �1:�: i.:.� si STI_�l : _�ile� 6�_acs c� to 100,CC0 BTU C1:.� : .�.�.:� :. .7�1i V�i�i :]:N 3oii:::: �:'_y L� to 1�0. C�0 3:J f3Ct zC.a..1. �0.000 $�:i IIL 3U :\�R- :0 3 gal. pez Y:oLr eac:: ..�.a.. 3 c,al. Fcr ::our R:\"1' fi $12.00 7.�� 7.00 4.00 $13.00 'f.�o 7.00 %.�Q 4.00 't'0'1'�'1L $ � $ S S /�, o0 $ y_°J S $ s .�'�'_'.00 $ �.�V^ � ��OV � 6.00 $ � s�o.00 s io.00 S c,�j ��'�\�R- °_�� 1C.^.,000 �Si: t0 1�9.999 STU :10.00 a�� V J (cver _99,539 S:'1 sae Fee ScnecLle) $ :.�$ FiTTI\C', ?��i�: ls� 3_:xtcres � x$ 3.00 S � O � Aflditio:al FixtLres x$ 1.00 S G�s .^�.3:Z;C to 199,000 SiU x 510.00 S lI� C�XD?':IOXIX:, �•, S =�\ .=yTZ\� �:�ST�>IS ' See Fee Sch�dsle � ,:\it!.zl:\� J�'JiC�:S . $ �LT�'��Ti�\S Fr REP:iIZS_ J S State S::rcharge S .50 ;OTAL FoE $� A Job Address �CO / __� v �� Ucpartment of Ituildir.gs City of. r^ridley� 4'cl. ;.`•57�-34�0 � The undersigned�hcrc:,y ma'r.es a_r.plication for a perr.iit for ti,e a•ork Y.erei� sp��cified �greeiny to do all wor'r, i.^. strict accorcar.ce wi�h tae City Co�cs anci rulings of the Depar�mcnc of Build•:r.gs, u:.d hercb/ cecl�:es :Y:at a:l Yr.e facts anci representations statad in this ai�licat:on are truE an8 correct. Fr�d�EY, M��. A4� a� . �5 �� OSti N�R KI:1D OF T�UILDING TiC-/Y//1C�. — US�D FS �/�%�!/%/JCi TG BE CO^1PLETED A90UT ��Call� ' �� S- o° �s�ric��TLo cosT --- OLD - T.G:W IIIIILDING P�R:fIT N0. FEF�?ZT :i0• /U 70� DESCRIPTION OF FUR`7AC Ei+R:Jc:R HEIITING or POWER PL7INTS, Stea.^�, Y.ot Water, Warz� AiY lQO. / Trade Name �V1I1D,X Size :Io. �O�Q3—��d 'TM' j�j�,GO 0 r'2 Capacity Sq. rt. EDR �-� Total Connectcd Load ��y�,[ Kir.d of Fuel _��i.s BUILVL'R - .rade \ame Size 2:0. 'r:;,;;.;.� ZXSr^. RS::1S?EC.IO\ FEE C.apacity Sq. Ft. EiR B'�7 ..^^^�TT"""' HP '.�tc� D3te (.$10.00) I _ �h ! . : �� r , �n: any �� _ X` � 4 F� .'r . Fau. .::Sa. ,,� =/G -7F� �, • �i: ��\ c , :�,�I� . Date -•� Sigr.ed By � c f�l' i�P?i�li.: c O� P�2+:ri �� Tel. No. � 7 v'/� 0�� e :l:�Z:•:t;:: FP.: e'U' R Aa°Y iiEr1^+Z\G PERv+ST IS $7. 50 r �� ,j rr" �`�" � '' ifi L'1 � 6� � ' � � ��f r � ��s . �� . ��- �° ° . HEAT LOSS CALCU�.ATIONS y��-�-'�� .�.��i�� . � MW�EAPOLfS, MINN. Wea*,herstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide Out. Wail Int. Wall Reference Ceiling Roof Floor Kind Now Applied Yes–No Yes–No 19 Fi.� � `��' � Room Lergth � Width Height F! �i Aoom Len th Width Hei Ft 4 YJindows and Doors-Crackage and Area D/� �� g �� 9' VVindows and Daors-Crackag2 and Area N�_ Widrh� Height No. of Lineal ft, Area of pane of pane lighis of crack sq, tt, No. W�dth Height No. of Lmeal ft. Area � y I � � � 1!i' .,� ._ , � e of pane of pan light of creck sq, ft. aC dC �1 �VC ./; . Infiltration Giass Exp. wall � Net exp. wall int. wali � Ceiiing � Floor Tota I Btu �� !I�� ■� �� / +iequired sq. ft. E.D.R. or sq: ins. W,A. Lea r area FI. ' C� Room Length �' Width �' VVindows and Ccors-Crackage and Area No. Width Height No. of �ineal ft, Area of ane � of pane lights of crack sq. ft. Ot � � � � � � - � -`��. � ..i �.�� infiltration Glass Exp. wa I i / Net exp. wall Int. wali I Ceiling � � Floor T�tal Btu. ight Btu Required sq. ft. E.D.R. or sq. ins. W,A. Lead r area�–_��– FI. � f� Room i Length � VVidth�'S �' Height Windows ard Doors-Crac!;age and Area No. W�dih Height No. of Lineal fL � Area of pane of pane lights � of crack I sq. `t, � � . .� � � � � �� Btu Infiltration Glass f �—� �„ �. � ! � E;<p. wa I I �� '�' i-Jst exp. wa!! -- �g � , tr;u. ,. :, tag,�e e F F w � � _ -...� _��_.� � t`:�. _.. �t�. �. � _._. . _ � ,..i:2:t s��. f� �.,., _ �� ...;-:._�L� d %y• . � e: ar8a Infiltration � �1 �- Glass Exp. wall �� 7 Net exp. wa! I , � Int. wall Ceiling �� / �l i i�� i /_..�-Ci Floor Tota I Btu. Required sq. ft. E.O.R. or sq. ins. W.A. Leader area ----- __ FI Room � Length f� Widtt� Windows and Doors-Crackage and Area No. W��rh He�ght No. of �ineal ft, Area of pane of pane lights_ of crack sd, ft. B tu , " Height Btu Infiltration G Iass Exp. wall Net exp. wall � (� q ac Int. wall Ceilina / � � 3 J Floor Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �FI, ,� ��'� Room Length a Width� Height �"Jindows and Doors-Crackage and Area No, U/�drh Height No. of Lineal tt. Area of pane of pane li�hts of crack sq, ft. — � '�� -- �S �..� Infrltration !� � .�a • G�ass � � Exp. wall,��'s� � Net exp. wall '/ int. wall _CeiliiiQ s+_°,l .tl ,0 f � � *_s�i;._.• L �loor � oTal Btu. Required sq. ft. E.D.R, or sq, ins. 4':.;�, ��ader area B?u % l � i�.' � , HEAT LOS5 CALC;;�fi,TiOi�S ��'�'�� 9R (;��j��'�� MINNEAPOLtS, M�NN. Weather5trips A.S.H.V.E. Const�uction No. Insulation Windows Doors Guide p� yyali Int. Wall Ceiling Roof Floor Kind HowApplied Reference Yes—No Yes—No 19 r FI. �� Room �eng,h j Width Height FI.�� ,� Room Length �' Width Height VJindows end Doors-Crackage and Area Windows and Doors-Crackage and Area _ NO' of panc of pene �lights ot c a�ck sq��ft. No. N/�dth Heiqht No. of L�neal ft. Area of pa of p ne ❑ghts of crack sq. ft. 1� a2 � St{� �- � i / � ( p ! � e � � . Coef B tu Coef B tu Infiltration � Infiltration � , G lass � � � Giass Exp. wall c'� � ��`� 7 Exp. wall �� Net exp, wall ,�j � Net exp. wall � � � �� Int. wall Int. wall Ceiling / fD � ,� j Ceiling l� � �� Floor Floor � � v Total Btu. �, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area — -- — FI. _ Room Length �° Width�� Height FL ��/ � Room �ength �� Width � Height ` UVindows and Doors-Crackage and Area Windows and Docrs-Crackage and Area No. - W�dth Height No. of Lineal ft. Area of e of pa,�e lights of crack sq. ft. No. W��rh He�qht No. of Lineal ft. Area ` � of pane of p�ne lights of crack sq, f. � '' �- �2 3 � �Zr- / / �� . i Coef B tu Infiltration �� ^f Q � � Coef Btu � L% � Infiltration � � � Glass s j D � Glass � Exp, wa f I �� (� E � � Net exp. wal I Int. wall f�- Ceiling Floor �i Total Btu. � _ _ 0 xp. wa �`� Net exp. wali � , �Q� Int. wall Ceilina D Floor � � � Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area , Required sq. ft. E.D,R, or sq. ins. W.A. Leader area FI. -� ° Room � Length Width; Heiyht FI�� E� RQOm Length �'�Width � Heigh V'Jindows and Doors-Crackage and Area VVindows and Doors-Crackage and Area ryo. W�drh Height No. of Lineal ft. Area No Wid�h Height No. of Lineal ft. Area of pane �. of pane lights of crack sq, ft. of pane of pane lights of crack sq. f[. � +- � ,.� � .� � � _°� A} / _ � InfiltraYion Glass Exp. walf Nei exp. wa (1 � Int. wali Ceiling ------a—=—_.,v �.----.�-.--___. F loor f �.. �� i�`` Toiai Btu. Required sq. ft. E.Q.R, or sq. ins. NJ.A. Leader area Btu Infiitration Giass Exp. wail � � 4 Net exp. wali � Int. wail Cei I ing Floor 1 ,j � �°� � — 0 � Total Btu. Required sq. ft. E.D.P. or sq. ins. W.A. Leadar area Btu � �- � .,. � , . � � • � . HEAT LOSS CALCULATIONS HEAT��G �/�� CQ��I�IV��7 CO. MINNEAPOUS, MINN. Weathers!rips A.S.H.V.E. Construction No. Insulation Windows Duors Guide Out. Wal I int. Wall Ceiling Roof Floor Kind How Applied , Reference Yes- No Yes—No 19 � Fi.�(fT � oom Length � Width � Height FI.�(,�j, ��y��Room Length � Width� Height YJindows and Doors—Crackage and Area Windows and Doors—Crackage and Area Widrh He�ght No. of Lmeat ft. Area Wldrh Height No. of Lineal ft. Area NO' of ane of pane Ilghts of crack sq. ft. NO� of pane of pane lights of creck sq. ft. ,2 �'" .� Z-- �2- �, % 3 Z- / / Coef Btu Coef Btu Infiltration � � Infiltration � Glass / Glass � ' � Exp. waii � �' � Exp. wall �� Net exp, walt Net exp. wall �� Int. wali fni. wall Ceiling Ceiling Floor � Total Btu FI. Room Length Width Height VVindows and Doors—Crackage and Area � No Widrh Height No. of Lineal ft. Area .,F ..�..N of oane liahts �f rrack sa. ft. Btu Infiltration Glass Exp. wall Net exp. wail Int. wall Ceiling Floor Total Btu. / FI. I�oom Length Width Height 4Vindows and Doors—Crackage and Area . No. H'�dth Height No. of Lineal ft. Area nf nane . of oane liohts of crack sq. ft. 8 tu - Infiltration Glass - Exp. wali - Net exp. wa! I Int. wal! -�' Ce+ting Floor - Total Btu. Required sq. f2. E.D.R, or sq. ins. W.A. Leader area Floor � � � � � � v Total $tu. ,� Required sq. ft. E.D.R, or sq. ins. W.A. �eader area FI. Room Length Width Height Nlindows and Doors—Crackage and Area No. W��rh Height No. of Lmeal ft. Area of oane of pane tiqhts of crack sq. ft. Coef Btu Infiltrat+on G lass Exp. wall Net exp. walt Int. wall Ceilina Floor Total Btu. Required sq. ft. E.D.R, or sq. ins. W.A. Leader area FI. Room Length Width Neight VUindows and Doors—Crackage and Area No. W�drh He�qh2 No. of Lineal ft. Area , of oane . of oane liahts of crack sq. ft. Infiltration G lass Exp. waN Net exp. wali Int. wall CE i l i ng , Flpor �— Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu �11 GEO. SEDGWICK HTG. & AIR COND. CO. ��' �� HO SE HEATING TEST RECORD ADDRESS � � � CITY C OCCUPAMT OWNER C HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY � Electrical Work By Gas Line By - " 'i �l TYPE OF HEAT GA� FA_ W_ STEAM SPACE HTR. UNIT HTR. OTHER S DESIGN CONVERSION MAKE ��'�� MAKE OF BURNER Model �02 v? �C"i zi Model Serial Max. BTU Rating INPUT MAKE OF FURNACE Model ONTROLS ! THERMOSTAT Heat Plug Vent Size l Valve �� l KIND OF LINE SIZE '� NONE Limit - � � Draft Hood Regulator Limit Setting �� Filters Siz Number % Fan Setting �� '� Chimney Location lnside / Outside Pilot Type �Ci Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring � Pilot Timing — �'`O �'/ Draft � Test Tag L,W. Cut Off Door Pressure Ligh ing st. Pressure � Percent COZ �' �� Date Tested �� Input CFH ,L� Percent O�+ �� Company Testing G Stack Temp. �� l7 Percent CO ��,�l1�!!� Name of Tester Form 235 CITY OF FRIDLEY APP�ICQTION FOR PWMBING AND �AS FI�'TING PERMIT m a, y �� u • x a� Water ,� y� q � sro, c.a N q y fl, w � Heater d a+. .� m F•.� ro S� m m N a� �y -.i Gl �O C N X i� Ci lQr .0 C� C) it • fZ � S-� 11 CI ON Yi � � � '� N •.Cd � O O J.U1 Ul l� A U1 N N .0 � � u o c�i r� v�i 3 A u°4 v�i �' u� a 3 � � � o as lec / lst � � � 2nd ' • 3rd 4 t'� (R) = Future Connection Openina � Connected with Sewer (�) = New Fixture, Old Opening � Water PARTIAL RATE SCHEDULE PLUhiBING FIXTURE RATES: N0. RATE Number Fixtures 4� x S3.Q0 Future Fixture Openinq �_ x $2.00 New Fixture, Old Openinq x S2.00 � Catch Basin x $5.00 Water Heater - to 99,000 STU �_ x $5.00 100,000 BTU to 199,000 BTU x$10.00 Water Softener x $7.00 New Ground Run Old Buildinq x 55.00 Electric Water Heater x 55.00 GAS FITTING FEES: . lst 3 fixtures _�_ x $3.00 Additional Fixtures x $1.00 Gas Ranqe to 199,000 BTU x$10.00 REPAIRS $ ALTERATIONS First $100.00 $S.OQ each add. $100.00 or fraction 52.00 5tate Surcharqe TOTAL FEE TOTAL S� cx% s �v S $ $ NO S S S S S .V S S S S $ .50 $ �� Job Address 3�� / .�f %�%.y Department of Buildinqs City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Departsnent of Buildings, and hereby declares that all, the facts and representations stated in this applica ion are true and correct % Fridley, Mn. 3 , 19 � % l OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDTNG PERMIT NO. Company _ Siqned By Tel. No. ROUGH INSP. Date FINAL SNSP. J l ` � " � � � Date APPROVAL FOR PERMIT -y�l��!�� PERMZT NO. � MINIMUM FEE FOR ANY PLUMSING PERMZT IS $7.50 pLUS S.50 STATE SUItCHARGE REINSPECTION FEE ($10.00) , CITY OF rRIDL�Y A°PLICATION FOR PWMBING AND uAS F?TTYPlG �ERMIT ,� >, v, 'a u • K d Water �� e� m 'R w c�:+ y p � �n., w K Heater o u .� � A H•.� � w m ro s� a a�g � -+ c a c m x u u s� .0 c E u� S+ q G L +a L C C 3 8 L�N +� U: N N tH� .0 t1f � U 7 �G ! '� CA 3 O f+�. l�p [w U f.^�. � 3 (ro7 � C9 O dS L0C � I1 1 ls. � � 2 :d � . � 3.- : sf E �'� � -- �(2) a FLtu:e Corzection Cpenir.g Con.�ected with Sewer � (*) � ::Ex Fixi�re. Qid �er.ing Water � � � i ' � PRRTIA! RATE SCHEDULE rL?J��I�G FIXTURE RATES: . N0. RATE • i:r-.:aez F:.xti:res `L �- x S3.p0 rat::r.e F:xt�.:re Openir.g � � x $2.00 2�ev F:x�.::e, OId Oper.ing x 52.00 Ca�ch fiasin x $5.00 hater Aeatez - Lo 99,006 BTV x $5.00 1C�,00� B:U to 199,000 STC x$1Q.00 Xater Sa�teaer x $7.00 2:�s+ Ground 2in Cld B:�ilciia� x S5. QQ E1ect.ric ka[er Heater x $5.00 G.�S �ITTilG FEES: :LsL 3 fixti:res • x $3.00 Ad3itioaa2 Fix tures � x 51.00 G:s Ra:.qe �to 199, 000 BT�J • x ST0.00 REP�: RS F� ALTE�TIO\S Fi.sL SI00.00 ' .S5.OQ eac2t ad3. $100.00 or Yractian $2.00 State Surcharge ' _ TOThL FEE Job Au.:ress � �o / � . . . . . .. , . De�artment of Buildings • ' City of Fridley Tel. #571-3450 • The undersiqned hereby makes applicaticn for a per^it far t5e 4n�� ::erc-.:..z speeified agreeing to do all work in strict accorda.^.ce with t.he Ci�y CoBes aad rulir.gs of thd Department of Bu�ldings, and tiereby Zeclares t'.:a_ aI2 tho factu und roproacntations stated in thia nyplicwtion azc trse and carr:�t • Fridley, N.n. =� '-�� . 1`,��(_, TOTAL S �.� _ C�(� S S $ $ ' $ . . S S S 0?711ER KTND OF BUILnIhG USED AS • TO BE COMPL£TED FL50UT ESTIi'.ATr'D COST ,r< � � 8�� 9 OLD f 1SEW BUILDII3G PER`IIT N0. PER':I2 h0., �_ . . Company �o.o, , Siyned Ey Tel. NO. G Rou� ar;sn. , . Date � . . FINAL 2NSP. % � " I ��'O / . ' - Date S � . • . S $ • AP?ROVi.7i FOR PERMTT � r • $ $ , MINL`:tM FEE :OR RDIY PLU:�.822CG PERMIT ZS $7.50 PL�S 5.50 STT,.TE 5�?"'.�.c'ar�^E S . , 50 . S 1�� • . . 0 REZNSPECTZON FEE • �$10.^v0} � • � , . - , ,6�� CITYOF FR[DLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 JarivaYy 31, 1989 MY'. aryd Mrs. Donwan CX1r'ti.s 361 Ely Street Fridley, NIl1 55432 Dear Mr. & Mrs. Ctirtis: PW89-16 I have c�ntact.ed yau within the past two w�eeks regarding the City's d�e.sirn to loop the dead end wat.exmain on Ely Stxeet. I indicated to yau what the two options are and I am now enclosing a map i.11ustrating aligrnnents of these options. As you can see, Option A(red) im�olved the shortest run and affect.s the fe�aest nLUnbes of trees. This c�ption would involve Abtaining a utility ease�+xit frcan 360 and 361 Ely Street. Optian B(blue) will not ixrvolve any additional easements but potentially coKald adversely affect a murh greater rnnnber of trees. Also, Option B wauld approxim�ately dauble the watermain length arid restoration w�rk. Obviously, Option A is by far the most attractive aption to the City. Belc�w, please indicate your preferenoe of the aptions and subrnit yaur r�nse in the self-ad�lressed postaqe-pai.d envelc�pe no later than Febnlary 10, 1989. I.� 0 CcaYnn�nts: I agree with Optian A and agree to grant a utility pasemexit of seven feet. I Frefer Option B even thcxzc�z it appears that mariy more trees oould be adversely affec.-ted. S • yi � �,7 A C � l/�•c�� c / Cl V. Moravetz IIxlineering Achiiinistration �� Enclosures ,�[.>.�� y j�J ' ��'` ��• � i►' �S �i � � , 2 w. ^��,,�� • y �. �M. �.rJ��;'T," ; #T, • ��A:� . ��•r�' � �I � .y� 'o �.1� � , ' � �� "^��?� � � � �� '• ti � � � '�.�'� � �►�Q°t':. I° F �� . }. � qL .w:. 'c `� .�i4,:D,i y �• -.. �� . �� 1 r : ;�i �,�. G� •'► . � � �'' ��,. +%r, � ,� Y �► ; � 7r., x . • '��*" • -1 ;4 �"1, S".px "`a �F.�",.' ~ . Z ,-�. �� • .7 f � p . .. , ?� 'S . 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',��.� .A� � , � � ..r? • 4 - �.. � . .� . : � - . . ..►, '. i � - * . � w'- t �r �#" ��' c t„� ' :�.� , ; i � .� y.+� _ �' ., - . � , . `�` � � -� �� h. . �� j ' .r , -�" _ : ! �Y. 7�' � `i�� .t �T,,� . . 1i • � - I .��'� �a�� •� � � �oi ;7 � . .„� . . `. � � :� w"J •r , � � �'� . ,.� � � r � j. • ' {�rz ' • ' • �� :.'JYr,� �L `G. ♦.! , ..r� i�i � � +i`* y�, 3 �` � r. �7 �. ~ f'; �� • ,,, 4 , . � !��'!� ` �c � � � Y �x + n � « t� .�! ti � „ r� � r� .� � ;� , , r � t � i , ;t � ti � �;= ,� ,.�� , � , ' � �v C ' \,°�: >� "�, ,' �� :' fi",r,- � � � � , :. , ', �� `�.,, � ,� r k %i�' • '� t ^�` + ,,,��. t�.".�?�. ,�, ,� � 1� ;'3ti�•+ _ . � ,.�., a �.� r .. , ,t•� . s — : c �.�s. '' 2��.: �, �, ' . �.. .+t7!- , �',^�v'� � �S R�� . .�a� � r�. �„ r + � `��, a ' � i' . � � s TO: FROM: DATE : � SUBJECT: MEMORANDUM Jo� . Flora, Public Works Director PW89-46 Cly V. Moravetz, Engineering Administration March 10, 1989 Watermain Loop at East River Road and Ely Street � �� k�y As you know, I have corresponded with affected area residents in the above area verbally and on paper during the past couple of months. You also know that I presented the City's desire to loop the Ely Street and East River Road watermains to ensure quality and continuous service. The property owners do not desire a looped system at this time. They indicated that there has never been any water problems caused by deadend waterlines in this area. The property owners at 360 and 361_Ely Street consequently were opposed to granting the City the necessary easements to accommodate the loop. I suggest the Council be informed of this situation and that the City does not pursue any further this looping of the water system. I have provided relating memos and correspondences to the Ely Street file. If we receive any water quality complaints in the future, we will have supportive material on why the loo� wasn't completed. cVM/ts �� ; -- � �, � �. Building PLUMBING Perrnit r�o.: a� U`� ` Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY vate��: JUN `� 2Q 9 763-5�2-4977 FAX EFFECTIVE 2-19-09 DATE �, � 3 ^ � �1 YOUR E-MAIL ADDRESS�, b�^r�,�,r�f'� � l 'a �AS �arv��Iti • hk �" SITE ADDRESS _�� GL� S] �E THIS APPLICANT [S: /�WNER ❑CONTRACTOR PROPERTY NAME: �pv�o �( ^ OWNER/ TENANT ADDRESS:��p � [Ly S� � t CiTY ��f � STATEmN ZI .3� PHONE: %�p 3 7�/' cl ls} t CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: C[TY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �EPLACEMENT DETAILEDDESCRIPTION OF WORK va�V<. ('�2 A�aCimtv�� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFINER (� _ CLOTHES WASHER KITCHEN S[NK WATER CLOSET BACKFLOW PREV. al ) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER �., . _, � ; � � � � ,:,; = ,> ...- . . ._ . _ �, � . ,,o � � - �°�� , .� . s ��, � � ,_ �,-. . ... . ` - . „ . ,� ' , ' . _ . . THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT J� �M�CO•� �r-. PRINT NAME � 0 n Cur�,s DATE �D I 3/ J q ,� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977