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AF - 41572� n City of Fri.dley, inn BUILDING PERMIT Date: —�.� ,� �� Owner: -- �� � -°� f Bu3lder ' Adaress Address �����7 N° 697'5 LO ON OF UILDING � � No. ��.� S'treet ___._. Part of Lot Lot - ��� Block Addition or Sub-Divisioa . � ,� ,� � Coraer Lot � Ins�ide Lot _.._ � Setback _ r�� -`�' � Sideyard � � � , Sewer IIevatian �� � � I _ IIevation _ � �l 7 a .a / Te� ar Foo-r rn�� ,�,�;� ��./�!. � �� i/ ` y.� : DESCRIPTION OP BUILDING .� ,, �-. � - —�' �� �' ♦ /y�f/' •� . Front Depth � I�eight Sq. F`k Cn. F't. Type of Construction�/����.�..���...._ Est. Cost ������._'�'"�` T be Completed In consideration of the issuance to me of a permit to construct the building described a�ve, I gree to do th� proposed work ffi accordance with the description above set fo��j� `�� with al]%�rovistons of ordtnances of the city of FrYdley. �/ _ t� In coIDSfderation of the payment of a fee oP $��permit is hereby granted to to construct the buflding or addition as described above. Thia permit is granted upon the express condition that theperson to whom it is granted aad his agents. employees and worl�en, in all work doae in, around and upon said building, or anypart thereof, sl�all oonform itt all reapects to the ordinance�a of FridleY, A�Iinnesota regardfng location, constructt�ffon, alteration, maintenance, repair and moving of buildinga w�ithin 'the dtY ]imits and 'this permit may be revoked at any time upon violation of any of the provisiona of said ordinancea Buildin8 Inspector NOTIC� 'hds pqrmi! doa not corer �6s conslrueNon, 6uta11aHon te� vrGtao, plumbie�, ea 6�Nlne, tsw�� or water. B� sun to ss� tha &rildlae Insp�etoe #or pparaf� p�rmhr {or f6as N�na. �� d s ? � , •. �, , .. , �` � '�,{ - � �, � ,^,. 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FOUNT. sHwas. �e FLOOR ORAINS U7CH BAStNS AUTO :NASF�ER �� MPL GAS RANGE GAS OPENINGS � s z : � � a m A n � �. �. � � ���� � � ���� � � �� � � ���� ybo� � �'�� � � � �' � � �a � �°��.� � � � �� ,� � � w��� o= "�' w p �m o � d �c�oa� � y � y � � � m � R.¢� x o��� n ���� ��� � � � � M � �+ lD � 'J'� � ro � 3 `� w , � � �d x� � H a� � x � � p � M O M+ �� m � � � �� 0 � � , I � � �' � '9 G RL �- � � M � � � � � � � � a A � � � � � �I APPLICA.TION FOR BUTLDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME�d ,�� % � O 0� S�a /V BUILDER �(� r �-�/��� ,s' ADDRESS�� � �—,�L y � � ��" ADDRESS �— LOCATION OF BUILDING N0. �% � STREET �� �-` PART OF LOT � LOT � o�- s� BLOCK ADDITION OR SUBDIVISION�S�%� ��(r %��Ga/� •/�e,, q� CORNER LOT INSIDE LOT � SETBACK SIDE-YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two Gertificates. DESCIPTION OF BUILDING To be Used as: � �, /� ,� (�- � - Front_____�� � Depth �o� � Height a �� ^� I � ,�, � S q . F t . ,. )_��_Cu . F t . � � r" �' Front � Depth Height ' Sq. Ft. Cu. Ft. � � �S-,�" o � � Type of Construction v'�,�� �(%� �/���. Estimated Cost , To Be Completed � � �' � — � � �o � 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 ruling of the Department of Buildings, and hereby declares that all the facts and regresentations stated in this application are true and correct. _� DATE ,� � '7 SIGNATURE �� �o c (Schedule of Fee Costs can be found on the Reverse Side). r-' �', � - 7_ I *:" � • � �� ,. ;.�` ^.: �� � � t.1 i..� I (f _ .'� � . �, , � i , � . � ^�.l �✓� i�k r � — �' r. � �n ���� ' � , .. .. . � � � a �=. .�..:��I�o.�_._.._ _.. ... .: r,� �il ... . � � � ---�-.�-._::..- -.__.._ — . .- a,.— J--�----._'. _ _ _ _ _ _" _ .... ��..._. __ ' -�- . ^ ,1 -__ _-. Ir�.ti � � I 1 ...fd~r. � .0 . . , . :- .� _ 0 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing building:or structure, or for any alteration or repairs 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 hereir_ provided to-wit: Ur..iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each one thousand cubic feet. For the purpose of. computing fees-�for building permits,.the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below tha floor line of the basement or cellar to the average height of the upper surface�or to the average height of the roof surface of the m�.in gable of a pitched roof. For repairs or alterations to an existing structure, the fee sha7.1 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 $5.00. NSSSD Connection Charges based on location- Area 1 or 2. � � � � �� d . �--3�+�� _ __.�— . � c s,, _ ,. � � � � ', ' / � . . Q � � � ��� '� �_ - ,_ _:��� _.�.- �,. . - % 1� �` �(� . � �A „- Z' .S W �� �__ S_� �_ � � � � _._,:� �.�� ��,,_� .�._�., �,�� _ ._ . -- - ---- _,__ __ ---- _ ___ __ -- _ � _ __ _--�- --_ _ --- i � �-% .I-/ .� � ,� � � a a,� ..� /�-� � �'� �° � � � 9 � . Q �� � �_�., _ � , � � ,; ° ; �. , � . ,.... � � `�" , � .. _' -. y - � - _ _ , . . : .,� ` , . ;; , � , �, r ' � �' _. _ � .. �..' 'S % ti' t, � tc'; . � . . -' ( , i.. . .... . ,_ - , ti ,. ,_ , .. . ; . , i_ ,:., . ,_. . ,. _ .. . �,„ ,. „ _ _ . ,.._�(�, j . � c;. , , , _ � �� _ �. _ . � � ..,-.i.� � � ' . -° v. r . :1 . .. i .. �`_ .., _ � � ,t _- -..--'._�_., � � f F, ��• � .-. i , . . , • - � ' � . . - . .. . .. - - '- _' .._',:`. � .. - '' ' _ . . : �. ;..-, . ,.. � �_ �- �_:• : ,. �: , :��. � . . . _ � _ . .. . . � . ..' ..-- ..__ '- . . . � .. . . __ . _. .__._..�'_.'___ — i ! � � ..� fr-/C� � � � ��@ �— �` � , , � _. _ : ' � ` _ __ _._ __ _ _--- _ ___... _. i-$ �' i�,( �a ' ^ - �' � S � `�-' �'`'' %'L f i � i . � _. _. ; � � , . . i _, .. , �. I � . . ; � . ; i i 1 , 1 � � : �' . � r� ; � � ' _ r�yY � ' � ��+ ,.�� , �; � i i ; ". , i � . _,_ , �� ;` � ; _. , . � � --_ L -�- �� : , , � i -- _ --- _ . � � � � -�- � � i -'` , i � � � d V $ � ' �jj{ r -. t .' . � � . • . .� ,� .f___� .v-..�.YJ'.. 1�.. ,_ � � ` �. ' A �.� . /. I � � ' . � ... .. � � �"_�'.^..._..._ • 1 i .. ` ' � Y.. ....l./_ _ ....._...__._ _ 1 � � . + � � � = f ._ \ 1 ' _ j � . , i'. .__ " . . ._._ 1 i _ ' , ,� ,�� � � �, , � � � �� � � �� , � � � ��a s� � �� � , ! , , � ; ,; ' j __ _ �.._ - � � ' ` ' '-' � ; _._ --� --_ _._. _ _.. _ w __- _ � � � ,j� �YpJ[� G � ��� � ` � � � � r� ��'a� ,"�4AfJ 'fi-_, � .�\ �•� �, ' � i , , J �- _ ._ . .,.Y .,�_ - �;� �� �-`,� % _ � i' , , .. _ . . _ , F� i � . . , � . • � � : ,� , , - _� �1 � _ __,_ .._ _ _ _ _. , _ . �c, , .� . - ._ __. _ __.._ - _ __.._, - - _ . __ _._..__.__.__..__..__. _. , _ _ _ . _ .. ___. _._ _. __._ s ,� _ _ . � A=-� - - - -.. Bu�lding In�pections 763-572-3604 763-502-4977 FAX STfE ADDRESS 't � THIS APPLICANT IS: p� PROPERTY OWNER/ N�: TENANT anD�ss: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BIING SIZE OF A4PROVEMENT ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl ❑ Aluminum ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE I-1-09 Permit No.:� Received By: � Dat�R�d:� � � �' YOUR E-MAIL ADDRESS g�pr o�Q ��� Gl�y,+H ���j'� (�j� ❑CONTRACTOR c..2 ' � ��� � —3�� �-� 3Li f STATE LICENSE # crrr E}�' DATE � 3.��3 �. ADDRESS: CITY STATE ZIP �vN� FAX ,SINGLE FAMII.Y/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSIRUCTION STORI] u rwi.niiviv LJ IiAKACit�JSH�ll �WINDOWS ❑ BASEMENT FIIVISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING p p'['�R ❑ SWIlVIIvIIlVG POOL NEW HOME CONSTRUCTION ❑ ADDTITON MAINTENANCE/REPAIR ❑ REMODELING ��Ld �'L �C15�'�e'"+1 �> ���&s/�, �re9% ���° i LENGTH WID'Tfi ❑ HOUSE ONLY _ ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �t�YSS �-ZxG"fa►r SQ FT ��'�^d e+� BASEMENT REMODELING SUBMIT 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FORNEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT• ❑ T� 1. Site Plan/Survey showing the eacisting structwes ❑ Fascia and proposed project. 2 Two sets of constructio 1 n p anc WINDOWS 3. Energy Calculations IN EXISTING OPININGS es ❑No LOC TION OF W,� OR FOR NEW OPENINGS- ESCRIBE SIZE OF P.-r g� �, � Fq �°¢�f � OPENING CIiANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINBOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �+ SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $/� OCCUPANCY � TYPF, Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ � $ I c�c� $ � $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuarion .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residenrial Coniractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UN1'IL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the ' ridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for it an ork is ot to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11 w 'ch re ires re 'ew and approval of pl SIGNATURE OF APPLICANT � PRINT NAME VC 1'�' -1 �� � DATE � Z� I � i �� �--- 3t'�� --3 ` 9 e ,r r ; ,q .� '� i�. EXi�'ir� �1e�"�i �--- 32I�'`-� ( JZ�r E--?.� `i�f--� �.��r� �� ��,�,��� , � ` '.�.— a �9?�^� � ,,�:� �c� I�� ei�(IS�� Bt���n-c� t�C,�i�'ECVC1 �� `�ae.3Z��y `e z � .�r�� e.X -��iaf �� ��5�- C ir. G►.� % d � -��- r, e� � r�� ��1�� �w�- d�w� 33 '� 0.�5,�1 hc�g � a-F .S�Z e � � S�F � �s�l�-���, I � bJd�� ���,,;,,�, S . �j " � /l �� �w �� t� r� �a.►^-� j��Gr� �.r' O� O� r� `� 1 v� S 1n� 6�d �l d o� � Go�✓1 S'�'✓c+C.'� P� A Q� �� l2 �� !� �� P�9 � a� r�.9 ��'�, �C�✓1+ t�-� �n e� S� r ���Z. ly f X. JZ � r �� i.{5� ��dd�✓- lo�� gv%�7t+�, °�o � -� Gow� �e Z'�[ �� � ��.± i +..�oole.s � o �C -f0 c� p id � � � / /a �v. �. c71n et� �, ��I� � �e � ���a 5 -iz� � `� v►� -�op � L� t X /Z �i b � a `� � , uge 5' � „� �; � l � J�.�-e , f �� �'„�(�� �;��-'� `� � � �L�1�� ea � � � � � � - /f ��r,r„�-/"°`�.�7�V, � � �YYd'L�,.� f�c✓*� 6 �cks ��,..� � + �S i rl �, ��,S�.II r�� ►�..�, ��� �'�� y�'3I�x y� `� .�,..��,� �,,` 1r,� �i v� s , � � � ��� -� �T�j �r �� �"^ � r�p�� � �sl�s � � � i � J � G k� � ��,� � �31�.�4 5�..� � Z,�IZ„``�8�/�'� /C�/Z� �� _ .� -- S� � � l�� �c.� � ���� ��� � � P �, �� i��� � �?.�� il.�-+ � � ,�-- ��, � �.. i �,,, .� �' ` ��a� c� �3 � � Z [3 � rz 12 ➢ 1� N y y f 1 c� ��L � � _ �� r� 3� 0 Page 2- Building Residential Application BUILDING PERNIIT 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 e�sting building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley - /�1�.v Building Inspections Department � 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � Building ,� Inspections 763-572-3604 763-502-4977 FAX DATE �` / SI7'E ADDRESS _ THIS APPLICANT IS: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 Permit No.: Received By: YOURE-MAILADDRESS OPit�+uattit�eltq�vi � SYSF'EstS@ �tqrc. 41 � ❑ OWNER �ONTRACTOR PROPERTY Nq�: ��-..�Z� Y � t C� ENNAN�T ADDRESS: Y% 1 L L Y Sr sv � CITY � t� L£ e/ STATE Mn/ZIP,rSY3 a- PHONE: l9 S I- 3�lo -� 3 p 1 CONTRACTOR co�P,�rr� Nn�: __/� P; �,,,� c�,�,� ,k C C-F�4�� a� S�rsr,€.�-� S SUBMIT A COPY OF CONTACT PERSON: ��� � �Q e,vt� � Kt-+J YOUR STATE STATE LICENSE # EXP DATE LICENSE WIT'H ,r�DRESS: �p�,a L' �� � 2,J ��.� CITY L t 1-Tzf. C/}�i}p�- STATE Ha�ZIPs�/ t i APPLICATION PHONE lo� f-Ya g-� 3 e-�- FAX ��( - Y a- °� - 9�S'O !o PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY TYPE OF WORK: � ��' J��p�+CEMEN'[' DETAILED DESCRIPTION OF WORK K�Z ❑ TOWI�[HOUSE ❑ ALTERATIONJREMODEL zt2.v�-e � � �- � FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDIC TE TOTAL NUMBER OF EACH BELOVI� FquipmentInstalled MFG: C'pD1�MA-N MODEL: (�gyhH�SO?03 � X SIZEBTU %D K 4��"fp MFG: �()D MR� MODEL: SLp ��O�t�t SIZE/BTU ��I a 9'-�,v MFG: MODEL: SIZE/BTU I �C $25.(Ml _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIIt EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 LFURNACE $35.00 GAS UNIT HTR $10.00 _CHININEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $]0.00 _VENTILATOR $I5.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building 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 pernut but only an appli on r ermit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a�l�or .w���e uires reyoiew and approval of plans. SIGNATURE OF APPLICANT NAME �t2r�{�4�' �,u,t:�yy�.S DATE l� I b� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 e � � HEAT TRANSFER CALCULATIONS Name 1 Q'C � e��-�- Address '�'1 I � �K gT /�� �� Heating TD = 90 F(-20 F Outdoor, 70 F Indaor) Cooling TD = 20 F(95 F Outdoor, 75 F Indoo� HEAT LOSS HEAT GAIN SQ FT COEF� BTUH SQ FT COEFF BTUH ��� ' � _ : �_ � � � w ; �� � �� - s �s=�" .. � .� �� „ : -- - �-__ _� ,� _ _._ � _�_�zt _ _�^ ._ ._ _ _T Single 116 North o 3 33 / 24 � � Z Double p Q� 82 1�, �� East-West (0 90 / 74 �� Lovu E 40 South �S 48 / 39 2� �� Other �� � � == #�_ 4000 �!� � # 2� 300 (� no � � ���� 'S. i^^'� r 4 _ { � �? £ ��i������ �T �� c'� 'F . ��-�i` S _ � _ +-�, ' '_+._�P 20°.���= _ - - = � - � 20° 1 16" 2 16" 1 12° 1'sv 3 2��D 12" � 0 1 `� `So g� 4 � 9" 2 6" 5 6" 3 3fl 8 3" 4 ���� �€� .� r -� � ` _ ����e�> � �` _ � � � � � - - 1.5" � � _ .� 1U . �:_ 1.5" . r _ ,..4 a. 3.5" `� 3 7 .Smo'1 3.5" � 3 3 Z�' 1 5.5" 4 5.5" 2 �#� ��a��'� _. � ,�, �_ � _ . ___ � # 600 2�t,� 0° �i(Q 6 �� 1" 3.5 �; � �� � f - ��" _ _ _ � _ `3'—� _ a _._ -.� _... _ : �_ , . _..� _ �. __ � _ �, . Blw Grd 1.5 ALL - 2500 2�� Slab Grd lin ' 30/lin ' SUBTOTAL �j� �'� SUBTOTAL ,� �� g� IAtFILTRATION: Infiltration CFM = 0.50 X cubic feet of house / 60 4.50 * L mo * W 2� * H `� / 60 = t2� InfilUation CFM *Add"►tional heating infi�tration load should only be calculated if house is loosely constructed* Infiltration Infilt CFM Coeff BTUH Inflitration Infilt CFM Coeff BTUH Sensibie 99 Sensible Z 22 2�t � 2 Latent � 24 � u 2 Attic/Crawi Space Add 10% Attic or craavl space 10% �, , , � ,. . . 22 �� 80% Efficiency /.70 1 Stage / 12,000 92% Efficiency I .80 � � , dov � ��t� � 2 Stage / 12,000 Z �_ �-� ,f�S