AF - 45082BUI�.DING PER.MIT
Village of �rid.aey, 1Vlinn. �T° 2 4 3 y
Date Z7 :"" `�`�'"` �"� . . . . . . . % �
. . .. ...........
Owner `� �'"'��tl �'��i"� '�'"��;.' ............... Buildei ...�.....:......�.�......... ��..�.�......
. . . . . . . . . . . . . . . . . . . . . . . . . �" � L,�' f r'"d*" r �� {{'
Address `�/��. . . . :�.(;�Gl' l �, G, t�°c,F` . . ."'�� :'� . . . . . Address `�.� �,� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOCATION OF BUILD(NG
No. �� t
d'2.`�tl. . . . .. . . . Street ��� :v i: �: :5�': .�-:~:�� . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot . . . . �. . . . . . . . . . Block . . . � . . . . . . . . . . Addition or Sub-Division .": fe� .�"�:� �`: �'.�:++: . . � .��''� . �.�
.
Corner Lot . .. .. .. .. . . . Inside Lot . .�!: . . .. ... Setback .'��`.'�:"".�.r{?�. . Sideyard *'�� f .':�"`�.� .. . .. .. . . . . .. . . .
To be Used a,s:
� :��i :..'�:`. : '^� ...
•r•
DESCRIPT{O[o� OF BUlLDiNG
Front .". : `f`: . . . Depth . � . . . rieight . . . . . . . . Sq. Ft. . . . . . . . Cu. Ft. . . . . . . . .
.................... Front ........ Depth ......I-Teight ......... S�. Ft, ........ Cu. Ft. . ....
, �
. '"R-� rs y- P�: �h°, !` � a F .. .,
Type of Construction . . . . . . . . : ?. . . Est. Cost . . . r .5'. ". . �. . . . . . . . . . , . To be Completed : ? . .``.�`.J�`. .`. . , , :Y.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley. � �.�° _
� �
�
����,��i�der '�� the payment of a fee of $. ��. . . , permit is hereb"��granted to .: '�:-.�'`'�': �� �: :'��: . . . . .
. . . . . . . . . . . . . . . : . . . . . to constxuct the building or ad dition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shail conform in all respects to the ordinances of
F'ridley, Minnesota regarding location, construction, alteratian, maintenance, repair and znoving of buildings with-
in the village limits arid this permit may be revoked at any time upor� viol,�t� of any of the provisions of said
ardinances. �� f� ,�
����I��� �.�,- � , .�-,r.�"`
:�:'"!!:....... Building Inspector
NOTICE:
This permit does not cover the construction, instaliation or alteration for wiring, plumbing, gas heating,
sewer or water, Be sure to see the Building Inspe�tor for separate permits for these items.
B�U�]LDING PERMIT
�
�
%/ •
��I�a�e of �ridley, MBa�n. �� 2 4 9 2
Date • . •�• r'•f�f�`H,,/f S .��.r. . . . . . . . . . . . . . .
f � � �"f ''� �� `�� Builder
Owner;.��' � _�. � � «. . �. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . �* ��.r`'!%° �,,,. . .�,��;,�t'� . . . �: . . . . Address . . . . . . . . . ,
LOCATION OF BLdtLDING
No. . .. .�o��.�.... Street . ��;;�':�;�;�1. z� {.�., .�'C_ r... , �"" . .. . . .. .. .. .. .. . Part of Lot . . . .. . . . . . . . . . .. . . .. . . .
�
Lot . . . . . , . , , , Block . . . . �. :`. . . . . Addition or Sub-Division
..�.. . .. .......................................
Corner Lot . . . . . . . . . . . . Inside Lot . . �;,. . . . . . . . Setback ;� �'.�, ��,� Sideyard .�,�:�'�. .,�,.�?'�'t. , ,,, , , , , , , , , ,
DESCRIPTION O� BU6LDiNG
To be Used as:
. . Front , , . Depth . . Fieight . . . Sq. Ft. . . . . . . . . Cu. Ft, , . . . . . . .
.................... Front ........ Depth ........ Height ......... Sq. Ft. ........ Cu. Ft. ........
Type of Construction .- , . t . ; . . Est. Cost .,, � ; .��� ,, , � :' . . . . . . . . To be Completed
'� .........
,�x �e�-�^
/�'',� �,`'`f°.., . �''^ ��t`<'c �' .��{' � j`t',.n � ,":,�`�.t,4,+,�^ �-, "�" �•d.�.,.��'
in consideration of the issuance to me of a permit to construct the building described above, i agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the villa�e of Fridley.
��'
�,,; In consideration of the payment of a fee of $. ,�.,� , , . , permit is hereby granted to gs� : . �, . , , , , , , , , , ,
�+�'��.�. f•���'�;�.,�- .... to construct the building'or a@dition as described above. This permit is grant upon
?t�e express co�dition that the person to whom it is granted and his agents, employees and worl�nen, in 1 work
done in, arourit� and upon said building, or any part thereof, shall conform in ali respects to the ordinances of
Fridley, Minnesota regarding location, construction, aiteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any: of the �rovisions of said
ordinances.
. ..::�. .
Inspector
NOTICE:
This permit does not cover the construction, instatlation or aiteration for wiring, plumbing, gas heating,
sewer ar water. 8e sure to see the �uildinq Inspector for separate permits for these items.
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� � � SUBJEC7 � � � � � PE �
City of Fridley o ��:
AT THE TOP OF THE tWiNS j{ U������ P E R M I T
F � v �
� . �, RECEIPT NO.
�, j y_.�_ COMMIJNlTV DEVELOPMENT DIV.
� � PROTECTIVE IN$PECTION 3EC.
� i �
� � r�"1 � CITY HAL� FRIDlE� ���� 55432 NUMBER �AEV. .-0ATE PAGE OF APPROVED BY
�••••�' �•� 6�2-560=3450 910-F15 � �
!06 AUDRESS 52��
i LEGAt- ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. SHf ET
2 PROPERTY OWNER MAIL A�DRESS ZIP PHONE
3 CONTRA6TOR MAIL ADDRESS Z�P PHQNE UCENSE NO.
�a�-
4 ARCHITEGtOR SIGNER Il OORESS PHONE LICENSENO.
6 EMCa}NEER MAIIADDRESS ZIP PHONE UCENSENO.
b ll5E'4F BUILDtNG
residentia1
7 Ci.ASS OF y1tORK
O NEW C� ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
deck, siding-and windows deck 10 x 16
9; CHAIVCaf OF USE FROM TO
STIPU:LATIQNS
1. Need a guard rail 2 x 8 16" on center:
32x10beamo�6x6post
- -• •- .• -. ,� �M+�s ���o � wa�Hwr�,
` } : ,., s��► •..���.
NEI�1"�� P�-��� ��
SEPARATEPEFiMITS ARE R£QUIRED FOR EIECIRiGA1, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
YENTICATING OR AtR CONDITIONING.
TNiS PERMIT BEGOMES NULL AND VOID fF 1luURK QR CONSTRUCTION ZONING SQ. FT. CU: FT.
AUTHOf;IZED IS NOT COMMENCE� WtTH�N 6t1 DAYS, OR tF CONSTRUCTFON
OR WORK IS SUSPENDED OR ABANDONEO FQR, A PEAIOQ Of -120 DAYS AT
ANY TIAAE AFTER WORK IS COMMfNCEO. NO. DWI.G: UNITS OFFSTREET PARKING
1 HEREBY CERTlFY THAT I HAVE READ AND fkAMINED THiS APPLtCATFON STALLS GARAGES
AND KNOW THE $AME TO BETRUE AND CORRECT. ALL PAOVISIONS OF LAWS yALUAT�ON SUR7AX
AND ORDINANCES GOV�RNING THfS TYPE OF WORK WIIC' BE COMPLIED
WITH WHETHER SPECIFtED HEREIN:OR NOT. THE GRANTING OF A PERMIT 3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIt1lATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATfNG CON- /�
STR N OR THE PERFORAaANCE OF CONSTRUCiION: $Z� . UO
PLAtV €HfCK FEE TOTAL FEE
.<�$`�� ;,,,,, 22 . 5
� � SI ATUFiEOFGON7RAC � ORAUTHORIZEDAGENT � . �.IDATEI � , j� PRQRERLY VALIDA�T THIS Y��RMIT
� �.
- $IG�ATUREOFOV4NERIIFOWNfRBU1l0ER1 �� IDATEI BLDG.INSP � � DAT
! �.�. � � � . . � . � .
� `
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�rli f':";-ili � niv�.L�
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDTTION, OR REPAIR QUILqING PERMIT
� '- , . r /� . �, O.^.1 1 i
OWNER S NAME: ������^Kft� BUILDER.� �'G� � T
� /`/l��r ��' �'✓��.. , . �-�/ ���'
ADDRESS : �� � ADDRES S : �''����'�' � �a f ��
� �r�«Gl� �.._____.__.._.._ Co�� �, �
NO :. � Z.^LI STP.�ET : F 1 l�l. 1'1�1 t7N.iC.
LOT :____'�___ BLOCK: I ADDTTION : M� 2t�.�► Ld'i_5,,,(,a,�,�
CORNER LOT: INSIDE LOT: � SETBACK: SIDEYAIZD<
Applicant attach to this form l.�ao Certificates of Survey of Lot and propased
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As ; ,�%C� J/ �X i � ���c%ih�.J.� �t c/� _ /Q `.X i� �
Front: . Depth:� Height:_,
Square :Eeet :
Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
� ��.7 y d
Type of Construction. � 1/ti���n���Estimated Cost:-��.s�v• �.�-<.
To Be Completed:
The undexsigned hexeby makes applicativn for a permit for the work lierein
specified, agreeing to do all work in st'rict accordance with ttie Ci.ty of
Fxidley Ordinances and rulings ot the Department of Buildi_ngs, and hereby
declares that all the facts and representations stated in this appli�ation
are true and correct.
DATE : �-{,�,f � � � S IGNATURE : �// ,
(See Re�Terse Side For Additional Tnformation.)
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SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g� I L D i N G P E R M I T
�
i •
� �
COMMUNITY DEVEIOPMENT DIV.
1 � L +�� PROTECTIVE INSPEC7IQN SEC.
� �
1 . �
� � r--�� � CITY HALL FRIDLE� 55432 NUMBER AEv
�""h � �'� 612-571--3450 910-F15
JOB ADDRESS 5221 F�llmore 5treet NE
1 LEGAL LOT NO. BLOCK TFiACT OR AOOITION
oescR. 9 1 Marion Hills
2 PROPERTY OWNER MAII ADDRESS
Ted Raines 5221 Fillmore Street NE
3 CON7RACTOR MAILADUqESS
Tri--Co Builders Inc, 7350 175th Ave NW, Rams
4 ARCHITECT OR DESIGNER MAIL AODRESS
5 ENGINEER MAIL ADDRESS
OATE
6/24/92
MIdI
ZIP
ZIP
PAGE OF
� %
����
���{/
APPROVED BY
SEE ATTACHED
SNEET
PHONE
572-0612
PHONE LICENSE NO.
222 4859
PHONE LICENSE NO.
PHONE IICENSE NO.
6 USE OF BUILDING
F�e si dent 'i.al
7 CLASS OF WORK
❑ NEW 0 ADDITION O ALTERATfON � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroo� H.ause & Garage Cl4 Squaxes� Tear�-of� ___
9 CHANGEOFUSEfROM TO
STIPULATiONS
Underlayment must complx wi,th the State Building Code.
TYPE OF CONST. OCCUPA
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PIUMBING, HEATING,
VENTIL.ATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ. F7.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONE� FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. OW�G. UNITS
1 HEREBY CERTIFY tHAT 1 HAVE REAp AND EXAMINED THIS APPLfCATtON �- STALLS
AND KNOW T1iE SAME TO BE TRUE AND CORRECT. ALL PqOVISIONS OF LAWS yAIUATION
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $742
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO G1VE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
P ONS f ANY OTHER STATE �R IOCAL lAW REGUTATING CON- $21,00
RUCTt OR THE PERFO MANCE OF CONSTAUCTION.
PLAN CHECK FEE
�-� �f- 9 I.icense sC $5.00
SI ATUREOF��CO �AACT 90RA ORf2EDAGENT IDATEi WHEN BAOP,6RLY.VA
LOAD
CU.fT.
FFSTREET PARKING
(GARAGES
URTAX
$.50
AC CHARGE
Fire SC $.74
OTAL FEE
$27.24
7HIS 15 YOUR PERMIT
r / ..����Z
C�J
- narE
NEW ( j
ADDN [ j
ALTER [ ]
Const�vction Address:
Effective 3i 1>92
CITY OF FRIDL.EY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
Building Permit Application
��
.0 �
Legal Description:
Owner Name & Address: �e�A- � �v -� s 5�� / h%%?�n c S� Tel. # S%2 - o� /�---_
Contractor: � r - � r�/�f .� � ,,� ,� �' MN LICENSE # o o � y�'� %
Address: r% �v�� %Z.,�� �� N. � 2�,..� � � .�/ Tel. # 75�- /� ��
Attach to this application, a Certificate of Survey of the
lot, with the proposed consbruction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
o•r�:
DESCRIPTIQN UF IMPROYEMENT
Le�ugth Width Height
Length Width Height
I,enQtir Width HgtlGtound
Sq. Ft.
Sq. Ft.
Sq. Ft.
Conur Lot [) inside Lot j� Ft. Yd Setback
Type +of Construction:
Approx. Comp%tion Date:
Driveway Curb Cut Width Neecied:
DATE: �� �- �/- ��
Permit Fee $ �/, �' �'
Fire Surcharge S - 7'Y
State Surchat'ge $ , 5b
SAC Charge $
License Surcharge $ �- UO
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TQTAL
STIPULATIONS:
� � �� a�
Ft. + S Ft --
o � ��.�� _ (y s� �� �
�P.� � o f /r
Side Yard Setbacks
E�timated Cast: $ ��ia `e''
(Cost on Back)
Ft x $ _ $
! � --
Tei. # �5 � � y�-�-Z____
Fee Schedule on Reverse Side
.001 of Pernut Yaluation ( l I lOth �)
$.501$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residentia! Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engin�ring
Agreement Necessary j J Not Necessary ( �
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SuB�ECT . . '�...':..-�
City of Fridley ����, T� 7�
AT THE TOP Of THE TWINS g U I L D I N G P E R M i T
r -
� �• COMMUNITY OEVEIOPMENT 01V. RECEIPT NO.
' j L �'." ,
r � � PROTECTIVE INSPECTION SEC. � R�
i � rJ _
� 1 �'�'1 � C1TY HALI FRIDLE� 55432 NUMBER REV DATE PAGE OF APPqOVEO BY
�'----�' ,'� 612-571-3450 910-F15 2/7/95 � �
JOB AODRESS 5221 Fillmore Street NE
t IEGAI �OT NO. 9LOCK TRACT OR AODITION SEE AT7ACHED
DESCR. 9 1 Marion Hills SHEET
2 PROPERTY OWNER MAIL AOORESS 21P PHONE
Ted Raines 5221 Fillmore Street NE 572-d612
3 CONTRACTOR MAIL ADORESS Z�P PMONE LICENSE NO
A E Wallen Homes 4571 North Rd, Circle Pines MN 55014 780-8812 1950
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEEF MAII ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WOF;K
❑ NEW ❑ ADDITION [� ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESGRIBE WORK
Kitchen Alteration
9 CHANGE OF USE FROM TO
STIPULATIONS
Owner to provide smoke detectors adjacent to all sleeping areas.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO 1F WORK OR CONSTRUCTION ZONING SO. FT. CU FT.
AUTHORIZEp IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONE� FOR A PERI00 OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO. OWIG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLIGATION 1 STALIS GARAGES
ANp KNOW 7HE SAME TQ 8E TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AN� ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN7ING QF A PERMIT S OOO ��F.00
DOES NOT PFiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMl7 FEE SAC CHARGE
PROVISIONS OF ANY OTkER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �99.00 Fire SC �S.00
P�AN CHECK fEE T07AL FEE
License SC $5.00 $116.00
S�GNA7U�7EOFCON7RACTOAORAUTHOAIZEDAGENT IDATEI WHEN PF;OPE VALIDATED THIS IS YOUR PERMIT
�
� 19 5�
S� Nn uaE OF OWNE � O EP BU�LDEA� � �O�Ei �� +�� G INSP ��E �
,r 1 c {
NEW
ADDN
ALTER
i]
�l
[l
�
CITY OF FR[DLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Applicadon
ConstructionAddress: �� �LL �Z/W� Si /�
Legal Description:
Effective 1/1J95
Owner Name & Address: ��j� �����5 Tel. #.�/� —��G��—.
Contractor: � �• (�/r�c�-- /-��� MN LICENSE # 11,,5�
Address: �.�7 ( �l/02�"`� ���I/�1/� L'I�CLdy�r��� Tel. # �G-�'�� 2
LIVING AREA:
GARA.GE AREA:
DECK AREA:
OTHER:
Attach to this applicadon, a Certificate of Survey of the �27-�a �d
lot, with the proposed construction drawn on it to scale. �� ��
��Q,� �,�
��
DESCRIPTION OF IMPROVEMENT ��%'"
Length Width Height Sq. Ft. _
Length Width Height Sq. Ft.
Len�th Width HgtJGround Sq. Ft.
Corner Lot [) Inside Lot [} Ft. Yd Setback
Type of Construction:
� �
Approx. Completion Date: � /— l�
� L�
Side Yard Setbacks
� �
Estimated Cost: � �� ��
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + = Ft $ _$
DATE: � `" S APPLICANT: `Tel. # � � � � �---
s`� � f'd�f�
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
�roTAL
STIPULATIONS:
$ ����
$ �' • �a
$ �t�
$ , ��
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Enginesring
Agreement Necessary [] Not Necessary [ J
� ! 6 , ��
,�� ���,�;G'�� '�'`�
�U� �� �
��
: �' S K
sueeecr PER
City of Fridley � �� � �9
AT THE TOP Of 7HE TWINS g U I L D I N G P E R M i T
i �
i �� ___�_ COMMUNITY DEVELOPMENT DIV. O
r � v � PpOTECTIVE INSPECTION SEC
� � ��1Z?�
, , _
� � �'�'1 � CITY HAII FRIOLEY 55432 NUMBER pEV DATE PAGE OF aPCFOVEO Bv
�•""�'� �'' 612-57t-3450 910-F15 5/23/95 / /
JOB ADDRESS 5221 Fillmore Street NE
1 IEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 1 Marion Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ted Raines 5221 Fillmore Street NE 572-0612
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO
A E Wallen Homes Inc 4571 North Rd Circle Pines MN 55014 780-8812 1950
4 ARCHITEGT OR DESIGNER MAII ADOfiESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW X ADDITION Q ALTERATION O REPAIR D MOVE O REMOVE
X
8 OESCRIBE WORK
Convert existin ara e to basement stora e; construct a 32' x 26' addition
to dwelling (garage & living area); Reside; New windows
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on p1an. Variance approved 5/9/95 for front yard
setback down to 34.5' - no stiplations. Provide a hard surface driveway.
WAR�NG . :
Baiore �igging cali for
a�l utiliry Idcatians
454•fl002
SEPaRA7E P�'�MfTS RE ��QUIRED BY LAW
WlRING, HEATI�G, PLUMB�tN� q F�R
� S�GNS.
7YPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
SEPARATE PERMITS ARE RE�UIRED FOR E�ECTFICAL, PLUM8ING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITH{N 60 DAYS, OR 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 ANO EXAMINED THlS APPLtGATION 1 STAIIS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF �AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMiT �GO�OOO �30.00
DOES NOT PRESUME TO GIVE AUTHORITV 70 VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE
PROVISIONS ANY 07HER STATE OA LOCAL LAW REGULATING CON-
R CTIO PERFQR E OF CONS7RUCTtON ��i.59.5� Fire �JC �60.00
PLAN CHECKFEE TOTA�FEE
License SC $5.00 $554.50
SIGNATUAE OG CON7RAGTOA OA AUTHORIZED AGENT �DATE� WHEN PpOPE Y VALIQATED TNIS IS YO R PEFMIT
�� �ri �_ 3 �.
SiGNA7U�7EOFOWNEAt�FQWNERBU�LDER1 IDA7Ei BL iNSP OP E
- z +�
NEW
ADDN
AL'I'ER
ll
fl
[l
ConstructionAddress:
Le al Description'
C[TY OF FRiDLEY
S[NC;ULE F�AMILY AND DUPLEXES R-1 AND R-2
,� Building Permit Application
��Z�z�� � i��
��t 1��� �K �
S� d� .
.,� /�i�,c��
/�7%D •
Effective 1ll/95
� � �.�
� ��
�c ��q y�,.
g • ---
Owner Name & Address• �� �1'���' Tel. # S%Z j4 �l zr
cona�actor: � � � C�/��-� ��� �� � M1�I LICENSE !� /g..s�
Address: �/`.�%( �/G�IZr ��� � l rZ�G�" /��c-� _Tel. # �� ' ��� �-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRiPTION OF IMPROVEMENT
LIVING AREA: Length 2- �° Width 2�-'"
GARAGE AREA: Length '2j 2 Width Z�
DECK AREA: Length t(� Width 2�'
OTHER: C'�)vr/�..�" � �/ �
��i /� 1�' /�w O 1v�w W� w,o aw5 �•
Height Sq. Ft. _
Height Sq. Ft.
Hgt/Grvund Sq. Ft.
� � �/�,�� S���s
� � � s•�N�i �-�Js�-
Corner Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
� 6 � f �x��T � e�
Type of Construction: Estimated Cost: $ (oDf�
Approx. Completic�n Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + b F= t x$ =$
DATE: �-�5 APPLICANT: �v Tel. # �� ��z—
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
P3rk Fee
Sewer Main Charge
TOTAL
STIPULATiONS:
,,
� '��I �
$ l�p� c'�'
$ ��I� �
$
$ ��
$
$
$
$
$ �y , ��
('iTY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth°b)
$.50!$1,000 Valuadon
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engincering
Agreement Necessary [ l,.l�t _lYecessary L l
i
I `' �� � y�-/
s � ���J
L�.,�,c�
�2J
�✓
�tu��.u��vc. E>�:�z�t-�- rr_�, sci{rnur_r
I iu: Chi;:t i3uilciir�p; Ulticial stiall, tx:lorc isseeing permits for thc ercction of any hui(din�; or stn�cturc,
ur t��r ,iny ac1<�iti<>rr tv�� �tr�y cxisiing i�uildira�; or Struclurc, ��r for �ny allcration or rc�jair to any cxistin�; �
I�uililii�� <�r s�ructurc, u�n dr�r�i�����o�� ihcrcforc, rcyuirc ihc paymcnt by thc al�Pi�cant for such �crmit
c>t l��cs t�> ih� anwunt hcrcin bcl<ny sc:t i<>rtf� .►nd in thc tttannct iicrcin �rovictcd tci-�vi(_
"i"O"I'/� L V Il LU E
� I to �500
�501 to �2,000
�2,001 to �25,000
�25;001 ca �50,000 - .
$50,001 to �100,000
$104,001 to �540,Q00
$500,001 1:0 �Z,��0,000� '
$i,000,001 and up
rrc:s
$iS (Mini�num Fcc is $!S ptus surcfiarge)
$IS for fust $S00 ptus $2 for eaci� additionai $lOt? or
fracbion thereof, to and inciuding �2,000 -
$45 for fust $2,000 plus $9 for each additional $1;000
or fraction thereof, to and incl�ding $25,000 �
$252 �for first� $25,000 pl�s $6.SU far each additional $I;000
or fraction thereof, to. and inclading $50,000
$414� for f�,rst �50,000 plus $4S0 for each additional
.$1,000 or fracrion thereof, to and includ�ug $100,000
$639_SO for €ust �$lOQ,OUQ ptus- �3.50 for each additioaal-
��,�a OL fY"dd10II til@tCOf, t0 3IId IitCilldfIIg -$SQQ,��
$2039.50 for ttie 5rst $500,000 pius $3 for each additional
$1,000 or fraction the�eof, to and including $1,000,000
$3539_50 for the fizst $1,000,000 pius $2 for eact� additional
$1,U()0 or fraction �thereof •
DRi'VEWAX DEPRESSION ESC�tOW
(Concrete C�u� S�reets Only)
Alternate "A": Remova( and replacement of curb and gui�ter only - Driveway width pl�s 6 feet times
�t3_SO_ �
A(ternate "Q": Removai and repiacement of curb and guttet and instal� a 3 foot wide
approach evith 6 inch depth - Driveway width plus G feet times $15_75_
VLRIFtCA"ClON Or rOUNDAT[Oht
t'ermits for cor�sUuction wi11 be issued a minimum of 24 hoars from the time of a�piicacion ta aiiow
for �r��cr revictiv of tt�c: �roposed stzucture and of the constiuction site_
A Ccrtitiwtc vC Survcy of tlie iot, showing the tocation of tlie foundation once it h�e it tfas hecn
constructe�i �vitt f�c ru�uire;ci befc�rc: p�occ�eding with ihe fcaaiing_
,. , ,
0
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. •
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. f .
f
t �
%
. ' �-" � . • '' EX7.'ER�OR �MlF.LOS'E AVCit)►GE "U" COfdYUTATION. . .
OWNER �� �-�i's'"�� '
SITE AL' IIIt�SS ;j Z Z� �/G��,��� s�� �(f�
0
CONTR1iCTOR � - � Gt/�''�� �� - DATE
d�o0
l.
0
�2.
0
PHCNE �� v 15 a �'�'
Determiie working square•footaye of each. � .
A�.1��Z � i�� '�aD � 'La� �t �t x .11
Total er.posed wall area ..... �� �sq. ft. X . l� -_ �ii• Z q��� _
Total roofjceiliag arca ..... � sq. ft. X.bu/ - �Cj,
�t�. �i,o� t,�+u,�,q ,a�.� .. . .r�� _. _ .. _ __ _.. _ . ,b�Zt,. - � t: 15►• � ' �.�
A. Total wa12 window area. . . �. i�. . . . . . . . . . . _ . . . -�v.%Z.^. ` � �
B. Total door area ............... i��� ........ •
G.� �otal sliding glass door area.. LA+�t.� ... .. ....
D. Total iireplace ivall area .......................
�. Z'otal wall frar.ting area (average 10$) ........... .
F'. Total Rim joist area ............ .............. O•�
G: Total Net wall area abovc floor.•-••-•••••••--• 3��•�� �
• Total exposed foundation �rea - .�
A. +rnt-al f�i�ndafiirn� wi.ncic�w area . .. . . . . . . . .. ... . .. . � .
�. iutal ..�t fo�::c:..ticz 3rEn .�bove 7ra3e.......... �!
. •
Determine "U" value of each wall segment.
a. •�` X "t7': •�y = �;_� '
b. X •�U,� _
c. �L� � X �.U,� . v/ _ �= /7
.
d. X "U" � _
e. X ��U�� ��� _ rj•7� .
• "'�
f. .t X��u�� � v'!�i = �; � 3
g. 3�i.� . X ��U_� .� .a� - � �s.ag .
h X "U" _
. i. x "v„ �
s.....� .:...........................Torzl = p .
.
Sf itcm #3 i, the svne as, or less L-han item Ifl, you have met tlie intcnt of
�I3C 600G (c) 2. .
� • .
0
�
S
• � � �.
.. �•
� . �..
• t `.. 1
. � '� ` •
� �� �
Tota3. exposed roof/ceilinq area � �. ��,�
j. Total skplicht area ................................�_ ;
k. Total roof/ceilir.g frsmi.ng area (averaqe 10$)...... �
l. Total net insulated roof/ceiling area ..............
Determine "U" value for each roof/ceiling segment.
i �(�� �$.$�+ X ~II~ .O=.�e � ( • 4.'.f �
k.�' �/ �.�i J( a�7° . ��i��_ a .
� 2.�5'rq.Zo � . OZ� 1►.1
� x "v" _��_ = t 3.2�
�w • • • . . . . • . • • • . • . • . . . • � . . • • . • • . . . • � . . � ��1 = 2� �
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
Alternate Buildinq Envelope Design
Ta utiTize the r_otal envelope system method, the �TaluPS e�tablished �; �f _
sum of itenu �3 ar_n #4 shall not be greater than the sum of :.t.:,:s ;�1 and �2.
1. q�•��i + 2. �•� a �L�•TX/
3. �i0.tn +�. 27• 4f� a I t? . 4Z.
. K `1
O�
0
I�o� : 200 �► W�— ,e�.E�.
� �►� �
�
�t�� "i�� ��
Wt��- A�-"j ��-
• � R
V
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.�oti.
��.
� ��V
�
, . P� ,
�'-Ti(%: �' • � ��
��': � :.L• S �? J.�
:�; T_: C:;:,� y�+� uf c>u�yu^ w311 area �or ••• �• , ,
f.r�c�c ca�i.rruction Gan�trur.ri�n R-Val�ie
'�--- '�/"-�- �� r'1 3. x'' rior '� r 4 i:m 4. 63
�,�' � 2. � � -
� :� ( , 3� in .rES so:r_ �onod .
!
� I y 3 4. 4if�'1'C►� • 2• D
� i� i � 5• �'}ffi�"d�"°'°'" �-p�° • 7 i
'�SIC �•� 5. E�terior air filr.i = 0.17
•IALL � 'Ibtal 1o.Gi �
. �_ _��
. C� � - . - . - .
FIG. �l TOPVIE:�1 Or^
g��,�, jq� 1. Ynt�ric�r a.;.r fi2m 0. fi�3
. . - - 2 • M �..--�- -- �.�"�
; •
g. " . 00
; . . J� . � ' 4.�� � � �2. to
�.,,
� � �L �._._�� 5. _ •'I t
1 �-�-^,�.: � 6. Ext�rior air Film 0. y?.
,__.._
i FiG. "2 � �_; _ � � Total Z?j•Q'�
R .c��� �
i � I ,� � V = . 0�-?7
� • � �.���, : � � �
� , j� '"'-'� '. 1. i.nterior air fiZ:n 4-68
� t, .,. �; f s � � 2 li" . �v
.
' _"�• i.:�y,,�l � i_.,�.�.._._......�'�j . 3. ~ �l. �! IrU �- �is
1 ( �j�:��= \ l:��'�` �� u� ^ �. . �.��
�, ��/
j�t1Cro� � �`?'' �
__�_ _ f;�-�_:��ti�._ �fl o. Exterior air fiim !�.�.7
� � � - �: ..��� � i . � _ Totai �,C�•� �j �
� � �' � �.! � .. - . ut .0¢fl
:?-�.�' �- ,-- � .
'' � � ^ti 1. Interior air �ilm q• ���
� . . . /�� t
� ,� . d�c% ��, � �. 2. �l 2~ V� ��i�71%V 1�' at%
'��_� iGi �,��'. •; ' - • 3. 1" COx�G P1.�- 1 Z'b
L" �� • '-� .
�r ' L�� • �Q� � ' 1i.
�4\ � � U . ���_� � . 5 . y
1' 'r• . .1
� . , � �' :�,- f,. .$: Fxterior ��; � -�, � ;� 0 7
ti ., . ~
i . . . Ta`�l �'i�.l�
�__tt ._... •
Y
� - � u� - ��
� � s� ori G�DE �
,- 4 -
, i ' • e , � ', . ` ..
• . � - . , • � , � . ��
r , . �lrif•1�r i( � , � ` .� - �
i ,
r-Y .� ' �!
� • � � , � i ( `?2.t � r ��� — � . . . • ��_.�
�� � _' �,. • = •; •" �_ '�1 � ��e�.�` l�( r ' � , ' � • • �/ t t`- � �
- . _ / -- • . , •', ' = � t
�1' . . . � ir� rr • "` � . � . ` ; f .
. �r,
�� ' � �_ �( • � ' ; �
. r ... r FIG. it4 il1 �5.� � , � /
.�
:,. �r3 . ' " � -- • f� /1! ,
•-� ' ` '!
�,� . . ti , . � `i 1 '� � � ' �
�.' �� ' , i , • , • l �r �� � _� �r r _ , �
,.�... .„ , .,. . .._ .... . . _ .
� , : -
, � -�BOOr%CEZLZNG
.._ .
Veated
�teat flov
up
FIG. �5 �
. • ..
9w�! .!r� �Nr'���.�Ti'.'w,',. ���1j(��,.�+�►,'�.��G`�4�CaEi+,
� �....._..._-- --= ���,
. i Heat f luw up ...
. .FIG. �6 •
3 �
..: s�•�•.i::'�W,
.
. vented
_... ._._._--
CenstrucLioi� {�se for Itera L1 R-V-.-- aii1=.
l. Interior air film �•�i
�. Sun� ,.S_�v
3. �.1�[ �N . Do
4. Extcrior air film (still fl•
�rcw1 �c .l °d
• , ��" ; Q�{
Q�c�. FRAMINGiUse for Item K)
1. Interior Aix fil�n • 0.61
" S C�yP�vn�. i�r� • SC�
�.
T
3. Inches soft wood 3�=- 4=3�
4. Inches insul above framing��fs. 3' 3-OU
5. Air Film 4.62
. i�8 " • � T7
u= .D25 -
L ��op�. ._..
. l. �ateriar air film ' 0.61
� - � Z • 5l� �Y�►'� � . - .. . , �(� -
3 . { Z" �j • �►$ .�
4. Exterior air film (still} Q:bI
� Tatal � �%
• . ' . �= `8��.
• NO.�I-F�h"TED
.., - •
. Heec
, , flo� up
FT.Ii. N'i •
.�
l',
.. .
r ��'AD14 _. '.
].. I side air film 0.61
2. S YPbvM $� • �
3. j /�z~ �o .no /. �9
4. /O z"�/d F�s 3�, . LS
5. Oiatside air. film 0• 1'7
� TQtal 3 (, • �v
, U=.oz7
N�Cc: Usc a�ditional syec:ts if morc- �: zcc is
�� r,�:ecied for d�tails as�d c�lculations.
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R�marks: �
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