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AF - 42318City of Fridlep, inn 6431 University Ave. 1�. E., Minneapolis, Minn. 55432. BUILDING PERMIT nate: .�P.��-�--? .�? ��O �� i651 p��. Michael R. I� Kohlrusch Buiider Same -- �Address _�$� Mon?-oe ," - - N F. � Addre3s _,Swmp LOCATION OF BUILDING No .—�.�.� 5treet �ires ide Drive N E Part of Lot Lot �_�._., Block Z _..__ Addition or Sub-DivL�oII r+�nrit�raon Tpvrgre Corner Lot _.__._.._..___. Inside Lot Setback __._. Sideyard '�'qfg�r/Elevation 889_60 _�'6iinld��Sb��elt�o� 8.2��60 Miaitat:�--_ Wye Ton of Footing DESCRIPTION OF BUILbING To be Used as: 988 .�1?i?+�. _ Front —38�._ Depth 2g�&2�t.� Height �2.LL.— Sq. Ft -b.,�--- Cu, Ft. -23.�f2� Ga.rage �.0 Front 19 � Depth 24 � Height 10 � S4. �• �� 1'ype of ConstruCtion Wood Fraw.� Egt, Cost .._. `�.��.�3�+ To be Completed �� mnni-hc Stipulations: Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: 15' W.of Manhole (Approx.) WATER LOCATION: 11.1' E. of Sewer Service, 26.2' S. of Ma.nhole� 89.3' WSW of Manhole on Fireside & Hayes In consideratian of the issuance to ane of a permit to construct the buflding descr3bed above, I agree to do the proposed work in accordance with the description above set forth and 3n compl�an with all provisions oE prdbanc:es of the city of Fridley. � �I 77 StAtc� R�+rrhargc� -- In consideration of the payment of a fee of $___3Z.�Q0__, permit 3s hereby granted to Michael Koh7.rusch to construct the building or addition as described above. TY�is permit is granted �on, the express condition that the person to whom it is granted and his agents, employees and worlmzen, �ln, all Work done in, around and upon said building, or any part thereof, shall conform in all respects •to the orc]inanc� oi li'ridley, Minnesota. regarding location, construction, alteration, maintenance, . repair aad moving of buildiIIgB vyithin the city limits and this permit may be revoked at any ttme upon violataon oE any oE the provi�iona of Baid NOTICE: This permii does aot eover the eonsfruefion, installation for wiring, plumbing, ges 6eaNng� sewar or watar. Be mre to sas ths Building Inspeetor fo� aeparate permifs for these items. �. e lond Plonning su�u�� . 6875 Highway No.65 N.E. Land Surveying � n� �� Minneapolis, Soils Testing ��/��G°��J • Minn. 5543Z Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Code 412 Certificate of Survey for Iv�l J�� _C� iU�i� i 0 1�enote5 iror� �-��r�ur�,��t ��ir��t �'r�iv� -- � �.27 -- Iw � aO � �"��'�E � I a, � �r � p � � ��m�w � � ,�, . - 9 `"'� ., ; ; . � +�= i r= , � I � � � � � i ;- � �� 6�— ----- ��__ -� i�-- — 54.5 — �� I v�� - �� . �'= 3�. j�;-, � � � � � � S C QI Q:1,r�� = � �, � �� 1 � �ut��er�,�� A��.e At1U��l l�OUtl�y 1 hereby certify that fhis is a frue and correct representation of o surver of the boundaries of the above described land� and of the location of all buildings thereop� ond all visible encroachments� if ony, from ar on said land. As survered by me this day of ,�_e �' A.D. 19�. . , s �s 86S-14 SUBURBAN ENGINEERING, INC. Engineers ,� �u^rveyors by � e /�f e (.�—�''-' •.f'_e�,_.� - &^ _ - s� r,. r � APPLICATION FOR RESIDENTIAL, Ai,TERATION, OR AllDITiON BUILDING P,�RMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : /�Avc►�IAEL �,_�c�klLit�Sela BUILDER: ADDRESS : �I�C,� M�tUP� �-r��i' ADDRESS : NO:. 1'39� STREET: F�►R��IDE. $�R�� - , „, LOT: � BL�K: Z� ADDITION: ��ERv�1� �E�� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:______m_� Applicaat attach to this form ZYao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � y�F a° � �e3�� Front : 3�°° � Depth : ��`v �� Height : �`' ��G�'�'-P� ., Square Feet: / Sr Cubic Feet: 0/y . CpAl�i4��, Front: �4 � Dep'th: �� Height: �� P Square Feet; Cubic Feet: Type of Construction: w�e,Q� Estimated Cost: $ot'?,se��,°� , / '� '��r� � �t To Be Completed: �` ' � The undersigned hereby ma.kes applicativn for a permit for the work hexein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordina,nces and rulings of the Department of Buildings, and he�eby declares that all the facts and representations stated in this application are true and correct. DATE • �.�4 �� r `7 `al S IGNAT[iRE : �r1('i d c �► m Q. � , � • � - (See Reverse Side For Additional Informa.tion.) _ �, ; � �' �m� _- r , � r . . � - .,.. -.a: njr�s,-f'=s�""�� _ _s— A /� �–� _ i% � ; ? r 1 BUILDING PERMIT FEE SCHEDULE SECTION 2, The Inspector of Buildings shall, before issuing permits fog the erection of any building or structure, or for any addit�on �o any existing building or structure� or for any al�e�ati�n o� repairs to any �ac��i�� building or structuxe, upon a,�plica�tic�a� �h�r�for�, ��q�?.:�� i�� r�°�,:� �� r�� applicant for such permit. of f�es i.o t%e �� L��°�� ,� ��r r�,,�;�� ,�� the manner herein provided to-wit: TTNIFORM BUILDING CODE o Type l, 2& 4- �� e 15 �a�. �a��a o�e �hoaas�.�d cubic fee�, or fraction tthexeo£e in such cub�.�a.i con�ent�, 1�sp� �� 5-$�m��, �or ( ��ch oaae thousaaar� �u.b� � f�g�r @ � � ?� - I °Q ' .l �,Ji j� �. L �1 a ' � .r ( �3, ,f� � l , � a °� , � =t ';' � \ �''�,, � "� e�, �a �>. E� �• '� �' i -- 3 � ADDITIONAL INFORMATION `�_ �S a % 9 J Z For the purpose of computing fees for building permits, the cubical cbnteni�s of any building or addition, is determined by multiplying i�he ��°oaancY area covered from a point six (6) inches below g�� looY lin� of i�he basemcnt �a� fiY�� cellar to tlhe �v�s�� h�iahr_s ;r� tih� aap�� 5a1T�3C� or to tkae aver�ge �a��.�I�� o�' �tYa� ��of .�cx�_� a��.� �� a.� �i� gab��. oft ?� �ite��d �oc�f e . For repairs or a l tera t�vns to an ea is � iaag s�.�uc ture, �he f�e sfl��,l l l�e a� ti�e rate of $3.00 per each five hundred d.mllars ($500,00) o� fraction thereof in the cost of all proposed warlc, In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDAI'ION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to �llow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it haa been constructed, will be required before �roceesiing with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupa.aicy shall be mad� ten (10) da,ys prinr to the use or occupancy of aany structure for which a building permit has been issued; and said striacture shall not tse used o�c eccupied until a Certificate of Occupancy has been issued. w ,; , � � � � � �, �� m� � � �, �� L � � � � Z � � � v U� � 0 � w � � � �1� Iy � � ��o w � � � � i : � � � � � W W M � � � � W �� C r �6 � �S �� . ; �' � : � s: � M � o 8��8� M � � �� m I � � o w� � � a � � � � � � a � � y � � � $ �� (�i O � � g � �s w �° � r � �� ' g �� x � � � � . � � � � � � � �� 7E � O a � N � 8 M I � ° � � � �a��x �� B �$ � R' Or x�� s x� � � 0 ��8,� � �� 8�8� � � I � � O � P I _1 � � m � � 1 0 � � � �. S � � e � � � � � � ��R�� ': �s � : � ��: : � g:::�. � A � � �. s �a��e �� d� ��' � ° � �� . � �� .� � . �, _ � ��:: ��:: � gg . � g :. . �+ :� � ::: . ._ � .:: �:: v : � � � : � � 8�888 Q e � � � � � � � �� < � � � � � � � a � � � « w a. a o 8888� � � � � I � I 1 a a� � ��$�.a ., - � � �. c��.� .. �� s a�r �ry~O m O� � �� ~g�. �� m� �� , � �� .. �� s �,a� �� & �Q� w .d 6 � � � � � �. � �� a �. • .. . ,.; • � �1��►i LOSS CALC9JI.ATIONS j �� AC �� oT_/� �� Weatherstrips aGu deE• Construction No. I� Indows Doors Reference Out. Wall Int. Wail Ceiling Roof Fl�or II Kind �s—No I Yes—No 19 � � �c�, I G � Room Length /� Width /� Height �L (,�' Room (indows an oors--Crackage and Ar�a Windows and Doors—Crc Width HeigM No. of lineol A. A►eo Wideh Height No. do. of pene of parre Iight� of oack sq. N. No. of pane of aane ligt ,7 �? C5 � S o� � G) d s S[ R ��`,'L� / /�S - � Coef Btu � � � 7filiration � �/ �v � (p� � Infiltration alass O o[� Glass xp. �vall Exp. wolt �let exp. wall (� 1 Ci %OU Net exp. wall nt. wall Int. wall �loor Floor �zi�. c� lv / � cet�. iotal Btu. v Total Btu. 2equired sq. ft. E.D.R. or sq. ins. W.A. lender area Required sq. ft. E.D.R. or sq. ins. W.A. leader area ��• � a Room � Length Width Height /,� % F�• 1 — Room � length J 9' Width /o ,Yindows nd Doors—Crackage and A�ea � Windows•and Doors—Crackage and Areo � Width Heipht No. of Unad if. Araa I Width Haight No. of Li�roal A. Ar�o No. of Paee of pam Ilghts oi uack W. k. No. of Pairo of parro Ughts of vadc ul. h. � .� .� n �. Insulotion How Applied h /p Width •S! Height �_ e and Area ineal ft. Ane �f cracln sq. ft. � cR O Coef Btu /C-� d �� i�o� : / /7 /o i a /S / o iv yo . O► �i 7 �d C3� � �O@f BtU � � Infiltration lO U �!� Infiltration Giass c�l� `C, / � C-� Glass �xp. woll q Exp. wal! i�Qt exp. wail lp /V �j �f � Net exp. wali lnt. woll Int. wall �iaor (03 � � I Floor Ceil. � �� Total Btu. Required sq.'h. E.D.R. or sq. ins. W.A. leader area / FI. (��=� . Room � length /� Width Windows and Doors�Crcckage and Area Width Helght No. of Unwl A. Ar+a No. of pans of pan�_ IIgh1� of aeck sq• h• Infiltration Glass Exp. wal) Net exp. wall Int. wal! Floor Ceif. �,�� /� Totat Btu. � Requir�d sq. ft. E.D.R. cr sq. ins. d1/.A. Leader areo Ceii. Total Btu. -� �� `I I ` �- �� -- �� I �,. m � � � �.+: _ -- �i � Required sq. ft. E.D.R. or sq. ins. W.A. Leader areo % FL � � � • Room � Length �j Width �, Windows and Doors�—Crackage and Area BtU I 1 QInfiltration ��pG G�ass Exp. wall � �� Net exp. wall Int. wall !� J� Floor /�DO Ceil. � Total 8tu. Required sq. fT. E.D.R. or sq. ins. W.A. Lecder area -� . � � _ �; � .'L�+� ' " � � -. �� - - �I � - « ,. . ,,,. . : r9�c4T 0.�5S CALCULAT10�i5 � . Weatherstrips � aS.H.V.E. Construction No. � �nsulation Guide ndows I Doors Reference Out. Wal) Int. Wall Ceiling Roaf Fl�or Kind How Apptied _ s—No � Yes—No ] 9 ( _ � F�, � Room Length � Width /[,� Height �FI. f — - Room Length f� Width o7 O Height �indows and Doors—Crackage ond Area. Wind4ws and Doors—Crackage and Area Width Hetght No. of Unaal R• N►ea Width Hatght No. of Linsal h. Arw 70. of pane of pane Iights of vack W i►• No. of pane of pane _ Iighls of aack p. H. � � o�� f� Ca� � Q � ti � � Coef Btu � Coef Btu 9� ��' �� Inf+ISration fb fU. D v �filtration " QfO ° �lass SL O a70p Glass !!� V 5�U ° xp. wail �,� Exp. waU ��t ex wall ��' O /7�0 Net exp. wall O 9/Lb P� i.,. ...,,n .�i�, . /..,5� ?r �� :eil. 'otal Btu. ;q, ft. E.D.R. or sq. ins. W.A. Leader area � Room � lengt .�lidth� ond Doors—C�ackage and Areo - -- . . _ .. . ..___� z w.Y Coef I Btu �� nfiltratian I 31GSs ?xp. wa11 '�iet exp. wall {nt. wall Floor CeiL 7ata1 �tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader areo FL � , Room `length / Width�� Heigh! � Windaws and Doors—Crackage and Area �dth Height No. ef L(ma) k. A►p Pla. of parw of pans Ii�hb of ereck W. ff. �� ! � � %C� / /� �� Coef Btu lnfiltra4ion � g� �E' °� Gloss � � '�� Exp. wall c�'a Net exp. wall S� � 7�� Int. wall d/1i � d � Fioor � d � � � Cail. rt/ �c� Li Total Btu. � Required $q. ft. E.D.R. or sq. ins. W.A. Leader area Ceil. Total Btu. � � m � FI. � Room � length Wid�h Height � Windows and Doors--Crackcge and Area — Width Hatght No. of Lineol h. Ar�o No. of oans of pane Rghis of aack sq• k• Coef I Btu � Infiltration I Glass IExp. wal) I Net exp. wail Int. watl Floor I Ceii. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leade� arQa FI. � Room � Length Width Windows and Doors--Crackoge a�d Area No. IWidth Height No. of lin�al h• �� of pane of pane lighta of craek sq. N. Coef I Btu Infiltration I Glass Exp. wall Net exp. wall Int. wall � Floor Ceil. Total Btu. Requirec! sq. ft. E.D.R. or sq. ins. W.A. Leadar qrea _ �: � � R [' : � � O . � : � : � ' � � � . � . �� \ � � � "� � �'�� m � �x� � w � � � e � � � �O � ii: � � �K„i � � � � '� � t�n � M N �, � � a �• 5 � � � M � � � � � � � � � Q � � � �� y � 25 . � a ° � � � � ' bd �p : �' °6° � ' � G . . : � 0 � N CI 10 M PO CC 04 k i� k 8 � 8 �8 � 8 �i � � 8 � �� O � N O � � o� � I �� Z t � � 1 � .� � � 0 �� r � m y n m 0 C r P7'1 X � � � �� 0° S¢or1� � � � wAnR � � I URINALS MTM ' � n� P� �' lASll/f 41 ; 1 SINKS � � .�, wwv+ rw►rs QRINK. FOUNT. � � SHVY0.i. �� RLOOII DAAINS i un►, �i NlSINS �uro w�u 6�5 I APiI. � ° � ° � � a g � °r � � � � � � � � w � � � 0 ( � �, ot p N � � � � � �: � � � i; RANGE GAS OPFNINGS ,. a • c, � � � � �� a� � � � �, � _. � a . ��$ ' �� ' �� m�� r�� , � � �� ° �� -� � � d � � � � � � � �� . � � � �, � � � � � � � , � � __ � \ . V � U� � �� ,� :� .�� : r � � � 00 r � � � � � � 0 � � Q � R � �° o � � � ��r C' � � � � � ee � � � � � °� �� b s .$s � � � � � : �� : � � :: � M � O 8��8� M � 0 � 0 � � a � i � 9 �1 8 �° c � d � � U � a s 0'3 � O r ee � g �Y �, s � � r � �� 8 � � � � � � d y � x ��e � � � � � x � � �� o��s ��g,� � R � � � I� w � � � w �o 0 0 ssss rr � � � � � � Q � w O �) � � m � � I 0 � � r!p O' � � 8 R+ R� � � �� S � � � � �s: �s � . � � � ' • � , • • � � . . . . � a�g88 �, � �� I� � �� Iry � � � • � � �' � ,� � m. �. R• _ 8 . R� �a ��,. � 3�a�.. o �. . , �v � .� � � D. . � � � � , r.',' � — m�: �� . �.� : . � � � � � : .... � 8 • � � • � I' .. � '-' � ' �. . . .' 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W . . . � o . . � o < . ,� . o o . , e a o ♦�� o • o . a e s o e s� � � � e � • • 0' e •�� M• • e • e • o e ��. • • o • o o a e e . . e . . e • • m .� . . . o e e e a � . • • e s y� � i • • • • • s o m e • � • • � •� �• 0 • � • M M M � N M t M � � � � m � ~ � �' � � � M r � � ' � � V . y� br � V � � � � � • • 1 � j/} M �� ~ N N i � � � \ll �J'1 � � p O' .� � I � � , � � � i m � � z Z m D � n O � � D � � �"� i�: � � � � � i97 � � � C � � � � a G � � �� o' � � o m ' � � ��' � ' .� w � �� . � � � �� a �� a�� • �"�" � �� N � R � � � �� N � � � d � � � � � � �� . �. � � �� F� �� • � � � �y � � S m � � a � � w � � � � . � � � m m � m t� m � � w � � � � �l"l N �uae 6� 1974 Mr. t�li�hael Kc�hlrusah 139� F3seside Drive N.E. Fr3dley, Mi.�nr►eso� 55432 �' '� '� Rea F3.n�a1 in�psction� • �. Uear Mr. IWhlrusrc�: We �i.11 be �.iriq at� inspect3on o� gous' home� � ch�ck fa� �t'�upletion c�n Jta1.y 8s �.'37�3 �� ZOe 00 A.M. , ,� �n my i.��p��ia�� ' Jone �, 1374� r advi�ed yau the qr�tuiding �o�s1.d have tcs conform �tro Ccxie. Also a].7. visi.ble wirir►g s�i11 be prs�per�� 9.nataZled and �teapped. it mus� be aea� and� .;hot looped and �aiet�d. a� iaac�;alleci in a ra�rk�msn lik� �►ann�r. � �i it daes r�ot meet our approval, we wi.11 have no cho�ce bu� to request you to �p�.oy a lic�nsGecl elec�ziai.an to �orrec� the violat3.o�. �'ii� o�her a3.tarnai:ive is bsginning �h� di�c.ror�sci:ion p�oceedings. in addil:ion tv fi�.e electr3cal def3cienciee, �we also svant ;��t€� ma3te a s�ructura]. i3.ne1 in�pect9.on o� �lae same da�e and �ime. `� I�:fmh � Sineerei�t, � ,, _ .,� LEOt�ARi! EYt�iMil�isEFt � Electrical Inspactor �'•. sue�ecT ERMIT NO. City of Fridley � 15 6 9 6' � AT THE TOP Of THE TWINS g U I L D I N G P E R M I T ; � ECEIPT N . � • COMMUNITY DEVELOPMENT DIV. � � �� VV � �� r � � PROTECTIVE INSPECTION SEC. � . � � � /�"1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BV �"""'� � ,�� 612-571-3450 910-F15 S��SO � � JOB ADDRESS 1398_ Fi res i de Dri ve N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 2 GI,ICIdQi"SOiI TeY�Y�IZCE SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Jeffrey Johnson, 1398 Fireside Drive N.E., Fridley 786-7756 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECTORDESIGNER MAILADURESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Room Addition 9 CHANGE pF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. W�Od frame 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—� 3�LO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. 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 � ��900 'rJ.95 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 72.00 PLAN CHECK FEE TOTAL FEE 8.00 95.95 SIGNATUREOFCONTRACTORORAUTHOR12EDAGENT IDATEI WHE PROPE L �I AT THIS IS YOUR PERMIT � n a � �� .,� : �3'_ � _ �'� `_ `� _ S Na7URE OWNERU WNERBUILDERi �DATE� BLDG WSP �pTE 0 CI7Y Oi' i�RIDLCY • Ai?PLICII'1'IOi� f�0i2 f;ESIDCNTI/11_ CiU1L.l)IP�G PER��IITS , � . (tdei�l, 111ter��i;ians, Adclii:ions, or Repairs) QYJidER: �� C��-�'�SU.� �UI LQCR : . �� T ' ADDRESS: /�� Q�-Sr��, �� . �� ADDRESS: • � -= � TCL �f0: ��g (o.- rl rT�o TEL f�d0: ' Construc�ion L.ocaiion - STRT��' b10 : ��CT STR�ET: �l %�.Ci.� / � � � L�1 �L�, � � ��,� LOT: � BLOCK: �� ADDITION : (� t�t�U ,Q��SU � � %��.�+C(`.J Carner Lot: ' Tnside Lo-�: Setback: Sideyards: ApnlicanL- attach to this form two Certi�icates oi Suxvey of lot and propased building 7.ocation drawn on certificates to scale. DESCRIPTIO(d OF COtdSTRUCTION � ! 1D�IT10� I'ron�: �C) � Dep�-h: �(9� Heiyht: �d� � �qua�e Fee�_ �� Cu�+ic Feet: � • Front; Depth: lieight: Square• i'eet: ' Cubic I'e�t: ��7� Type of Cor�s�ruction: ��d,(� K� i�� Estimated Cost: $�� Se Oompleted: ` Alte A Alt. B P�opased Driveway Widich If New Opening is Aesixed: $� $ SE� REVVk..RSE SIDE OF SHEET T'iZe undersigned heieby makes a�plication fo� a permi�L ior �.he ��ork herein spec�fied, agreeing ta do a11 wozk in s�rict accard�ce witl� tlie City of rridley Ordiiiances and rulings of L-he D��pari:��ient oi Buildings, and hereby declares i:hat all the facts and representatioris stai:ed in i:his apZ�lication are true and correctm DATE�: �i-��-�b SIGNA'.CUI'�: 5i:ipulatioxis : � 32ox 37. � �/.�ldo ' � ' �Z.Od 2rr ,�P � pC ! $ • Od �� . ' Q�e �� i i a . (00�� . � /• � � � �� , ''• �.L r � IiUJ LU11'iU 1't�lit•il 1 I't�C :��-lit:l.lUL.0 , ;;1::C�70N 2. `i'1►e 7»r.:��r.r.L•or of• l�ui.].cli.�i��: c:hri7.1., �,cf.o�:r, i��.ui�,ry l�er.nni�� 9:0�: l:hc err.cL•i.on c�x �iny 1�viJ.c1_i.r�c� pr s�Lrur.t:t�xc:, c»: Cc�r. uny acicti.t,i�>n i:a ��iy cr.i:�L•i>>r,� l�uilcli.i�rJ �r ::trucLwrc, . a�' f.n�' ��riy ��.].t:�rc�tio,i oz r.e��c►ir.:, L•o •;�ny c::i,tic�� 1�ui.lcl.i.>>y or �L-�:ucturc, u��on a�,plicati.on �tlicrcfor.e, icc�air.c Uic ))a�mcr�t; by U�c ci)��?.i.car�i: ,tur. such ��ezmiL• of fee� to L•l�c arnounL- hcrei.n )7c].a�•� �ct 1:or.Ch �incl iii L•hc_� mannr_n c�rc�ai �,�x'ova.dec3 L•�-v�iL•: � � 1�1:47 CO1I;�TP.UC7.'SOI�: S.i.��,yle l.'�zmi].y Ilomes �ziid Gar.��.qcs: $4.00/�.,000 cubic icet4 PLht1 Cltl•�Y.: ?.5 per.cenC of l�tii.Zdi�z�J }.�enn�.t fea. DItIVL•'W111' I)�.L�RL•'SSIOI�: (Concrete, Curb �tr.c��Ls Or,I.y) . ' � • nli:crnr�i:e A: l:e�n�val an�l rep�_acrmenY: of concr�te curb and yuL-ter o�ily; nri.veway �ai.dtli I?lus G feeL- x Y�,5o75 1�lternatc �: Fem�val and rel�� acement of concreL-c curb and ' . ' gui:tea: arid i.rlsLa].J. a 3 ioaL- caide approacll �viU� �' ' ... 6�.nch deYt}i; Ur�.vc;•ray width �J.us 6 feet x$17.85 . • . ._pJ�i� i Li c� ��n L I n� r- g. r�;� r i o ,�;�,,, I'or the purpose of computin,q fees for l�uilding pex'm5.ts, the cuba.ca]. con�en{�s of any building or addition, a.s dci:ez-mined b�� inultipl.yi.ny Uie c�round area covered irom a . poijiL- �ix (6) inche.s below thc floor I1.11G of i.l�e bnsement or t•he cellar to fhe aver�.ge iieighL-s a� ihe upper. surface or_ ta L-he average lieiyht of ihe �roof s'uri'ace o� i11e maa.n gab�.e of a pitched roof . � Fox repairs or a].i:era�:io:�s to an existing structur_e� the f_ee shall be at the rate of �3 e 00 �ier each fi�Te hundred dol.lars °{$500. 00) or fraction t:her.eof �n filie cowt o� al]. proposed �•�ork. � . , ' Tn •no case slial.l the fee charged for �z1= permit as set fortlx a.n Sectzon 2 be Xess than $7.50 plus $.50 state surchargeo ' � ��RTFICATI��! OF FOl1t�dD/ITI01� ' P30fiE: Permi�s for construci:ion will be issued a minimum of 24 hours from tre taine o� appl.icai:ion to al�.o�,+ �or proper revieia of i:1ie pxoposed �tructure and oi the r.onsti-uction si.te. 1l Ceri:ii�.cate oi 5urvey oi tlie l�t, shoc,=ing the 1 ocai_�.an o� �.he foundation once a.� has 1.�een construci:e� �.�ill be xec�uired betor_e pror.e�di.nc7 �ai�ti the fr�aming. Ct:RT I F T CpTE OF �.�G�;C� 11p�:lica�ion ior a Certifa.caE:c oi Occ:u�a��ey shal.l �e mac�e ten (10) days pr�.oz to the use oz- GCi:uk�a21C�� ot any si:z-uctuie ior ��liicl� a buildiiig ,��crniit Ilas been issued; a�id said sisucture shall �iot be used oX accupied unt:il a Cea:�:i�icate of OccuZ�aiicy has Ueen issued. . _ ' � . , ' ' • ' , ' • , . 0 w � �, o� z � Z� �� v QO ��N I—O �� _� �vd ~ �� Z c/J —N� p,—� � d- �-- � .f' i % �; � /' j i" - i �� I i� i� i /' i i � \� �' \ I �� ;� �„ �� , \� � ;�, ,,� ,'e � � 0 z V z 1-- �n X w �__ !°e► . �. � � � J � � � N '% � i; ' ! O( i / � i" '`0 �� %' 3 � � y; � .� 3 / , � � :.% .+ �C1 � % �� Q � ,; O � �'l � � � CC y, ', � . � J � _, � „ � \ � � v � . � � r £�TERGY CONS�RVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION • pLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR IAIE'ORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans ccanply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsi.bil�ity to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: � 4-i r� , � � • 0 ��ow�R/ _oiv��,c�roR: I ,��--� b � � �� ' � fa'� - - � -- - � � n ' ADDRESS : - � s' ,� � f � , � d �_ � A • q`--.�%i � PHONE : � �` � ` `�' `�' . A. Determine the Total Exposed Wall Area as follows: 1. 7.bta1 wall window area 2. Total door area 3. Total sliding glass door area 4. Zbtal 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: Tota1 exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA �n � ,_',, ; � v � a��:� � � e � �i �, � � �'xj� ✓ � � �� ,�.� � I�� - :� ,�. ,� u�, � � B. Multiply the GRAND TOTAL EXPOSED WALL AREA X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area �ov�� -;k�+��a F�t` �'�~��' A'� 11. Tota1 roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA �.�,� Y>�w;�x� �� . � � � �� K, p ��`._f D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X.OS = , o p��;o�� rr� s��. , Item I _� �; 3 �c�` Item II �2 �� E. Determine the "U" value of each segment (1-9) and multiply by the area as b f ol lows : f � 4 , 1. X "U" _ H---_ ,--_T--- X---�+II = - 3. X "U" _ • � X U" _ ,�� `, a � �J. ��i �� '��i' � }( nZJn ,,� � _ • r'°'(� ° " ..x 6. � �� X nUn e�, � � _ �_� . `-d � ��_ ; _ � I � 7. i' �,� X ��U�� D�,� �� 8. g °Un = � 9. / �✓ + � 1� g ��U�� n � � _ �� Q° ADD 1-9 FOR TOTAL WALL SEGMENTS = I�M III F. Deteiznine the "U" value of each segment (10-12) and multiply by the area as follows: 10. X "U" _ 11. �,�� X "U" � _ � - „ 12. `�_ s� -� � X o�U�� y � _ '�- �°� ,�° , ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS - ITEM IV 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 Item IV is the same as, or less than Item II, you have met the intent of State Builcl.i.ng Code 6006 (c} l. I. Add Item I + Item II = J. Add Item III + Item IV =. K. If the sum of Items III and iV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above infoYmation has been �repared and submitted by himself or under his direction, hereby ackncawledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building perntit application. 3 By: DATE: �1: / I �. B. H. BRADLEY /� /� JJJ��' / J GIVIL QiOtNEER AND SURYEYOR �` V pV e LO r � r I�� /( � e� /� v� C j� 982B-24rw AVENUE SOUTH V � T � � � �� MINNiAP04B. MINN£BOTA lBQG ! � � � �/ t v + I,�1 � � � � ns-af� ,-. ,� . � 4or � F i r � _.. - . __-.r.�.._�v� . i . � � � ,�B ��- �t�'°� �� m � , �, 7/. z � .. P 2$, . . 1 �v � �'.,�� •� , v / ... . � , . ,� 1 . � � � , ��, ii ; � � /3 98 � , . _ •� � � ��' � , r i' i�/ _ ' o�,1¢i+ vtQ S j t-a h ��: I �� A � . � �� - . . � . - - . � , oz° ,: � /i - . . _ _ , . � � . � . ( - � � ��' .. _.. � � � � � . ^.. , � _ . . .._ - \1 GI � __ _ � � � . ` 6 �� 6 _ ��raiht��'�ur,��ty ea�,�en�- , , . . � .. � : �---� � c �i �_� .r� �� _��' �'�Gs�_�G3(��'-�'. f:� s� c7 f� /,� c� �" _ _ _ : _ • � ' __-- _ � - - ------ - ' / i �� .%!r_ldl�-�._�.�__�_ --��,��t'��_"�::..:��.lI:�2� -�� ` .. . � � �' - - � � �� r� � �. �" $ r � �"� � � i--� �� `�' �- �'. �`' �� i?�� "� � , �- �� - _ - ,;' f� _ E �' 1 ,v `'�...,{�-�� ^ J.� � . A . . - -� r� ��' � --- --� �'. , . � � � . . - � ' . - P a r : p. . y . .. • d: °�� _ • . SUBJECT N O. City of Fridley � 16 58 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � , � �a: ----- � COMMUNITY DEVELOPMENT DIV. � � � / r j � PROTECTIVE INSPECTION SEC. � � � � � 1 /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �"""'� � ,�� 612-571-3450 910-F15 5/20/82 / / 108 ADDRESS 1398 Fireside Dri.ve N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 2 Gunderson Terrace SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Jeff Johnson 1398 Fireside Dri,ve h.E. 786-7756 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION O REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 23" Deck 9 CHANGEQFUSEFROM TO STIPULATIONS See bea� changes on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TL p,a, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION 285 OH WOFK IS SUSPENDED OR ABANDONEO 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 AND EXAMINED THIS APPLICATION �' STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1, 550 yfis %S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- $26.50 $TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $13.25 $40.53 SIGNA UREOF ONTRACTORORAUTNORIZEDAGENT 1DATE) WHEN PROPERLY VALIDATED THIS IS YOUR P RMIT .� c3 � V d� SfG A OF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP nATE � CITY OF FRIDLCY Effective Aug. 1, 1981 APPLIG/1TI�J fOf� RESIDCf�TIl1� t3U1LQIf1G PL•Ri�iITS (W�►r, Alterations, AddiLions, or. Repairs) ONJ(�ER: a�e�� Jo�hso �r� [3UILOER: �� -� .. ADDRESS: � 3Q$ ��Y-�5��e �S� . ADDRCSS: TEL N0: 7 S�O � 7 7 S� TEL i�0: Construction Location - STItI•T'�T NO: � i�� STI2EET: �/ Y't°S 1 �1`e � R, IAT: � BLOQC: Z ADAITION: � �sV1 ��{�� `�� 1� V� Corner Lot: Insiiie Lots SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates ef S�rvey of lot and proposed building locatio� drawn on certificates to scale. DESCRIPTIOtv OF COtJSTP.UCTIO�J �� CI� Front: �`t t Depth: 2 3\ Height: �+ Square Feet: 2-�� t�ibic Feet: , Front: Deptti: Height: Squar.e� FePt: Gvbic Teet: ��' �' �'� F o ��.��% - "`� � !� S0, o� Zype of Cor,struction: � `��c'� ��p� �- ��el1G�� Estimated Cost: $ - Rb Be Obr.�pleted: �j �j � p�`�i5 Alt. A Alt. 8 Proposed Drivearay Width If New Openinq Is Desired: $� � 0 , SE� RzVERSE SIDE OF SHEET . T'iie undersioned herebl► maz:e� application for a permit for the �.vrk� herein specified, agreeing to ao ,all work in strict accorc]a,ncc o�ith the City of I'ridley Orciinances Paid xulii�gs of the Delh�rtment of Builaings, and hereby declares that all the facts and repres�tations stated in this �pplice •-- D.'1TE: � l� ^ � Z SIGNATUItE: Stipulations: � ( ' r �� ,�� .C� I �. �`' , ; •.�� r - �� , ��_�,� � �1.� � �. BUILDING PERMIT FEE SCHEDULE The Inspector of buildings sha'11, before issuing permits for the erection of any building or structure, or for any addition to any bxistinq building or str,ucture, or for any altezation or°�repairs to any existinq building or s tructure, upon application therefore, require the payment by the applicant for euch permit of fees to the amount hezein below set forth an8 in the m anner herein provided to-wit: TO'rrAI, VAI�JATI�i $1.00 tc 5500.00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 FEES 510.00 Minimum Fee 515.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including �2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and includinq $25,000 $170.50 for the first $25,000 plus $4.50 for each aaditional $1,000 cr fraction thereof, to and including $50,000 - 5283.00 for the fizst S50,000 plus $3.00 for each additional $l, 0�0 or fraction thereof , to and includiag �100,000 $100.001 and up $443.00 for the first $100,000 plus 52.50 for each additional $1,000 or fraction thereof PLA[d CHECK: 25 percent of building pexmit fee DRIVi�VAY DEPRESSION ESQtOW: Concrete G1irb Streets Only Alteraate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet u$13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimwn of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction s3te. A Certificate of Suzvey of the lot, showinq the location of the foundation once it has been constructed will be required before proceedinq with the framinq. l SS� �� ' / �C' I.J � � �o.�r� ( 6s' e�� . � � � .�, - _ � N � � � � � � � � a � � h� ld� � � � , � � � 6'� °,� �,q, . 9 a� '� o v,. � � �� . � � U � �-� . � � � ,� s � . 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BIOCK TRACT OF ADOITION SEE ATTACHED DESCR. ] 2 Gunderson Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald/Kelly Newman 1398 Fireside Drive NE 785-0540 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WOFK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Reroof House (19 Sq) 2nd Layer 9 CHANGE OF USE FfiOM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE REOUIRED FOH ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT AUTHORI2ED tS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION � STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �. O�S .,rj3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. Z%, GO Fire SC 1.OS PLAN CHECK FEE TOTAI FEE �S NATUAE OF CON' ACTOq OR AUTMORIZED AGENT IOATEI �1 �� WHEN PFOPERI ALIDA ED THIS IS YOUR PERMIT � � �� ' �.� .,� � ,�►2.�' :� Si NATURE OWNEAi�FOWNEABUILDERI ID TEI 'y, - BLD -�NSP �iFT AtEW ADDN ALTER (] [l �l ConstructionAddress: � Lega1 Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECg AREA: OTHER: �ffective 8/ 1 /95 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �'2 g/ a Building Permit Application � � I�� ' , � Tel. # 7�'� ��>Y� MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the pro�sed construction dra.wn on it to scale. Length Length DESCRIPTION OF IMPROVEMENT Width Width Width H�ight � Height Hgt/Ground �� _ Tel. # Sq. Ft. � Sq. Ft. %��o Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Ty� of Construction: Estimated Cost: $ i� �� Approx. Compietion Date: (Cost on Back) " eway Curb Cut Width Ne�ed: + 6 Ft = Ft x$ _$ F'� ATE: ��/ Q APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Patk Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��"�, D� Fee Schedule on Reverse Side $ � �� .001 of Permit Valuation (1/lOth%) $ � $.50/$1,(�l0 Valuation $ $850 per SAC Unit $ $5.00 (State Licensed Residential Contra.ctors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �� . �� 3iJILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,� $2,(�1 to $25,000 $25,(�1 to $50,0� $50,001 to $100,U00 $100,�1 to $500,�0 $500,001 to $1,IX10,� $1,000,�1 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $SQO plus $2.75 for each additional $1� or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1, 000 or fraction thereof, to and including $25,IX10 �349.75 for fust $25,� plus $9.� for each additional $1,000 or fraction thereof, to and including $50,(�0 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $ lOQ,O� $887.25 for first $100,� plus $5.� for each additionai $1,000 or fraction thereof, to and including $500,0� $2887.25 for the first $S�,OQO plus $4.25 for e,ach additional $1,000 or fraction thereof, to and including $1,000,0� $5012.25 for the first $1,(�0,(�0 plus $2.75 for each additional $1,0� or fra.ction th�r�f DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�. Altemate "B p: Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF �OUNDATION Permits for construction will be issu� a minimum of 2� hours from the time of applic�tion to allow for proper review of the praposed structure and of the construction site. A Certificate of Survey of the lot, showiag the l�ation of the foundation once it has it has been consbructed will be required before proceeding with the fiaming. y � � .!s ADDRESS PIN LEGAL DESC CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�i-36u4 r�Ax: : 1398 FIRESIDE DR NE : 123024130064 : GUNDERSON TERRACE : LOT 7 BLOCK 2 571-12ii7 PERMIT NO.: 2004-01459 DATE ISSUED: 09/Ol/2004 PERMTT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CON5TRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- OWNER SHAWN WETZEL 1398 FIRESIDE DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and laiow the sasne to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MII�T (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 117431 �r,rfuc.� i� r�x►vu i � xr,tlultc�l) r UK W UKK Ul ti�lt l HAN ll�;5(;Klt3�;ll A13U V�. 20.00 0.50 20.50 Building Inspe�t��ons 76�-572-3604 DATI SI'I'E -� Y � �� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WIT'H APPLICATION PERNIIT TYPE TYPE OF WORK: RESIDENTIAL APPLICATION CITY OF FRIDLEY . � �..� : , � ' � '.' � . ■ • - • •� Q' [� ` � � � - �/ � �,� . r' Y�; .: •:; r"�%;y, � � � �,.�_�►.�.�Dl._ � .1 �, I � COMPANY NAME:_ CONTACT PERSON: STATE LICENSE �1_ PHONE ii�S"� �• . . � i / 1ii L ��1/ _� • � ._ .. O SINGLE FAIvIfLY ❑ 7W0 FAMILY o r�w [�.rt.�cE►v�rn' DETAILED DESCRIPTION OF WORK ❑ TOV�TTEiOUSE ❑ ALTERA770N/REMODEL Permit No. �G�� Received By: Date Rec'd: PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.40, whichever is greater, f�r the improvement, installation or replacement of a residential fixtwe, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJEC7'S WI�RE U�BOR EXCEEDS $500, FEES ARE BASED ON $] 0.00 PER FIXTU1tE, EXCEPT WHERE NOTED. FDCfURES: (IIdDICATE TOTAL NUMBER OF EACH BELOV� SIZFJBTU Equipment Installed , MFG: MODEL: 1VffG: MODA,: SIZFJBTU MFG: MODEL: SIZF/STU A/C $25.00 FIREPLACE (GAS) 515.00 . _GAS RANGF�OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.Q0 � UGN1�T HT�R Ol� _BOII.ER 535.00 _FURNACE $35.00 CHIIvWEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35 00 DUCT WORK $10.� _GAS PIPiNG $10.00 VEN'TII.ATOR $15.00 � r�� =�� :� ,� .-�--�._ �_ r,--. ,...,: ...__ .,_ _._ _.. Permit Fee $ 25a Number of fixt�ues @$10.00 x$10.00 =$ Surcharge $ 50 Number of fixtures @$15.00 x$15.00 =$ 70TAL DLJE �� Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ 71-IIS IS AN APPLICATION FOR A PERM�T NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclrnowledge thai 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 germit but only an application for a permit and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of a ork �' requires review and approval of plans r � �j� SIGNATURE OF APPLICANT �� - � PRINT NAME DATE �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � REQUIRED INFORMATION NEEDED TO PROCESS PERMIT � RESIDENTIAL PERMIT APPLICATION HVAC ' ❑ NEW HOMESIADDI�IONS ❑ EXISTIAIG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) . a, pil or solid fuel IMC Chapter 7 with MN Amendments b. NatUral Gas or Propane/�GC Chapter 3 with MN Amendments • 2. Make-up A�r (See note below) a. IMC Chapter S with MN Am endments 3. Venting a. Ga.s appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & rAOli.ng load per room a. Required on new construction IMC 1346.0312 5. Ventilation . � a. per M1�T Fnergy Coc�e 7670 or 7672 6. Duct Design Per IlVIC 1346:0603.2 a. ACCA Manual D NQTE: Cenierpoint Energ� Mechanical Code Guidelines software may be u�ed for comb.ustion and make up air calculalions $uildi�tig Yns�pec�i0ris 763-572-3604 ?63-502-4977 FAX From: 612 303 6002 Page: 1/1 Date: 2/4/2009 2:14:43 PM P'LUM�IN� RESXD►ENTIAI� APPLI+�A'�Z1JN IA �Y`Y'`',� Clk' FRIDLEY Permat No.• U� � �i� Received $y:�� D��: � 0 4 OO DATE p� � LI - E�I � ,, YOUR E-MAIL ADDFiESS �I.��ar.r� s,/�f.r � ,� Oat�a��yf. /Z/p *' SlTE ADDRESS � THIIS APPWCANT is: �WIVE�R,W OCON7RACTOR PROPEATY OWNER/ TENANT �xoxE:�'� ��; ) � S� !�� I B 1 � _ •c�,�C� .'�n-.�.. � v� NAMB: -- SUBMIi A COPY OF S7A'rE LICENSE # Yo[� s�rra� . �� nArr� raeErrs�, aa� �wn sr�ar� aaNn � F.7Q� DATE CER.TIFTCA'I� OF �p�ng. C17y S7ATE Z!P INSUR.ANC� PIiONE Fpx P'�TtM1T TYPE 'Y"YPE OF WORK: �GLE FAMILY O NEW �E'TAILED DESCRIPTION OF WORK O TWO FAMILY Pd'R$PLACEMENT � 7'OwN�IOUSE J 11 , � � .- �� PER MS i 68,665 the persnit fee is a miai�anm of a15.00 or 5% of tbe total cost np to SSQO.QO, whicheve� is greater, for th� i�mvement, i�gu8tibri br replacemeat pf a�sidetlti815xt[ue, exciuding tj�e f XttirC6. (This shonld reflect only the cost of labor } I.Bbor cost under $3pQ =$��,00. Lsbor cost batwee�n $3Q0 �o $5U8 = cost of labor x.OS = plus .50 sttroharge OR F021 P'ROJEGTS VYHERE L.A,HOIt LXCBEDS 5500, FEES AIiE BA&rD ON $IO.DO PER FI):T(JRE, EXC�Pr WHERE NO'i'ED. FI7('t'f,JRES; (WC.IICATE TdTAL N[JMBER OF EACH BELDVI�. N(nVIl� F� S I5.50. _ BA1TH SIIdiULAV FLOOR DRAINS SHOWER WATER. PIPII3G �, BATHTUH t7AS p1PING (NEED CITX LIC) _ SWIMMING PC10L wa� spFrNBR (�35) _ a.07'�6S WASi�IER _„ KTfCiff.N S1NIC WA7ER CL05ET BACKFLOVI� PREV. (S1S) � DISHWASiiEli � LqUMjI{'j( 7AF,y WA'iER HEATBR (S35) �OIi 1RRICiATTON � WATER ME7Ek OTf�R $1 Feo DUE $ Number of fxt�ues (r� $1fl.00 x $10.00 = $ Number of fixtures @$15.0p � x$15 AO =$ �� d 0. OY2 Number of fixtures �;a $35.OQ x$35.QA � 5 State Surcharge = $�Sp _ (11�IINYMUM $ I5.50) Total = S / C_ �r� TF1ts iS Ald APPWCATION FOR p pTsRMTI'.NOT'VALiD UNTIL PRaCESSED I hexeby apply for � plvmbin� pert�it aud I aclrnowl�ge that the info:mation above is complcte and accurdte; that the work wilt be in confor�nance v,rith ths ordi�ances and codes of the City of Fridley and with the Minnesota Consa,�ction Codes; that Y undersstsnd tfiis is not a permit ly an a pUcatyon fur a p�rniit apd work is not to start without a perrn;t on site; tt,at ti�e work will be in accordance witti, the o�ved p i e case of all work which requiras review and approval of plans. � SICrNA9'Uk�OFAPPLIC � � ee,�.T....... �-, / ,. ,_ _., /. �.� �,� .. .� . , _ �. APPR4V�DC3Y City of Frxdiey Bwildin;g Inspecfiioas Dep�rtmeat 6431 University Avcnue NE, �ridiey, MN 55432 763-572-3604 FAX: 763-502-4977 AAT�— �— � � TOTAL P.01