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AF - 45175� �� Caty of Fridley, _Minn. BUILDING PERMIT Date: April 17, 1968 �1�� 1'� 9670 pwner; Dougl,as �ish g��r S. E. Templin Blder A$�ir2ss Address (1$�. S t in c nil $1,'��.,, LOCATION OF BUILDING No. 5991 S�t Ga.rdena Lane _ Part of Lot Lot $ __ Block 1 Addition or Sub-Division �ardena Melolands Gardens Corner Lot w Inside Lot ._._.X Setback 35 �._._._ S�deyard _ Sewer IIevation ____�'�-�1 ._ 928.4], Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwellin� �t 33' �p� 26' H��t 2 stor�q, �•t, 834 �, � 13,344 Garage Front 20 � Depth 22 � I�eight 1 � Sq. F't. Cu. F't. Type of Conatruction Fr� F�� Cost —_..�.18a.?�� __ To be Completed SEWSR LOGATION - 54' East of Manhole WATER LOCATION' - 12.3' East of th Sewer Served off the � cul-de-sac In conaideration oP,the isauance to me of a permit to const th� proposed work ffi acc�rdance with the description above aet ordiaances oP the dty oP FrYdley. / 00.00 Sewer the ba ufl�ng descrlbed/ �ove I agr+ee to do ia� n�i compliance �Fh a'll provisions oP ^ /.�n _ . � w�t r,/- - � In camsfderation of the payment of a fee oP $ 33 . 00 � p�t is hereby granted to S. E. TemAlia to construct the buflding or addition as described above. This �ermit ia grauted upon the express condition that thepers�n to whom it is grented and his agents, employees and worlanen, fn all work done in, around and upon said buildiug, or anypart thereof, st►all conform in a]1 reapecta to the ordinanceg of Fridley, Minnacntg �CggT�IIg lOCBtLOD� C0118tTllction, alteration, main ce, re and movin of buildiuga within the dty ]imits and thia permit may be revoked at�y time upon aay f the P�� of asid ordinancea � I � Official � c,�==:^;� �asterlan,d NOTIC� 'Ilils permh doas aot eever t6s eoes�rnetioe, iestalla�ioe fe� �rhiae, P��9. ea heaHeg, ww�r er water. B� sun to s� t6e Buildlo� le�ta� for aparab ps� Por t6as ham�. APPLICATION FOR BIIILDING PERMIT . . CITY OF FRIBLEY, MINNESOTA OWNER' S NAME O � ��S' � BUILDER �� . / � �`f•P/ �G./" \ , annx�ss annxESS //�� ,/��6v ��-- LOCATIOAI OF BULLDIDTG N0. ��/ STREET � A�� PART OF LOT LOT BLOCK � ADDITTON OR SIIBDIVISION�� ..�� CORNER LCfT iNSiDE LOT �" SETBACR �� SIDE-YARD r�.11iZ .�.� SEWER ELEVATION F'OUNDATION ELEVATIU� �, �� Applicant gttach to this form Two Certificates of Survey of Lot and propoaed buildin� location drawn on these Certificates. DESCRIPTION OF BUiGDING To be used s ; -��°�" Front`�_Depth � Height � �9 .i. � � � Sq. Ft. ��-�� Cu, _ Ft. ,% �" �� ^Q: � � �� _ Front y� s Depth �� v° Height `� �-;�' �� Sq. Ft. Cu. Ft. � � Type of Constructioa �sr� Eatimated Coat ��J a� � To be completed �� The undersigned hereby makes application for a permit far the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rul3ags of tlie Department of Buildings, and hereby declares that all the facts and representations stated in this applic&t3,on are true and correct. � /� —� � (Sched�ile of Fee Costs can be found on the Reversa Side). `�.. � � �1 �a ? �<� � �r�,. �r � � ,;� . � �! ,�� a �, � ,� r— /""1 . , � � �'1 � � � � ;/ BIIILDING PEItM�T FEE SCIiEDULE SECTIOP 2. The �napector tif Buildings shall, before iasuin� any permit for the erection of any building or etructure, or for any addition to any esiatiug building or structure, or for anq alterationa or repaira to any exiseing building or atructure� 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; 2.1. For anq such permit for the erection of any fire-proof building, otha`r tha a garage, warehouse, fac�tory or grain elevator, or for the erection of any fire-proof additiou, for aimilar occupancy, to any eaisting building, aha11 be at,the rate of $1.40 for each one, thousand cubic feet, or fraction thereof, in such cubical contents. •� 2.2 For any auch permit for the� erection of any fire-proof garage, warehouse, factorys or.grain elevator, or for Ehe erection of any fireMproof addition, for similar occupancy� to�any exiating building shall be at the rate of $1.25 for each one thoueand cubic feet, claesified as "f�,reproof" bq Section 502 of the Minneapolis.Building Cocle. SO_ . �. , 2.3. For any auch permit foi the erecti.qaf.of,any non-fireproof building other than a garage,.warehousa, factorq or�grain elevator, or any non-fireproof addition, for �imilar.occupancy, to any existing bui7,ding - permit $1.00 for each one thousand,cubic feet. G`�iiAGES 2,4. For any such permit for the erection of any non-fi�eproof garage, warehouse, factory or grain elevatoz, or for the eraction of any nqn-fire-proof addition, for s3milar occupancy, to any egisting buildiag or for each auch building or additfon - ninetq cents ($0.90) fo� each one thousand cubic feet or fraction thereof, 3n the cubical contents thereof�with the minimum of $4.00. For the purpose of computing f�ea for building permita, the cubical contenta of any bu3lding or addition to a uniform height throughout by multiglying the ground area covered from a poinC six (b) inchea bel�ow the floor line of the baeemeat or cellar to the average h0ight of the upper aurface or to the average height of the roof sur�ace of the main gable of a pitched roof. 2,5. For repaira or alterations to an existing aCructure, the fee s?�all be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fractivn thereof ia the cost of �11 prdppsed work. 2.6. in no cas8 8ha11 the fee charged for any permit as set forth in Sactio 2n be less than $4.00. STORM REPAIR.DANIAGE FEES: , ,� Residential; Estimiated Coat. of work up to $5r..!?,n� �- 55.�� Estimated Cost of work ove� "�•��,:;:.+�>;a �'. �: . . �,. ., , _ 0 Commercial; Est3mated /'�`}t of w��'s �,, ;; "� _ , , ,��1 ., �� r� , p-� � � �� Es�imated t,,,sC of w��'.c or�ar Y.;�a:t°...i1�! -;:C).;, . . �� ,� - � � HARYEY A. CARTWRIGHT ANOKA GOUN7'Y'. SYRVETS KENN6PIN COUNTY BURY61/8 MINNEAPOLIS SUR+,VEYS 8410 PALNL_ 3'fREET N. W. BUNeET �4•7688 OWNER INDUSTRIItL - JUDICIAL BUSINH$8 - TOPOGRAPMICAL CITY LOTB - PUITTING S 8I1'1. 2't�tiip �. � il c��cs�r & o�soN LAND SURVEYORS R601DT6R�D UNDBR LAWd OR' BTATE OP MINNE80TA LIC6NSC0 BY ORDINANCi OF CITT OF MINNEAPdLIa 328 PLYMOUTH BUILDING FED6RAL 9-8721 HENNEPIN AT SIXTH • MINIVEAPOLIS 3. MINNESOTA �urbepor'g �rrtiitcatc. ; i � 4 � / � / � � o,� � � . � � � *,�.� {�� 1 ` ,� � g. . � � �" � �r�� -,,� � � .�� , �'�' `� /� � ✓�y% �.°r d �� . °.�'� . � � � � \ � / 0 , � �� ,� ��• � � �� - 1� .3 �' . � � �� . __-- � ''�' `�`a. � � -� �_ !.� ;Pr�E �.. �� _ �, . �� _ _ _' �. �°� � � � �c---� �d � . . ___ y � /7� an Uf.^f �` �` /�� j'/`1y9s� 1� � COMBINING THE qECORD8 OF J. E. HILL, Clvl� ENGINEER EBTABLIBHBD �sas C. F. SANDHOFF CIVtL ENGINEfiR SBTABLIBNED IY08 JAMES NELSON SuRVSroa EB7ABLIBMED IYSY METROPOLITAN LAND SURVQYORS, EBTABLISMED �931 Invoice 22876 � � - P� � °� r y � _ �-- T Fzere�ay ce�^ti.�'g �h�.t i;1Zi.s i� a. tr� ut�.c� correct reprosent�.�ion of a sur��y o-�'; L+�t 8, Blaelc 1s Gardena Iie� ol�.nd Gard�n� As surve�red b�r me tl�:is 9th d�y Oi 1VOV�171bEr' 1,962. �,�}�,�, /. /�v/� �� ._-�-- SICiNED ��fi��'°_ .'�� r^"•'�'` �- -.'�� .,\ ��,_ CO""S 16HT AND OL90N �'� rP F S � d� ��! � ro � o `� p ,,�,, : y 0 . � . m . N ' o : � . m �J . � . � � F1J � � �� N � � � � � a �� p� � w m� z x � o W � � 4� '' � � � � � � � � � "" �' � � �� M �-i� e+� � fD O W � �1 �' "'� ' � � � � �+ • '�', '� � : � � � � : � p b � ,� � y �. : � �: ��.: M a ° � en �� $�� . . . 04 . . . . O � : ' : � : : : : : : : : � : : : : 0 0 oa �a �a " �e �e �e �e � �e Ci� � N {� N� W � N � ,L�� °o .o�, °o „� � .6�i g .b�i � o � � } 7 { fl � � �y :id ifl {f! EA {fl {fl � � O (� O o� � �� zy t' 0 Q x � � � � � � D � � � m �^ lI 2 m C r m Q � I �z � a � � � � � � � c � c � �� - �i��l : ...1 : s i�■1 - - i3�� • • ■��, : ■N�� 8 � �� y � a a p O "� n �n rb � � � � � � �' � � � � � � � � , � m� d � � � 0 m � z 0 � O � � r � � WATER aosErs URINALS �� russ e�sns SINKS was►+ rw�rs DRINK. FOUNT. st+wRS. �.00n DRAINS UTCH BASINS AuTo WASHER GAS APPL GAS RANGE GAS OPENINGS 9 • 2 • � �i D m F m n p � � A. � �D � � � o � � ro �� ".�°� � ��.�� b�� o�� p��o �¢ o p �" 'A�, o M ��w � �.� �� y �� = � o � � � � � ~' M 3 � w � �' � r`C � � ro w� � x & h°n p � M � �, i�s � m � � '4. �i ' � C) � �' �7 � � � � b\ � � � � � � �. x� 0 m � � � � �� a � x � 0 < ;.° �, o x � � �� N r�� y x x � o r x o H � �' � x x x � w � G] o � � � z �� fA � fA �n � � o � � � m � � 41➢ � � �W A � w ro ~ �. r p \� � fD O fi K x � a � � i w � w N n O � � � y w � �. � " W cxi � � � ►y �• M o '� � � N, � N O � o ' o° v�i : O � . . � : : k ,e sa o N � O O Q � � � � � 0 � � r W H f) � � � � � � O � � � � �r A b z m � w pp ;Q C7'1 � � � 'J � � c� 0 � O � � � � � � M W x � � o e� � a �r . G� a N ro � y m C �o M � � 0 �A O 0 b � � en G O � 0 r 00 C �o � < �0 :°: � w oa `"' �� '! � �' y O .� � O � � "! � N � to • �: �� E: � . cn O O ff! ''y! � w � z � � M O � � � r 0 � �'1 � � � � � z N o 0 � N I 0 d � � � x M 0 � �� ,a"'. a cw.� o 0 0 J] �C � � � � � x� ° � � � y ' r� � � � N � � o �" y G R° y ��m 9 �aa �P � 0 O � � � � � � N N 00 pp O O O O ffl i!! ff! H3 � y a�* z � 8 � � � � � � � � 0 ,� o O O � � m � x 0 � � � O b e�+ � w g i� � � � �° � � � �� '°� R° R° � � � � � � � � � � o y M �' � R° �� 00 � O � e� i ' '° � $ a"r � � � y� �' a � : G � Hi G . ' �Q Q � . . �+ .° � : : � N' Cn t7� lV QO G� O C G G O O O O O tA {A 4A &! H1 m � � m �� t0i bd 5 oa �( � ' � � ,�,�I; I m� �+e � � � b � S .• �] � � � � `C � � � a � � � o � °, m � � � 00 � � � m � cr b � ° a � � � � � . p� - . � O : : O 0 . . C . . $ : : : a t� cn o� opo � O O O Q � � � � Q � c.A.� e b � �� ro M� � ly� y � �f � °' a a`�i �� 4 Oc�op� y d�� , �b o �� °� � p d �'C er d O � y � � d � � b �: 5' w � �' �ro �:y�� d- `�� Wnp �. m p, o M �� a� �..� : �� y�ti � s�� o x��' �pp� p. wP �� D � r � � m � 2 m C r7 d » � `� aror � a A � V O �- �,�- �.� :�e �� F�.� � ��e � � ��_ % '° H�A'i L,0$$ CALCULpj((�S DEPARTMENT OF INSPECTION _ .�• Weatheratrips A.S. . Conetruccion No. _- ulation Guide ' ws I rs Re#er�nce Out. Wall 1nt. Ceiling of F7oor Kind How Applied ' es o Yes No 19— F`I•�. i/ oom Length' Width �eight FI / Room I.eagth Wideh Height Windows and 'oors—Crackage and Area Windoraa �nd oora—Crac�age and t�rea �Vldth Helght No. oL Llneal ft. Area Widih Hei�ht No. ot Llneal tt. Area Ne../ ot�ane o[ maA� IlBhte ot oraclf �q.,�t. No. o[ Da o Ilghtr ot cr4c eQ. � Infiltration Glasa F�cp. wall Net exp. wall Int. wall Ceiling Floor .R. or sq. ina. W.A. ader area om Len�th Wi� and Doors—�Cracka�e and Area � In6ltration Glaas Fzp. wall . Nec eap. wall Int. wall Ceiling Floor Tota B � � Requir q. .D. r aq. ins. W. adee area �, � Length ideh VVindowa aad Doora—Crackage and Area Wldth i[�I�bt No. ot Lineal tt. Ares No. oI Dsne ot paae llshts ot crack ea. tt. 1n61trateon C�laso E:p. waq Net e�cp. wall Int. Wal� a Ceiling � l�loor i Tota) �eu. ft. E.D.R. or sq. i�s. QU.�►. Leader area Btld lnfiltration Glaaa Eap. wall , -� . Nee e:p. wmll Int. wall Ceiling �� Floor ��.l� , Total Btu. Required sq t. . R F1.1 � Etc Windows and Door w�a�n Helght No. ot Dane ot pane BtU � ' ^ Infiltration � Cilaas Ezp. wall ��i� Net ezp. wall Int. waU Ceiling ► Floor �// f _ Tot Btu. Btu Windowa and Wldth 1 ot Dan J or aq. ina. WA. ader area om I �ngth ---ilf/idth ' —CrackaAe and Area i'^ � � �/ �/ D.R. or aq. ins. WA. eader ares Room I Length °�.''��Vide Deors—Crackaee aad Ana Infilteation Gla�a Esp. wall . - Net ezp. wall I�t. wall Ceiling --- Floor / �� , k Total Btu. r �-� �— Required sq. ft. E.D.R. or aq. ina. Wr4. L.eadee arma � ��i �:J . ' � �, � ��ctt .(.�[�Cl '�� a� :�. , HEAT LOSS CALCUI,ATIONS DEPAR ENT OF INSPECTION NQNNEAPOLIS. NIIPiI�. Weatheratrips A•S• Coaatructio� No. Ineulation ' Guide � ' a I rs Refereace Out. Wall Int. Wall C.eiling Roof Floor Kind How Applied e Ye 19_ ifl. �` m gth Width Height Fl.� oom Length' -°^—VVidth Height Wind and Doora—Crackage aad Area Windows and Doors--Crackage and Area �Vldth Helght No. o[ Llaeal tt. Ares Wtdth HalBht No. ot Llneal [t. Ares No. o pa ofr�a� Ilghts ot crysk �Q.`t. No. ot oanl ol�Da4e 11Rhte � ot Crack W lY Iafiltration 'i��.`% ' Glaaa Eap. wali — Nec e:p. wall Int. wall Ceiling Floor Total Btu. Requir sq. ft R r aq. iaa. W.A. ader area m � Length �i/idth ' indows and Doo rackage and Area Wldtd Helght No. o[ Lineal [t. Aree No. �ot van` o4ptns IIRht� o[ er�ck w. R. In6ltratioa Glau Esp. wall Net e:p. wali � Iat. wall Ceiling _r Floor Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area Fl. Room � Length Width Windows and Doora--Crackage and Area Wldth Helaht No. ot Llneal tt. Area No. ot D�ne ot paae 1166t• ot erack eQ. tt. 1n61tration � C,lase �' J'' S' Exp. wall � Nec e:p. wau lnt. wall Ceiling Floor Total Btu. Required eq. k. E.D.R. or sq. ia�. Q/A. I.eader area Infiltration Glaas Fap. wall Net eap. w Int. wall Ceiling •— Floor Total Btu. �7 %'� � Required sq. ft. E.D.R. or aq. ina. W.A. L.eader area � ight � �,I Room I Leagth Width Heighc Windovas aud Doors—Crackage and Area Wldeh Hel�ht No. ot Llneal !t. Area No. o[ yane o! pane ll6bu at crack ea. tt. � Infiltration n Cilaaa Fap. wall � Net e:p. wall Int. wall � Ceiling � Floor � 'I'otal Btu. ` Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area Room I l.ength Width Height ighc � Fl.� Windowa and Wldth I No. ot pane c Btu Inhltration �� C,lasa ��y�' �f Exp. wall Nec ezp. wall Int. wall Ceiling Floor Total Btu. and Area neal tt. / crack s ft. E.D.R. or sq. ias. WA. L.eadu ana Btu � � d � � � � r ct y p � : �i . 7i : � . � • M : o . a r7 : � . �� .►1 • 0 0 N � � � � � a�� p� � w�� z Gxi � W � � � y �' � � � �p � x��`° �� s' � � � °' � � `° � �j �$ � � � � � Y � ¢ o � �. : � ": �`° � y a p � � : � � : : � 8 : °° : a � . . . oa o . . . . : : : : � : : : : : : : : � : : : : F"� � 0 x x �a °1 �a x �e � x �a G�i � [� N W W W F�+ � � S�S�S�g��g�� 6s {fl � 1fl tfi t�ld E!i Efl tfl � H H � H H � �' � o � � D � � � � m � � 2 m C r m ° �' o Z � � � a o � � ro � � e�`h � � � � � ro � � I bd � � �� ., m `� � � � °�T �,� r p � �� p � � � � _ 'a � +.� m �� . . ....1 : .�.1 � i .�, � ■■■, • • ��, : ■N�1 �� 8 8� � m a � � .�e � � �• y � ., � WATER aos�rs URINALS enr►+ � ews�rg SINKS w�, ranrs DRINK. FOUNT. sr+wRS. FLOOR DRAINS G7CFI BASiNS �uro V✓l�� GAS APPL G/�S RANGE GAS OPENINGS a � 2 i � �n D p n � aa� � � � p'� °N, � �� ro�a � � � � � � ��•� � ��a�� o � � � �° � �a � � '" � � m y�. � ro �� b N ��' �m � p � � � � � � � p � � � p O� ~ � ��w a�� o��: �B�y �� m(� � r� M � � ~+ A � "x CO � ��. C gd ?M�i A ^ M � �a A � C� M p � M o �. � � � � ,�i �� n � � � -r' � '7 r• p„ �- g b � o � � � � �� 0 m A � �. � � �ca N �f O�j W � � � �' F",' City of Fridley sue�ecr P�ERMIT4871 , ` AT THE TOP OF THE TWINS B U I L D I N G P E R M I T RECEIPT . r � �L _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. i1 i i --N� �'�';,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV � 612-580-3450 910-F15 8/23/78 � � JOB ADDRESS 5991 Gasdena Lane N.E. t LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 Gardena Meloland Gardens SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Rc�ger L. Schutz 5991 Gardena Lane N.E., Fridley 529-7704 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDIN(3 RC'.S].CIP.ri'�].3�. 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 2Q' x 12' Addition to �3i� back of garage 9 CHANGE qF USE FROM TO STIPULATIONS Provide a hard surface driveway. Install 8 inch by 8 inch footing axound perimeter of slab. Key �dex old footing (_6 inches by 6 inches). SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ Fi�fl THIS PERMIT BECOMES NULL AND VOID IF WOflK 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKiNG I 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 WITH WHETHER SPECIF EDNH REINIOR NOTOTHE GRANTING OF AO ERMIT $�-� 737 $.86 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ' $9.60 PLAN CHECK FEE TOTAL FEE $10.46 SiG TUREOFCONTRACTORORAU HORiZEDaGENT IDA7E1 EN P PERLY VALIDATED THIS IS YOUR PERMI ��.� ��o ,P` ^ �� S �� SIGNATUR F OWNER IIF OWNER BUILDERI IDA E) BLD INSP I]A E , � cr��r ar- r-«��cY . APPI_IC/17dOld t=QR IZL:STI)f:ldTIAL B�tILDIMG PEftf�flTS (j1�L"•W, �LTLf�/�TIUtJS, %�UlliTIOWS, OR �EP�IfZ5) OWt2�R: � Address: ' � nuzz,u�c�t: �c]�F�. l z � �f#c,�. i � 1�ddress: �� / oA-2�&V� �j� Tel . ldo . : �� ; � �'� 1do. : �j �C%/ 5treet : � F}2 il �U Fj L.�y�t� �, � LOT : � BIACY.: / T►DDITI OT7 : � A-/l. ��U (-� ri1 L`�.v L�9 rtJ-0 � !�A-o2 �0 � � CORIQER LOT: � INSID� IAT: SLTBACY.: SIDI:YARDS : Applicart attach 't-o L-his form Tao Certificates of Survey of Lot and pxoposed bui.lding location drawn on these Certificates. . AESCRI PTIOf'd OF BUI LDI f�G To Be Used As: � �o F1��1�0� ��Ql�. Front: aU ` Depfih: • /�� ' Heiglit: /��. Square F.�et: a�Q Cubic Feet: o?��QO �I'ront: � Depth: � Height: � Squa�:e Feet: Cubic Feet: ' Type of Construction: ��i ��Afi't�. Estimated Cost: $ ��%3� 7�b Be Completed: Alt. A A1�. B Proposed Driveway iaidth If New Opening Is llesired �/� $ $ • ----�---� (S�� 22�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all caork in strict accardance �aith the Cit�� of r•xiai�}� Ordinances and, ruliligs of the Department oi }�uildings, and hereby dec7.ares L•hat all the facts and representations stated in this application are true and correct. See reverse side iar additional iniarmation. DATE: g-��i- � Stipulations: � � �� .a � � �a �-1(� SIGNATUP.E : � �ff %�� lr?�K/�( ! �J � � a � �. � . BUILDIf�G PERC�IIT FEr SCHEDULE SECTION 2. The Inspector of Buildings -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 repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit af fees to the amount herein below set forth and in the manner herein provided to-wit: . NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and � gutter only; Driveway width plus 6 feEt x$14.50 Aiternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$17.20 � 1 1 1 � 1 �' : � \ For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the mai.n gable of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Zaer 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 $7.50 plus $.50 state surcharge. ' � � 1 � ►1� �� NOTE: Permits for cohstruction will be issued a minimiun of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. _ , � , • 1 , Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used.or occupied until a.Certificate of Occupancy has been issued. �� HARVEY A. CARTWRIGHT ANOKA COUfdTY' BURV�YS M6NN[PIN COUNTY SURVEVS MINNHAPOLIB BURVEYB sato PALM afaEeY ro. w. SUNeET 4•7638 OWNER ItdDUBTHIAL � JUOICIAI. BUSINE�S - TOP06RAPHICAL GITY LOTS - PLATTING Sam T�np13.ri / � '�� - �� ° s,, �� L�'t�l) �Ul� `�EYO�S RE61flTHRQO UPIDHR LA10V� OG BTATE OF MINN@SOTA LICEN6g0 BY ORDINANGQ OF CIT1' OF MINMgAPOL18 326 PLYMOUTH BUILDING FEoeRq� 9-B721 HENNEPI119 AT SIXTH • MINNEAPOLIS 3. MlPINESO'i'A :�urYepur'g dertificate. . d � � / � ( � �� . . .�..:� _ .� � . � a � 4 1 � . � ! �e � // 1 �� S� �a � tio — �o �r . V - , � � � � � � ti � • „°'�f�'� � � � � , � �� 0 COM61MIN6 THE RECOqD9 OF J. E. HILL, Gvi� EreaN��n �BTNBLIBHQD �ees C. F. SANDHOFF CIVIL ENGi1NE&q aeT�eusHeo �ooe JAMES NELSON Su�v�yoa EBTABLI�NEI) IYYt METROPOLITAN LAND SURVEYORB, cet�eL�sNCO �vs� Invoice 22875 � �''I�t� � � �'' ��, W l3J � � � �°. 3�„ w � m, ti. p . � h� n c.a .� � /' /1 `s' o ' �7 h. .. r.i 0�. 4 P� �� . r, . r � � '"' �}•, �+ o �aj � tic � o � °! '. � � . L„^""r�� d i _�.-r- � � .. ._ - { _ _ �-- � G •�tG°/99G°�df � •---� "_'� V1� l/�! �!-=,, 9t •�i/?R� �k'pf� t i't''a�."� tiy�� f , � I her�by c�rtit`� thrtt �:�i,� is a tru,� �:nc? correct represent�t3on of. a surve� o"= Lot ?, �locl; l, Qar�ona ,'•_P� ol�:nd Gard�n� As surve�+ed b� r.o t!�.i.� �tll c;ay of :dov�riber, 1962� RiRNaD ..r_.� � �ae�;--';°"� �`� �� ,�.;�°'�,.ti.��-�.`' ��.,� ' .� � . �.�,..��J:.:; _ Y �.(t(? "c;!'! ;'^a :t�:.�':f� � T� ..,.•::. °"t RIGHT nroo OL9�b •-• t : � �` �� . .:.��;,�� , '� r V� � i� 'I O 1'i (' ;.: . :�n ';..uM � ��. � pa]t�tux�s� • , ow - �� •Is�o.xau�wu� 'J � Y a� . (. � � ., e �, l. . .".EiA:i i1.7f1M 7A 14+nn .�, __ . i x � \ � � � � � � � � � � � �� ► c�? � � � , �- N � . � 4 � �, � � � � � � �� I ;t �� . a �h � I" � � � �. .: �. , r ; , r i i ��-�-----.. _...i,.� � • � � � � I ` t •`.�? � : � '; � 1 r �r , �� j ; ,f �' I .��,, i �, ,, 4 • � � �I �' i J ; '� . , , ,� ;; ; ;� �y ; � , ; 'ii� •�i � f'�i'� i ! �.{� , j � i ! � ,I: � I , j � + 1�j,;, ; j �` ��'s� �� ; �; � ,� ,� �� - � �� , ;f �: ;,� ' t��.�� : �� ; ,� � � �� .f � ,: 1 ' , ,, ., r , �� r � / j I ' � �� ; � � � i � ! � I i i ; �V � 'i � i ' i i : ! �� i/. � i C � SUBJECT P City of Fridley 18 5 S 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � � RECEIPT NO � `v __�___ COMMUNITY DEVELOPMENT DIV. � r � PROTECTIVE INSPECTION SEC. � � � 1 i � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPqOVED BY �----� • •�� 612-571-3450 9t0-F15 8/7/86 / / �oe Aooaess 5991 Gaxdena Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 Gardena Meloland Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rr�ger Schntz 5991 Gardena Lane N.E. 571-9354 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sc1IIl@ 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construct a 13' x 15' Deck onto Dwelling 9 CHANGE QF USE FROM TO �STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS �OMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEfi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��-1200 S.CO 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- STFUCTION OR THE PERFORMANCE OF CONSTRUCTION. �ZO. SO PLAN CHECK FEE TOTAL FEE $ 5.13 $26.23 SIGN "RUREOFCONiRACTOROR UTMOR12EDAGE�rvr IDATEI yyHF�N PROPER ALIDATED THIS IS YOUF PERMIT � �1�.�� S��fl� �. � - � �_ � , , .. SiGNATURF�' F OWNERiIF OWNER BUILDERI IDATEI L BLOG INSP �� I`� 1qT NEW [ J / ADDN. [� pLTER. [ � Construction Addre City of Fridley �R-1 AIiTD A-2 Building Permit Applieation Effective 4/1/86 Legal Description: C� i �� ' � i , -+ � `� - `�`'�- „ , `-1-`'- "-�- "�' - - . ._.—_ �� - Owner Name & ,Address : _IS � �'-C= `� L ' �� N V � � Tel . � � �/- 9 3�� wvl�1: 7' � � Contraetor: �� ' ��1 �- �� Tel . # 5aR - � Address• � � �� LIVING AREA: GARAGE AREA: DECR ARE • OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to seale. Length Length Length DESCRIPTIOp OF IMPROYEMENT WidtY� Height Sq. Ft. Width ___._______ Height Sq. Ft. __�_ Width � Hgt/Ground � Sq. Ft. aC•�_ � ry� ,` � ,��J Corner Lot [� I�n�s de �o i[ ] 1�Ft. Yd. Setback __ Side Yard Setback �� Type of Construction: �C1%� (z �� a�� Estimated Cost: $ � Approx. Completion Date: � n� �� T� Alt. A Alt B Proposed Drivexay i�idth If Ners Opening Is Desired: See Back Page for Explanation D ATE: S � � ' � G APPLICANT : �c� " �� /✓ 2fv' Tel . � � 7 I � � �7 `S �� r� 5�-y-7��1 Permit Fee Plan Check State Surchar�e SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: CITY QSE ONLY $ � w Fee Schedule on Reverse Side g e 25`� of Building Permit Fee � . � $.5Q/$1,00� Valuation $ ��d��5 per S�1C �Snit a� �� e�er�a��ei by Eng�neering nt Necessary [ ] Not Necessary [ ] �` � I�� i �� s�� BDB.DING PERl�fIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing Duilding or structure, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein belo�r set forth and in the manner herein provided to-Wit: ' Total Valuation �1.00 to �500.00 Fees $10.00 (Minimum Fee is a15.00) 5501.00 to $2,000.00 $10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof, to and including �2,000. �2�001.00 to $25r000.00 �25,OOJ.00 to $50,000.00 $50,001.00 to $100,000.00 �100,001.00 and up $32•50 for the first �2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including �25,000. �170.50 for the first a25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including �50,000. $283.00 for the first �50,000 plus �3.00 for each additional $1,000 or fraction thereof� to and including �100,000. 5433•00 for the first �100,000 plus additional �1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCRO'lil (Concrete Curb Streets Only) $2.50 for each Alternate "A": Removal and replacement of curb and gutter only - Drivexay Width plus 6 feet times $13.50 Alternate "B": R�r�vval and replacement of curb and gutter and install a 3 foot wide approach With 6 ira�l� depLh - Drive�ay �aidth plus 6 feet times $15.75 VERIFICATION OF FOONDATION Permits for construction Kill be issued a minimum of 2�i ta��sa�s from the time of application to allow for proper revieW of the proposed s�re�cture and of the construction site. � A Certificate of Survey of the lot, shoWing the location of the foundation onee it has been eonstructed will be required befo�e pa�oceeaii�g W3ti� the framing. !� ,� �1 HARVEY A. CARTWRIGHT ANOKA CUUNTY'BURVkYS H[NNEPIN COUNTY SURVEYS MINN6APOL1$ BURVET9 6410 PALM Sl'REEi N W. SUt+e[• 4-709� OwNEA tNDUBTRIAL — JUOICIAL 9USINE88 — TOP06RAPHICAL CITY LOTB — PIATTING S2N T��n lin � ��g��' � �� LA1�'U SUI�V�YUIRS RECi18TQRt0 UNDHR LAWO OF •TATH OF MINNl80TA LICENGgO BY OROINANGQ OF CITy OF MINNBAPOLIB 326 PLYMOUTH BUILDING FEPEI7Al. 9•8721 HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA �urbepor'� �ertiticatc � � � t . •� � � / M. � • I � / r� J��1 � Y. ,�� Y �� . � 9. � G y �.' � �r�' � �� ' �s' � � � , _...:�.. :� I��9 — �¢Q . • j, � ', � '�'�`-` .�. � � � �� -�-�,G..— Va - Y . � � ��'1 . �� f�p 1 0 � � � �� r1 � � �t 0 4 � W J �' a• o 0 COMBINIIV6 TNC RECUt1D8 �� J. E. HILL, C�ve� CMOINE6fl ►�;�wal1P�� so• C. F. 3At�? )NOFF CIVIL EN�.i1N[fiR coT�o��a��so �ooe JAMES NELSON SURVHYOft carne��oN�•q �a�a METROPOLI7'AN LAND SURVEYORB, cs•��weusNao �pe� Invoice 22�37 6 c.,� .� � � ^�� ,.. ,9 ..T. , ` �� r�.... �..� , .�'y. " rJ � �,. � � v � � �i o � . ' A °�n d,'ri , � R• �- . . � d _ .�s� �� , . .. ._ - -� _�,�� a.fr,/rlC�'if V� Uf � % ' yF '�' � `tr-.�,� -.,''0/ 0 1 � l ��^ I hcreby carti!`,� th:=t tai.� is a tru� r:.nc� correct reprQ�ant��ion of. a survQ✓ o."s Lot �, ?llec�: l, �ax3ena i:e� ol�.nd G�ruenn As sur�ey2`d b:� ^a t?�i.� ;?th c3Gy oF :dovorlber, 1952. --- -..___ � ,.,;,x � . � 0 c � � � q � � �� i _ � � � � � �p � �7"T{�-�� % D �us � . -, : � �'�� °�-� � r � � � -�- ' ' ':z U� /a �' ,'� G� `�L � ;;�� o � - � a� � � ' �---_ �� ,� �� C � � �� , G� � a (� . A r. ' o - -'�` . � � �� c -� �. _ _�� , � 3� � . �� -- _ �`= z�� Z �-�� o � � �� o � J� � �_ �� . p � 1 �, ., � ?� � � , � � 6, , �-_ � � , �� 's \ s`k - 5- �� v- � r � �� s � � � L � � � „ ,� �, 6'_ c _ '�1 6 - � e � � �� i k7 ..�r� � n °�_ � �'J� � �� ` � � � . � �Q�� . , � � I � �� Jear Cou.�cil.�an Schneider, ��`��'�� p�r, 1 � 1986 Dec. s3tth,1oR6 � , C C �� after reviewin� ��rour letter of 12/05 �S6,I an compelled to voice ury opinion on one aspectof the transfer of use or redeveloperaent of the Faith Acader.�* propertg. 1-.y address is 5991 Gardena Lane.There is one vertr narrota lot between r.i� lot and the playground-baLlfield at Fai�h Aczdemy,This n�rrow piece of land is the tail-end p�rt of Donald I�evris � lot on Gaxdena Circle, �ach Spriz� an�d at various tiiaes � uring tY:e su:-s.:er when we get a 1 inch or rsore ra3nfa11, all of this v�ater fra�i the plareround -ba11f lie d and probably buildin� area as well, flow across Letvis� lot� into n$ garden and into my gasage, 6 to 10 tinies a year I have to pw�p ny �arage area out as so�aetiz�es there is a river of water k to 6 feet wide and 2 to 1� inches deep rushin�- through r�y gaxden and into m� garage. I have tried to landscape this proble�n away , but I cannot handle all of this water fro:.i tr.e properties �ast of �e. In Zrour letter on The Church on The I�ove situation� 4*ou voiced a concern for proper drainage in regard to stor:.:rrater. The drainage is a huge problem right now as far as I an concerned. Before any new construction or re-varapin� of tr.is area star�s, will vou please look into tl.is problem for ne? It is very bothersome and has cost r::e sauie dol�.ard and :.�ny hours landscaping and cleaning up mud and debris, I have lived `t this address for 9*�rs.�, but neighbors sa�- the trouole is older than that. This proble�.i is talang a to1Z on garage vrith rotting plate ro ted service door� rotted garage door and �;any other iteras we raa;; forget to keep off garage �.1oor in case of rain. • I snould have step�ed forward sooner , but with all of this talk of re-doir� the Faith xcade.:�y property, this seec�.s like a proper consideration at this ti.nie. I hope this letteii wi.11 be viewed by the council and yourself� not as a voice for or againsi any changes in the Faith 1'�cade:::�T property, but onlv to serve to let vou knok there are draina€e problems in er.istenance now and it Vrould be �ppreciated if they were properly ac.dressed at this t3rse. Sincerely, �.oger L S chutz -- � ``�,� 5991 Gardena L�ne Fridles,i.n :;�:32 SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � � • COMWIUNITY DEVELOPMENT DIV. r ; �: ------; PROTECTIVE INSPECTION SEC. � � 1 . � �1 i-.-.� �"' �,� CITY HALL FqIDLE� SS432 NUMBER i 612-571-3450 910-F15 J08 ADDRESS 5991 Gardena Lane 1 LEGAL LOT NO. BLOCK TRACT OR AODITION DESCR. 8 1 Gardena Melo: 2 PROPERTY OWNEFi MAIL ADDRESS x� Marty Schutz 3 CONTRACTOR MAIL ADORESS Suburban Ex•teriors 9701 Penn Ave S STE 11 d ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING ReSidential 7 CLASS OF WORK REV DATE 8/31/98 ZIP ZIP PAGE OF � � 27480 � l�/ FiECEIPT NO. ��a � APPROVED BY SEE ATTACHED SHEET PMONE 571-9354 PHONE LICENSE NO I—R939 49R9 PMONE LICENSE NO. PMONE LICENSE NO. ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANOE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. TVPE OF CONS SEPAHATE PERMITS ARE REOUIRED FOR ELECTH�CAL, PLUMBING, NEATING, VENTILATING OR Alp CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 �AYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. U I HEfiEBY CERTIFY TNAT I NAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1668 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION S�F.00 PLAN CHECKf n — �-�� ce SiGNATURE OF CONTRACTOF OR AUTMORIZED AGENT IDATEi En S�GNATURE OF OWNEA UF OWNER BUILDERi �DATEi pi nr. � :� STAILS ROUP OCCUPANCVLOAD CU. FT. OFFSTREET PAFiKING IGARAGES TOTALFEE PERMIT 3� � e NEW � � ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 g� � BUILDING PERMIT APPLICATION ^�; �" � ') ConstructionAddress: SCl �i � ��v�v`� L I� Legal Description: Owner Name & Address: /� ��-�, j c 1� u°�'2 Tel. #��7 �— Z 3�/ Contractor: St��pv v�✓I LCjc �; �,rS' MN LICENSE #�-Z �; c� r Address: ��'r � 1 ��-e��d�v�c �cj �.t2 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 Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground �� _ , / � � —��. � _ 01'HER: Sq. Ft. Sq. Ft. Sq. Ft. ' � .� Construction Type: f f'a J' cT(�9 � Y�.t aa� � d CsFa� �Estunated Cost: $ ti l� �c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � � 1 �`� � APPLICANT: �..J c�,��.Q� Tel. # �S"� � — e:S �-3 Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .��%��) � 1.�� $ ��-3 $ $ �.�� $ $ $ $ $ �i� �'9 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessa.ry [ ] � . _� BUII..DING 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 payme�t 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 $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 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 $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRES5ION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $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 times $15.75. 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 the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. ESTIMATE #101777 TID�ERCR.AFT � 215 OLD BIGSWAY 8 SW NEW BRIGBTON, MINNESOTA 55112 P80NE 651-633-8611 " PETER J. MIIRLOWSRI ITEM DFSCRIPTION 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 , 28 29 � 30 31 32 ADDITION 15 EXCAVATION & BACKFILL INSTALL FOOTING & 11 CS BLOCK POUR. CONCRETE ST�AR CUT DOORWAY TO NEW BASEMENT EGRESS BASEMENT WINDOW MARVIN WOOD SLIDERS MASTIC DAMPPROOF ON NEW BLOCKS FR.AME 2X4 WALL BASEMENT WALLS FRAME 2X4 WALL FRAME 2X6 WALL FR.AME 2X10 JOIST INSTALL ROOF TRUSS ATTIC TRUSS UNDERLAYMENT 3/4" T & G SHEATHING 25/32" FIBREBOARD SHEATHING 1/2" CDX INSTALL STD 3-TAB SHINGLES FELT - 30# INSTALL ICE & WATER SHIELD PLASTIC R-61 ROOF VENT CEDAR LAP SIDING 1/2 X 4 FRAME BOX CORNICE INSTALL ANDERSEN CASEMENT WINDOWS (2 WIDE UNITS)W/GRIDS RELOCATE ATTIC WINDOW INSULATE WALL(S) 3-1/2" BATTS INSULATE WALLS(S) 6" BATTS INSULATE ATTIC WALLS BLOWN FIBERGLASS R-44 15" ELECTRICAL WIRING PER FRANDSEN PROPOSAL HEATING & VENTING (USING EXISTING EQUIPMENT)�J 1�tJ RELOCATE GAS METER FINISH WINDOW SIDE PAINT SIDING PAINT SOFFIT & FACIA 07/13/00 PAGE 1 MARTIN & SANDY SCSUTZ 5991 GARDENA I�ANE FRIDLEY , NII�T 55432 PHONE H 612-571-9354 W 612 JOB LOCATION 5991 GARD�TA r•n� FRIDLEY, NII�T 55432 X 26 Z 8 2W2L �IQ� �i� ��V t� QTY �M 1 EA 55 LF 390 SF 1 EA 2 EA 1 EA 592 SF 280 SF 440 SF 390 SF 390 SF 600 SF 600 SF 722 SF 8 SQ 8 SQ 80 LF 6 EA 600 SF 94 SF 2 EA 1 EA 440 SF 440 SF 412 SF 225 SF 1 EA 1 EA 1 EA 6 EA 600 SF 94 SF 2 v 3 4 ESTIMATE #101777 ITEM DESCRIPTION 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7 8 9 10 11 12 MASTER CLOSET 5 X 8 X 8 SHEETROCK WALL(S) STD 1/2" 2WZL SHEETROCK CEILING STD 5/8" SPRAY TEXTURE CEILING INSTLL PRE—HNG HC OAK DR 2'-6" 2INSTALL PASSAGE LOCKSET OAK BASE INSTALL CLOSET ROD & SHELF FINISH MOLDINGS FINISH DOOR/SIDE PAINT WALLS 2W2L INSTALL CRPT & PAD—$22/YD ALLW MASTER BEDROOM 14 X 17 X 8 SHEETROCK WALL(S) STD 1/2" 2W2L SHEETROCK CEILING STD 5/8" SPR.AY TEXTURE CEILING 1NSTLL PRE—HNG HC OAK DR 2'-6" OAK CASING OAK BASE FINISH MOLDINGS FINISH WINDOW/SIDE FINISH DOOR/SIDE PAINT WALLS . 2W2L INSTALL CRPT & PAD—$22/YD ALLW MASTER BATBROOM 8 X 9.5 X 8 SHEETROCK WALL(S) STD 1/2" SHEETROCK CEILING STD 5/8" SPRAY TEXTURE CEILING OAK MODERN BASE 2-3/4" LINEN CLOSET FACE FRAME PLUMBING: WHIRLPOOL, SHOWER, STOOL& 1 LAV, & 3/4 ROUGHIN FINISH MOLDINGS PAINT WALLS CERAMIC TILE WALL (S) 4" STD MIRROR SHOWER DOOR CER TILE FLR STD (THICK SET) 5 HALLWAY . c 1 2 3 4 5 6 7 S 9 2W2L 3 X 6.5 X 8 FRAME OPENING TO LIVING ROOM SHEETR.00K WALL(S) STD 1/2" SHEETR.00K CEILING STD 5/8"� SPRAY TEXTURE CEILING OAK MODERN BASE 2-3/4" FINISH MOLDINGS FINISH DOOR/SIDE PAINT WALLS 2W2L INSTALL CRPT & PAD—$22/YD ALLW 07/13/00 PAGE 2 QTY UM 208 SF 40 SF 40 SF 1 EA 2 EA 26 LF 12 LF 26 LF 1 EA 208 SF 7 SY 496 SF 238 SF 238 SF 1 EA 40 LF 62 LF 122 LF 4 EA 2 EA 496 SF 28 SY 280 SF 76 SF 76 SF 35 LF 1 EA 1 EA 35 LF 280 SF 10 SF 1 EA 1 EA 76 SF 1 EA 152 SF 20 SF 20 SF 19 LF 19 LF 2 EA 152 SF 5 SY 07/25/2000 09:47 6338859 TIMBERCRAFT PAGE 01 2�s oid Highway e sw, New Bri9mon, NW 55172 851�633-8611 fex 851-633�8858 � TimberCraft � �� DAVE JENSEN From: pETER �axa P��s: 2 Phe�N: Oabe 7�25/00 Rs: SCHUTZ PERMIT CC: . ❑ IJrg�n! X l�or R�virw ❑ Pl�ts� Commm�t ❑ Pl�as� Rsply ❑ Ploasa Rscycle • Comm�nb: AS REQUESTED MN CHECK PETER 07/25/2090 09:47 �� l� 6338859 COMPLIANCE REPORT Minnesota Enerav o e MNcheck Software Version 3.0 COUNTY: Hennenin STATE: M i nnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 7-25•2000 DATE OF PLANS: 7/10/00 PROJECT INFORMATION: MARTIN & SANDY SCHUTZ 5991 GARDENA LN FRIDLEY, MN COMPANY INFORMATION: TIMBERCRAFT REMODELING COMPLIANCE: PASSES Reouired UA = 132 Your Home = 127 3.6% Better Than Code TiMBERCRAFT I Permit # I � I Checked bv/Date � I � � PAGE 02 � I I Area or Cavitv Cont. Glazina/Door Perimeter R-Valus R•Value U-Value UA ..........................................................•-----...........---- CEILINGS: Raised Truss 390 44.0 0,0 WALLS: Wood Frame. 16" O.C. 752 19.0 3.0 BSMT: Wood 7.0' ht/6.0' bsz/3.5' insul 648 11.0 0.0 GLAZING: Windows or poors. Above Grade 30 GLAZING: Windows. Foundation. > 5.6 ft2 24 DOORS 0 0.350 DOORS 0 0.350 FLOORS: Over Unconditioned S�ace 0 0.0 0.0 SLAB FLOORS: Unheated. 0.0" insul. 0 0.0 0.350 O 0.350 0 n 40 59 $1 0 ................•---•...............------................-------............-- COMPLIANCE STATEMENT: The or000sed buildine design described here is consistent with the buildina olans. sqecifications. and other calculations submitted with the oermit ao�lication. The nr000sed buildine has been designed to meet the requirements of e Minnesota Energy Code. Builder/Designer � Date L� 0 G I�aRf�a �5�+►d� S�� z �q a { Gaat�e��. _ � N � ��Li d, e�. � �l� . THIS JOB COPY SHALL B� AVAILABLE ON THE J08 SITE FOR THE FRAM(NG AND FINAL INSPE�T�GryS r I r�i %te� �a�' �� o� �� .�Ro��s� d 0.d�.. ��C� oN �o' x�.�' 7- l7- �a . . Attic Ventil�tion 1/300 of' thoriaontal projection of roof area — 7/2 to be tn soffit, i/2 to be in roof nesr cid�e. ._` ��i�� 2�� S�z�s ��Z+�o�� r Atl+�c '�'RUSs uN 1'��,�°s(��. sToQ�a � ��, � , — �x� £xf��`a�, s-��d wall _ R�q �NS�[ w/r ��,j/ �t�,1.� �RIT@ S��Gt.iTh I�Js/ � , — S,°d�N� t� ��.�, �J� �,�� —� : �i�'' �/�aR ';s r��' /G °'s � � — �/� �d r� �- �� ,,, _��,t� — �Q-�l ;rs �+��(_ — �s�� d�. Ro� �P ; .°- ��Ul� �,�iN�l%��' �y '�caf� �(�Gi�lEERED TRUSS OESIG�IS iI�D LAYOt1TS SHALL BE MADE AVAILABIE ON THE JOB S1TE �OR THE FRI�MING INSPE�TION " �qN �, �� c��aRe� TiR+asse.� :��f �sQ C - � �,�� s�.�--�� o�,� w��l�S - 3d ,eoD i�'� �r` -- � t� � wrr� �� .r�'�l� ' ST D �Os�i� 1�% �'� i:v �� 07� vmn �� As N�a�� 9/ ��. � f� �-� �+��.�, � P �vrt�� u�� f/ ��-��rti 'a'' �tiSi� �4� � , ��F _ � r,�� //�G�' - / �� ,-l�� e�' l � � /Q� Pi � s� WA !�S' CoNGae�. -s'�a�j �� M ��' . iN,�/O : ��o . �, _�� ' S G�Y� . �'�d� '. ,�•�o� =� �m�N� SuB�EtT � c�ty o� Fr�aley 31250 AT TNE TOP OF TME fiNINS � � I L D I N G P E R M I T r S � RECEIPT NO. � `L __��_ COMMUNITY OEVEIOPMENT DIV. , / r � � PROTECTIVE INSPECTION SEC. L/ ��^� 1 .1 ; � YJ ' 1 �'�� CITY NALL FRIDLE� SSI�i NUMBEN REV OATE PAGE Oi AbPNOVEO B� �----� • .,, 612-571-3460 9�aF�5 7/26/00 / / JOB ADDiiESS 5991 Gardena Lane NE 1 LEGAL LOT NO. BLOCK TiiACT OR ADDITION SEE ATTACNEO DESCR. $ 1 Gardena Melolands Gardens SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE P�a.rtin � Sandy Schutz 5991 Gardena Lane NE 571-9354 3 CONTRACTOR MAII ADORESS 21P PNONE UCENSE NO Timber Craft Remodeling PO Box 120388 New Bri hton 55112 651-633-8611 2624 A AfiCNITECT OR DESIGNER MA1 ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDFiESS ZIP PNONE IICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW [� ADDITION 0 ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 26' x 15' addition 8 CHANOE OF USE fROM T� STIPULATIONS VAR 4�00-13 approved 6/28/00 to reduce the front yard setback to 30 feet; the rear yard to 19 feet; and reduce the street side side yard to 15 feet. For stipulations, see attached. plans. � �' �efore digging call for SEPARATE PERMITS aII utility ►ocations REQUIRED FOR: 4540002 PLUM�°NGG� A DnSIG�VS RE��I�E� �� L�� SEPARATE PERMITS ARE REOUIRED FOFi EIECTRICAL. PLUMBING. MEATINt3, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING Sa. FT CU FT. AUTHOR12E0 IS NOT COMMENCED V{IITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTEii WORK IS COMMENCED. NO OWIG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I MAVE READ ANO EXAMINEO TMIS APPLICATION �- STAILS GARAGES AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yA�UATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE Of WORK WILL 8E COMP�IEO �62 5 � WITM WHETMER SPECIFIEO MEqEIN Oii NOT. TME GRANTING OF A PERMIT � OO.00 .�3�..00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE Ofi CANCEL THE pEqMIT FEE SAC CHARGE PROVISION F ANY TMER STATE OR LOCAI LAW REGUTATING CON- ¢727 7S �6Z.00 STRUC� THE RFORMANCE Of CONSTRUCTION y+ e PLAN CMECKFE TOTA EE �-� � � Lice S $5. 0 825.75 $IGNATUA C u NOAIjEOAGENT I ATE� EN R PE � ALID ED MIS I$ VOy�� r/ '� '�r l S�GN4TU E O� OWNEA ��F OWNEp BWlO@A� �DAfE� BL �NS� �� QF�! NEW [ ] ADDN � ��R II Construction Address: � ��/ Legal Description: Owner Name 8� Address: �`� Contractor: / `a�. �c Address: �c� �a �r f l� 3 LMNG AREA: GARAGE AREA: DECK AREA: OTHER: — C�s ou ,n �v��1 � Construction Type: %<-'U�,� _r %� Estimated Cost:,$ �� 5 0� -� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �,� EffecWe 1/1/2000 (763) 572�604 Bldg Insp D`' ' �` � ,/ J �:�") � a�� '� Tel. # �a� - �'7l - �3S'Y �y� MN LICENSE # �- � z Y 2 r�L'1�4J� Tel. #�7�� Iv a�� °�(� l/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length � Width %,� Height � Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 7� I 7�� APPLICANT: CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Tel. # Permit Fee $%� � �� Fee Schedule on Reverse Side Fire Surcharge $�� y"� .001 of Permit Valuation (1/10th%) State Surcharge $ 3/ � C�� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ �� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review �Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �� /�Z � ��`�`� �p�c�v�.D- �/�s�ap .—a ��ce.� 7�l � � c��%� C'�!� iC7 �U `-��F� �� /��Oct � �� 2��-2 cl��t.e� T� /9 !r-�� •�'o � �'��ce�� i� �'�72��T.S'�� e�� y�►-2� Fi�c�n /�� ' ,� �.�'F�� BUII,DING PERMIT �FEE SCHEDULE The Cluef 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 $5� $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,�1 to $100,000 $1Q0,001 to $500,000 $5(�,001 to $1,000,000 $1,OQ0,001 and up �� $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to aud including $2,000 $69.25 for first $2,�0 plus $14.00 for each additional $1,(�0 or fracdon thereof, to and including $25,0� $391.25 for first $25,Q00 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.OD for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for ea.ch additional $1,000 or fraction thereof, to and including $500,0� $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,Oa0,000 plus $3.15 for ea.ch additional $1, OOfl or fraction ttiereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow %r proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locadon of the foundation once it has it has been const�ucted will be required before proceeding with the framing. New Houses Onlv . . ..�. . �r Y A. GARTy1/RIC,HT � '� �v�"o�N�^'� t��c Rr.c,u�v� .. - - A G6UNTY BURVlYB �� r�� ' E. HILL, CIV�L LNCINCEII l•�rw�U�n i �u• IN[PIN COUNTY 5UNVC�S 1 1,J�J fl C ll�� `� j�` t1/1 J�`Q IINHEAPOLIQ BUl1 VETB �� J � �'� � � C. F. SAh )FIOFF CIVIL �N .i1Nf.R11 410 PA�M 9TI1fET' N W, pEQ�eT[Rt0 UND[I! LAW� OF •TAT/. OP MINN[BOTA t�t�o�is�ie4 �oo� 6Ur.sc� ••76�9 ��CENYRO sr Of1UINANCK OF CITT Or MINNCAPOLI6 owwcs JAMES NELSON 326 PLYMOUTH BUILDING FEnEa�►. 8•8721 Sunv[roa �OUiTRIAL - �uo�ci�L HENNEPIN AT SIXTH MINNEAPOLIS 3. MINNESOTA ��*•��'0 ��• , INE68 � TOr06AAPHICAL �AUTbtt1 Oi�lS �[TIIII[A�t ' METROPOLI7'AN IAND ITT LOTS — ILATTING C , SURVEYOq3, i.s• ws�irNao �� an: l:^:olin � / , / �� / � � � � � � � u � � P 9. G �, t� 1 � ♦ .►y '/•'� - . �. . �� i vy �' . � �--/�G� � � � ' � � ' ' j� S� •� ? ti 1�° '� � � ��- � . . � � �►'- `_ � a U�� n � � �v � ys� � z ``� ° '. � M V� `' R� a � z � r� �� f : ,� . \ •�/ • J^ '�." � � � Invoico 22r3 � �; W . � � - .�.'.. �. j F r 1�`� � � ►�'?.� _ � a��. ti:. ; ^, _. -_ , —I ..�e p;,; . . j �,�--�"i � °' I r-- . S� � — � � . .. .. - ✓ � .�:/T�,►' ° � .f!/�1G'/1f ,� , -� "._ V1 U`� � / r � �� 1-r.�,7 y//� 1 � � I h�rcby c�rti^f th:,t t:ti,^, is � 1;ru� �,nc? correct represc�ntation of. a surv�-✓ o."= Lot '�, J? oc;; 1� G�r;�ena i:elol:.nd G�d�na Ss ::ur�►�;,Td b;• r.� i;�Li.� �?tl: ciay o; :;ov��Mber, 19�2. � � +.� , r+wrr. � � %� l � � x � D rt 1 � o v � 3 0 v,• � � � o � � � � � o � � o n; � 0 � � � d 0o n tD .� a 1 =� � d � N � � o fD ' 1 ��a . � � O C .-. � m z � � rn c� � O z � m m A V 0 O \ 2 -. ( � �'• v °q � � � � �.a a , � �� \� � , � . � \ . °c � � '� ��' � � , ,,; � •';.\ � . �\ '�'-.. !m -n � ' �• � v � � � i-- O� I � . I r p �3 �� °. � d � � a � �. D _ � = o�' � n co O � O � O � fl1 D � r � c m � m ? - � � ba ffl vR ,,� � _ � � H � "�v� �•m cso 7 A � H N � 7 � � .��r. -�i. �' N Cl ,� N y oc�n��' `n ac�, �' a .N-► GQ � nN ;'°� � � O. � Q. Q� a� .00� .� a � <� °' � � �' N p/ � Ol = O N �v �, � �, • �.a��v � � � ; n � � � m � � � N � A 7 1` � G. 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N D � � Z '� r �� O �� ' � � ' �� Q � Z � Z .'� �� >S � Z .o a z �v s `o ? �" W Z -1 D � Z � N m -N�1 A � �Q N NZ � z� c vrn � a ��z ` � -�I I�1 � NO Z � .� � � �� J � � % � A O � o�i �.. �-+ O .- � � � c�� ' �� , 1�� (� 1J ` CHIlYIlVEY AND STACH VERIFICATION _, The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No .() �2. 3. 4. S. 6 Is free from rust or deterioradon . Has . no foreign objects lodged within �• Is securely supported Me+zts all current Code requirements fo� size •..- '- and tatal BTU's connected Has total heating BTU's of All other BTU's TOTAL BTU's ' Yes ( �.).. No ( �•) .. , Yes ( ) No ( ) � Yes ( �). ��No ( -� � . : , , . ., �.. YesOl�doO� 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: � :.. �� • � * :.- � � �.,- 1'��' ��; ��. � � �� '. � � � 1 �'��.- •��. � � t=�► � �� '� 1 1� , „ . 4 � � � .J ,l •�: ��. ! / j i. i � , / � L -- � -��. � . . o �F-- 'E t � DEPENDABLE INDOORA�2GUALIIY� INC. � � � 2619 COON RAPtDB 80lA.EVARD COON RAPID3. MN SW33 �_ � HEATING CO: �� 757-50a0 � Signed By: � � Date: �' � y'% � , 0 0 � n � � Z m z � Z 'r1 � Z D n � � v m � � m � c � � D �° r � � m m D � � �c o � � O� o =� � � O C � � o Z m -^ v �O�v c � o o m = � D � D _ v � 'v � 01 D �v i -a m � O z � � � a . � � �� f�/! N �� C N N �� O fD � n� �u � � ? f � � � � � m m m � O �^ � � m � m m � � d � � � � � � �� N � � � �� (G � � �� 7 �� I"' pl, M ffl � � � �o � � � c�u Z rn co � d � v � � � � N � � �' � � -+ ; �. � � � � � � c .c cu � rn n .-. m N v Z 0 I I I I I I I I I I I(� � �� i o 0 0� o�+ � �•� cr� � v °o °o °o o °o °a °o °o °o °o o °o °o �� D tn � o Z c av o. � z a�o � G� 0 c � � � v � m v m � � � Q C' � `�� c n, P � m �. r �' '� Z 0 � , {� ��r U� \ �� n m 3 °: a O � � / / � � -� m � � � � a � � C y a �I � � � \\ � yJ � N I� � � r C � W z � -�i C � m � � z O � m � O D r � W C71 TI � (7 N a W � o�� A Z � � � y � ,� v wDr N L � c� zZ m� � m � O Z v < � m � m 0 � n� � N O O O COMMON VENTi VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existing furance, the undersigned hereby ve�es that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existin4 combustion air is sized and installed to r�nneet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes ( ) No ( ) Yes( ) No( ) Yes ( ) No ( ) When installina a new ventinct system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () Appliance Tvoe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter � inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING CO: Signed By: Date : Building Inspections 763-572-3604 DATE " ' O S[TE ADDRESS -� % THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUI�DING , RESIDENTIAL API�LICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER fi�CONTRACTOR ADDRESS: �S "1 l ( (J�r2�et �v PHONE: T 6 �i — S %��'I ; ,1r`f SUBMIT A COPY OF STATE LICENSE # %G L�'( EXP DATE 7� T'� � � YOUR STATE LICENSE �DRESS:��f o�e ��'WL � �• �• CITYI�J WITH APPLICATION PHONE in � I"� ��i ° R(e l 1 �ax 6�� - l� 5 PROPERTY TYPE � t� SINGLE FAMILY/NEW PERMIT TYPE TYPE OF WORK: ❑ BASEN7ENT FINISH � ROOF ❑ DRAIN TILE O DECK � SID1NG 0 OTHER ❑ SWIIvIr�IING POOL 0 MAWTENANCFJREPAIIt DESCRIBE �VORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSID SIZE: PROPOSED HEIGHT: � � HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE c /?�— Pernut No.: Received By: ��rn �� S,r! z HEIGHT BASEMENT REIvIODELII�IG SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Viny� OSo$rt ADDITIONS. & PORCHES SUBMTf: ❑ Altuninum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ p�er ❑ Fascia and proposed project. WIND�wS 2. Two sets of construdion plans IN EXISTING OPENINGS ❑Yes �ATo IACATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRBE SIZE OF OPENING CHANGES & TYPE OF WII�TDOW TO BE INSTALLED NiJMBER OF WIN�WS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19�7 U.B.0 FEE SCAEDULE) TOTAL JOB VALUATION $��C� �l. A�6 .� OCCUPANCY TYPE Permit Fee Plan Review Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge 5ee Back Page for Fee Schedule 65% of Building Permit Fee $ 3�} .�p .0005 x Permit Valuation Minimum $.50 $ ,b_-rj", (� $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ ,�'7 �? . Make checks aayable to: City of Fridley Attac THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 pemut but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w' review'and approval of plans. �� (� �� SIGNATURE OF APPLICANT � PRINT NAME � 1 (� �✓S� � DATE �/- � 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 altera.tion or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the yamount herein below set forth and in the manner herein provided. to-wit: ToT� v�,vE r�Es $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,OQ0 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�$25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and - includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each addirional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Perm.its 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 � Building Inspections Department __ •��.�� Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 . ^ �� r , �� . `_ � I ! I�L e�W", � REScheck Compliance Certificate 2000 IECC RES checkSoftware Version 3.6 Release 1 Data filename: C:�Program Files\Check�REScheck\Schutz.rck CITY: Fridley STATE: Minnesota HDD: 7391 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.08 DATE: 11/O 1/07 DATE OF PLANS: 10/26/07 PROJECT DESCRIPTION: Schutz residence 5991 Gardena Lane Fridley, Mn DESIGNER/CONTRACTOR: Timbercraft Remodeling COMPLIANCE: Passes Maximum UA = 67 Your Home UA = 63 6.0% Better Than Code (LTA) � Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Wood Frame:Double Pane with Low-E Door 1: Solid Basement Wall 1: Masonry Block with Empty Cells Wall height: 4.0' Depth below grade: 3.5' Insulation depth: 3.5' Gross Area or Cavity Perimeter R-Value 206 0.0 424 19.0 32 21 C�208 13.0 Permit Number Checked By/Date Glazing Cont. or poor R-Value -U Fact�r U� 44.0 5 0.0 22 0.380 12 0380 8 0.0 16 COMI'LIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. 1'he proposed building has been designed to meet the 2000 IECC requirements in RES checkVersion 3.6 Release 1(formerly MECchec� and to comply with the mandatory requirements lis 'in the RES checkInspection Checklist. Builder/Designer Date � �/ Q Q e REScheck Inspection Checklist 2000 IECC REScheckSoftware Version 3.6 Release 1 DATE: 11/O 1/07 Bldg. � Dept. � Use � � � Ceilings: [] � 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-44.0 continuous insulation � Comments: � � Above-Grade Walls: [] � 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation � Comments: � � Basement WaILs: [] � 1. Basement Wall 1: Masonry Block with Empty Cells, 4.0' ht/3.5' bg/3.5' insul, � R-13.0 cavity insulation � Comments: � � Windows: [] � 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.380 � For windows without labeled U-factors, describe features: � # Panes Frame Type Thermal Break? [] Yes [] No � Comments: � Doors: [] � 1. Door 1: Solid, U-factor: 0380 � Comments: � � Air Leakage: [] � Joints, penetrations, and all other such openings in the building envelope that are sources of air � leakage must be sealed. [] � Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assembly � with a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a � 3" clearance from insulation. � � Vapor Retarder: [] � Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. � � Materials Identification: [] � Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [] � Materials and equipment must be identified so that compliance can be determined. [] � Manufacturer manuals for all installed heating and cooling equipment and service water heating � equipment must be provided. [] � Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. � � Duct Insulation: I l I � � � � � � � � � L l I I I � � � � � � [ l I � [ l I � Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. Duct Construction: All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). T'he HVAC system must provide a means for balancing air and water systems. Temperature Controls: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut offthe heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. Insulate circulating hot water pipes to the levels in Table 1. � Circulating Hot Water Systems: [] � Insulate circulating hot water pipes to the levels in Table 1. � Swimming Pools: [] � All heated swimming pools must have an on/offheater switch and require a cover unless over 20% � of the heating energy is from non-depletable sources. Pool pumps require a time clock. � � Heating and Cooling Piping Insulation: [] � HVAC piping conveying fluids above 105 °F or chilled fluids below 55 °F must be insulated to the � levels in Table 2. � , � Table 1: Muzimum Insulation Thickness for Circulati�tg Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature ( Fl to 1„ iJp to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Mini`num Insul¢tion Thickness fot HVAC Pipes. Fluid Temp. Insulation Thickness in Inches bX Pipe Sizes Pipin,g Svstem TXpes e F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) � y � r � ESTIMATE #102030 1 �a 3 T�TRCRAFT 388 CLEVELAND AVE. S.W. NETnI BRIGHTON, MINNESOTA 55112 PHONE 651-633-8611 PETER J. MTJRLOWSRI ITEM DESCRIPTION ItIT ADDITION 10/28/07 PAGE 1 ffiARTY & SANDY SCHIITZ 5991 GARDENA LANE FRIDLEY , baT 55432 P80NE 8 763-571-9354 W 763-560-1806 JOB LOCATION 5 9 91 GARDENA r.n�rrr_ FRIDLE'Y, bIl�i 55432 6 g26 88 1 DEMO & PREP WORK 2 EXCAVATION & BACKFILL 3 INSTALL FOOTING & 5 CS BLOCK 4 DAMPPROOF ON BLOCKS 5 INSULATE FOUNDATION 6 FR.AME 2X6 WALL 7 FRAME 2X10 JOIST 8 UNDERLAYMENT 3/4" T& G 9 SHEATHING 25/32" FIBREBOARD 10 INSTALL CEDAR LAP SIDING 11 INSTALL ANDERSEN CLAD CASEMENT WINDOWS 12 REMOVE & RESET EXTERIOR DOOR 13 INSULATE WALLS ( S) 6" BATTS 14 BLOWN FIBERGLASS R-44 15" 15 PLUMBING 16 ELECTRICAL WIRING 17 HEATING 1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10 DINING ROOM SHEETROCK WALL(S) STD 1/2" SHEETROCK CEILING STD 5/8" SPR.AY TEXTURE CEILING OAK PRINCETON CASING 1/2" OAK PRINCETON BASE OAK SHOE INSTALL MAPLE FLOORING RITCHEN 15.5 X 12 X 8 14 Z 16.5 X 8 SHEETROCK WALL(S) STD 1/2" SHEETROCK CEILING STD 5/8" SPRAY TEXTURE CEILING OAK PRINCETON CASING 1/2" OAK PRINCETON BASE OAK SHOE INSTALL BASE CABINETS-CUSTOM MAPLE, RAISED PANEL DOORS INSTALL UPPER CABINETS-CUSTOM INSTALL PANTRY CABINET INSTALL LAM CNTRTP-POSTFORMED QTY UM 1 LS 1 EA 38 LF 1 EA 1 EA 304 SF 156 SF 156 SF 304 SF 2 SQ 5 EA 1 EA 304 SF 156 SF 1 EA 1 EA 1 EA 144 SF 186 SF 186 SF 40 LF 38 LF 38 LF 196 SF 344 SF 231 SF 231 SF 32 LF 12 LF 66 LF 28 LF 21 LF 3 LF 34 LF � 0 4 5 C * � ESTIb1ATE #102 03 0 ITEM DESCRIPTION 11 APPLIANCES (ALLOWANCE=$3,500) 12 INSTALL MAPLE FLOORING MIID ROOM 8 1 EXCAVATION 2 INSTALL FOOTING & 5 CS BLOCK 3 DAMPROOF BLOCKS 4 INSULATE FOUNDATION 5 FRAME 2X4 WALL 6 FR.AME 2X6 WALL 7 FRAME 2X10 JOIST 8 UNDERLAYMENT 3/4" T& G 9 SHEATHING 25/32" FIBREBOARD 10 INSTALL CEDAR SIDING 11 INSULATE WALLS(S) 6" BATTS 12 BLOWN FIBERGLASS R-44 15" 13 SHEETROCK WALL(S) STD 1/2" 14 SHEETROCK CEILING STD 5/8" 15 SPRAY TEXTURE CEILING 16 INSTALL POCKET DOOR 17 PREHUNG OAK BIFOLD DOOR 6'-0" 18 OAK PRINCETON CASING 1/2" 19 OAK PRINCETON BASE 20 ELECTRIC WIRING & INFLOOR HEAT 21 CERAMIC TILE FLOOR -TILE ALLOW $4.25/ SF ROOF STRIICTURE 1 INSTALL ROOF TRUSS 2 HAND FRAME ROOF 3 ROOF SHEATHING 1/2" OSB 4 INSTALL STD 3-TAB SHINGLES 5 FELT - 30# 6 INSTALL ICE & WATER SHIELD 7 FRAME BOX CORNICE 1/2 BATH 3 1 INSTALL H.C.OAK DOOR 2'-6" 2 INSTALL BATH VANITY-CUSTOM 3 CULTURED MARBLE VANITY TOP 4 INSTALL LAV AND FAUCET SET MISCELLANEOIIS 1 TAX 2 PERMIT ___ Z 8 8 8 2W2L Z 7 8 8 10/28/07 PAGE QTY IIM 1 EA 243 SF 1 EA 24 LF 1 EA 1 EA 64 SF 192 SF 64 SF 71 SF 275 SF 3 SQ 192 SF 64 SF 256 SF 64 SF 64 SF 1 EA 1 EA 72 LF 32 LF 1 EA 64 SF 220 SF 1 EA 475 SF 5 SQ 5 SQ 68 LF 72 SF 1 EA 3 LF 3 LF 1 LS 2 � , . , . r ESTIMATE #102030 10/28/07 PAGE 3 NOTE: WORK TO BE DONE BY OWNER , NOT INCLUDED IN THE CONTR.ACT -ALL PAINTING & STAINING -CLEAN UPS &DEBRIS REMOVAL -DECK DEMO & REBUILD -MUD ROOM LANDING & STEPS -LANDSCAPING & REPAIRS -LIGHT FIXTURES -FINAL CABINET DESIGN TO BE DETERMINED � PRICED ACCORDINGLY PETER � �l l � V Building PLUMBING Permit No. � ' �' � � Inspections j�i SjDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: � o 763-502-4977 FAX EFFECTIVE 1-1-OS DATE / ' ' � � YOUR E-MAIL ADDRESS SITE ADDRESS �� %� c2��%?� THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY NAME: �WNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: ' CONTRACTOR NAME: � CeJi+4 / �- � c` -� �'. SUBMIT A COPY OF �', v YOUR STATE STATE LICENSE # �� 5 r� ^�—.� j L EXP DATE /o� ' S'�" �� LICENSE, BOND AND STATE BOND # 3 7�� S EXP DATE�� '-.�/�` � CERTIFICATE OF qDD�g f, f p�y c� ' <<.,�..,. �f - �ul GL, ` CITY� STATE�I�ZIP�`� ° r INSURANCE PHONE �� ` �{J " ��0� � FAX PERMIT TYPE '�O� SINGLE FAMTLY ❑ TWO FAMiLY ❑ TOWNHOUSE TYPE OF WORK: � �W �p�CEMENT DETAILED DESCRIPTION OF WORK a '�- --� �S.�tQ� �-- PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, insta.11ation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) La.bor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $] 0.00 PER FIXTURE, EXCEPT WHERE NOTED. FiXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MINIMUM FEL $I5.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER (% KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) �DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER �. � � ��.w . � �£6 �:� �� `�. � � � � � �>, f � �� . � �,�,- :� w ��= �,� �i�� . :�� ' ! c� �� m�� , ;�. r '.c.s Permit Fee $ Number of fixtwes @$10.00 x$10.00 =$ Surchazge .50 Number of f xtures @$15.00 x$ I 5.00 =$ TOTAL DUE $ OR Number of fixtures @$35.00 x$35.00 =$ State Succharge ° $ .50 (MINIMUM $I5.50) (MINIMUM $15.50) Total — $ THIS IS AN APPLICATION FOR A PERM[T-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 confotmance wi e ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is . not a permit but onl 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 ' the case f a w k w ic ' s review and approval of plans. SIGNATURE OF APPLIC � PRINT NAMFs�—��i'o� /Y"� ��D�TE I°— `"� APPROVED BY DATE '` �� l �„�' _., . . _.'.,. � � e��^.�� " ...,. ,...... 7 -. c � a z`��.W € .;i ��,.�.' . �. . . f � � ^." c ..;h �;[.,�,`�,�.`« ... �;�:' , 'u» .,,. .....,.s!.� ...._..,.,.. ' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: �' -DD(�' � Inspections RESIDENTIAL APPLICATION Received By:�_ 763-572-3604 CITY OF FRIDLEY D � eq. �� 763-502-4977 FAX EFFECTIVE 1-1-08 DATE � �� YOUR E-MAIL ADDRESS SITE ADDRESS �� I C� M�) 1'i+G�- � P`�` �° � THIS APPLICANT (S: ❑ OWNER �'ONTRACTOR PROPERTY NAME: �bi. i i� �� s� b�=°oj°�"� � OWNERJ ,e,DDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME:� i� �� ' l 1 P�` C» SEPARATE CITY CONTACT PERSON: �; II %til..sl ��}e�' LICENSES ARE STATE LICENSE # �� EXP DATE REQUIREDFORGAS �DRESS: �4� IM -� ,�` P�� C[TY ��t��J�l�t.� i STAT��ZIP�� SUBMIT COPY OF BOND PHONE �� °��'I �°"� `"�l � FAX �� m' r �� AND INSURANCE PERMIT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT �LTERATION/REMODEL DETAILED DESC 'T� N OF WORK dl s d � Q� � 4� �� t �� PER MS 16�.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUM$ER OF EACH BELOVI� Equipment Installed MFG: MODEL: S1ZE/BT(1 MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU _A/C $25.00 • FIREPLACE (GAS) $15.OU _GAS RANGElOVEN $10.00 AIR TO A[R EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LMER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 UCT WORK $10.00 GAS P[P1NG $10.00 VENTILATOR $15.00 M� .� � ..,.. r "�: , �.,-,' .,, .., ..,�_ _`�sa,.� v..-� '� .�r�z . „�'� "a,.��,�.u'��'��C`z�.,.��,.°�� _ �ri 1 `� - .. .... ��;, v..�.. .., ,,.n <�n� . _>., _ - - -�u� .,. , :�.,< , .... �, .... ,. . _. .,..., � .e a ..� .µ. .. . � r_ - �..., � Permit Fee $ Number o fixtures @ $10.00 / x $10.00 $ /0 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ arge = $ 50 MINIMUM $15.SU INIMUM $15.50 ota1= $ �r � THIS IS AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the info ation 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 odes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in ac4 ordance with the ap ved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICA PRINT NAME �� I I �9I1) �`/ DATE �� APPROVED BY � DATE �� a �' � � � �� . City of Fridley Building Inspectioas Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3 . V enting a. Gas 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 & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.