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AF - 46770� . . . � City of Fridley, Minn. BUILDING PERMIT N° 4 2 5 4 Date : ............ ..�.�._.._�.--���� .C_�...._.....----------------- Owner : ................� � � ...................................... ........................--��- �� --�- ---- -� - -- . Builder � Address....._ ............................-••---......................................_....----....-•---------•---- Address .............................................................................................................................---.... L CATIO OF ILDING /�% . No. .L...l..._.._.�._.._..... Street ..... ..- - . ..__ _- �- - -� -�- -- - ................... Part o Lot ... - - - -- --� -- • - .._.--- - -�-- -- - Lot .....- ....�.......... . Block ...............� ......_........ Addition or Sub-Divisio ........_.......... ................_.. ---...._---.- ......_..... - •- - .. ��G /� t� M Corner Lot ...................... -..... Inside Lot .....�........................... Setback �.. ............ '-' ......... ..Slile}raTd �ti/...�..0 ..............._..._....'--.........-'---.. Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used : < <'i' t � � .r < /�� �j / �/ - - o /� . cu. F�.°�l 3� - ---- - -- - - ... - ...... Front �--....... �Depth �..1.-. 4' Height -�--/... - -.. Sq. Ft. /.. J Q �! ` Q _ - -- � � �- .. ....... Front � / : !�O Depth �� "_..c� Height ./.�....'.'� Sq. Ft. .�..l.�. Cu. Ft. .r��. A�. l �'ype of Cons ction ......__..._...._ _ _........... Est. Cost_ ����...��.�'�.'. To be Completed .__._ ............................................... In consideration of the issuance to me of a permit to construct ld the proposed woa�k in accordance with the description above set f t in ordinances of the city of Fridley. _ In consideration of the payment of a fee of $..��...�'�., pernut is hereby �e, I to do all ,Err�'se'ons of .._.._...------•-------.___.._..----.----------------------.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buiidings within the city limits and this permit may be revoked at any time upon violation of any provisions of said ordinances. - - � / � Building Inspector NOTICE: this permit does not cover the eonsfruefion, installafion for wiring, plumbing, gas Mafiny, sewa or wat�r. d� wn M tM the Building Inspector for s�parah permits for thes� kems. �4 � �.�-; � � �� � � � � � � , � .� _ a �. � � � � � � � 0 � �a � � � � � � � � � in.� � � W �i t% � W � � J � � � a •�� � . ��� � � � � ��Y a�� �1 Y � ���,; ���� ��b � � � ���� �.��� ;�� o��� � � � �� ' p��+ C: U � dl y,�q � � R d pq � . ��M�.�r � 8°� R A��� � d .��a� �� ��Q � m �4�'• N O c�. � +�3'�' b �'��d � � O � �N �Gti �" .� ..�+ 7 a�i 0 Ei „r"i,y F ir a�a W '�i "ti �f U m�� � h V► N �y O O O b � � 10 � �Y : : : g : : $ c 0 : : Q � � ,�,�, zi � m O . 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N o � �� x � a a : : � � Q : : � W : y #'i .s : a�"i W � ~ '� � W g � � ct� � 8 0 or o'� I � � m d1 ►�1"i � � � � Y �A � � x � (� �"7 '�' ya � a �' � � �M �� 3°�°� � � �'� FM � � � b OG o W � � d a� .� b w "o � m � �6 z � � � w w a oa m . o � 0 0 0 0 0 � w a � a w z a � 00 � � x �N 0� �� � o `' � � � � .�� i � � , d � � a � � OQ �E h � � � � � � � O .� N V} p x k x z i i i : F 0 v o � o 0 N�� � � y W y w '� � � � � o � M ,� y H '"" d Ch w � � . �? N � � � u � � w � .���. a N W w ��� x��� M � � � �� 4 O 4 F" � � � a azx�' ew�e � � � � rA a � � � A N "< �s x � � a w > O, 1 N . Y t � W v � _ _ _ _ _ _ _ , .� D46 .... •-, a z HEAT LQSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A Gw� Conatruction No. Insulation �'' Windows I Door: Reference Out. Wall Int. Wall Ceiliag Roof Floor Kind How Applied Yes—No Yes—No 19_ Fl.� Length / Width / Height '� Fl.� Room l.ength � Width � Height Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area �Yldth He16ht No. ot Lineal tt. Area Wldtp Hel�ht No. 01 Lin�al ft Aras No. ot Dane o[ Dane lights ot crack p. [t. No. ot pane ot Dans IIS6b ot craek p. tL :� 1 ✓ � �� 2 6 �' � .� Q �r . i� Coef. Btu Coef. Btu lnfiltration S In6ltratioa � g Glaaa � / �� � /� F�cp. wall ' � Fsp. wall Net exp. wall � � �. N,� Int. wall � In� wall Ceiling �eZ Ceiling � :t E'loor .� Floor � �' Total Btu. Total &u. Required sq. ft. E.D.R. or sq. ina. W.A. Leader ana R u�. ina. W.A. L.eader area equired sq. k. E.D.R. or � Fl.� R�m Length � w�a� ��i rk�� � � tt�m I�� / w�a� t��►� ' Windowa a rt--Crackage and Ana j�`' � p�rs--Crackage and Area Wid h Hsl�ht No. ot Llneal [t. Area WIdtL Hat�ht No. o! Lineal ft. Area No. ot Dans ot pane If�ht� o( cracic p. ft. v �� � No. ot pan� ot pan� II�IIts o[ crack �Q. [t y 2 �1 ic � 13 I�( Coef. Btu In6ltratioa � Glass — Fsp. wall Net e:p. wall Int. waU Ceiling � �',t Floor p c Total Btu. Required aq. ft. E.D.R. or sq. ias. W.A. L,eader area Fl. Room � L.ength (S Widch Height Wiadows an Doors—Crackage and Area Wldth HelsAt No. ot Llaaal tt. Area � No. ot pan� ot D�ee If�ht� ot crack p. tt. ✓� 3fl �lb� 3 _3s' .3s�' Bcu lnfiltratioa � C.lass Eup. wsll Net esp. wail lnt. wall Cei�ing � � ;�„ Floor Tbtal Btu. Required sq, ft. E.D.R. or aq. ina. Q/.A. L.eader arca In5ltratioa Glass Fap. wall Net e�p. wal) Int. wall ' Ceiling Floor Total &a r�t��F � �� Required sq. ft. E.D.R. or aq. ina. Q/.A. Leader area Fl.� Room I L.ength Width ,3 � Windows aad Doors—Crackage and Area Wldtb HN�ht No. ot Lfneal tt. Area Na ot oao� ot pan� Ilshb ot craek p. tt. ✓ 2 IG 1.�� r�_ � o $� 10 Coef. Iu6ltration _ � �� 3 Glass Eup. wall Net exp. wall Izct. waH i,tiling F7oor Total &u. ��� �� � R�u�red w. h. E.D.R. or aq. ins. QIA. L.eader area Bta � �'.! i D�J6 _, ;. . a z ' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatberatrips A.S.H.V. . Construction No. Guide Windowa I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes Yes 19_ Fl•� � E(��d Room Length Width Height Q Fl•� %; c C f� f_ J�i� Windows and Doars—Crackage and Area Windows and Doora—Cr� �Vldth Helght No. ot Llneal tt. Area Wldth He1shL No. No. of pane ot Dane lights ot cnck �a. tt. No. o[ pane o[ Dane 11�I ✓� 3G �e Sl s'r i a ►� 7� y� r Btu PRIDLEY, MINN. Insnlation � How Apptied , k � Width � Height � e and Area :Ineal [t. wraa of cract q. tt. lnfiltration 3 � Infiltration 3 ' Glass � D Glass ' � Exp. wall Fsp. wall Net exp. wall � � Net e:p. wall Int. wall In� waU Ceiling Z � Ceiling � Floor ' Floor Total Btu. - Total &u. Required sq. ft. E.D.R. or tq. ins. W.A. l.aader area ` �� R � sq. �s. R/,p. j,��r ana eqii sq. k. E.D.R. or Fl.� � Pr [�� l.ength w�ach t��e � Fl.1 tt�m I�,� w�ach Windowa aad Doors—Crackage aad Area -. Q/��� poors--Crackage and Area Id h Hal�ht No. o( Lln�al tt. Ar�a Wldth Hel�ht No. ot Llneat It. Ana No. ot pans ot pane Il�ht� ot crack p. tt. No. ot yae� ot pan� Il�hts o[ crack p. tt. ✓ !G ✓ 3 �� � �� �,� ,8� "O R Coef. Btu In6ltration 3 �,�. ,-s �. W.0 Net exp. wal) � Int. wall Ceiling 0 1 ',� Fioor � Total Btu. Required sq. ft. E.D.R. or aq. ina. Q/.A. l.eader area Fl. A Room � l.ength Width Windows and rs—Crackage and Area Width Hel�ht No. ot Llneal tt. Area No. ot pan• o[ pans Il�ht� ot crack �q. tt. ✓ ✓ � (• ` �.�. �� Coef. Infiltration � C,lass . � Net e:p. waU _i1nw�Ml�, Cj " � Ceiling S Fl,00r s''� Tbtal Btu. Required sq. ft. E.D.R. or �. iaa. W.A. Leader ana � Net ap. wa11 � � � C�►1�ng � Floor ' Total &u. `t Ii_ � I Btu �� ]� om �� �Jm �� _ �q. k. E.D.R. or aq. ina. W.A. Leader area Bc� I �il� � Fl.� R�oom I Length Width Height Windowa and Doors—Crackage and Area Width Hel�ht Na ot Llneal [t. Area No. ot D�ns ot pana li�ht� ot crack q. tt ��' � � Coef. Btu In6ltration Glass Esp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. k. ED.R or sq. ias. WA. 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G�ITROLS �� �� H•at Pluy V�nt Si:• � KIND OF UNER �- t!?F � NnuF �D►uh Hood �Q.1611�L�►., R�yulolor �•--.-- �� Filt��s Sis• �� X�� Numbsr f ''17.�u Chimn�y Locotion Insid�v � Outsid� � � � � � �� Chimn�r Construction � - � Smok� Bomb r� Wiring "� Pilot Timiny %S �`+ v D►aft _� T�st Tap � L.W. Cut Off Door Pressure �� Lfyhtiny (nst. �/ Pr�ssuN P�rcent CO2 � Oote T�st�d � Input GFH� P�rc�nt 02 Compuny T�sfiny Srock T•mp. PKUnt CO Nam� of T�st�� Fwm 235 . SuB�ECT P NO. City of Fridley 2 9 017 AT TME TOP OP TME TWINS g � I L D i N G P E R M I T r ; � RECEIPT NO. � ; y ����� COAAMUNITY OEVELOPMENT OIV. �� � r � � PROTECTIVE INSPECTION SEC. 1 ; � i---•� �"'�'� CITY MAIL FRIOIE� SS132 NUMSEp pEV OATE P�GE Of �►vROVEO !r L 612-571-3450 s�aF�s 3/16/99 / / JOB ADDRESS 140 Hartman Circle NE 1 IEGAL ��T NO. 9LOCK TFACT OR AD0ITION SEE ATTACHED oescA. 9 1 Sandhurst Addition SHEET 2 PROPERTY OWNER MAIL AOORESS IIP PMONE Mark Knutson 140 Hartman Circle NE 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Four Season Roofing & Remodeling LLC 7930 University Ave NE, Fridley, MN 55432 • ARCMITECT OR DESIGNER MAIL AODRESS 21P pMONE LICENSE NO 795-9410 20128780 5 ENGINEER MAIL AODRESS 21P PMONE IICENSE NO S USE OF BUIlO1NG Residential 7 CIASS Of WORK O NEW O AODITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED FOF EIECTRICAL, PLUM8ING. NEATING, TYPE OF CONST. OCCUPANCV GpOUP OCCUPANCV IOAO VENTI�ATING OR AIR CONOITIONING TMIS PEFIMIT BECOMES NULI AND VOIO If WORK OR CONSTRUCTION 2pNING SO. FT CU FT AUTHOiil2ED IS NOT COMMENCED WITMIN 60 DAYS. OH IF CONSTpUCTION OR WOpK IS SUSPENOEO OR ABANDONEO fOR A PERIOD Of 120 OAYS AT ANY 71ME AF1ER WOpK IS COMMENCEO. NO DWLG. UNITS OFFSTpEET VARKING 1 MEiiEBY CERTIFV 7HAT I MAVE READ ANO EXAMINEO THIS APPLICATION 1 STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AND COppECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL 8E COMPLIED @ WITM WMETMER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �2 � OSG W 1. O3 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE pEqMIT FEE SAC CMA E PAOVI IONS Oi ANY OTHER STATE OR LOCAL LAW REGUTATING CON- ST CT R TME pfpcOfiMANCE Of CONSTRUCTION $]�}.],rj Fire C�� $2.�6 � PLAN CHECK FEE TOTAL E � � Lice $5 $82.84 S�GNATUpEO�CON7(7 QAOp�UT�+Op�ZED�GENT iD�rE, . N P P LIDATE ►� �OUR PER i r � 4� S�GN�IUAE 0� OWNEp��F OWNEpBWlDEi1� iO�fEi g�pG go r�arE NEW ADDN ALTER �� �� [l CITY OF FRIDLEY SINGLE FAMILY AND DUPI.EXES R 1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 �� AD �� �, � � �� ConstructionAddress: I�� I-iu ✓'�- m� a � Legal Descripdon: Owner Name & Address: I�a f r ��; c.r� S� [� _ Tel. # Contractor: e a . J i �• � M N L I C E N S E #�� 5 �..�%8b Address: � .�v � �5 ��`� � . � � Tel. # ��5 ` � ��� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il1�IPROVEMENT Length Width Height Sq. Ft. �ng� Width Height Sq. Ft. �ng� wld� HgdGround Sq. Ft. Construction Type: t�toJ � Ce Fstimated Cost: $ �� D �D S � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ • 3— � — APPLICANT: Tel. # 7 / S' < �� DATE. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: (�ITY USE _ONLY $ Fee Schedule on Reverse Side $ a d jo .001 of Permit Valuation (1/ lOth%) $ f, n 3 $.50/$1,000 Valuation $ $1050 per SAC Unit $ $5.00 (State Licensed Residendal Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] • �. .. ..,�>.