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AF - 47195sue�ecr PERMI City of Fridley . 13'7'70 \ AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r ; � ECEIPT NO � • COMMUtJITY DEVELOPMENT DIV. � �L _•'�", � � PROTECTIVE INSPECTION SEC. Q�(/ 6 � � t � ls �• �4 � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'� � ,�� 612-5603450 910-F15 9/22/76 � � JOB ADDRESS 6965 Hickory Circle N.E. LOT NO. BLOCK TRAC7 OR ADDITION 1 LEGAL SEE ATTACHED oesca. ract B Registered Land Survey #iO SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harland Berry 7099 Hickory Drive N.E., Fridley 3 CONTiiACTOR MAIL ADDRESS ZIP PHONE UCENSE NO., Same 4 ARCHITECT OF DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK ��G Construct a 42' x 26' Dwelling and a 22' x 40' C�.rage SEPEtiATE .P'ERMlTS REQUtR�D FO�.��t1�MiC. 8eiore di�ing calt tocaf u it � 9 CHANGE QF USE FROI� r'� . � STIPULATIONS p�vide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards.. Brace roof as shown on plans. Provide vapor barrier. Provide garage roof detail before construction SEWER LOCATION: 12" VCP Sewer main on South line- north of existing wye Allow a minimum of �" per foot grade to prevent possible back-ups. WATER LOCATION: MUST BE TAPPED to watermain on Hickory Circle. T�'-;1�, CIiY Of FRIDl�1( OOES t�lOT GtJARANTE� 1H� �•-��fpORTANi"' r C�u�ACY O� UT�IRY lOCati�NS At�ti , E�Va1�'i� -`:�. NOTIFY THE FRlD1.EY ENGR. t•�db DAtA lS FOR INFORMA'I10N PUP.POSES Oi��f E.N.i pryfg�ON REGAROtNG CURB `�iSONs uSiNG R S1i0UlD VE�fF� ��►fbN REMOVAL AND REPLACEMENT ON 1ME StiE AT DRIVEWAY OPENlNuS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITlONING. WOOfl FYaICl2 � 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-1 ZOOS �' SHO 29,968 Tota 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 AND OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 3']�040 $1H.52 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 119.87,_., !_� F,^ y`3SO.00 STRUCTION OR THE PERFORMAN�E OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL FEE ` 'i; - � L �� $29. 97 $518. 36 � .�7_�� ' SIGNATU OFCONTRACTORO AUTHOR12EDAGE IDATEI WHEN PROPERLY VALIDATED�THIS IS YOUR PERMIT � ' ` , . �� a Q �P . (' ,� J 9 a� _��. SiGNA R�OF OWN RIIF OWNER BUILDERI IDATEI BLDG. �NSP DATE � � �.i � r vr r:«�.1�Ct F�rPLIC:�TTOPd Ft�it i�ES1D�i�;T�TAL Al.TERA`fIQ'�, AD�I'i�ION, OF� REPAIR uiJILDING PE_`t��!�.T � ��`jl��`� � ��. ,� i ''� OWi�I�R' S PdAME : r' ��.�.�_� ` BiITI�DER: � � ��p =�"�` ADDKF'S4 : ADDItLSS ; � � � �) � ,t� � NQ : '7 c.v� S TitE�T :+ I/ C �� 0(� V L/1. LO`�:��r.� BLOCK:_��C �L AIJDITION: COFN1:�'. L07.': INS.�D� I.OT: �SETBACI::^�'� SIDEYARD:,��_ Appli.catit attach to this fo�r: 2tao Certi:licates of Survey of Lot and proposed bvil�ling location d.ravm on th.ese Cer.tifi.cates. � . DESCRIPTION OF BUILllING Tc Le Used As: ,, , . �1�/ F_��,�h � F'ront: �� Deptn :____�� Haight • �C� _�.___.... _. _._..__ .. l � �8 ��_.____ •__�..�... __._:�:....._ � � Square FeeL: / D� L Cubic Feet: �� D r«� S s�..L4` _.._ �ront : ,�.1 Depth : l� p Height : �!� - _.��.� Squaxe Feet;_�� Cubi� Feet: �� b� 7.`ppe of Const:ruction: U�Q Q� Estimated Cost:_ $_ __ _ To Be Completed: � ��_ The un.rl�rsigned hexeb5� makes applicativn for a pex�znit for �he wc�rlc herezn specified, aaree3.n� ta do all work in stzict ac�or.dance wit.li th� City of Fxidley OrdiiYances and xulings af the Departm4xi� of Buildings, and hereby declaxes l-.hat al1 the facts and representatians stai;eci i.n this appiication axe true aYid coxxect. � DA� � : _ � � 7" � ! �o SIGNATITI2E : (See R�vers� Side For. Add3_ti.onal. t � � //�, gi? �t�"'` � �9. 9 7 ��- ��.,c � 8. �'oZ s�`}�. 3.5`0 � o 0 � ,�"/$.31� Information. ) �T/� (,� L /9-j7 � l . I'cri--� �) �'�` � � J �Ac •�i� „S � o� �� l d� l��' b��l Q`�. � ' 3, P�o � `o''� �'!�'4-G-� � � y- � G� r�t c. �� '�t.� � :�vA � �� tEGISTERED LANC� SURVEY NO.� � ANOKA COUNTY, MINNESOTA IV �,, , C. E. COULTER � ASSOCIATES� ING. S"� �, ( � ' �� LAAJD SuRVEYoRS �� • - r 's � �' •,e:�. < � -- "c"r� � .w < t f .. „ } � k ,` �y^�l 4 } � J $ �� ,' � '. _ .� ' . '� � � t � � e� j � M ..i F 'K.T. � "f .:-�v . . .. ' J'��? i-�'7a.. ,� x ��f� � p�� d }��. 4s, .. . . ._ ... a. 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'. i � � I. i i , � � ._.-._. , ._.__:. _.... _. . _. .. . __ .. . . . _ . . . . �- _ . :. i-. .. � _ .... . - .__ -_ _�.__'. � ' . ._ � , � �. , - .. �. .. _ � ; � i � ; t i . �. � i �� ! � � , , : f , . � t ! 1 � .. . .. _ . . ._. . . .. ,. ._ ,_ t .. . . . . _._' _" _. .. . _ __ _ .._ -.__ _ . � � � ; � , .� , � , � � � � ' i _ - � � i . � � .. k ._ .. .. . . . _ . . . _ r _' : ... .. _. .. . ' '� _ _'._. � ... i 1 . : . {--- t- ,. . , � _.�--. . --} . . . � :- i . � � . 1 i , i � i - .�-. � � �- __ �__� ..! i --r- --- r-- ( I �---�-- ±---; i , ;� +-- a -- i----�- -� � __� ._ �_ , (; _ Y l_T i I ( �_ I _ --�... .� �---�-' 1 � � �__ �- i � � --�--�--a--�- -- � — �-- --; ---j— I � � _ .!- _ __ i-!! ___{ ___. � _� —+— -�_ �. - � I _ Y_ �_ � - -� - -- � r OWNER: SITE AD CONTRAC EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Page 1 of 4 DATE � "_ / �/'C --� / F-� T- PiiONE : � ��( r �� 9 Detennine working square footage of each r �y , 1. Total exposed wall area...... �%_� sq. ft. x .17 = � , 7 2. Toal roof/ceiling area ...... //�/ sq. ft. x .OS = � Total exposed wall area above floor = a. Total wall window area ....:............................ 1��; ,�� b. To�al door area ....................................... .$'a,S` c. Total sliding glass door area ......................... ,s��, L� d. Total fireplace wall area ............................. e. Total wall�framinq area (average 10$) ............. ... �_�� 7 f. Tot-al rim joist area .................................. �-3 ,(„ % 5 - ., a � � wall- area above f loor . . . . . . . . . . . . . . . . . . . . . . . . . / / (.. 3 R h. ,��c� wall area above floor .......................... _�[�� i. wall area above floor .......................... j. _ wall area above floor .......................... Total exposed foundation area =��(o� v� 3 k. Total foundation window area ........................... 1. Total net foundation area above grade ................. . Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a . / �� X �� U�� ' `,Z � - �.L� --r-. � b. <� g ��U�� • Q S ,��. ^�.._�� _ �. � r� �x „U„ • ,,�'8 = ��, , d. X e. ��3 r%�X . f . �� X g • _�� Y h. �f '��/'IT X ��U„ _ . „�,,, 0 7 = , ' �.-. _ ��U„ � --.--<- ��U�� • � - �,U„ ' � 2 = � _�� Z , 5S! Zo �. � � � � i. X ��U�� - 3. X"u" = If item #3 is the same as. � or less than item #1, yau k. X"U" = have met the intent of SBC 6006 (c) 2. , , l. g ��U�� _ "`1 ` 3 . ............................. Total - � ; ` � � � �:acterior Envelope Average "U" Computation � Total exposed roof/ceiling area =)� � I � Page 2 of 4 m. Total skylight area ........................... n. Total roof/ceiling framing area (average 10�)... ,; __ o. Total net insulated roof/ceiling area........... 1/ S� . Determine "U" value for eacfi roof/ceiling segment m. X ��Uu = . n. g ��U�� _ o. I� S I X„U�� . D 5� 2 = �� 4 ........................... Zbtal = �_3� ' If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. �� Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. �. 3(09. 9.� + a. S%SS = y��>>�,�� 3. 3 5` � 3 + 4. � g, 3� —�� . WALL SECTIONS NOT�: Use 10� of opaque wall area for frame construction FIG. #1 FRAPiE t7ALL • . . - "� u i - • , ,� v ! • �� , :��G. #3 .___ � y � a ` ` 1.�. . . � � • . o . , .. . , , . � � - ' -! • � � Z+ . Page 3 of 4 Construction R-Value 1. Interior air film 0.68 � 2. � ' , �� S 3 . � �� 5� a� 4• �a a��C.T�� rE �, o � . s. �,�eo� �TF_ S� � �,:G + �f5 6. Extermr air film 0.17 . Total $ � l � U.� � - ilZ. � 1. Interior air film 0.68 2 . I `. 3. 3� ��l a o 4 . �' ,, v � p 5. �� So'1, l'�'"�' �'��(.l�r�� 'i�b �+► 6. Exterior air film . 0.17 - � Total / y, 3 / � � , v- / = ,o� � � 1, Interior air f ilm 0.68 � � 3 • 2. �`,' 2 F/_� ��5.� /j. d 0 n � 3• ,r 1 � � � �- ., - ""'_l.� 4. �,�. v L T r� , O�o � = ` 5. As' a'M� , f'E �C c� � rnc � ,.� �.S O. 6. Exterior air fil� 0.17 �- � c,L , o lo Total /,,� � � a / � _ � =y� , � . �..� . .SJ � 1. Interior air film 0.68 �J... . 2 , '=' . ' it � 3 . _ /.�, �°�o�,, �. �� L I�., I .�8 4. 5. 6. Exterior,.�. film 0.17 C� = � = , `f'/ . Total �, 1 3 � . n • r . • ` a • . , � � .�'�'� T�`F--�— k . � � � � � . %« '. � _ .'� ! . ��(�=- � . � . �( ( V ' • � � � ,._... t b . 1 I ! ! -^ . • . — (ll . '� . . . , ._ � ► t � --- � � �<r . FIG. #4 = ' � ' ` �. i�r . �� is � '� (a "� '—' • � �/ � `� . ... � . . ,� � . �� , x ^X ` �� t _ ��r � r�� _ . NOTr:: Indicate type, "Tt"�value, depth and placer�ent of insula�.ion. ' � ° ' R(JOF/CEILING : . . � /`�� Y!-� , �; - v�rr �/ :; i Vented �� --� f� � v��,� ir��t� �� ' I ,� � : � I �.. . � �� 1I�1! , ____:_ �� .�� . -----t- $�� - . Heat flow up . .:. FIG. n5 � Page 4 of 4 Construction R-Value 1. Interior air film 0.61 a. '' (' Y��P �- o A �� d , S� 3. �.�a i�� , o d � 4. Exterior air film (still) � 0.61 To�� a 3, 7 g a- % _ ,o�z 1. Interior air film 0.61 2. Y� x�/� P�Y �md� �,ai .. �. 3 � ��s� I'�'6,�� i,�o 4. Exterior air film (still) 0.61 �s �a {'�y � o o �, To�� ,_��, 7'o�i� �- �3•� 5 �,�_ ,07 `� `-��J `�� ---L�"J � }:eat flos�� up . � � ; •vented _ .FIr,. �6 .. ... . . ` . � . . . .. � ___ � . � � � . � • j, � r�ui�—vt:!`lY.1J • . .., ' � �� ..� • HeII� ' ' . ' . � , ,• • f Iow up - .. • ' . , • ..; • � . .. • k'xr,. I!�7 � . . . . � . 1. Inside air film 0.61 � 2. 3. 4. . 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations ,' � � CI►Y CF FRIDLEy`_ APPLICATION FOR PU3M�3I\G AND GAS FI'TTif�G Pr.Fu`1I i �'� �L . ;:cb Ad3ress � � �'� �c,�arcmrr�t- o` �uild'.:�q� CwtY of .ridiey Tc1. i�571-3450 �'},c unucr:ic;nc� hcreby makes apa:icatzon °o_ a per^it for the rozk h^_rein do a1� •�ozi ir. �tzic� acrorZa::ce �.+_•h •.._ _ �__� sn�•cificQ ac�rcci::g `0 1 and dec!a_es C`,�t a�=- � ��c::t o` �uilditicl. ::crc�y `^ and rul.ing : of t:e Depar _ _� cvrre^• ti:e facts anc rc>rc�entations �tated :a tn:.s a�hlicat,or. are tn:e a.. °ridlc/. Y1. , 19�_ P�;RTIAL RATE SCNEDULE p? ;;`.;3?\G riXT'.iaE Rf"+TES: ,;o. un�rE �_ x S3 . C0 :;�:�E.; Fiy.:,�es � x 52.00 r.. _�ze .-`_>tt..r� C_ e::i.^.a i $2.00 ::C'.: ::X�1=C• Ci� �"i?�C.^.=I:Q . . � �{ $�.i)� C:1Y.C.. ..;-S.1 : � pl J / Y. SS.00 ;;� �er :c�-cr --0 99. G00 y gip. 00 1C�,G�7 is'rJ to i99,Ov0 �=li x $7,00 i:��er Sc`_ :c-e= X $5.0� .._•a G:o::: = ?-�r. OlZ 5uil�i:•9 r. 55.00 Ele�..ric r:a_cr :icatcr ToTnL �Q" UU S �' _ S �c_ S $ , 5; �,u , S S S S G.=.S FIT:I::G ==�S: �_ x 53.00 5 -j��'� - 2s= 3 :ir..::res Y. Si.�� +S — iti:��`..10:<31 r:.iC:::2'.^S X .51.0.�0 $ — G�s R.;.:ye to i53.000 3Tti R�?�iRS $ ::i7i:?aTIO\S F:rst S1G�.G0 eac:z a�3. 5100.00 0� ..ac'.ion S :ate Surcharge ^`O'�n:. F�� Rc�.i::S?�:.'",:�0:: F: � (S:O.GG) -.--------------- --• -- $5.00 S 52.0� S " $ .50 � 5..��.- . 4 OIQNEit iCIND O�' IIUI:.DI;iG USLD �S TO BE CO:•1P:.ETED A?C::T ESTI:r�iED COST �. �� L�.�r2 so. ,y .y OLD - N�4`' BCILDING PER`:IT L:O. �—. � ,�.�,5��.- /%�� Co:^panY , � �µ�� iN--- sig^ec ay TCl. ::0. � d —/ `�� / Y ROUGK Ztis�- Date FINl::� INSP. ��_..1_— Datc APPROVi1L i•OR PLI'�".IT ��..� MZNIN;li:4 FEE FOR elJ7Y PLL'Y.-°�+:�� 2�R-vIT ZS S7. SO . ; s . �., ..___�:.*, ..., • Application for Power Plants and Heating. Cooling, Ven�lation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Fizrnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 3 Replacement of Furnace ............................. 6.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Q �O Furnace Shell & Duct Work to 120,000 BTIT . . . . . . . . : . : ,:�� $ each add. 60,000 BTU . . .. ....... .. ...... �� Replacement of Furnace . . . . . . . . . . . . . . .. . .... ...... . . 6.00 $ Repairs & Alterations—up to $500.00 . .. . . . . . . . .. . . . . . 6.00 $ Repairs & Alterations each add. $50Q.00 . . . . .. .... .. . . 3.00 $ 3TEAM or HOT WATER SYSTEM Fumace Shell & Lines—ta 400 sq. ft. EDR Steam .. ...$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule /6. CJU / i+�1 (� il GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . '�6:6� $� �_� over 199,000 BTIJ See Fee Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x$ �$ � C%Q Additional Fixtures ................. x .76 $ Gas Range to 199,000 ......... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS 8c REPAIRS ROUGH See Fee Schedule TOTAL FEE � � � � Sv� ��l - 3 ys°o Dept. of Bldge. Pho .ecntinn � � �� /S� -�' City of Fridley: �� ` - _ ` +� The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance� and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. F�idley, Minn. U�C r� � , 19 ��' Owner �%�/� ��1�� O�IST��IG' %l�K Kind of Building �� Used as / J [�tCf�` L �/Y � To be completed about �� l9'7'7 /^� Gr+ Estimated Cost, $_ '71i�. Old—New. Building Permit No. Permit No. lIX_> C�X_� DEBCRIPTiON OF WORB HEATING or POWER i''LANTS�team, Hot Water, Warm Air No. l Trade Ivame_��/��U.� Size No-_.,( g��%� Capacity Sq. F't. E.D.R. ,/� ODU BTU � H.P. Total Connected Load�� Kind of Fue1 BURNER — Trade Name �6i�NQx Size No Capacity Sq. Ft. E.D.R BTU H.P. / �� .z FINAL /D � lv ` ? 7 ) Q( t (REMARKS—OVER) signe 0 — By Business Phone No--� 7� �� , , /+�.��„�` ,�� F,� , ':� � '�° �'�'..�� 1Q � �� isi�- U !6 C��'' 7 f HEAT LOSS CALCULATIONS .DEPARTMENT OF [NSPECTION 1NINNFAPOI.iS• M1NN• �/eatherseripi A Guide � �AStruction No. I�ulation Windowa I Doors Refereace Out. Wall Int. Wall C.eJing Roof Floor Kind How Applied ' Yes= o � Yes—No 19� � � FL� j,� %i',�i.* t� oom Length Width �leight � Fl.� oom Leagth Wideh /1i Height Windows and ors—Crackage and Area Windows and Doort—Crackage aad Area \Vldth He1�At No. ot LIn�a1 tt. Area WIdtA Heliht No. ot .Lla�al it. ArN �a• e� Dane o! Ds�e 116ht� o[ crack �V. tt. / No. ot pane ot pane Iliht� o[ craek W tt. �` ,��;, �,.�, �� Coef. Btu ' Coef. Btu Infiltration Z.3` Infiltration '? G{aaa � ,�Q ,� U �' Glaaa � Exp. wall c �» Exp. wall Net e:p. waU .g'"Zf ''!� / D� Net ezp. wall .� 7 Int, wall Ceiling � Floor Tatal Btu. Required sq. �ft. E.D.R. or aq. ins. W.A. Leader area Fl.� 7r e Room l.ength Width / I Windows and Doors--Crackage and Area Wldt� Hel�ht No. ot Ltn�al tL Area . J No. ot pane ot p�ne ll�ht� of ertck �p. tt. Yr d IA � fr"' Ls C.� �� ', Int. wall �� Ceiling Floor ` �% �"' ' Total Bcu. Coef.l Btu lnfiitratioa " ,� � �°f? U Glau „�`� Fsp. wall i Net e:p. wall Z,. lnt. wall Ceiling f(� ,j Floor Total Btu. ,r�. '� �}"" Required sq. ft. E.D.R. or aq. ins. W.A. Leader area / F1. L�� t� ; Room � Length d Width /?�'°Height Windowa and ors—Crackage and Area Wldth H�t�At No. ot Lln��l tt. Area � No. ot pan• ot Dana Il�ht• ot crack �q. tt. G G. U ,�,� Coef. Btu ]nfiltration G� " � �°� ,�� Glas� �.;�� ... �� c� Exp. wall .�" Nec exp. wall '�" ,�� Int. wali Ceiling hloor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area vired aq. ft. E.D.R. or aq. ina. WA. Leader ana / Fl.I ..�� Room I � Windows and Doora—C �, Wldth Hel��t N ' No. ot Dane ot p�ne �� In6ltration Glass F�cp. wall Net e:p. wall Int. wall Ceiling Floor Total Btu. Width / and Atea ne�l tt. Aroa J' ' crack W. tt. �' �� / � /�" i�'�- �� ; Required sq. h. E.D.R. or aq. ina. WA. L.eader area F►,� Room I Length Width 2 Height Windows and Doort—Crackage and Area � WIdtD Hsl�ht No. at Lln�al tt. Area No. ot pane ot Dan� I/�ht� o[ crack W. tt. . o;,� �' � ! , ;, Coef. Btu � Glass Exp. wall Net exp. � � Int. wall ICeilin Floor `� Total Btu. IRequired �q. ft. E.D.R. or sq. ins. 'WA. Leader a�ra r r 13L� U !6 HEAT LOSS CALCULA'fIONS .DEPARTMENT OF INSPECTION MINNEAPOl.iS. MtNN. yWeatherstrips _ A Guide � �a�truct�n No. I�ulation ' Windows I Doora Reference Out. Wa11 Int. Wall Ceiling Roof Floor Kind How Applied , �Yes'—No Yes— 0 19_ � FI.� �` Room Length '`Width %`�Height FI.� �'�. Room Len�ch a 0 Width y Height Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area \Vldth He16h[ No. ot Lln�al tt. Area Wldth Hel�ht No. ot .Lln�al tt. Ae�a No. o[ Dane o[ D��e Ilght� ot crack �Q. tt. No. ot Dsne ot Dan� Il�ht� o( ceack �Y. tt. �" ",� ,� �G �� d G � '�' � �..3 :� �° �' G , y Coef. Bw Coef. Btu Infiltration :,. Infiltration G 3� 1� Glass „i ..S'�' Glasa t: ',� li d O Exp. wall �' F.�cp. wall �'S,i Net exp. wall ""� 'p�' ..� .� Net e:p. wall ��.'� Int. wall Int. wall Ceiling Ceiling _ Floor � � � Floor � 0 ,3 B Tatal Btu. '� ,% ' Tocal Bcu. -� d Required sq. ft. E.D.R. or aq. ins. W.A. Leader area Required aq. ft. E.D.R. or sq. ina. W.A. l.eader area Fl.� ,�''` „t�' Room Length Width � Height �,� Room � Length Wideh =✓ Height Windows and Doors—�Crackage aad Area Windows and Doors—Crackage aad Ana WIdt6 Helsht No. ot Lfneal tt. Are� Wldth Hel�ht No. ot Linesl tt. Area No. ot Dans ot p�ne li�ht• o[ erack M. tt. No. ot Dins ot p�n� tt�ht� ot craek W «• °"�- � '� �,: '".,� " r..�"' � l! � °�- � ��. , >"�.'� s `� � .� `".�`' �� / . � i '�� . L � U �,./ Btu I In6ltrat;oa 2./,.� G{sa � E�cp. waU .�° ° Net e:p. wall ,�,� ,•"r �' �� l�t. wall � Ceiling Floor . �i+ '� �"'�'a°''�� Total Btu. ' : Required sq. ft. E.D.R. or sq.'ins. W.A. l.eader area �. F7. ' ,�i Room ( Length Width / ?�Height Windo a and Doors—Crackage and Area Wldth HN�ht No. ot Lln�al tt. Area / No. ' ot D��• o� Dans 116ht� o[ crack �Q. tt. �� ,P,� � ��/ � .� ,� �'� i,. � �,,, �' Coef. Btu lnfiltration � �s° „�� $ / .,3 Glaa� .2 ..S?i , r�° �: Exp. wall / �- Net exp. wall Int. walt Ceiling Floor t� `r� � Tota) 6tu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Infiltration Glass F�cp. wall Net e:p. wall Int. wap Ceiling Floor �.�Za Total Btu. �.'S: u�, ft. E.D.R. or sq. ina. W.A. Lesder sres � F1,� Room I l.ength Widt6 Hei Windows and I Wldtb H No. ot D�ne ot In6ltration Glaia Exp. wall Net exp: wall Int. wai) and Ana n�allt. � ¢r�ck � Ceiling T � Floor � Total Btu. Required aq. ft. E.D.R. or sq. ins. WA. Leader a�ra Btu � , � ; �'` � � ; � %� a�� -� j J� �' F / � ,6 � 6:.. . � . . f£. � }� , .. ' �,. �,`�; t r f,� � r . '<<� '� :�'�� ';�•y=; ` ��' i ,� � , ' November 16, 1977 ,� - �` �� 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHQNE ( 812)571-3450 m Mr. Harlan Berry 7099 Hickory Drive N.E. Fridley, Mn. 55432 Re: Final Inspection at 6965 Hickory Circle L3.E. Dear Mr. Berry: A final inspection was made on November 15, 1977 of the above address and the following items were noted which must be completed before the structure can be finaled out; � 1. Provide the City with a copy of the verifying survey. 2. Insulate basement walls. 3. Provide a door closer on door between house and garage. 4. Install handrail into garage. 5. Post address on structure. 6. Install P.C. alarm. We will expect all of the above items to be completed by December 5, 1977 when a reinspection will be made to deterntine compliance. If you have any questions on these items, please feel free to contact �e at 571-3450. ' ce ly, DARREL G. CLARK Community Development Adm. DGC/mh ----- _ _. SUBJECT City of Fridley � 219 6 5 AT THE TOP OF THE TW{NS g � I L D I N G P E R M I T i � RECEIPT NO. � �• COMMUNITV DEVELOPMENT DIV. ' j L ' r � � PROTECTIVE INSPECTION SEC. a( � i---- A;/'�','� CITY HALL FHIDLE� 55432 NUMBER REV. DATE PAGE � OF APPROVEO B� Z '� 612-571-3450 910-F15 �/�g/93 � � JOB ADDRESS 6965 Hickory Circle NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. Tract B. Registered Land Survey #20 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Berxy 69�65 Hickory Circle NE 571^2879 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW C� ADDITION O ALTERATION ❑ REPAIR O MOVE � REMOVE 8 DESCRIBE WORK Cons.truct ?n 8' x 9� Deck. and a 9� x. 9! � S creen Porch Adclition 9 CHANGE OF USE FROM TO STIPULATIONS �ee ncztati.ons on plan. �rovi.de smoke detectors as per UBC ]210 adjacent to all sleeping areas. and in basement. WARHIHG Before d�gg�ng ca(i for all utility locations REQUIRED By LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTHUCTION ZpNING SQ. FT. CU. FT. AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED fOF; A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTiFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX FlY'e SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 � Qaa $1:00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHAHGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 45.00. I2'1VeS't. Fee $4S.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE $93tOQ SIGNATUi7EOFCONTRACTORORAUTMOi71ZEDAGENT IDATE� WHE PE YALIDATED THIS IS YOUR PERM�T � �� SiGNATUAE OF OWNEA iIF QWNER BUILDERi iDATEI BiDG P ��r NEW ( ] Effective 5126193 ADDN [ ] CITY OF �RIDLEY � a+ � � ALTER [] SINGLE FAMILY AND DUPL�XES R-1 AND R-2 Building Permit Ap�lication Constivction Address: (�, � (� -� �/�' C �i o �- v � I r � T Legal Description: Qwner Name & Address: �) o,, �,� T�. �„� �� , ��r: S c ,�., � MN LICENSE # A�lress: Tel. �` Atta�ch to this application, a Certificate of Survey of the lot, with the propa►sed oonstructian drawn on it to scale. DESCRIPTiON OF IlNIPR4YEMENT LIVII�G AItEA: Length Width Height Sq. F� GARAGE AREA: Length �Vi�h Height Sq. Ft. DECK AREA: Length ,,�' �Nidth _�_`�' 3" HgtlGrviun:d Sq. Ft. OTHER: P•��eT:s SC R �E-!x .1� r� �t � � i � ' .� ' � x �i '3 , � � `% oif9G �9�r'ft i 7'G" x S� 3'J Corn� Lot [ I Insic� Lot {] Ft. Yd Setback Si� Y�d Setbacks Type of Construc�ti�: Estima�ct Cos�: $ a b a o�� A�roa. Completion Date: � (Co� on Back) Driveway Curb Cut Width Needod: Ft. + 6 Ft = Ft x� _$ DATE: �-a �- 43 APPLICANT: Tel. # S 7i a8 � 9 �r.vesd�qa�z�...tee Pe,rnut Fee Fire Surcharge State Surcharge 5AC Charge License Swcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � $ $ $ $ S $ S. $ �� 4S, °= 2, = I '~ ��,6� �M ' ��I_. Fee Schedule on Reverse Side .U01 of Permit Yaluation (ili0�96) S.SQ/$1,000 Valuation $750 per SAC Unit $5.00 {State Licensed Residential Gontractors) Ait. "A" or Alt. "B" Above Conservatian Plan Review 5450.00 Fee Detetmined by Engineering ' Agreement N�y [ ] Not Necessary [ ] STIPULATiONS: � 0 . f-/o�ic 9FT�R y, o o P, �n, ��T��E� tAhl[� SURVEY NC). ZC, A�30Kd� COUNTY, MINNESOTA 1'� �,, , C. E. COULTER & ASSOCIATES, INC. 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C�O /��i, � 0 w � �S' � / O � (' 14�0 �ds� �Q�� T �� c�A�. � �.. � � � � �� j�� 1b �, �9�5,��Q ��1 � • � L� . � �� Q « �M Q \ � II � � � J� � � ,V^ � ��.� v� J� (((�� L �\- j, Q� O Q � � \J 0 � 0 3 �� 3'� 3 Q � Qv w q o �� ac o � � a Q a `t � � \ k � 1 w � � Q � U` ` � / �f , �. �� i v �O �. �� x� � 0 ►� � � `1;, � � M ry 00 k c6 � x . c� � `� � �. � � ��0� � � � , � �� _ M `��- � C-i.� i Z '� V �' ° � � a � � � � Q � �J �� Z �� 4�0� � � `� a � � �� Z oy '" J �� J . � �� 0 M � �_ � � n � r ��,_ t� � � ✓ V v �� .—+•— \ M --. l�— � . r; � � ��; � � � Q � ..� J � ,� � � II � � e w- v � � � 0 0 �°a �� i a ��v c� lo � ^ �� e `7 � k 3 �� c�� 2 � � . �� ; �� I � �� w4 �� , � � _Q �., � �� Q� 4 "1 c6J� ^ o � o� x Q�,��, -3 W ^ � � � . � ��i �. �� v k 4 = v . �k �v � Mv 0 � � (./1ci � �^ i �o � ��, � � � � SuBJECT City of Fridley AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � RECEIPT/NO. � • COMMUNITY DEVELOPMENT OIV. �� , /, r � y � PR07ECTIVE INSPECTION SEC. �r � , � i . , � � _ �"'1 � CITY MALL FRIDLE� SSIJ2 NUMBER pEV O�TE PAGE Of •vvnOVEO 9r �""�' �'' 6tZ-57t-3450 s�o-F�s 6/3/99 / / �oe AooAess 6965 Hi ckor Ci rcl e NE t IEGAL �OT NO. BLOCK TiiACT OR AODITION SEE ATTACHED oescR. Tract B� Re i stered Land Surve #ZO SHEET 2 PROPERTY OWNER MAIL AODRESS Z�F PHONE David Berr 571-2879 3 CON7RACTOR MAIL ADORESS 21P PMONE LICENSE NO New Haven Construction 4208 83rd Ave N B 1 AHCHITECT OR OESIGNER MAIL ADDRESS 21P PMONE UCENSE NO. S ENGINEER MAII ACORESS 21Y PMONE LICENSE NO 8 USE Of BUILOING Residential 7 CLASS OF WORK ❑ NEW O AODITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ra 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD SEPARATE PERMITS ARE REOUIREO FOFi EIECTRICAL, PLUMBING, NEATING. VENTII.ATING OR AIR CONOITIONING THIS PEi;M1T BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION IONING SO. FT CU fT. AUTNORIZEO IS NOT COMMENCED WITHiN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOq A PERIOD OF 120 DAYS AT ANY 71ME Af7ER WOi;K IS COMMENCEO. NO OWLG. UN17S OFF$TFEET PARKING I HEREBY CEATIfV THAT I HAVE READ ANO E%AMINEO TMIS APPLICATION STALLS GARAGES ANO KNOW TME SAME TO BE TRUE AND COiiRECT. ALL PROVISIONS Of �AWS VALUATION SUR AX ANO ORDINANCES GOVERNING TNIS TVPE OF WORK WI�L BE COMPLIEO ��n72 ��. ^n WITH WHETHER SPECIFIED HEREIN OR T. T E GRANTING OF A PERMIT � Y� DOES NO P $UME TO GIVE AUTMO TY T VIOLATE OR CANCEL THE PEqMITFEE SACCMARGE PROVISION F ANV OTHER STATE LOC L LAW REGULATING CON- O I+ STRUCTI TME PERFORMA E CONS TION �p3.2'rJ Fi re Sl. 2.97 PLAN CNECK FEE TOi l. FEE -�c� 3"�' Li c C 5 2.71 N�r i C "f7A(;TOpO uTH iZED • Etir iD�iE� WE Pli P VA�ID D THI$ IS UF PER i � S�GbaivaE O� OwaEQ�� OWNEA BW�DEA� iD�iE� B G�NSo ' �i<<E flPR-14-1999 NEW '' l' 1 ADDN [ J ALTER C l 11�34 FROM CITY OF FRIDLEY TO CITY OF kRYDLEY S�IVGLE FAMILY A.NU DUP'LEXES it-1� ANA R-Z BUILDING PERMIT APpLICATION 5667183 P.01i02 �r�c�o�` ConstcuctionAddcess: �� S � �' G ` �� I.,egal Description: -L c�; �_ Tel. # S 7/ r- � 8�7 � Owner Name 8t Address: �a �' " o �-7 �S d � - MN LIC�E�NaSE � � � c �-��. _ Contractor�-�°�' � a� �`�� r 5 a �/ Tel . # ..� (o ' ��g J Address: y"v� G � �3'�� G�= ��" � ' Attach w th�s application, a Certificate of Survey of the Ioc, with the proposed conscruction drawn on it to scale • DESCRIP'i'I4N OF IMPROYEI�ENT LXVING AREA: I.ength Width Height � Sq. Ft. �� Height , Sq• Ft. GARAGE AREA: I.�ngth ,_ W idth ,� �yad� HgVGcound Sq. Ft. _ DECS AREA: Length ,� � o�R: .��--.54 --- i Estimated Cost: $ • � � �°� Construcdon 'Ij►pe: �� fFee Schedu.Ie vn eack) Driveway Curb Cut Width Needed: Ft. +�t = Ft x$_�� $ DA1'E: � 2- ^cj � APPLICAN'Ts Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee $ 83 - �2S` $ �.. � % $ � $ $ � C11� $ $ $ Sewer Main Charge $ TOTAL STIPULATIONS; _ $ � � Fee Schedule on Reverse Side .001 of Permit Valuacion (1/lOth�) $.50/�1,000 Valuation Tel. �i S��" �22.� . $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Deterniined by Engineering Agreement Necessary (] Not Necessary [ j Building � -� � � MECHANICAL Inspections RESIDENTIAL APPLICATION �63-s�2-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 1 �,'- ' SITE ADDRESS � THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS ❑ OWNER �QNTRACTOR G iS�',. V' Permit No.: ' : Received By: Date Rec'd: �o� � ADDRESS: C1TY STATE ZIP PHONE: COMPANY NAME• 'C-�j � � �'4 CONTACT PERSON: C �7 � STATE LICENSE # 3 O EXP DATE •� ADDRESS: ��'�/ ��'�' � � fi � C CITY S�- � STATE j��E IP PHONE �� " �Z �U �ls z �' FAX 7� � - % gU ' 7 � z-Z �INGLE FAMILY ❑ TWO FAMILY ❑ NEW �EPLACEMENT DETAILED DESCRIPTION OF WORK _ I ❑ TOWNHOUSE ❑ ALTERATION/REMODEL t "' FEES ARE BASED ON S10.QO PER. FIX'I'URE, EXCEPT N'HERE=NO"FE�`r<�UFTURES: pNDIGATE TOTAf..'1VU1�i8ER (1F ElI�H BL''17�W'1 ".' ';' :' ' "" . �'., PROVIDE.HEAT LOSS GALC'S PER �VIANUA J 2I,� 006 ASHRAF H•Al+il)B�K. . , . , .s. . , . , � ,: IB / _ Equipment Installed MFG: �c �' r��-r MODEL: �� VCD� b SIZE/BTU �7v MFG: V''�\"L�' MODEL: Z� i�SPI�S�Z� SIZEBTU Z' V� MFG: MODEL: SIZFJBTU �A/C 525.00 _FIREPLACE (GAS) 515.00 GAS RANQE/OVEN Et0.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD)"535.00 _ _NEW GAS GRILL 510.00 _BOILER 535.00 �FURNACE �35.00 _GAS UNIT HT3t 510.00 CHIlv1NEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER 535,00 _DUCT WORK $10.00 _GAS PIP�NG $]0.00 _VENTILATOR 515.00 ' " THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit 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 w rk hich requires review and approval of plans. SIGNATURE OF APPLICANT � / PRINT NAME �DJ � Y'U 1�1 �`r� DATE �� I� U � _ _ e� APPROV DATE /,-7C-- � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977