AF - 45957Lond �lann{nq s,���r�j��n ' 6'!S F11q�iar No.6S N.E.
Le� S�mr�rirtg ���e��j �nC• Minn�apelis�
�otb tss�l�� Minn. SS43Z
r:ivll trtglns�rirqr Tfl�phen� �S�-A066
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Arsa Ceds 619
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ae�r�r� er d laed. tM� surwp 9s
made enlr In eennssllon wi�h o �ner��oQs Isee now i�iw� p�aepd en � p�ep�r1y and'no Itabtlity b ps�tia��d �
•�ce�pt te fbs heldsr ef sneh merfgog� er anr o1h�r inis��y� eequind b�r,th. rWwssn e/ sueh mertgag�, if 1�
undentoed artd egnsd n enu fs evs b�sn laced Ier fks purpeYSS a� �e611thtn� le� lirts• er beumiarr
eornen. doted 1bis�_�r ef A. D. 19� ��I �
' 3u��lRg/a�1 ' ��GIN���INl�4, IN�. � � ,
. , , Engin� � � Sufv� ers
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dufe•na, /�7i5; G u► 17 50 3-tb-76 S1HSp
DESIGHED IN dCCOkDANCE YIiM MINNESOTII SiA7E GUILD1Nfi CQDE
PLATIN4 CGNFOH��S IU U.H.C. SiANDAND N0. ?S-1/ (1C�•0 Nfp4R1 ND, 1:�.1)
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TYDE - 17U0 UN1fONM �OADING
SPAN = jb{1, - OIN. lUP LHUND L4 =:f.0 VSi
SVACING =?FT. - GIn. ON CENTER GL = 11..Q FSf
SMUN� iEFm LORUIHG INfN[ASES bOT CMOkD LL = G.0 vSf
LUMbEw SiPtSSES 1NCkfASED = 1.15 DL = 1C.0 NSF
PLAiE NAiING INCktASED = 1.15 TOTAL LUA� __`U.0 PSf
TOP LHORG SLOPk = 4.UUG/12.
8U1T CU1 = U.25 INCMES
•*+ TkU55 IS SYMMETRICAL ABOUT TNE CENTEkIINE •�*
PANEL LENGTH CHORD fORCE uEA FORCE JOINT �CPD REACT
V 1= bFi 6- �/161N C 1= -4b21 41 1= -471 J 1= :'t -7799
P 2= Sii 5-12/1bIN C 2= -4340 Y 7= F,46 J 2= 4�L
P 3= SfT b-12/16Ia C 3= -3327 v 3= -783 J 3= 45b
P 4= 6FT 1G- 6/76IN C 4= 26�U If 4= 946 J 4= 4:t
H G= 6FT 10- Ff161t� CtU= 3533 J10= 737
P11= 7FT 6- 4/16IN C11= 4384 J11a 145
•�*+• REPETITIVE STRESS VALUES HAYE BEEN APPLIED TO TNIS DESIGN •�R**
TOP CHURO 1S 2X6 NO 2 S DRT DOU6 FIR f=1250 T= 815 I=105G
STRESS fA�TGR= C.8Z1
BOT CHORD IS 2X4 NO 1 5 DRT DOUG FIR f=1750 T=105L C=725U
STRESS FACTCR� G.990
THE MAflIMUM OVERHAN6 FOR A 52N61E Pl� TOP CHORD IS SFT 1 1! 21N
CAMBER AT CENTERLINE = �4°
2X 4 MINIMUM BEARIDI6 RE6UIRED AT J 1 AHO J 7
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JON NUlqr.kR 7h1355 6 Of12 YAGE� 2
uYPP�-UA1l *► VLAIE LOCATIQN �•
JOIN1 hLAtk llLk •� X•• •• Y••
J 7 3 1/n ,t 1U D
J 2 1 Y 4 D
J 3 3 1/fi It 4 D 1 3/41N 3 1/PIN
J 4• S 1/r. x 4 0 5 1/SIN 2IN
J10 4 1/8 X 4 D 4 1/bIN
J17 4 1/P x 4 D 41a
JO1NT5 MAf.KED '�' MAYE NO SYMINETRICAL MATCH
+• ONilONAL SPlICES ••
C 2 15 4 1/t x 4 D
C if IS 2 3/4 % 10 1/2N
C 9 IS 3 1/b x 7 112H
C10 15 2 3t4 x 10 1/2H
H= 16 GA_ ( 12G P51 USING hET PLA7E CONTAC7 AREA)
0= 10 GA. ( 174 PSI USING KET PLATE CUNTACT AREA)
YEBS ARE TO BE 2x 4 STANDARD ORT DOUG FIR
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Th� � � ���ry that 1he under-
signed Ms examined the informa•
tion hertoa and it conforms ta
1he design crteria and loading
shman.
R Iieraby eertity tlia£ thie plan, -
epeoiSication, or report �ae prepareQ
by me or under my direot superviaioa
and that I am a duly Regiatered Pro-
Yessional Engir.ear urder the laWS ot
the State oY 3dinaesota.
`�1'►!�"` ���
Date���w,Re$• $o. 9471 _
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100
HVDRO-AIR CLAIA�S PROPRIETARY R16HTS TOTHE NOTES:
P�EASE READ REVERSE SIOE FOR b1ATEPIAL DISCLOSEO HF.REON. THIS DRAVYIN6 1. CUT ALL MEYBERS TO BEAR.
ADDITIONAL INFWiflMTION, AND �OR TECHNICAL INFORMATION IS ISSUED IN 2, CENTER ALL PLATES OAI JOINTS UNLESS OTHERWISE NOTED,
FA6RICATION INSTRUCTIONS. "���'�I• CQNFIDCNCE FOR ENGiNEfRIN6INFORNATION
AND NOTICES. HiDRO�A/R� 011CY AND I�AY NOT DE-HEPROOUCED WITNOUT 3. INOICATED CHORD SPUCES SHAIL BE LOCATED i!4 OF TNE
E/YOIME�R/NO,INC. E%PNESS PENYISSION OF HYDRO-AIH EN6INEENIN4, INC. PANEL LENOtN ��e") HEASURED FROM A JOJNT.
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u�uaa�u��� 6T6 `SOZ a��ng �•�ui 'a�n���sui a�sTd ssn�z 'sassn�s
pooM pa��auuo� a�ETd TE��I �u �Z zo� TBnu�� To��uo� ��TEn au�
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pus uo���aza ���an�Tap �a�8�o�s °Toz�uo� ���TEnb °uo��s��zqs� au�
�u�u�a�uo� a��eps aau�o ao3 •m.zo��un a�E s��un ssn�� pa�ajdmo�__.
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azE saz�s a�sTd pus sap�z3 zaqmnT nan�u�yy •�iTa�n�as u� passa�d
pus �u�r�.zp au� uo ut�ous ss pa�s�oi �s�.uio� ssnz� 3o sap�s u�oq uo
pa�sTd aq ZTBus sa�ETa •a�u�easadd�e �z�au�sa�e .zo ��s�n��s TEUO�s
-ua��p ao3 pamnss8 s-� ���Z-�q�suodsa.z oN •s�u��B.z pus sanZsn a�.BZd
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'�II�ME.Ip S'FLj� uo uc�ous s��a�-�a� u��sap au� uo pas�q �6Tuo LC�E7.A��E
Ts.xn�.�n.z�,s zo� aZq�suodsaz sz pa�8.zodao�ul ��u��aau��u� .z�y-oap�Cg
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t'� �
City of Fridley
AT THE TOP OF THE TWINS
i `
� i L_.�� COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPEGTION SEC.
� �` ;
�` �"'1 � CITY HALL FRIDLEY 55432
L""� � ,'� 812-�0-3450
SUBJECT
BUILDING PERMIT
NUMBER REV. DATE PAGE OF
910-F15 7/13/76 � �
J08 ADDRESS 6640 Hi.ckoxy Street N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION
DESCR. 3& 4 6 Fridley Park,
2 PROPEHTYOWNER MAILADDRESS ZIP PHONE
Wayne Friday 1016 Bunker Lake Blvd N.Eenoka 55303
3 CONTRAC��y MAILADDRESS ZIP PHONE
X�� Custom Homes 1016 Bunker Lake Blvd. N.E. E�fl�
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE
5 ENGINEER
6 USE OF BUILDING
7 CLASS OF WORK
8 DESCRIBE WORK
s�+
wel�1T1 �1/ TN F
9 CkIAJ�IGE.OF.WSfii
MAIL ADDRESS
PE .
13640
R IPT .
��_� 3 �
�3a�3�
APPROVED BY
SEE ATTACHED
SHEET
LICENSE NO.
� Anoka 55303
LICENSE NO.
PHONE LICENSE NO.
�7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
CURB�
�
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sTlP�qpAD�t�WAY OPENINGS. - - — � -�-
1. Drainage must be adequate to build a walkout on this lot �AR����
2. Provide City with copy of truss design/
3. Provide a verification survey before cappi.ng Refote digging cali local util
4. Provide a hard surface driveway T�E�.EPHBNE • ELECTRIC - GAS
5. PRovide sod for the front and side yards. �EQ.�;R�� gY I.A
SEWER: Served from alley
41' North of Manhold (N. Inv. 825.69) WATER (not qood ties)
Wye Elevation 824.76 88.9' �outh o f Water Service
Top of Footing 827.76 (Minimum) 78' Northwest of power pole
THE GITY Of F�IDI,EY DOE� NOT GtJARANTEE THB
��CCIlRACY OF tiT111TY LOCA'i1�N' AND ELEVATtQt�'
..�r115 �ATA ,IS FOR 1NFpRMA'i10N PU�OSES ONLY AW�
•.� P>ERSON� � I�SING li SHOULD VEtYtY tflE INFORMA'Iti3N
iEPARATE PERMITS bRE RE I ED FO ELECTRICAL, pLUMBINO, HEATIN(i, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
'ENTILATING OR AIR CONDITIQNINO.
HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
�UTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ]_Q],9 -�-rj28 20,380+5280
IR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT -
�NY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
ND KNOW THE SAME TO BE TRUE AND COHRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ND ORDINANCES CiOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $3].�SZ�J.00 �$$�(� ].�j.%(
IITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIN(3 OF A PERMIT
�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATING CON- $1.52 3'rJO.00
TRUCTIO OR THE PERFOFMA E OF CONSTRUCTION. �
PLAN CHECK FEE TOTAL FEE
% � � � $20.38 476.66
� �
- G TURE OF CONTRAC OR OR AUTMORI AG T IDATE� ..,� �.� .,.,...,�.,� �� "�
-�
IDATEI
VALID TED THIS IS YOUR PERMIT
° ,��� %�-�� ` � �.
OWNER'S
ADDRESS:
CITY OF FRIDLEY
��
APPLICATION�FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
���,e- ,
�
�
NO:. STREET:
0 -
LOT• �d`' BLOCK: � ADDITION: �
CORNER LOT: INSIDE LOT:,_J�SETBACK: ',� � P SIDEYARD:
��
� .
Applicant attach to this form �ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
BESCRIPTION OF BUILDING
. �� v � � �
To B.e Used As:
��`' �s — Front : '_� Depth : ��"� � Height • i��Z � /
—�---
Square Feet• �/9Cubic Feet: .� 2� 38�
Fron�-• � °� Depth; Height• � a
Square Feet; Qj ,�-� Cubic Feet • �.� ���
Z`ype of Construction: �%_o� ��� Estima,ted Cost:
To Be Completed ; f'��// � Z� �3�� �� ��
P���
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in st�ict accordance with the City of
Fridley Ordina.nces and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and coxrect.
D�TE : ��� /'7� S IGNATURE ; `l
� e
(See Reverse Side For Additiona.l Information.)
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o2S�o' i�'Q� !� .?o. 3 �
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�v r%t D� cr ry w � r!� e 0� �� ��
� 7��c 5$ ��St�j-�✓ �
BUILDING PERMIT FEE SCHEDULE �
The Inspector of Buildings shall, before issuing perm:i.ts for the erecti�n �
of any building or structure, or for any addition to any existing bailding €
or structure, or for any alteration or repairs to any existing building.or �
structure, upon application thereiore, require the payment by the applicant k
for such permit of fees to the amount herein below set forth and in the �
manner herein provided to-wit: �
NEW CONSTRUCTION: Single Family Homes and Garages; $4.00/1000 cubic feet.
PLAN'CHECK: 25�percent of buildinq permit fee.
ALTERATIONS, ADDITIONS, OR REPAIRS: $3.00/ $500.00 or fraction thereof
In no case shall the fee charged for any permit as set forth be less than
$7.50
c
ADDITIONAL IfVFORMATION_
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, shall be determined by multiplying the ground
area covered from a point six (6) inches below the floor line of the basement
or�the cellar to the average height of the upper surface or to the average
height of the roof surface of the main gable of a pitched roof.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the tivae
of app?ication, to allow for proper review of the proposed structure and of
the construction site. �
A Certified Survey of the lot, showing the location of the foundation, once
it has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or. occupied until a Certificate
of Occupancy has been issued.
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, I 2 ��u Page Tro
=' ��ALL S�CTSONS � �/ / Tj� M/�So^/ /�Ti�a► SiO� �V G
�40TE; Use !� of opaque wall aren for ��• �•
fzame canstruction Construction R-Value
.._._Z � n .
---W l. jnterioX air film Q 68
��� _�� 2. �/2„ G r,�? 8oA�4 . 45
3. 9"inches soft wood �J..�S
4 � �/Z " �✓/!�t �,�G�.: i . /4
a 5. M/J1a �J�T�S Si �i i.J G . 4�
BASZC --� 6. Exterior air film = 0.17
4JAT,L Total � �Q
� u'�j�=./38 r��� . /4
--
FIG. #]
�-"�'�' F?.P�1tiE NALL
FIG. i#2
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1. In±erior air film 0.68
2. �/,• �� p l�o�vev. .45
3. 3%2 ., GL�1f F$F,� i� i� i NS //. o0
4. �/�".✓ri'�t �JAS� /. /4
5. _
�a�/iT/- siQinJ6 -��
6. L'xterior. air fi1M 0.1?
'�'otal /3.S%
G(= �f' _ . 07/ US�' 07
'�
1. Znterior air filn �:.GS
2 . 3 �,� " GG•o�f �i%fE2 �f�. �� ) //. o 0
3. 2" G'i? 14i%H 7'ois ?' �s$u_°
4 . �/2 " NAi� fjQ'S'� /. /Q
5. MlJtv.�'� �'F' S� t��.:►G . 4�
6. Exterior air film 0.17
7rotal �5•32
!./= IR = • dG � u5� . oG �
�
1. Interior air film O.GB
2.
r 3. fZ " CoNG. /3C,rk GjI�4f/, s! dG #�'"
4.
5.
' G. Exteriox air fiL-� Q.17
Total �y�
G� . %R. .�sl� u 3.� s#'
51,P.B OiJ GF11DE '� 2 $�
�-�'r/� /.'?� S�f�T •
_ ♦ • r- • • ` r
• �T�-A���i �x . , , �^ - • . � `, ' . .
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V '�
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� ` � /��
FIG . �4 1l t � .t� • �.
— . U // ( �
' /C( _ X � � `�C � ,r ��r
/� ( _ �r r �_ �,� _
NOTE: Zndicate type, �`R" v�lue, denth and
placenent of insul:,tion.
_ ..._, .. .�.�.w...�:.�.; ,.���; � , ,.� _M ��:�.
.a . . :� � �i;.�:vttu.:,:� . � *k -:. ''�'4 i�a:._:.:�".
,,
�' " )2'l�. S6c�-�o�J 7'�/Xt/ G►+�Jr�I1GE w.4LG. paae �o ;�.
r ' _ � LL SECTZONS '
NOTE; Use !� of �paqu� wall area tor _ �LA� �O• `�
frame construction Oonstructi�n R-VaIuQ ��
- � - .
�.� l. Inte�1 oz air f:� m D LS �rfA�•
� _,.� 2• ��'�YO. �i�D. .45
. 3. 4"inc?:es soft k•ood 4. 3 5
4 . �"_ � Y_ P �o,4XQ. . 5G
� o �s '
� �.
A��c ----- �/ �. : $�-
WALL
Zbtal f�. �Z
� J; !� = %,q - 1.7r = . iAa ('usE ..s�'
' FIG. $1 � R'OP'�rIEA' OF � - ��
'�-- F?.�..[�jE WALL 1. Interior air film -a,f�p�
2 . �/ N
. j 3 • �� � � -I/ .
• ,�� � � ' 4� �� -
� ' ~� 5 • �t.tivit .4/�2' Fil' � D. Lf
. ��----� , � } ���� �_ , _ ��
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F=G. �"' � :
� `,._,1 'i'o ta 2 /3. 3? � �
���� �.. � � J . .
_�� �„�- l�= �/q. %3.37 = . 07� �tlfE .eT�% �.�
• � � �s
>
`' '� 1. Interior air filr.� p, l�,i�.
. — `� - ' .r� �,....._._,,,_�J 2. y " b
�.' �........__..,0 3. /'
'L-•f/ � .�
� � L L �C:, L='..!( :'_•` ./ -�-�--�-'Q 4. d G rI. �o,o�p. , s'�i
5 . l�1I7'lE�CAe.t .4 i�
..,i�;�era]. � '_ ':= . ' � "�7 ,! �''-tLM. o. !ss
.� .12(' T' r �a �.i.�_ ` �" % �,:---.�.... 6 ��►
�.� �;�,�:., � "'"""�� � - � To�a� ,4 ao
- � - �:,�� ': �, ' a' �, . . • ' . l�= � _ � _
�; '?-�-�-�,-- , �R' �q. 80 - . 0�7 �vsE . aG7 )
� � � • �
::�„ .
��� •� . �' l. Interior air filn O.GB
�!� yI� ., • ..
rUt�Lt111ti1t �s ' � r a \ • 2 • .
j.tP.,7,Z � � R � .' . ' �� ' 3. � . T
�,� � t� � � ��: �?�� • ' 4 . �
r �
�� `l; ' • � ,•= ' �" �•�`. . � .
.• r� �� ;�'%•• . � Ext-erior air fil::i Q,1;
i---•/�, . . . �. Total
' �/= . �G
._..
_
�
-_,�.. $3
_.��.
.
q 7 . � � r..'
. ' � v n �
�
. ' c - � �, •
� � S
i-r-�� ' • . - • �
f GF.1�DF'
e . ,� �. . � ' �
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irr�- , , . - • .
i�r � • .� • _
' G ' / 1!i -r
—. , . ,
/! � . '` . ' ' • � — t � 1
- � ' � 1�/ ^ .
FIG. �#4 "" �� � ' i� /�/
I l t � • v -"
- , // ! � .
- . /f! �� � � k_;� r(�
/l( .. l<r _ li( �
NO;E: Indicate t�•pe, �'�" value, depth ar.d
placer.tent o� insul:,tion.
�
.
�..
o s�2/s�a-�z�s
SNOW-LARSON, INC. 1221 North 2nd Avsnus ■ Mlnn.�a�, Mi�� 6s,ws
CONSTRUCTION
M A T E fi { A l 8
COST ANALYSIS MASONRY WALL INSULATION
ippe of Wall
8" HWCB 41G/unit
Block cost per SF
Insulation cost per SF
Total material cost per SF
U Factor
8" LWCB S1C unit
Block cost per SF
Insulation cost per SF
Total material cost per SF
� Factor
12" HWCB SS�/unit
Block cost per SF
Insulation cost per SF
TotaZ material coat per SF
t? Factor
i2" ILJCB 70� unit
Block cost per SF
Insulation cost per SF
Total material cost per SF
U Factor
No Insulationj Korfil � Zonolite� B-D FiI
.45
,00
.45
,51
.56
.00
.56
.33
,60
.00
.60
.77
.00
.77
.29
Fi.gures based on the following contractor costa:
7.onolite 4 cu. ft, bag $2.90
�-D FiI b cu, ft, bag $2.6 0
Korfi2 & Block based on Freidheim figures
Add for labor for filling block cores
.45
.37
.82
.23
.56
.37
.93
.15
.60
.48
1,08
.24
.77
.48
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NOT�FY THE FRIOLEY ENGR. - i'FliS DATA !S fOR INFORMATION i'UtYPOSES ONCY AN�
glVISlON REGARDtNG CURg• PERSONS UStNG R SHOULD YERtFY iHE {NFORMATtON +
�MGVAL AND REPC,qC�►��Nr ON iHE SITE
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Iiote: t,s the orifTinal plat of Friclley Park has so man•,r missinp dir,:e;i-
sions, we used iron monuments found on �the �,round, lines o2 occupaticn a��!
the plattin� of �d�;ewater Gardens to establish the corners of tZis aropert•,/.
�•7� recommend that the corners of this pro�erty be juciicially determ.i^e::. �'
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SuBJECT .
City of Fridley 2 61 � 7
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
t
� ` RECEIPT NO.
� `y ������ COMMUNITY DEVELOPMENT DIV. � ^��
r � � PROTECTIVE INSPECTION SEC. �-�
� �
� � �
� � /'��1 � CITY HALL FFi1DLE� 55432 NUMBER i1EV DATE PAGE OF AGPROVED B�
�'""'�' �'� 612-571-3450 910-F15 6/2/98 / /
J08 ADDRESS 6640 Hickory Street nE
1 LEGAL LOT NO. BIOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 3��F 6 Fridley Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Schultz 6640 Hickory Street NE 572-1061
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAI� ADDRESS ZIP PMONE UCENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBE WOFK
Construct a 20' x 14' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
���i� t �
= �!5��'
DA�I��� ni�k (�r '?:� i:`i�
2��1 L+?';t,Y In,�?_tft�fiS
�PARA7'E PERMf asa-ro�z �
TS REQu1}�� F� REQUIRED �Y L�"-�'v�/
W!Rl1�G, NEATIi�G, PiU�iBING AND S
'��
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. 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
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERT�FV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STA��S GARAGES
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPlIEO
WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING Of A PERMIT �2�511 �1.25
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- $74•75 Fire SC �Z..SI
STRUCTION R THE P fORMANCE OF CONSTRUCTION.
- � PLAN CHECK FEE T L FEE
�--� - �o �2��� $ 78 . 51
S�GNATU�7E O� CON'AACTOR AUTHOAIZED AGENT IDATEI EN PR VA�I D THIS IS VO+� A �
� y
S�GNATUFlE OF OWNEA i�F OWNEA BU�LDEF�1 iDATE� B G INSP paiE
rrEw
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: (D(D� � � ( �ka � y �" �
Legal Description:
Effective 1/ 1/98
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Owner Name & Address: �c,�V � � � � �tv �'�Z Tel. # �/ 2 � 5� 2-- /�/
�ontractor: �,SF
MNLICENSE# 5'y32-/3S-�si�32�
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LNING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length D Width � Hgt/Ground Sq. Ft. �g_��7%
OTHER: = ,� �5'/I_ GC�
Construction Type: ��rQo�rC�t'� �o� � c�.e c� Estimated Cost: $ 1(� bp • ��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 1 Z� 9 Y APPLICANT: ✓/ C'�2 � Tel. #
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Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
�'TIPULATIONS:
$ �iy �5�
$ ,l
$ �, Z ��
$
$
$
$
$
$ _
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CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.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 Necessary [ ]
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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
strucfure, upon application therefore, require the payment by the apglicant 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
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
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
$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 �rst $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 DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "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 wiil 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.
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lee�tien �f ali �uildin�s� iI anr� fA�oe� end ali vi�lbb �nsre�cl�m�nfs� if a1r� fren� eri M� s�ld land. ?his s�r�nr is
nwd� enlr in cenn�ctien wHb a nwryey� teon new brin9 plec�d en fM pro'�rtr eMd he Ilebilitr fa aswm�d
•�c�pt te th� held�r ef such rnmtyay� o� onr ofh�r inhr�N aequir�d by.fl�� nesee e1� �ve6 mertyaq�. 1� is
und�rsteod ond agn�d n�onu ts av b��n loe�d for th� purpes• ef �sfeili�hin� Iet li�s er boundeery �
corn�n. Dated this���er e�A. D. 19� j � �
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JUN 02 '98 08�14 FR MPLS PARTS DEPOT 612 553 2586 TO 816125711287 P.0�i10
nesi�n Wurlcs (lt), I�nox Lumber, # 220, Phone # 754-3550
M�n Jun 01 18:4(::53 1998
"�'he materials in this dcck will cost �1408.54
Plan !U: C;Q7122
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* Ask For A Construction Detail Sheet Before You Begin Your Project
JUN 02 '98 08�14 FR MPLS PARTS DEPOT 612 553 2586 TO 816125711287
Design Works (.l�Z), lCnox i.,umber, # 220, Phone # 754-3550
Mon Jun O1 18:46:53 1998
Y�an !D: CQ7a.22
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COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacinq an existinct furance, the undersigned hereby verifies 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 existing combustion air is sized and installed to meet 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 manufacturer's specifications.
Yes()No()
Yes ( ) No ( )
Yes()No()
When installina a new ventinct svstem, 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 ()
Apqliance Type and Size/Common Vent and Vent Connector Infonnation
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
763-502-4977 FAX
DATE 3 .�V . v�
SITE ADDRESS L (o �{ �
THIS APPLICANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
S�.
Permit No
Received By:
��. :.; �,�� ;, � . , � � �,
�
YOUR E-MAIL ADDRESS 1'VtiG�-R-�c�-n. ri. Q- 4� G` �'g o+^ �. �F°�-�`oo •�-Qw,
R10WNER ❑CONTRACTOR
PROPERTY OWNER/ NAME: I
TENANT qDDRESS:
PHONE: i
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING DC
SIZE OF [MPROVEMENT
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
ADDRESS:
PHONE
STATE LICENSE #
�oS
� SINGLE FAMILY/NEW CONSTRUCTION
❑ TWO FAMILYMEW CONSTRUCTION
❑ ADDITION ❑ GARAGE/SHED
❑ BASEMENT FINISH ❑ ROOF ,
❑ DECK O SIDING
CITY ��-� a�-� STATE rn�i ZIP 5 S�-3 al
CITY_
FAX
EXP DATE
SIZE
STORIES
� WINDOWS
❑ DRAM TILE
❑ OTHER
❑ SWIMMRJG POOL
� NEW HOME CONSTRUCTION ❑ ADDITION
R1 MAINTENANCE/REPAIR ❑ REMODELING
. a-t� ��.e. �,..a._..._ ow
WINDOWS
IN EXISTiNG OPENINGS �Yes �No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPF. nF WiNT)OW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
HEIGHT
STATE ZIP,
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
2. Proposed floor plan
3. List of sVUCtural members to be used
FOR NEW CONSTRUCTTON INCLUDING DECKS,
❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Trim 1. Site Plan/Survey showing the existing structures
O Fascia and proposed project.
2. Two sets of construction plans
3. Energy Calculations
LOCATION OF WINDOWS
NUMBER OF
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION SX SoC� , OCCUPANCY TYPE
Permit Fee $ � S�b See Back Page for Fee Schedule
Plan Review $ -� b 65% of Building Permit Fee
Fire Surcharge $ . Sv .001 times the total job valuation
Surcharge $ .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= ft x$21 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary () Non Necessary ()
Total Due $ Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
lations
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 1 understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in acc dance with the approved lan m the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT ��- u-,-L-.-�� Yk-� PRINT NAME �'�` G� h N AI G���s �„t �` DATE 3• 24 - D x
APPROVED BY DATE
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Ghief 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:
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 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 Only
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432 �
763-572-3604
Fax: 763-502-4977