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AF - 47588• � Village of Fridley, Minn. BUILDING PERMIT �° 17 8 4 Date: . . .��.��:!.�T. . . . . :Z. `3 . . . . . . . . . . . . . . . . . . ..� / Owner ..� �. y's.�.�.....�OJ••�tS � � Builder .............................................. Address . . . .�j . .�. Q . . . .��. � . .'�cF�. .'. ��4° Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y>`j� LOCATfON F BUILDING No. . . F�. �'. � . . . Street . . . � u,J� iG, .�. ?!� i. /! �°. . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . . .� �f '/ / Lot �.�.a... �7 :3.� Blocic . . . � . . . . . . . . . . . Addition or Sub-Division . . . .,((. i . �! � �' . �.,� .G W. . .��r.�� %� Corner Lot ...!�... Tnside Lot ........... Setback ........... Sideyard ............................. DESCRIPTION OF BUILDING To be tised as: %��i. � ?..��... . Front . %.!2-:. Depth . . � a. Height . �..�.. Sq. Ft. ..... .. . Cu. Ft. . .... . ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ � Type of Construction . . .'r.a. !� . .°�. . . . . . Est. Cost . . .Z J � �. . . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . � ,I'-o o s. "., � ;2 ° /�.�.� .f.�c %r i✓ Gr� e �2. �' 8 J o, s�%1 '" O, G, ! 2�/�%'t�' S'�' `r s7 2 X G �-� , ' �'�� 3'U s °s f �- �d hf e �X � �p r`{Y, q ��S'� L/ i n� � //�d � J �/��'! � / +eS Tn consideration of the issuance to me of a permit to construct the building described above, i agree to do the proposed work in accordance with the description above set forth and in compliance with all provisiorL4 of ordinances of the village of Fridley. ..................................................... 00 In consideration of the payment of a fee of $...�.�. �. ., permit is hereby granted to , a :�t�. . �,�1.4 � G � . . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This permit is granted upon � the express cnndition that the person to whom it is granted and his agents, employees and workmen, in all work flone in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of " �"ridley, Minneaota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � � ......... ._r�� .'K.r. . . . Building Inspector NOTICE: This permit does not cover the const ctio nstalla,tion or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Buitd n nspectoP for separate permits for these items. � .�� 1� �� "� ��i ��.� � � , � ��. � � ��ti�� ; :�- �' � ° �,� , /� � ` " ,�� 3 7�,, 3� _, J3--�� ,� 1 � `.�y�� _ t % �t,X �F—fC a'a � � � � ,� X 4-- /� "'a �• � , , � r t ,S�•r � c S,`� �� S�,'��/�cs as ` �cswl �G = /3e.loa ,�r•o� e 2 ��y ��7�5c r..� -�--•`- � ��t0�� '%t1� / � " 9' /' ��j �t� � � r � � � I � I� � ( � �� 1 �� . o � �� • �-. . R �,ta� a e � � � "�p � � � �r .;. � t �,� � e'�, � �.�"°� aT 'C>s� TOP OP Tw� TWiwg r �� _ ` --- , r ; �,-- --, GOSt►CVNITY D�VELU:r"wEHT Olv. � � i �`I'`iOTECTIYt! li��*'�C„T�Ci.�/ L`�Vl. �` � s---� ; C�vr H��L F�iD�6� ��sx L..._.J'`.: �.J 6��-36p-3e8Q • Edsrs,i�c�e 902 Permit IvTo. i�EATI�fJG PERr�IT APPLICATIOi'� � � ►�tt;�R A�V. pATE PAGE p� A!"PRGVED 8Y 910-?'17A 0 2/15/73 1 ' 1 800 Job A ress�� /GL� � T �/� /��i �' �~ - /��'%,dL P�Y /� �rner 'Ad�ress ��/(� � /1/7" o �fI/��"sV�G �� ST�VE Contractor L�� /��1 �v>' ��o J Kind of Building woo C> %��M� Comp etion Date �- �Lf—�� GPtI��'8'°I �J�BtF�I J�YFt: �'urnace Shetl & Duet �r'ork . . . _ , . , Repiacement oi Flirnace ..... Repairs & Alterations--up to s500.00 i Repairs dc Atterations each add. $500.00 '�E'sv�� s fi . Us %pL �/d�t �. os �.�� ' a o 7��-/3� 7 P one �v1 /�iri 7�'� P one .r.�. � r� i� �� g��`t`I' Heating/Potaer Plants �� Ia'� � Steam Hot Water Warni Air .. s.00 t Trade Name s.00 a_-- - --- , 3� ;___ _ Size No. �� Capacity Sq. Ft flunace SheU & Duct Work to 1�0,000 F3TiT ...... . ..a10.00 S— EBR BT[T TOn. j esets edd. BU,000 BTU .. ................. .. 3.tw i Total Connected Load Replacement o1 Furna�e .. ... 6.00 S Repairs & Alterations—trp to aS00.Q0 , s� b Kind of T'uel , Repaizs & A2terations each add. �500.00 .. ... 3.00 : Burner STEAM oz 1�aT WATER SX�TE2[ �ade Name F�rnace She�l & Lines—to 400 sq. .*t. �'.DR Steam $? 0.00 $_�_ F�rnace Shell & Line�–to 640 sq. ft. EDR Fiot Water I0.00 a_�— Each add. 200 sq. tt. EDR Steam �.(� j__ _..._ Each add. 320 sq_ ft. EDR Hot Water 3.00 S-- O1L BURIv�R—to 3 gal. per hour over 3 gal, per hour–�ee Fee Schedule GA5 BL1RidEA (up to 153,� IITU) wsr lt`9.(10Q 8T'U Sre Fs� Sehsduta GRS FI'T'Y'I2: G F"iF,S: lst 3 F7xtures . . Additional F7xtures Gas Range to 1�3,�,.'s4 . . AIR COi:�i�a:aina FA?i tl�1a.'i2::G SY�:"�4 v��riL��rB�c ararz� ALT�R,t.T20:43 �t iiEFAIiiB ROJZ,ii F`i;iRL s.00 a — OD 6.00 =_,��/ Size No. I Capacity Sq.Ft� EDR BTU Ton. � ..�� d i/ "'� A"^' `I''d / ld0 R1�TE TOT1�L �� ' o � <�7,�J - xE 2C4 S�' �� OI �� 5�.5� �' _ x .7b t �^Q� O d b j3� �; �j , _ -:8 b.W t .50 State Surcharge � ��S.z��y9 Sao F�e $ch�d�+�� . W,� � � �URNAC E raT��. ��: � � J SeR/,�'� �Vo.f�3�/oGy7� r ■...�. i � � � lo�a . .- . 560-3450 � �% �� l�'� O Y��l�?E � U � A�OKA COUN7Y� 6431 UNIVERSITY AVENUE NE October 9, 1974 FRIDLEY, MINNESO7A 554: � Minneapolis Post Office Dzpartment Superintendent of Dalivery . � Ist & M�rquette Avenue l�iinneapolis, Minnesota 55402 . Re: Change of Address . . � City of Fridley . . Gentlemen: We are listing the follo�oing change of address in the City of Fridley; � NAME: �: & Mrs. Glen Grant FROM: 620 Janesville Street N.E., Fridley, Minnesota T0: 598 Janesville Street N.E., Fridley, Minnesota LEGAL DESCRIPTION: �ts 35,36,37, Block F, Riverview Heiqhts We have notified the occupant of this change and we would Appreciate it very much if you would charige your records.accordingly. � � Sincexely, - � ' D G . CLARK . _ . Community Development Adm. DGC/mh CC: City Water Billing Dept. � City Assessing Department Minneapolis Gas Company - Brooklyn Paxk Oi�ice Noxthexn States Powex Companv Pioxtlicaestern Bell Telephone City Votexs Registration Homeowner � . I , ' . . 560•3450 �i� O ��"� ��L� � � ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 9, 1974 FRtDLEY, MINNESOTA 554Z1 Mr. & Mrs. Glen Grant 620 Janesville Street N.E. Fridley, Minnesota 55432 Re: Change of House Nua�bers ' � Dear Mr. & Mrs. Glen Grant: � It has been necessary for this office ta change the address of your house FROPR 620 Janesville Street TO 598 Janesville Street N.E. LEGAL DESCRIPTION T�ots 35,36,37, B1ock F, Riverview Heiqhts ��Te have notified the Post Office Department, Minneapolis Gas Company, Northern States Power Corspany, Norttiwestern Bell Telephone � Company and various departments in City hall of this change. Sincerely, DARREL G. CLARK . � Cor,ununity Development Adm. DGC/mh CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572— 3604 Effedive On January t, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH Fl_anA PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE Gas Dryer _ Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 TOTAL JOB ADDRESS /"vC� Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1� of Value of Fixture or Appliance f�,(� State Surcharge TOTAL FEE $ .50 � �� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all ttie facts and representations stated in this application are true and correct. �l4 , 199..- Owner Building Used As_ /'L�/�"%\ Estimated Cost `Z u% � PERMIT NO. j�J �� PLUMBING COMPANY SIGNED BY -"�l - TEL N0. �--�p(.��j� Approved B Rough—In Date Finai Date �/�� /� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $i5 00 PLUS THE $.50 STATE SURCHARGE SUB�ECT . City of Fridley 3 3 7 7 6` AT THE TOP Of TME TWINS g U I L D i N G P E R M I T r ; ` RECEIPT NO. � ; y �� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � /"'1 � CITY MALL FRIDLE� SSI�2 NUMBER pEV DATE PAGE OF APVN VEO Y� �"""�� ' 763-571-3450 910-F15 8/7/03 / / JOB AODRESS 598 Janesville Street NE t IEGAL LOT NO. BLOCK TfiACT OR AODITION SEE ATTACMEO DESCR. 35,36,37 F Riverview Heights Addn s►+eet 2 PROPEFTY OWNER MAII AODRESS 21P PMONE ilarlys Grant 598 ,�anesville Street NE 763-786-1327 J CONTRACTOR MAIL AOORESS Z�P PMONE LICENSE NO Same � ARCHITECT OR OESIGNER MAII AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS 2�F PMONE IICENSE NO B USE OF BUIIDING Residential 7 CIASS OF WORK O NEW ❑ AOQITION � ALTERATION X REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof House 10 S Tear-off• Re lace 3 windows within existin o enin s• reside house 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof pa;�ei or when the siding 15 an approved weather barrier. Vinyl siding is not � weatherproof covering uniess the manu�acturer states this in their application guidelines. CaII for inspection of wrap before covering or take pictures. Caulk and flash al� exterior openiags. Underlayment must comply with the State Code. Provide smoke detecfiors in aIi s�eeping roams and on a11 Ievels of the dwei�ing per Section 310.9.1.2 oi the 1997 Unifor� Building Code. Caulk and flash all exterior openings. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULI AND VOIO IF WORK Op CONSTRUCTION ZONING SQ. FT CU FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OA WORK IS SUSPENDED Oii ABANDONEO FOR A PER100 Of /20 DAYS AT ANV TIME AFTER WOFK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I MEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICA710N 1 STAILS GARAGES AND KNOW TME SAME TO BE TFUE ANO CORRECi. ALl PROVISIONS OF LAWS VA�UATION SURTAIf AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED A2�868 �1.43 WITH WHETHER SPECIFtED HEREIN OR NOT. TME GRANIING OF A PERMIT W OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqM1T fEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- @ STRUCTION OR THE PERfORMANCE Of CONSTRUCTION y�83.25 Fire SC �Z.H% PLAN CMECKFEE TOTA�fEE $87.55 5� � TuAE O� CON'AnCr� �urHO 2ED �GEtii �D�if� HEN PROPERIV VALIOATEO TNIS IS V R EAMIT �GNaTUQE Oa OW Q��c OwNEA BW�DEQi �OAf i DG �ti5� � � N�iN �DDN ALTER [] CITY OF FRIDLEY Effective 1/1/2003 ( J 6431 University Ave NE, Fridley, MN 55432 (T63) 572-3604 Bldg Insp [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: � � � �a � � � �� l/� 5 � _ ' " � �, Legai Description: 1 VQ1eV�•e�it� �}�� Li� ��GGiC 1� L o-�s 3 S� 3l0 � Owner Name & Address: � a � y S � r�r� �`� �i T`h�°s� " �e S _ Tel. # ��'3 �� - / 3� 7 Contractor: J'� ✓`I"�I C.� ruvt� MN LICENSE # Address: �9 $ ��th��v�/l� � � ,- /l/�_ Tel. # i �13 �7 '� Z� L!VlNG AREA: GARAGE AREA: DECK AREA: L�THER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEM�NT 3 � � � N � � F �d Len th Width � Hei ht Sq. t� g 9 � Length Width Height Sq. Ft. L �n9 dth HgUGround Sq. Ft. � - �r �i ,,,,,,f.: �, � c � 1 T"1 �� i S L2lf , n� -, , _ . ,�..` �� r� �i°� '�"�, f�2�e W� H d�d �tl'�� i.J "� � � Construction Type: �'� � re�1 � V i n I 5� d�� Estimated Cost: $� 00 � 13� �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �� 3 `� � �3 - �s��— C�1TE: APPLICANT: � � Tel. # � 3�7 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we wil9 cal! you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb �ut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 3: �5..� $ � � $ /. �3 $ $ $ $ $ $ $ .�� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation_ $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J - � •. . � � �� DDN aLTER �oc��- a/a�s' �� CITY OF FRIDLEY ,�,r � 6431 University Ave NE, Fridiey, MN 55432 (763) 572-3604 Bidg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Constru�tion Address: _ Legal Description: L- � Owner Name & Address: �9� s 3S, ��s�� l/� �`� �..� � � 7 %�CG� K. y s �ran f -- = %2tvt°✓z v� r�/ v -re�.# 7�3 � �� `�3z 7 Contractor: � MN UCENSE # Address � Tel. # _ �� — 3 �� ^ ��r ce/� Attach to this application, a Certficate of Survey of the bt, with the proposed construction drawn on it to'scale. LMNG AREA: GARAGE AREA: DECK AREA: DESCRIPTION OF IMPROVEMENT � r � � �, Length ��" Width D Height = Sq. Ft �� '` �� O Length Width Height ______ Sq. Ft Length � Width � HgUGround Sq. Ft OTHER: fi ��D'� D1 A`�T i�� . Construction Type: 1�'C�ad�� a��°� Estimated Cost: $ ,� �la �y y6 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ =� DATE: I � D� APPLICANT: � / Tel. # ?��r <03� �S/ 7�c � 7�3-��--i3z� �� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire 8urcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ a� . a�J Fee Schedule on Reverse Side ��-( 5, l � 65% of Permit Fee $ �a, � .001 of Permit Valuation (1/10th%) $ (p. ► "1 $.50/$1,000 Valuation $ $1450 per SAC Unit $ S.00 $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 [ ) $ � � •U STIPULATIONS: 598 Janesville St. N.E. Fridley, MN 55432 July 18, 2005 Mr. Dave Jensen Building Inspector City of Fridley Dear Mr. Jensen: Here are the materials you requested for my building project. I include the following items: • REScheck Compliance Certificate • Building Plan • Setbacks on Lot Plan • Elevation Plan My goal is to prepare for the slab pouring as soon as possible. Then my contractor, Randy Balfany, will frame the additioq rebuild the roof rafters, and shell the enclosure. I will provide any other information you request in a timely manner. I hope this plan mcets your approval, and thank you for talcing time to review it. � Sincerely, �� / � / Jerry Grant 763-786-1327 (Home) 763-639-5175 (Cell) Permit Number REScheck Compliance Certificate cn�ac�a sy� 2000 IECC REScheock Soiware Version 3.6 Rdease 2 Data filenam�: C:�Pmgrnn Files\Checic�RESc�edc�lVew reschedc plan 8r moms house.rck PROJECT TTTLE: Addition to Reat ofHouse CTTY: Fridley STATE: Minnesota HDD: 7391 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.11 DATE: 07/18/OS DATE OF PLANS: Deti+eloped July 18, 2005 PROJECT DESCRIPTION: 598 Janesville St. Addition to Rear ofHouse DESIGNER/CONTRACTOR: Randy Balrany is the faming contractor PROJECT NOTES: A 20 f�ot sedion ofthe b�k ofthe house will be expanded 8 fcet. The roofwill be ref�med by hand and new raiers will be built fom the peak. Tlus addition nequires the pouring ofa new 20 %ot by 8 f�ot $oating slab that will match the home's exisring iaa�ing slab. The projed should oomm�ce in late July of2005, and be completed by the e,nd ofAugust of2005. COMPL�ANCE: Fails Maximum UA = 206 Youc — 15.5% Worse Than Code (UA) � Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Vinyl Fiame:Double Pane with Low-E Door 1: Glass Wa112: Wood Frame, 16" o.c. Window 2: Vinyl Frame:Double Pane Wa113: Wood Frame, 16" o.c. Gross Glazing Atea or Cavity Cont, or poor � �li� �It� �4I � 925 19.0 0.0 160 19.0 0.0 30 19 152 19.0 0.0 8 112 19.0 0.0 0.450 0.450 0.450 47 7 14 9 9 4 7 Wall 4: Wood Frame, 16" o.c. Window 3: Vinyl Frame:Double Pane Door 2: Glass W all 5: W ood Frame, 16" o. c. Wall 6: Wood Fiame, 16" o.c. Window 4: Vinyl Frame:Double Pane Window 5: Vinyl Frame:Double P�e W a117: W ood Frame, 16" o. c. Window 6: Vinyl Frame:Double Pane Wall 8: Wood FYame, 16" o.c. Floor 1: Slab-0n-Grdde:Unheated Insulation depth: 0.6' Crawl 1: M�onry Blodc with Empty Cells Wall height: 6.0' Depth below grade: 5.0' Insulation depth: 4.0' Fumace 1: Forced Hot Air, 78 AFLIE Air Condition� 1: Electric Central Air, 10 SEER 154 14 19 96 150 8 8 92 7 80 80 120 19,0 0.0 0.450 0.450 19.0 0.0 19.0 0.0 19.0 19.0 24.0 0.0 0.0 5.0 0.0 0.450 0.450 0.450 � 6 9 6 8 4 4 5 3 5 76 8 REScheck Inspection Checklist 2000 IECC RE5check Sofware Vasion 3.6 Release 2 DATE: 07/18/OS PROJECT TTTLE: Addition to Rear ofHouse Bld$. lle,�t. Use � � L ] C ] � ) t � � � � � � � � � � � L l � ) [ l C�ilings: 1. Ceiling 1: Flat Ceiling or Sassor Tivss, R-19.0 cavity insulation Comm�ts: Abovc-Grade Walls: 1. Wall 1: Wood Frame, l6" o.c., R-19.0 cavity insulation Comments: 2. Wa112: Wood Fram� 16" o.c., R-19.0 cavity insulation Comm�ts: 3. Wa113: Wood Frame, 16" o.c., R-19.0 cavity insulation Comm�ts: 4. Wall 4: Wood Frame, 16" o.c., R-19.0 cavity insularion Comments: 5. Wall 5: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: 6. Wall 6: Wood Frmne, 16" o.c., R-19.0 cavity insulation Commt�ts: �. Wall 7: Wood Frame, 16" o.c., R-19.0 cavity insulation Comxn�ts: 8. Wall 8: Wood Fmtne, 16" o.c., R-19A cavity insulation Comments: Windows: 1. Window 1: Vinyl Frame:Double Pane with Low E, U-�ctor. 0.450 For windows without labeled U-�ctors, descxibe �eatures: # Panes Frame Type Thamal Break? [ J Ycs [] No Comm�ts: 2. Window 2: Vinyl Fiame:Double Pane, U factor. 0.450 For windows without labedod U-�ctots, descxibe %atures: # Panes Frame Type Thamal Bre�c? [] Yes [] No Comments: 3. Window 3: Vinyl Frame:Double Pane, U-f�ctor. 0.450 For windows without labeled U-factors, describe %atures: # Panes Frame Type Theimal Break? [] Yes [ J No Comments: 4. Window 4: Vinyl Frame:Double Pane, U-fictor. 0.450 For windows without labeled U-�ctots, describe features: # Panes Frame Type Theimal Breelc? [] Yes [] No Comments: [ l I 5. I � + � � � 6. � � � � [ l � ) [ l f ] [ l [ l [ l L l � � � � [ a Window 5: Vinyl Frame:Double Pane, U-�ctor. 0.450 For windows without labeled U-factors, describe �atures: # Panes Frame Type Thermal Break? [ Comments: Window 6: Vinyl Frame:Double Pane, U-factor. 0.450 For windows without labeled U-�ctors, descaibe %atures: # Panes Frame Type The�nai Break? [ Camm�ts: Doors: 1. Door 1: Glass, U-fxxor. 0.450 Comments: 2. Door 2: Gl�s, U-�ctor. 0.450 Comments: ] Yes [ ) No ) Yes [ ] No Fioors: 1. Floor 1: Slab-On-GTade:Unheated, 0.6' insulation depth, R-5.0 oontinuous insulation Comments: Siab insul�ion to actend dawn foom the top ofthe slab to at l�t 0.6 f. OR down to at least the bottom ofthe sl� then hori�ontally Sr a total distance of0.6 g. Exterior insulation must have a rigid, apaque, weath� tesist�t protedive oovaing that covers the exposed (above-geade) insulation and exteads at least 6 in. below giade. Crawl Space Walls: 1. Crawl 1: Masonry Blocic with Empty Cells, 8.0' hd5.0' bg/4.0' insul, R-24.0 cavity insulation Comments: Applies to walls ofunv�tilated ca�awl spaoes. Heating and Cooling Eqaipmen� 1. Furn�e 1: Forced Hot Air, 78 AFUE or higher Make �d Model Number 2. Air Condition� 1: Elecxric C�t�al Ai 10 SEER or hi�her Make and Model Number �` Air Leakxge: Joints, p�e.trations, and all other suc�h openings in the building envdope th� a�e souroes ofair leakage must be sealed. Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air-tight assanbly with a 0.5" cle�ance from combustible mateaials. Ifnon-IC rated, the fxture must be installed with a 3" clearanoe from insulation. Vapor RetnrdeT: Required on the warm-in winta side ofall non vaited famed cealings, walls, �d �oors. Mxtaiala Ide�tiflcatlon: Materials and equipment must be installed in accordance with the manu�ur�'s install�ion instiuctions. Mateaials and equipment must be id�tified so th� vompliaace can be detetmined. Manu�durer manuals Sr all installed heating and cooling equipm�t and savice water he�ing equipment must be provided. Insulation R values and glazing U-facxo�s must be clearly marked on the building plans or specaScations. � � � � � � [ l [ l � � t J � � Duct Insulation: Ducts in uncondirioned spaoes must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. Dud Construdion: All joints, seacns, �d connoctions muat be securely �ast�ted with welds, gaskets, mastics (adhesives), mastio-plus-�bedded-fabric, or t�es. Tapes and mastics must be rated UL 181A or L1L 181B. Fxception: Continuously welded and locking� longitudinal joints and seams on ducts opeaating at less than 2 in. w.g. (500 Pa). The HVAC systean must pmvide a means fir balancing air and wat� systems. T�perature Controls: Thennostats are required Sr each separate HVAC system. A manual or automatic means to partially restrid or shut offthe heating and/or cooling input to eac� �one or ioor shall be provided. Seivice Wat� He�ting: Wates heaters rvith vatical pipe risexs must have a heat trap on both the inlet and outlet unless the water heat� has an inte�ral heat tx�p or is pact ofa cinvlating system. Insulate circulating hot waterpipes to the tevels in Table 1. Circnlating Hot WAt� Sysbems: Ins��e cinailating hot wata pipes to the levels in Table 1. Swimnuing Pools: All heated swimming pools must have an on/offheater switc� and require a cover unless ov� 20% ofthe heating enexgy is fom non-depletable sources. Pool pumps require a time cloc�. � Heatlng and Cooling Piping Insulation: [ l � HVAC piping conveying Suids above 105 °F or dulled IIuids below 55 °F must be insul�ted to the I l�els in Table 2. Table 1: Minimum Insulateon Thickness for Circulating Hot Wat� Pipes. Insuiation Tbickness in Inches by Pioe Sizes Heated Water Non-Cimulatinp Runouts Si .mL�lat.ing M�ins and RLO�ts T��( Fl " U� to 1.25" 1.5" to 2_0" �'_ 1'70-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Tabde 2: Mi�timum Insulation Thid�neas for HVAC Pipes. Fluid Temp. inaulation T1Lic�cnes£in j�,L_�y Pipe Si�es Pj,pine Syste�n Tvnes Renee f Fl 2" Runouts 1" �d L�ss j,25" to 2" " " Heating Systems Low Pressure/Temp�.iue Low T emperature Steaxn Condea�sate (fir �ed wate�) Cooling Syst�us Chilled Watet, Refiigeaant, and Brine 201-250 1.0 1.5 120-2� 0.5 1.0 .�y i.o i.o 40-55 0.5 0.5 Below 40 1.0 1.0 NOTES TO FIELD (Building Departm�t Use Only) 1.5 2.0 1.0 1.5 i.s a.o 0.75 1.0 1.5 i.5 0 � � h \�ll C � � � � � � � � � � � m��,� J�`0 J W'L �. = U H~LLd y Z W N aoxz oWr �m°ca O jLLLL NaIW-� i Q N Q r � �� ` � ." - � L �..: � �� .� a w � � � w� � �� r r<� ' r ' 4�-- � : ", � a � �( 1 ,J �: � '; �� o � �� t � � s � � ,i � � � � ' � � I � I / . v �� `\ � � -�� -�- � , � U� � � --- � � �-� �1 � f 1 'i � J ` �Iw ! � "� 'l � i �; �� (� 4' I �' v��v � � � ° ( �6 ��' � � ' �, � \�No �_ � � �' � '�� ' � O � _• LL �� /� xFm � � N FO � ��/ N li � V y� [� '��x� � o �� w — — l� ?�^. . _ • u r � �� ' a � � � � �� g � � a� � � 0�4�i � � ❑ g � z . ��"o 0 .,� � � � � � �kl �'` ? � � .� `�(T � '� �� '� �� Z �� —�,� a �� .� X u � w �c� '�' �� N o � o � 'Z Z �- �! �� . � � LL a O � ��pq!� � � tAI..� � � �� 0 -� `� � JANESVILLE STREEi 5.0' USEIAENi �_'___ _ _ - _ _ _ ' _ - _ _ _ _ _ � ' _ I � I � 1 � I � tt I ORNEWRY �Y4 m'-�' I � I I� � SIDEWAIK I � � � I � I� �� I ' --'�J 1 rr====— a"'°""� I � � �I II� � � -- �_�i q i p�i UJ _. � ir =—_�"— �� j 1 � � II �� ' ��, � � ��_� EXISTING i; I w u �.J � i� , d �� w ' � U: �t1 � k �� i�-�==____ � �i ' I I � , z �-----J� ji I o _ � I �' � �----- ,�I '�_�_ l, ; � J � � LL =____ _ J / J. �-- x m � �,�� ' � , � z m-r ,u �• aie a aun� , I ��' r � '^ I � � S � � I --� � � I I�� I � - � �_�-� -�� , W � �-�- -- � n� I � �' � I � �U � � _ , � � I� � � I � , , � � � I � �� I � , �� , �------------------------� B.0' EASEI.�M . � � �q� L015 J5,36 AND 37 P1 BLOLK F RIV£R'/IEW HE�GNIS Z � ay � �y _� --� I I I I I I I I I I �I �I I I I I I I I I I 1 _�. Building Inspections 763-572-3604 DATE /Z �Y� SITE ADDRESS � THiS APPLICANT IS: PROPERTY OWNER/ TENANT �. MECHANICAL RESIDENTIAL APPLICATIQN CITY OF FRIDLEY RW � Y�� N1 � OCONTRACTOR ,n� �a� � � / !�� S l/ / (. � 7�n % �27 Permit No.: Received By: Date Rec'd: :SS / '�' f � � � ./ G` % a(� � � ��'✓lr �✓ �/�� t'h �r✓ G ✓rx�t �7 CITY � [ d �'Cc.% STA1'E,"� CONTRACTOR Co1�tP:;�NN`t N�: J`� ✓� G'��r y O u�r✓� ✓L SUBMIT A COPY OF CONTACT PERSON: � r� '�� YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION pH�� FpX , PERNIIT TYPE I�MGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: I � ��' � �PLACEMENT DETAILED ESCRIP'r�0N OF WORK i n S�/lk �� u v,�i✓ . #u �N'ac-Ci an� 9a.f TION/REMODEL �Un��w� .. /ylav'rrn��r1 PER MS 16B.655 the permit fee is miaimum of S15 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 fixtwes. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECT5 WHERE I.ABOR EXCEEDS $500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTUR£S: (INDICATE TOTAL NUMBER OF EACH BELOV� MODEL: SIZE/BTU Equipmentlnstalled . MFG� S��g� IvIFG: MODEL: SIZFJBTU �G; MODEL: AJC $25.00 FIREPLACE (GAS) SI5.00 GAS RANGFJOVEN 510.00 AIR TO AIR EXCHANGEER S15 �R.EPLACE (WOOD) $35.00 NEW GAS GRII.L 510.00 _BOILER 535.00 ��URNACE 535.00 GAS IJI�i1T H'fR 510.00 CHINWEY LINER SI0.00 CIAS DRYER S10.00 POOL I-�ATER 535.00 DUC7' WORK S10.00 ✓AS PIPING 510.00 VEN'I'ILA'1'OR S15.00 _ ee�.+�r�r �'R __..�a *�r"ii3�� . :1 , ... ,'F�'�:' .,,J�+:i��,sir+u+. - �.. .v,yvv�enus- .v., ..u,-.: , •-,twr,. �... �..�•-: .f. ..,..,.e,�..,..,... . _...... Permrt Fee $ .� Number of fixtures @$10.00 x$10.00 =$ Surchazge $ �?� Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $��,� Number of fixtures (c� $25.00 x$25.00 = S Number of fixtures @$35.00 x 535.00 = S State Surchazge = $_ .SO Tota1= $ 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 confonnance with the ordinances and codes of the Ciry of Fridley and with the Minnesota �Constructaon 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 ork which requires review and approval of plans. 5IGNATURE OF APPLICANT ��!`'��% Y, PRINT NAME �� .� "�� DATE � Z g�� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 7b3-502-4977 2 0 � REQUlRED 1NFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADD(TIONS ❑ EXISTlNG 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. Naturai Gas or Propane!lFGC Chapter 3 with MN Amendments � 2, Mak�up Air (See note below) a. ]MC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel o�lier than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new constru.ctian IMC 1346.0312 5. Ventilation . a. Per MN Energy Code 7670 or 7b72 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOT�: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up ai� calculations ; Building Inspections 763-572-3604 DATE �� ^ � � b SITE ADDRESS � TFiIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMTT TYPE PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: Date Rec'd: @ � c� YouR -�.�ss r� j � r �oc� � a r.►zs.r V� f S' 7—rlu'L`'7/ r��' �VJNER ❑CONTRACTOR N,�: or.�l ✓'q h °ll� �f Y � rah ADDRESS: � � � � t CITY � � ( �� STAT�%'�ZIP PHONE: �� — ? � � J Z / N� � l✓' y ra.� r,✓ni�� STATE LICENSE # XP DATE ADDRESS: CITY STATE ZIP_ PHONE F� TYPE OF WORK: I � ��''� FAMILY ❑ TWO FAMILY DETAILED DESCRIPTION/� F ORK _ � N� � j"� �/ � �,t�-a ,z. `P v✓ ❑ TOWNHOUSE ol r� _ i�� cG,�ra�'/'oi_ ��wt°�2 i. gKat�'�LS�- 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, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� SHOWER WATER PIPING BATH SINK/LAV _FLOOR DRAINS — WATER SOFTNER ($35) BATHTUB _ GAS PIPING fn��v crrt'uc�s�j _ SWI�RvIING POOL _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY ✓C�VATER HEATER ($35) FOR IRRIGATION — WATER METER _ OTHER r.....� �':�� ..._'� ,. �� . , : :: _ � _ Permit Fee $ �, QQ Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 �'� Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ - Number of fixtures @$35.00 x$35.00 =$ L�'� ; „�� State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-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 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 work which requires review d approval of plans. J,Z _�� i�y G r� DqTE [ SIGNATURE OF APPLICANT �, M� l� pRINr N'SME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 94/ Buildir.g �• -- � [nspections 763-572-360� �ATE �rrE �anD�ss _ I'HIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR�AIL AD�ESS a w� v �/lP � iv ; ❑ OWNER OCONTRACTOR _ ,�,� .- C� V'ar► . �-- �sw,PS✓i �, Permit No.: Received By: "� Date 1��: 0� T— 2 2 . �s�� SUBMIT A COPY OF STATE LICENSE #_ � S S�v EXP DATE YOUR STATE LICENSE ADDRESS: I� r�S a"` �J S CITY � STAT�'t,F�[P SS.�U.3 WITH APPLICATION PHONE �/ Z S�S l�1 S� FAX PROPERTY TYPE PERNIIT TYPE o snsEMErrr �sx ❑ DECK TYPE OF WORK: DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING D Vinyl ❑ Alumiwm ' ❑ Otlxr . ad,"�.� /2 ❑ ROOF ❑ SIDING � SWIMMIIdG POOL DTTION ❑ REMODELING �J (� ( .7 ENGTH 3 ❑ HOUSE 8c GARAGE ❑ ATTACF�D GARAGE ❑ DETACHED GARAGE ❑Soffit � 'frim � Fascia wwnows IN EXIS'ITNG OPENIIJGS DYes DIJo IACATION OF WINUOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE MSTA[,LED NUfvBER OF� o wn.rDOwS ❑ DRAiN TILE O OTHER WIDTH �i HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed 800r plen 3. List of structural membas to be used Ft FOR NEW CONSTRUCT[ON MCLUDAJG DECKS, ADDITIONS. &c PORCHES SUBMIT: 1. Site Plan/Survry showing the existing swctures and proposcd project , 2. Two sets of construction plans 3. �„� c��i�o� ALL FEES A�2E BASED �N VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �j ��j 7 a,�U (USING ; ��1,9�7�.jpB.0 FEE SCHEDULE) TOTAL JOB VALUATION S'-��;C7�� 'c' OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Cwb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ $ $ $ o .r �% See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $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 ( ) Make checks paYable to: City of Fridle_y Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that tbe 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 f 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 wh'�requires r�vi w and pproval of plans. SIGNATURE OF APPLICANT ��(ll•�'�� '"' �.�C�C� PRINT NAME ��l! L � t DATE / O b • _ -' .+ REScheck Software Version 4.1.1 Compiiance Certificate Pro}ect Title: Bathroom, Roof and Crawl Space Remodelling Report Date: 10/01/07 Data filename: C:\Program Rles\ChecklRESchedd2d07 moms house.rck Energy Code: Location: Constructan Type: Glazing Ar� Peroentage: Climate Zone: 2000 Minnesota Energy Code Anoka County, Minnesota $ingle Family 2�6 2 Construction Site: OwnedAgent: DesignedContractor: 598 Janesville St. N.E. Marlys Grent Dave W�lace Fritlley, MN 55303 5� JanesviAe St. N.E. Wallace Cemerit Co. Fridley, MN 55303 MN 7637861327(H) 7636395175(C) 6128681956 Ceiling 1: Flat Ceiling or Scissor Tniss Wall 1: Wood Frame, 16" o.c. Wall 2: Wood Frame, 16" o.c. Window 1: Above-Grade:Vinyl Frame:Double Pane with Lowr-E Floor 1: AI6Wood JoistlTruss:Over Unc:u+►d'+tlonad Space Crawl 1: Masonry Block with Err�ty CeNs Wall height: 3.6' Depih below �ade: 2.8' Insulation depth: 3.6' Inside below-grade depth: 2.8' Craw12: M�onry Blodc with Empty CeNs Wall height: 3.6' Depth below grade: 2.8' fnsulation depth: 3.6' Inside beloMr-grade depth: 2.8' Fumace 1: Forced Hot Air90 AFUE 120 38.0 0.0 4 96 19.0 0.0 6 80 19.0 0.0 5 3 0.360 1 12p 30.0 0.0 4 48 8.0 0.0 4 36 8.0 0.0 3 Compliance Statemenfi The proposed bullding design desaibed here is consistent with ttie buildiAg plans, speciHcations, arid otlter calculations submitted with the permit application. The proposed building has bcen designed to meet the 2000 Minnes�a Energy Code requirements in RESchedc Versan 4.1.1 and to comply with the mandaQory requiremerrts listed in the RESchedc I�pedion Chedcfist. , Name - Title Signature Projed Notes: This includes two c�ntradors: Dave WaNace for block wak and RarMy Balfany for Carp�try Date Projed Tirie: 8athroom, Roof and Crawl Spaoe Remalelring P89e �� Data filename: C:\Program Files\Chedc�RESchedc12007 moms house.rck Report date: 10/01/07 - '" ��-� `=��;►�r3�^'►� f��Utils�l � ~ `cs►�� i'{vrN�r�� , ��£�V1 . .._,_ �1'1�1�'_�_ +�� K� � �� 1 (�`�CL �,J �v\�7�.1 `'�� O�t7�L.. , £m .�t IC� � �' _.�C�= � _:�=�___�_��_�_..._�.�=im�i1----- 4� � I I � i. �I ♦ � � ♦ � wH �! � �� I � � I, ! 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Ao�s a/ � stra no�eess _..;, THl3 �i'R1.tCnMl' IS: TENANT COI�'[RACI'Ol� St7aM�T A, COi'Y OF YWJtt 3?A1'6 W(�IvSB WITK APPUCA7TON ❑ OWNF,R (�41 NAME• p� N �� ADT7RA.SS• / tT'4� ��; 76 3-- G3 9� S H��,_.,, r. a STA'IE LlCBNSQ # O BASEM6M F7MiSH O DECK '�'YPE OF WpJtK: I � DE3CRt�E WO�C AFTNG �h " S ozOS' 7AV87'R 3TR GARAG o sooR q 31ptNG -� �o r 7� 3- `�8 rv . Tv c. �LT DAlE 3 _ 3 _ S '� �I � £.. CRY vs�r 76 3- y/ 3� 7�/1 Pern�.it No. , �� Dabe Rec d: Mtc� s� A " 3 i _� 0 o�r rnaE O CcHER � � W 3� 7� �� 4dde 14 es✓ "�rar•� �oat �r�td ou✓� .� .� I ot ,rrw �c�rc a ?_. .. . �. h4n �/- NUMBER OP 9QUARES � O FIW98 � CrA1tAGL kSSrc�I �g O A7TACH6D QAR/►Ci8 I. eairti� Fka ris� CH� 2. Propo�edAoerpla� %zo�f' pROPO$E� ST7.F': O A�'['ACFIED ciARAGE 3. i.iR of �eeo�l n�cn�vu n 6c �ed C�L�. �tOP�BD H81QFi1� /Cs�j ' "�� g�� F�tI�W CfC1��MS'IRtaC't'[ODi 1DiCLUD�N(i DnACS. 0'Vinyl t � Ap� I. 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TRO� x ife�by apply Rx � bniWin� pe�mit and I ac�cnovrlal�e dqrt d1e in�tiof� abov� iS eompkma and �cau�aMe; tlut 160 �NORk will b0 in canRorm�noe � 14�e adin�ces end codea af d� City of �ridle� and a� ehe Minne�s C.o�wKioe Cade� d�c �� flhie is not a pttmit b'ut only an applidtion fidr a p�mit and w�o�![ ie �ot to sta�t wi� a pem� e�at tlre wo[k will be in � w+i� tl�t �(fnovOd � �� 'Q �"�� , ��.� R� ��.�� o�i �%? �. PI-��Se . �all ?�3 — �o3g- -S"l7$" � 1,�, h�.�✓ P�Cn..� ��- � S q�v��i � � __ �� 2�t ` ` �� S� �<< ��*.��, J �� '�t�ia Ventiiation �/� Jb cs" lz��iz�n� t�,! �rc.jc��ian �� t0� �'.f��S °�i i LG �:� 1;1 s�;� 8 at. i� �`s� �: i�, r�;,3' r�� z:'�.�. � _ �.a�. �' ° f r 1 y . � ... t 1� 7'�:� � 't :' '. .. _ n 4 . . + " f�iL : C ; } � . .. ii� a �. "•�' . f,`':: ��c�� -`;R � r ,K.yn.; j 5 �� . t r,� S�P`k � a i?. tbe�tiis �ii i i„ i�� i''�� 1i�1�1�i� ��ti��«i� � � � e �tit lb� TNd� J�J� C4PY SMALi.�B:�: _. . A+V�,�L�;�3� E C1�3 TE-:E JC',� SI�� r0� T��-�. Ff�An�ll�,,�; , p;t�� F!��'!L. tE�Sf�r u � li��v i �......�._.__..�.�.,__...._._....�,.� __._.�....._..� • �/ � �, � y -- — -----� � �� 3'-2" aaPa�xn n��►u . ��r�Q REVIEWED F CODE PLIANCE r� rv1-�-�� r �� ...► � $NEkTHIMC �, a.. n.c, :r4 K'E5 4tEA�8ER5 �Ye �,a" o.r.. . �(Y� � �1 �— � � � 1 �• � � 2 S`��_ —2<a �� dy. _ ..:.�1.uI.5 �tvi#Q 22' x 3�" attic acceae . . �Y,,F kH � � �in j nta.TrF bOURiG�;' CM11f RHl�/}^j a� � 5�� .��.� �� f� : r��.s - � � � --� '� O � � S�� _ i3-<< _____ �______ ltidge 2'x10'x12' R�flters 2'x8' @ 16" O.C. Collar Ties 1 "x 6" Roof Sheeting 4'x8'xli2" (l5/32) OSB Strapping at Ridge Peak Soffit �verhand 2' Roof Pitch s %h • �� h �/�S = � S� cce�.2-� r _�. � Building PLUMBING Permit Ivo.: � - �5 Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY Dat�'�dN n V 20 DATE 6� YOUR E-MAIL ADDRESS SITE ADDRESS � -f/W 7°S l/! 'e S7L %v,� - y�� Z' `h Z TIiIS APPLICANT 1S: NER �CONTRACTOR PROPERTY NAME: / / /�r S ►� u OWNER/ ADDRESS: S�GJ g �Q�S�// ��'r CITY � �L-1 STATE� IP�3 TENANT PHONE:� (o ,i '%��o —/ 3 Z% �� 7lv 3— � 3 y S� 7 S CC� COI�TTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE Z1P LICENSE WITH pHONE FAX APPLICATION PERMIT TYPE NGLE FAMILY � TWO FAMILY ❑ TOWNHOUSE � a fe wo � o. in� n �4 TYPE OF WORK: EW ❑ REPLACEMENT ��+o �.� j/' d� V� �jC -� r@ bt/a'I�t 2 n'I �� '+ wa�r /1�1t� 7� `l'� Skk 1� o-�� 6 '7C� Y DETAILE DESCRIPTION OF WO K ►^� S � /�� '� �� .� 4Nf V� /�p r"'7 S�P✓h r �� S 1�+� t/✓ �c ✓t- r ci ��w,S l � k sy / s�T// 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, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )�/L° h Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = 4VP °�d� FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER F[XTURE, EXCEPT WHERE NOTED. FI�I'URES: (INDICATE TOTAL � �NU R OF EACH BELOW) / �-1 SINK/LAV _FLOOR DRAINS _ SHOWER �� WATER PIPMG �) � THTUB _ GAS PIPING rNtaa�<•in�i.�rr:N.�•ir) _ SWIMMING POOL _ WATER SOF7'NER 35) —CLOTHESWASHER =KITCHENSINK I��T£RCLOSET _BACKFLOWPREV.(S15) DISHWASHER LAUNDRY TRAY �-TER HEATER ($35) �OR IRRIGATION VWATER METER OTHER Permit Fee $ Number of fixtures @$10.00 x$10.00 =$�_ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @ $35.00 � x $35.00 = $ -� State Surcharge = $ 50 Tota1= $ 0� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED 1 hereby apply for a building permit and I acknowledge that the information above is complete and accarate; that the work will be in conformance with the ordinances and codes of the Ciry 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 work which requires review and approval of plans. �t SIGNATURE OF APPLICANT/// �* _.� � PRINT NAME NI/P-RL�I S L��%Z/?�N DATE � �,. , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977