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AF - 47773r� ,'`� City of Fridley, Mirm.. i�'�, BUIGDING PERMIT N° 3 2 5 5 �/� ��� �� �✓ Date: ....J !.....� .......................... . . . R.. � ��,..T'�� � Owner ....................................... Builder�a..c.... ..............: ..'........:........... Addre�as ........ ..... Address ....:�.. ...................................... ......................... �-�3 �� , LO�CATI�iV OF BUILDING � , _,: ; No. . . � . . �,., 5treet : ? � .' . . : . . . . . . . . . . . . . . . . . Part qE nLot . . . . . . . . . . , . . . . . . . . . . . . , Lot . .. .. :-�:. .. . Block, . . ....... .. ..: .. . . . Addit3on or Sub-Dfvision �.-� ..:. . �.'r.-, r.: � . : :�� ' - : . `.�:: .. f :�.�� "" �` �..- � , ...:: Corner Lot . . Inside Lot . . . .. .. .. ... Setback . . � ::�. .. Sideyard F `� `�'�l� "� " .......... .................�......... DESCRIPTION O� BU[LDING Ta h,e Used as: „ „ � � *� -� . .� r �,' „� �* '` _ b � � ' "% ` ',./ �r . �. . . � . . . . . . . . . . . . . . FYoirt . . . a . . . . DePth : : : . . . . Height . . . . . : . . Sq. Fk . : � . . . . � Cu. Ft ° : : . . . . G � .................... I+'ront ... .Depth ... Height .. Sq. Ft. ........ �. Ft. ..... r �, � .. Type oP Construchlon �..".::.. � .. .�st. Cost..:.:'.:... r,, ....... To be Completed .. f.�?:::':........ � .l ^ � �� � .,,�l� � •. '�"� �' �^' �' ;� F' �/ �'(i�; .a ,�, � � l�t_�,• /�� — . � /' ��� � � , d. �,� r f , <<.f ._ z. _ ,-� =� ..�r�' -7�;;,%� �..:,..�-:"-� � �'� - .. � � � � i �' ���/. G �; In consideralaon of tihe issuance to me of a permft to construct the building desribed above, I agree to do the proposed work in accordance with the descrlpl3on above set Porth and in compliance with all prov3siona of ordinances of the dty of Fridley. �� .................................................... �„ "� �r ; • f Tn consideration of the payment of a fee oP $: ::........, permit is hereby granted to�i�::;::.::-r..�:�:::: :�``��`° uilding P ......................... to construct the b or addition as described above. This ermit is granted ug�n the express condition that the person to whom it is graated and his agenfis, employees and worl�en, in a]1 work done in, around and upon said bvilding, or any part tliereof, shall conform in all re�pects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings with- in the dty limits and this permit may 1� revoked at a�y time upon violation of any of the provisions of said ordinances. . ,�` , f ' - � �, F� =� i . 6,. .=� :� : : � .�,� ". .-�-d-�-.�, . . Buildia� Inspector ` � NOTICE: This permlt does not covar the constructlon, Installatlon o� alteratlon io� wl�ing, plumbing, gas heating, sewer o� water. Be su�e to see the Bu11dIn8 in�pec�o� fo� separate permits for these (tema yf ��._.�? . ' � 1 _ :. , : . '.. ` . � . ,.: - „ . , , � ' � _ - :1��1.Ii�TD� ��TG►Ti�T�:�RI1�TG Co. �i�TC�. . � ...; , �: �hU C3 I I�I E E�S AN D� SU Rv�,`�r'ORS , �. u,NU a�ave�nNo 1 sotLa TESTrNo Cl1f1L, d. MNIVICIDAL, &P1C�IN66f'i1N� ' - LAND {n.ANNtNB ._ ' . . 6418—'S6Y" AYENt).E` l�i. _ : . .1�lINNEAP�IIS "tZ�M1NNf . KE T� 363?, � �+������i�,��� u� ���v►� , _ .. � .� ; �, �., _ . � ` �'� °:�..'�r,� �'. � ,��0�/ �' :� ��"��� . _ ^ ----tl - ---..�.�__�...._ _ _A . -� .� � .. I '� �.`r,. r w ..,, � d, �., �bo a . � � ° Ti-� ' £: .. _ ._ �. _ _ _ _ � �� . � v� `tl�j'�r'�y ��r:�����+�� � � � I � "� -► � J' , �� . , �• � � .� � . y �,,� • . . , i ,� : �`� �' '� _ . - ' . : � ' - Y : �` � � � _ e.�� i0h , � � � .o� � i • �'� . - .. b .. _ . �� .. �. , ��' a'�, ��i ~ � � � Y� � . ,� �..- �, � _ ��� ' . �, � ° ����d: � � i�' . p^.�� � d _ j�'�`�' - � � ; � �� ' �fcFrl, ' e , �-"� ,. �� N � . .; , ,. � �. : . .' .. � iQ _ `� �'d�' �� � i�_ �� / _ � . • a� � t�o- _ � � . � � q� • - � � �: ;� . '� ,,..�d�- _ :,.�,+ry—�y ��la� � s ^t :: ��� ��:_.�"� 'R'" .t ,f� I Z 1 ' s��l �va _� -,. � . . ��i! �"' '� : t.. ,�,..,�+� �C_°° j`� Y r .% i �,, +� °� e4Vr "} ' , : � g .��m'��''�'�'� - ". - " .. � , : „ � .,t., .. _: � . � �`� �' � �,- . �� � :.�r- ,�, �; .��r t �.� � ��°�� �"°�.�.�,� �� �" , . ,� ��� �, �, � v�: -�te� � " -�- _ _ _ �. _.. - . ,: . 'f'��Y' '#'�A'::'�`p1S �S :It "�it�E. {W�_ t0(tRECT R�RRESBP1TixTIDiJ b� A SUR�'EY' OF fiiE. �tN�ARtES• dF_TN� .: �Y t�R �'4l1�� RAC�I�'E .�'�tIB�1 � f�TTi� 'L1�".A�1!>N, � X1.1. bUltpiNGS y 1F'At�1`Y, TH'E.REQt� � A�iO Al.t,. "'1fl*t}BLE �A1tRt'1ACIiM'�tcfTSr �° 1�RlY,' Ff�t iili.�BN .3idt� tAl�fti. ': . ';_ � . -� �: �. .N�I;ND�� ENGIN�,Et�lNG C�7:,_tNC: � � OKtitO'iHS�.K.+,�„�.9l�ti'aF -��,a�,j-� � , A�:1"1§�y^�° � EtA611�t�Efi9 . ';A�lQ. SNft�v@YORS, ,- 4; '. . �'�" £�,J' , �'''� f ��` � �•c�-.� :� - : • "---= ---r �.. �r��v. :��' �� ' .:r --�� .. ,.;'`�^.-...- ., , _ �py r tF _ = _F r ,{.a" � �� "+- .-_ I _ `� � r' 1"' . ���� . , f� ��'+�—'� . . . ., .. .. . ,.. .. , i'',_ ... .. �.. . . . . . . - . . .. . - . . . . � . ., � City of Fridley, l�inn.. BUILDING PE IT N� 5� g 6 Date: �- .�' r ,�' �, d` �� : - _� ;� �,, ,� ,?` °W�r � � ' F �� �, � !_�} �,�; � Owner :°-w � +� Builder ,� °� ,�^c-�r�==.t�f�--•-�+,,,,�` ���" `'"'� Adclres.s Address • ., --- ,�'` � ,��3'CCATION OF �l�W,.DING No. � .- c� > �� Street '� `� ! i ��,+�- ' � �':' _. Lot .—�.-_ Blocl�'� J z ._ Addition Corner Lot !�"""� Inside Lot �tbF Sewer IIevation DESCRIPTiON OF BUILDING Tc�b�e �sied=a�: �'� ,. . ��, R { � : , ,�^ t r, , . k ✓� a � i :�' Front � Depth � Height �:a Sq. Ft.� ,• Cu. Ft ,,�,���fe �'ront� Depth Heighit �� Sq. Ft � Cu. F� Type of Constructi ,��,�.�;s:...�°,�:.� Fat. C�ist r!. � V>f ;�;""'� T be Completed In 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 provisions of ordlnances of the dty of Fridley. ,r� - .� .r In consideralion of the payment oE a fee of $��� , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done 3n, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of k'ridley, Minnesota regarding location, construction, alteration, maintena.nce, repair and moving of buildinga within the dty limits and this germit may be revoked at any tim�ttppn viola.tion of any of the provisions of said ordinances. � �,'r°`� �` �; f `, � ,. �,- .,.�-�� �- ',�_- ;��:�...-�:�� �:_- ' -�...�-'-��.�.�'Building Inspector NOTICE: Thh peneit does not eove� �6e eonstruction, inatalladoa for wiring, plumbine, gas heatieg, sewe� or water. Be wre ro s� the BuildM@ loapeetar for separate permits for th�s iiema � 4 /�` N� .� � _ .. ��� . _--; _ .— � APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 4wner's Name � -� -� .�' � � u � !� Builder ��— /�` G � � �/ ��' � =/�-�r /A/C... Address � ��� °� ��° �'��� �' � 4 �+,�' Addrees � ��,�'� m �` �, �, �,7�i � 1��..�' � G LOCATION OF BUILDiNG No. ���� Str�et �� ,��'�r!� °�'r�� Part of Lot T Lot Block Addition or Subdivision Coraer Lot � Inaide Lot_____�tback,����,� Side-Yard SET�BR II�VATION Applicant attach to this form Two Certificatea of Surveq of Lot and proposed building locatioa drawn on these Certificatea. DESCRIP7'ION OF BUILDING To use as: Front � Depth_��=,�-,--Height �� Sq. Ft. �� .�- .�� Cu. Ft. . � .°� ✓� �% Froat Depth Aeight — � n Sq. Ft. Cu. Ft. �'f.� Type of Con�tructi�a��� �, Eatimated Goat 'f To be Completed The undereigned hereby makea application for � permit for the work herein specified, agreeing .to do all work in strict accordance with the City of Fridley Ordinances and ruliags of the Department of Buildings, and hereby declares that all the facts and representaCions stated ia this applicatioa are true and correct. � / ,/ DATS lj � �` �` � � SIGNATURE �„� � �,�_,., -� - , (Schedule of Fee Coete can be found on the Reverse 3ide). �, � - _ /"`� .. , _ � BUII,DIIVG PERMI� FEE SCHEDUUY„E Section 2. The Inspector o£ Buildings shall, before iesuing'laay pex�mit for the erection of any building or structure, or for any addition to anq exiet- ing building or structure, or for any alteratioas or repairs to any existing building or s�csucture, upon application therefor, require the paymeat by the applicant for suc'h permit of feea to the amount h�rein below set forth aad in �he manner herein proeided to-wit; � 2= For aay such permit for the erection of any fire-proaf build3ng, other than a��x8ge� W$rehous�, factory.�or grain elevator, or for the erection of �y fire-proo£ additioa, for similar occupaacy, to any exiating buildiag shall be at the rate of $Z.40 �or each one thousand.cubic feet, or fractioa thereof, in such cubical contenta. 2� For any such permit fos �he erectioa of anq fire-proof garage,, �aarehouse, factory or grain elevator, or for t&e erection of any fixe-proof additioa, for simil�r accupancy, to aay exiatiag buildiag ah�ll be at Che rate of $1.25 for each oae thousand cubic feet, classified.as °'fireproof" bq Section 502 of the Minneapolis �uilding Code. FQUS�S 2= For any such permi,t for the erectiou of aay noa-ffreproof building other thaa a garage, warehouse, factory or graia elevaCor, or any non-fireproof eddition, for afmilar occupancy, to any euistiag buildiag - permit $1..00 for each oae thoueand cubic feet. _. GARAGES � 2�_ For any such permit for the erectiou of any aon-fireproof garage, warehouse, f�ctory or gra3a elevator, or for�the er.ec�ioa of aay noa-fireproof s.dditioa, for s�imilar occupaacy, to any existing build3ng or for each auch building or addition - ninety cents ($O.gO) for each oae thousend cubic feet or fsaction thereof; in the cubical contents thereof w3th a minimum of $4.pp. For the purpose of camputiag fees for buildin of any building or additioa �to a uniform heightPthrrouehoutebcubical contents ground area covesed fram a g Y��ltiplying the point s�ix (6) 3uches below t�e floor liae of the ba�emeat or cellar to ehe average height of the u average haight of the roof surface of the main pPer eurface or to the gable of a pitched roaf. 2� For repairs or alteratiana to aa exiati � at �he rate of $3.00 per each Five Hundred Dollara�cture, the fee ahall be thereof 3a the cost of all ($500.00) or fraction proposed work. -��a;�_ 7aa no case ahall the fee char�ed for any perm�,t as set forth ia Sectioa 2 be less than $4.00. � -�_� � � �:� _,..� �, � �� City of Fridley, Minn_ BUILDING PERMIT Date: �OVII�ER 22, 1965 N� 8612 ��y�i' p�; LEE SCHUCR g�� DIETRICH CONSTRUCT�ON CpMPA19Y ,�,d� 6850 Jefferson St. N. E. A� 4134 Thomas Avenue North Fridley, Minnesot� 55432 Minneapolis, Minnesota LOCATION OF BUILDING No. 6850 S�t JEI�ERSON ST. N.E. Part of Lot Lot 5 _ Block 3 Adaftion or Sub-Divisian Rice Creek Terrace, Plat 6 Coraer Lot _ Inaide Lot Setback Sideyard Sewer IIevation ____ Fo�mdation IIevation To be vsed as: DESCRIPTION OP BUILDING Front DePth Height Scl. Fk Cu. F't Front Depth I�efght Sq. Ft Cu. Ft � op ����q� Frame �, �_, 8 400_ To be Completed REPAIR STORM DAMAGE Ia consideration oP the issuance to me of a permit to conatruct the buildiug des�Ibed above I agree to do the proposed work fn acc:ordance with the description above set forth and in compliance with a�l provisfons oP orrlinances of the dLy oP FrYdley. ^�1`� ����� In consideratlon of tl�e payment of a Pee of � 10. 0� , permft fs hereby granted to DIETRICH CO�ST�R,IIGTZpR C0. to conatruct the building or additfon as deacrlbed above. This�e rmit fs granted upon the expr� conditfon that the peraon to whom it is granted and hfs agents, employees and worl�nen, in all work doae in, around aad upon eaid building, or anypart thereof, shall conPorm fn all respecte to the ordinancee of Fridley, Minnesoffi reg la:ation, conatruction, elteration, maintenance, repafr aad moving oE bufldinga wio �� dty limiffi and� permit may be revoked at any time upon violation of any of the provl�lons oP seid �f w�i�� �� �1_� ._ . _,�:�K � Nonc� 1'Ab � dea not aow► tla eomhuaH�, tn�taWMea �o� �rirlao� Pluml+tey. ya 6NNeo, awu� or war��. B� �un to � ths BoUdieg Ie�� �e� ap�rtlr p�emh� Por 16�a N�. �°� API�'L�CATIOR FOR $UILDING P�RM[T CI�Y OF FRIDLEY, MINNESOTA ow�•s � ,�n � ��h � �!y Bim,n� � �/�',�/� � �,��s � � � Ann�ss � �� � � �� �"�� � � � as. ��aESS 1� f � � - �h �,��, � .� �' � LOCA1'�ON OF BUILDING :_T�n.z Street Pgrt of Lot �� ��� L� K ADDITION OR SUBDIVISION Corner Lot�_Inside La _,_ Setback Side-�Y�rd SEWER ELEVATTON FOUNDATION ELEVAZZOI� � � Applicant attach to t�is fo�m Two CerCificates of Survey of LoC and proposed building location drawn on these Certificates. DESCRiPTIOAt OF BIIILDING To be used as : j,� ,� � � / �B � � a° � �1 � h1 /7� /� � `p /° Front Deptt� � Seight �q. Ft. Cu. Ft. Front Dept �Height Sq. Ft. Cu. Ft. c/C' _, �ype of Can�truction_ � i� � f9"B � � Estimated Cost ��/� � To be compleCed _� � � / � �m � q'he unders3gned �ereby makes application for a permit for the work herein apecified, agreeing to do all work in strict accordance with the City of Fridiey O�c�inances and rulings of the Department of Buildings, and hereby dec;lares thaC a11 the facts and repres�ntations stated in this application are true and correct. �a� � DAZ'E %� � o� � — � ,��` SIGIITATURE�` .� e � (Schedule of Fee Coets can be found on the Reverse Side). � , _;�;.- � .� .� � �� BOILDZNG PERffi� FF�F., SC�D�,E " SECTION 2. The Inspector of Buildings ahall� before iesuing any �rmit for �he erection of any building or atructure, or for any addition to eny egisting buildy in� or stra.cture, or for any alteratioas or repairs to any egietiag building or structure, upoa application there£ore, require the payment bq the applicaat for such perinit of feee to the amount hereia below set forth and in the.maaaer herein_. provided to-wit: 2.1. For any such permit for the erection of any fire�proof buildin�, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for eimilar occupancq, to any existing buildin�, �hall be at the rate of $1:40 for each one thousand cubic feet, or fractiou thereof, ia such cubical contents. 2_ 2. For any euch permit for the erection of any fire-proof garage, warehouae, factory or grain elevator, or for the erectivn of any fire-proof addition, for aimilar occupancy, to any existinffi building shall be aC the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" bq ; SecCion 542� of the Minneapolis Building Code. flOIISES �._ . . . _ . . 2.3. For any auch permit for the erectian of aay non-fireproof building, - othe han a garage, warehouae, factory or �rain elevator, or aay non-fireproof additioa, for eimilar occupaacy, to any existing building - pez�it $1.00 for eacb one thousan.d cubic feet. GARAGES `_ 2.4. For any such permit for the erection of any non-fireproof garege, warehou�e, factory or grain elevator, or for the erection of any non-fireproof additioa, for a3m31ar occupancy, Co any existing bu3lding or for each such building or addi,tion - ninety centa ($0.90) for each one thousand cubic feet or fraction theseof, in the cubic�l coatents thereof wi.th the miaimum of $4.00. For the purpose of camputing fees for building pern►its, the cubical contents of any build�ng or addition to a uniform height throughouC by multiplying the ground area covered from�a point eix (6) 3nches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof eu,rfaee of the maia gab].e of•a pitched roof. 2.5. For regairs or alteratioas to an exi�Cing structure, the�fee ahall be a he rate of $3.00 per.each Five Hundred Dollars ($5 Q0.00) or fraction - thereof in the c�st of all proposed work. 2.6. In ao case shall the fee ch�rged for.any permiC as aet forth in Sectio 2 be la8s than $4.00. � �- ,--� � t_ �:_ � � ; �� { I I � I � - , � i � � (. � I i .. �- - ' ` I . � ' .! I I � � 1 j - ; -- -. _. � , ; ,_ _ __ � � � i� ; ;� � _� --: � � � _ � , 1 � � � i .I _ -- - --• -- - � � � ,. � , , , � ' � ' '��-�� s Q� ,_. _�_ _ ; �_ , ; �---� : i- �- ,.. - � , ;_ I i I, i I' 1 � i i _` ' i --..-; -_ --- - . ; ; � I � - - { -r �_ - _ - � - i ! -- �_ --� - i -- ---- - - --- - _ � -- � -- j-- � , -- - - - ' � , I _. � j � — -- , ; —�- - - - - _-.- -- - � -1 I .- - _. 1--- � ; _ --�--! -- --� - � � ,_ - - - �-- - : _ � _ T _ _ ' � . � ► — � r _; ___ _ Y , __ -�_, _ � . � .� , � � �_ ' _ ._ i ,- .i _ .1.. _ � � � 1-�� I I 1 . !. 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I - - - - --- r . . -- � m I _. �. +. � _ ___ _ ___ i _ i . . ! _.f_ :_ � _ :� i� - ---j- , t j ; ----. , _. .-�-- .— -- - -- _._ _ _ . � , � . , � �� , � � � �- -- -- � -.— �— - �- --. -- � � � �� --- -- - - .-- -- - I - ; � - ---}-- , _-j-_ T_. �.. i �__- 1-.- , -�---- „� i -1---•- � ; � ; 1 I � � � � i � I ; I I i � ' I I I i i � ` �I � I � I i I I ! i� I i. ; I � 1, . � � .. � i, -..� . {I_ � , . , ; . �; , � , � ; � r , � I � _ �-- I ---- - -- --- - . _- -- � - - - - - __ � - - � - - � _ -- -� I .. _1- •- �- - �'� _._ ._ . -- ' � � � ' ' 1- � � � , � ' � � , � l � �� � I ; ! i � ! ii : � , i i ,_ � i I E i I. I I � ' � j � i � I= i !� � � � ! ' � ; , POWM 1 % INITIAL COMPLAINT REPORT oEPr. FPD �`, No. 22706 TIME REC 1200 M TIME DISP M ON SCENE M CLEARED ` M DATE 4.-27_� RADIO IN PERSON BY PHONE nXX �yq�L COMPLAINANT �S. Fred Mykkanen ADDRESS-- �g4� TPffP�-c�n �'�' �j F LOCATION 6850 Jefferson OFFICER ASSIGr�Fn TYPE PHONE NO. S/1-3478 COMPLAINT ant a. tne comN yard, dig�int� her yard. FINDINGS ATTN: MAPSI For information AND DIS- POSITION i ��� � / : r � r � � /�1/L�`� ORIGI �� � �ise�te lc� ° ���� R OR D . ` � NAL . � Z�, f. y�.� �r d�, l ��/��t .�i � � � �: Page 1 oz 4 -: EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: ���'I'L DATE -' � � � 6 � ' . -�� -�. . � SITE ADDRESS: Gj � � C� �� � � � F 2 �aP� PHONE: g � � — �✓��� CONTRACT�R: ' . Determine working square footage of each � � '� y �` '�' K �� l. Total exposed wall area...... 3/� sq. ft. x .17 = ,9 x4yx� 2. Toal roof/ceiling area ...... ��� --�q. ft. x .05 = 4 � Total exposed wall area above floor =! �. Tota.l wall window area. . i � �. �� `� �,. .� . . .�'.K `. . . . �'.� :. � �. . . . . ,'b. Total door area ........................... . ...... 1' N �/c. Total sliding glass door area . . . . . . . . . . . . . G.� .� . . . . . . . fi'd. Tatal fireplace wall area .......... ......fo ��....... e. Tota.l wall framing area (average l00) .................. �f. Total rim joist area .................................. ,' g. wall area above floor .......................... h. � wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... � Tota.l exposed foundation area = � � k. Total foundation window area...... ................... 1. Total net foundation area above grade ................. �� �� �4 Determine "U" value of each wall segment (e.g. window, door, each sepaxate wall section) a. g uUn _ � X "U" � C. g nUn o d. X "U" _ e. X uUn - f . , X °Un — g� X nUn - _ h. X n�n _ iX „U„ _ 0 �� X aUn = . k. � X ��U�� _ l. X "U" _ 3 . ............................. Tc,tal = ��' �5� ` �Q� � � � ! � 1�-- �1 �I� �ar;q . 7�' � � � � � � o� � � �a If item #3 is the same as, or less than item #1, you have met the intent of ' SBC 6006 (c) 2. t Exterior Envelope Average "U" Computation , Total exposed roof/ceiling area = m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10�)... o. Tota.l net insulated roof/ceiling area........... ' Determine "U" value for each roof/ceiling segment m. X nUn = ri. X "U" _ o. X "U" _ 4 ........................... 7.btal = Page 2 of 4 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 tota.l 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. n 1. + 2. _ 3. + 4. _ � •s WALL SECTIONS NOTE: Use 10�a of opaque wall area for ` frame construction FR1�iE Z4ALL �` �� `' y � `•' �, , � -, .�' Page 3 of 4 Construction R-Value 1. Interior air film � 0.68 2. 1 3 . • �� � 4. I�S.��� 5. yi f�ic..`. s�row�.. 6. Exteri�r air film 0.17 To�al 1. Interior air film j 0.68 _ --, 2. 3. 4. 5. 6. Exterior air film 0.17 Total 1, Interior air fiZm 0.68 2. 3. 4. ' 5. � 6. Exterior air f ilm 0.17 Total �\ � � . ��� 1. Interior air film 0.68 '' .. '�: • � 2 , � -- '- .. ' ' 3. r � �d� 4 . . ��r�� � 5 • . O� Q� 6. Exterior air film 0:17 Total . , , � . � �s .• � • ` . i � . � ti„ . . �� . ; a , r � , �••�� �!', �' �' � �- • ��� � � � r r �� : ., • . _ , -,6 . ; , . �_=- . . /�� � • , • . ^ ` ' � I11 — -'. � b _ , .- (tt . ' . ' " • -- 11 � ' � � � • i!� • £3G. #3 FIG. #4 /C( 't� t • •� ' b % /�l � y ' ' t„ �. � . ' •.._ . � // � � __ - � a ` , . . . ��� � � x ; ��� . - o - . , , �+- � • /� I ;. I r r �. ��r �. � � , � : ' l . � � ' : � NOT?�:: Indicate tyoe, "R" 'value, depth and . • . . Y)lAC'!l�+MP1'1'F' P1f ine-��l-�hi�» A A A � VentEd ROOF/CEILING ,,` k IG. #�5 �J v ' Heat flow � uF , - .. ,,,�,�.,.��uc°,-+.o,s'�!1fi�^;�`Y���.��«,�r.r�-.cy� -. f}:eat flow vp . -�venGede . .' - , . . : . . . .. . .FIr. �6'..... . . . , - . , I `_-'" 1 �'' � � . { `= / i+ .ti� cayL�-°'�`,�r:��-;.- ., ;••�y1'= :�s�-"RW�: '� ����'•• / :;y. � ,. , ; j- •. . .. . : � � .�-et ��'.�% _/� : . � ��� _ � , Page 4 of 4 Construction • R-Value l. Interior air film 0.61 2. � 'L _ .� 3. •� 4. � terior �. film (still) 0.61 —� Total ��}v�i� � G��c 1..�, , L"Q �� . . �' . • � NO1-Vi�"TED . ' ': . ' .., '.' ' Hent • �•�. � , ', � , : . . ' f low up _ . • • _ ; . .; . . . .. F�r. !�7 ' • . � . . 1. Interior air film 0.61 2. 3. 4. Exterior ai� film (still) 0.61 Tota.l l. 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 SUBJECT PERMIT N City of Fridley 13611 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' � � CEIPT NO. � `v ���_�_� COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPEQTION SEC. �� %., � I �. i l! �� � �'��1 � CITY HALL FRIDLEY �jS4$P NUMBER REV. DATE PAGE OF APPROVED BV ""� � ,�� 812-560-3450 910-F15 6/28/76 � � JOB ADDRESS 6850 Jefferson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCA. rj 3 Rice Creek Terrace Plat 6 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Bob Acton 6850 Jefferson Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHOPIE LICENSE NO. a� $dIIIH 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILRDDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW CJX ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 15' Family Room Addition 9 CHANGE QF USE FROM TO STIPULATIONS SEPERA7E PfR�It�TS REQUIRED fAR � i�i�Rt�G, H�ATIt�G. �'-�'t�BB�NE� Rtd�U S�GI�S. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. W F THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOflK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2�600 ],.20 DOES NOT PRESUME TO GIVE RUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVI ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR CTI N THE P RFORMANC OF NSTRUCTION. � y�`24. OO PLAN CHECK FEE TOTAL FEE � � �"' �� $25.20 SIGNATUH OFCONTRACTOROR UTHORIZEDAGENT IDATEI HEN PROPERLY VA ATED THIS IS YOUR PERMIT ' m- � � f ��,� � -Z�-�,� � SIGNATUREOF OWNERIIF OWNEF BUILDERI IDATEI BLDG INSP DATE � <..� a •:.'�,''.`-'�'•_.`�?� �;;�4``-.�t 9m:e, ....a &`-�m' .� . �. . ,-�r: ^°'�=... .�t:°:dr�' . . -.,r , _ = _�� � . . - � � �� ':1 Y� ii�`� � `i� �...��,. �n.4 � . i7 �:? � ;� � , `i— _' o r�+ � ��r�- " , `��I��:�►�'� � ��`w ''���>_, �' ! � ��'S��'� r � '� ��-N i ?•L. C'JT 34T ") 9C7�� 3rT Ta � �)- �� ; Tl������� ������`���� �.��. { w �'�� � �J�1 T9!3� `"�� '; „ ,,,q Ta�3�9G �� �a Yr�,rtua�rdc;:; y � - - � , _, _ � T .,�.� , .`°� �\ ��':'� � ; , - f �.2 y�01T39921�1 ��:tr�37CjR9 � y ) �.' e a -{- _ �.. _ —, — tl iF, �t� r iR94o - .,ir 1 �-ti` v..t�', � �7� . . 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T{P,1iv34 A�� ]t7ti+vlt+.Fi:? 3rii i17(A Ht7 bll'`d��ii 03�a1;':-ir Ft�{-+`3N ' H'f!yV �._.�.. . __�V.� �...--� . . a��haki`'� �^,'.I� ` � ;3a �f!bAr�-��t �uT -13��NP,� Nt� 3TAJ0'V���Oi YPIRCIHTU�'.:�;P�,) O� atcA.;:,3N�, ')� :3'.'��J ; i ��.._...__-�-_ . � __��.� a � �3� �;�To�� ; � F c`': ?C� _ i �� :i�,�", v . ��� �. . �T a��a,� t � �. �� •..,_ - -� - - .,a,% ., ���.,T A ai:Jf' r c i ar.:.C� AC) ' � ;`�' H � �TO YN a��? ��. If vOR� Qi' .i's�'r`',, „tq�T,;•.,� i2tAf�' �U 3'�'ji1141G af�.,�, _7n ��{� �-P� t � �.ifi72- -- ti��;�,:;ra�N�:��a _:� � r ,l � �� .� e ,t�° -� � '"� - =�� ��,,� •..:� ..�~�,..�r.S..�'�-- � �- Y`_!!��''�V�iR t131-fiAf"�' � ,9rtcCS "�t •. cuJS�ar�� ��: .,, a6 •. -,-`t :'3 � ` � �`-'t � �'ir,�. , .b �s . , � x � . ..._.� - ____.�� - a , .0 , .. .•i ----i37nt7� .------ ---- ���3t7F]t•.,.._"',.��a�...v -_rai�'ai«.Z ,�...._ f. ��_ � , APpLICATION FOR RESIDL-'NTIAL, ALTERATION, OR AUllITION BUILDING PEI2MIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : b �C� ��'r1� BUILDER : � �2- � � ADDxESS: % � �� J��F���S�%� ADDxESS: NO•, (p � �� STREET• ���� ���0/�' LOT: BLOCK: ADDITION: CORNER ZOT: C INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. ^ DESCRIPTION OF BUILDING To Be Used As : �i� I� ��� �l%f�'j�' Fxont • `� � Depth • ] � Height • � Square Feet: 3�i� Cubic Feet: �. ��� Front: Depth: Height: Square Feet; Cubic Feet: Type of Cons�xuction: �� �IM IE Estimated Cost: $�(� �Qa e�� To Be Completed: � �'- �_ 7 � The undersigned hereby ma.kes applicativn for a permit for the work herein specified, agreeing to do all work in stxict accoxdance with the City of Fxidley Oxdinances and rulings of the Department of Buildings, and hereby declar�s that all the facts and representations stated in this application are true and coxrect. DATE : l(� � � ! ` � � SIGNATURE : r (See Reverse Side For Additional Information.) � P ��� -� � � � � _ . � ��r.�v -�a�- �`°'� • 2 � �^�- C_ 025 - �, n- Z _. . � �BUILDING PEItMIT FEL SCIiEI)ULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: iTNIFORM BUILDING CODE; Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement o�c the cellar to the average heights of the upper surface or to the average..- height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structu.re, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE; Permits for constxuction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certitied 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 �ahich a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � � � N '�1 M 0 � � � z � p H H H N iQ v � 0 � � M O � ro M � H C h] � � 4" � �: H H ro ro w a N f�D . • H N ~ � ro o p' � � I � � N oro � O O H °z � N H � a � w O y� �; �n 'r c� c� o �n '..�. c� r r� �- �-+ 'r 'r �+ � tn � •a i i� cn cn r t. n f 7c1 r-+ x f"'i 'rf O td W O � '� �� N N F Y N N� Ri� t-? r• Y t" tr1 O �r <[; [ F+. 1•. p ��� 'U 'U �; % 'd KS hl � H H Y Y'/, H N 7y i7 �� r j� w w r, ►-� a w r- • .! �HHG' �-i ry Y, y, �p � r•ww w n r�••� w p r� �-i �-. G'� Y�' H t:t m m H fD K M et �� m n y uni uMi � r�D `. W(L Vl 1-� W M D� W � N N(U N N (L � � �--1 N w n � .o !� 0 7e � o n¢� H a o r' 1 7% (n L� G� � ry� n w� �n � ;r i ;r �:r r� ,., a� e� a a' c� ` e� a� �� vr � U W N• �0 �n a n N�C N F• Y b Z' �t W iD y Z� rr �o L" ✓� r�,', 7 0^7 � �o K n. 0 a O. � H F� r �. r �' i� r r t�.� p, L r ,. N n r+ o C�. r � rr rt o r 3' 7J V7 VJ % fti N Y M �� jpj W ��7 E N � fD (D n� • ..f. (D fD ro �" l,y H�-3 c � rr cn bo n n a� n n �+ � �v t;: r-i rt a.. � w w r. cn G w�a cr�p y a a �7 .. -o � i•� O M N 4 O W N O� O� (n r• N• K� F ~ N• r• � G � ��� r�c�a m o a• � r� rr ] o u a c�n %y o o a � � ;v �o rr m� r o 0 0 0 �:- � a a o n •• � n a rr --I � N v n o N v, n .—� iv' '�n � o �� o°or� .. i m s, i R� ^ :,� om �no ro n o o m c tno A r. o` r— `i--, -- oN m to wc>t�o aro .�n mro n o fJ iD �t �' H o H� n �. x n 7�' � y O C c: 0 7 rr P' rt tr1 tn c: �' G W o O 5r � O '--i cfDO � �o n� � m au+ � a� m �� � N C o o � o � Ul (D Y �D N y � p.9 O O O O U = � � I I I � o 0 0 � c w m ° y � m r. (�i � C xxx (A fn iA r O F-' W O O O t/1 N Vi ih in iA (V� i/1 i/1 . � " \� O I � C O N K �T1 � � � o rau z � �i �' � z c� � � � � ro 0 fD w m z z � s �a V1 .n N � CI M y � tt � � � � H � K °z o � tti rt � W C m '�z N H �' y� F'• � fi (y W F•• fD �i'.. \ � � a � o � ° O M � � „ � � � ~ O b � iA N iA O O O 61 J�P N O O O O O O O N i!1 tA N �+/! t/1 iQ �1�J1 6 (�/I H � H W l7 C7 ' � � y o � � O tn M d � m C �+ H C N y H � H d � G�i z � �' � o �S �y � y c � O C I f '\ ro M � H H z 0 � �� � �� 1 V n 0 S� I� � r .p J J �p N O O O O O O O O O O y, tn tn tn v, il � � r ia J J N � 0000 C:7 O O O O tn tn in tn � r z tai W m H � rt'�0 ,�y N K Fn'• f�D � ��'S 'J WN � vM� a w �(aD i M c�r f�D q W N �P p, O � M N W O fD M °ac�uw °' �� w o n m �' � ro ° m �a O Oi R. b' N N Ft O 'G � N � F-� X rMt rtt rt S v �a a.ro�'o > � �cr•ro �. . w� w � � '3 .7 IL N N H w w rr rr 'J N � M 1'• � W w O • P1 N n '•7 � , � M r� a w o �a�K � wm aro � m � � � a•cmr � N fL E R N W M � w � K • fD m � � � N /D fD w x N O � M `�G X � na�x jp � Y iLM I I�, �(tN k�' � 0� � O t!' a n � N N '�� oO d L1 y 'O -o .r_. n D --I O z 'T1 O � -o 0 � m .i7 � "O .'Ll � Z C'� --I O Cn � z "'� C: z° v z -i � ... z � � -< � � � n .�' o° N M D z z c� t� � t� < m m � � n m � N -� 0 z � m '7l .'L1 � m � D � 0 Z D Z b c-� � -< 0 -ri T � d r "� �� ��,? �,�,� sue�ecT PERMIT City of Fridley 2 0 8 3 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � � � • � • COMMUNITY DEVELOPMENT DIV. � �,: - L/o 3 � � r � � PROTECTIVE INSPECTION SEC. i1 � � _---� �/'�','� CITY HALL FRIDLEr 55432 NUAABER REV. DATE PAGE OF APPROVED BY i 612--571-3450 910-F15 5/23/91 / / J08 ADDRESS 6850 Jefferson Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 3 Rice Creek Terrace Plat G SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE Frank Ferguson 6850 Jef�erson Street NE 571-2039 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION l� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwellinc� (24 Squares) 9 CHAN(iE OF USE FROM TO STIPULATIONS Rpo�ing can be..tTz� 2nd layer but not the..� 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED POR ELECTRICAL, PLUMBIN(i, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $1 � 248. $. 62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �� $3]..00 Fire raC $�.. ZS STRUCTION OR THE PERFOF;MANCE OF CONSTRUCTION. PLAN CHECK FEE TOT FEE $ 2 % OFCONTalCTOA NOaIZEDAGENr iDATEi �pIHEN P OPE AU T HIS YOUR PERMIT �if7 ��� �— � f�'Ir/Y V °� % ��' �} ° J' ✓ �" 'SiGNATUREOFOWNERiI WNE ILDER� IDATEI NSP �pTE I�1 [ ] EffeCtive 1/1/91 ADII�1 [ J R-1 AT�ID I�2 AL'Pgt [ ] Building Permit Applicatiaci � Qoa�tn�ctian �: a -- _.. ��« . . ...t � � �' _� owr,er rlame & Addr�ss• .���;� ,� _ _,�.�� '�a^�%' � �� �. � � ��-'�i�� i � Ooe�trac.�tor �° � ' �� a .� ,� 'I1e1. # . 74dclres.s: • Attach to this applicatiari, a aertificate of S�nvey of the lot, with the proposerl cansttlx.tiaaz drawn an it to scale. D�C�tIPTI��T C�' II+�VF1�T1' LIVII� Ait�: Ies�gth Width Heic�t Sq. F't. GARAt� !�: Iergth Width He,ic�t Sq. F't. D�CR AR�: IP�gtll � �� Hgt/G�aa�r3 Sq. F`t. oTt�t: .��� � .r�l> ,� / "� <� ��1���� Cbrner Ia�t [] Inside Iat [] Ft. Yd Setback � Side Yard SetbacJcs Type of C�stn�ctioai: Estin�ated dost: $ % Z f� � o Approx. Oa�letica�► Date: Pxro��osed Driveway Width If Ngw Opening Is Desired: Ft. S S �� � � Width + 6' See Back Page �,? - =� � � � � T)ATE: �' ° � APP'LI . �`" . ✓l._ °� �� � " 'I�21. # Permit Fee $ �-/. C � Fire S�atge $ /, a� state s�arge $ , (� - � SAC Q�ar9e $ Driveway Escxvw $ Park Fee $ Sewer Main Cria�g+e $ . �� s�t�,zza�ts: l $ � � -� `_ Fee �le aci Reverse Side .001 x Piermit Valuatiaci (1/lOth $) S.SO/Sl,000 valuaticn $650 peY' SAC Unit Alt. "A" Or' Alt. "B" AbOVE �1ee Determined by �i r�ri � �,g�"� Neoes-�arY L l xot Neo�sa�-Y [] t s :_�j� �_ �, c ;::ti;.y�4 :�_ti: : �:i:.�r_�I : �e Chief Buildin� Official ehall, before issuing pe�mits for the erectiaaz of ar►y building os etructt�+e, o� fos any aclr]itian to any e�d.sting buildir�q aae �cture, or for ariy alteratian a� repair to any e�.st3s�q buildir�g or stn�se, upoai aPPlication tiberefore, raquire the payment by the applicant far suc3� permit of fees to the amiamt 2�erein be1Cw set foZtil aild 31� the rrar��r �jn prpvicled to-rwit: 'I�o►rp,L �iAIi� Si tc Ssoo SSOi to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 - �+a. $ls (Miniio.� Fee is Sls plus �a�e) $15 for first $500 plus $2 for each additianal $100 or fYactian ti�e.reof, to ar�d ir�clud,iT�g $2, 000 $45 for first $2,000 plus $9 for each additioa�al $1,000 Os frdction t2�PS�eof, to aT�d iT�CludiT�g $25, 000 $252 for first $25,000 plus $6.50 for each additianal $1,000 ar frdCtiC[1 th�ei�ecf, to and iz]Cludil�g $50, �0 $414.50 fc�r first $50,000 plus $4.50 for each additional $1, 000 oar fraction thereof, to ar�d includirg $100, 000 $639.50 for fiist $100,000 plus $3.50 for each ac�ditional $1, 000 or fractioaz thereof, to ard includirig $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each adciitional $l, 000 oZ' frdG�t.ian thet�eof, to at�d including $l, 000, 000 $1,000,001 ani up $3539.50 for ti�e first $1,000,000 plus $2 for each additional $1, 000 or fractiaal thereof D�tIVL�Y D�Plt�BI�i F�QmW (Oorr�ete � StYe�ts �lY) Alternate "A�� ; Reiroval at�d r�lao�.nt of aab and gutter aa�ly - Driveway width plus 6 feet times $13.50. Alt�rnate "B" : Removal ani replaoe�ent of curb and gutter ar�d install a 3 foot wide appzoach with 6 iTrh depth - D�'iveGrdy width plus 6 feet times $15.75. C:,:� �._��,�. ; M . , P�ermits for �iaa�t will be iss�ied a minim� of 24 hours fr� the time of applicatioai to allvw for prcper review of the prapo�ed �e arYi of the canst�uctiaai site. A Qertificate of S�uvey of the lvt, stnwiriq the locat,ian of ti�e faarlatian c�oe it has it has beer will be required befare pYVOeedirg with the fraaair�g. e �D z � � �� �. � o �- � � � � �y � � � �' � 3 � A � � � � �� � � �Q � S m �' �F � � ��� to -� ��m � �� m a � � � a � Z � '� � � -� � � � S. �r o � -� � r c rn � `� �� s°� D � o � C � � <� �� � , o� °� � _ H -�' � � � � . 'a � D � � �' � � �� � o ° � � � � � -� � � 3 v� es v) � � �` � � � - 3 _�u _ � m 0 v �� � � r g g � � � ���° �-��-o �Z � � � -c � � �: O '� � � � o � � � � � � � �, �. � � � � � � s� � � � � 0 � � � � °�'I Z O � � � � � C m v � . , � � �' Q � ����� -� � ������ ���_ � � � � I � Q �i. � � v ���� ���o � � o� N � � � � � � 0 0 ,`1� g � S � � � � O � �� �' e , � 9 �� �� , -�p s , �- i � � � ~ �i �� � � � � . ; i :... ; � '- � � : � � � c w � � � � .N S , � � t� o�,� ;• g. � �g�� ;�3 ; � � � � i � � r � - � s. s o' � A � ��-w �� T � � � � � � � � `� O � C� 7Z' ��� �' a � n _ � � 0 � m � �J N � � � � co ���'� � �� � � c W Z m � � � C � z � � C �a �� �� v� � � �� Z O � O � � � �� �o �� �� Z v � � � 0 �Z � � � Z rn � A> O � � � � :�BQ :�$ p'3II$i$ �o� �x�d�x - -- :a�� . s�o�� � �� , :. :Sx�E��� (� o� () sa� I���Ai{ 13�EM .I03 �FIA01C� Q2�Q ITE IIOIjSYI(1LiTOJ SL'�j •g () ort (} saR aal�aq xa��nn io3 papcnoid IIaaq �auTj � s��y •�, s�nis �io�. S�nsg ��a��t�d ~ ae S�ns� �un�au a� oA ,� 9 v�� i ) Qlri ( ? �a� Pa�aauuo� s�nis ���� , - - - - - � azis ;�03 s�ta�aait�ba� ape3 �ua��a {g� � �r �.�. ( } ox ( ) sa� � pauaddns �iiaari�s�s� •{� () oH () sa� u�tm pa�poI s��aCqo uSta.zo� ou •£ (} o� () saR uo[���ou�iap io lsni cuo.t3 si •� () oN {) sa,L pauzu�exa ���aaEa uaaq s�H • j -:���s ao �auun�� ���stxa a� lE� s���xan �qa.�au pau��siapun at�Z O �I .iG h. �---_---�--- SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � � � `v _ COMMUNITY OEVELOPMENT DIV. r � • ; PROTECTIVE INSPECTION SEC. � _ � � �"'� � CITY HALL FRIDLEV 55032 NUMBER , �.__.11.' '•� 612-571-3460 910-F15 JOB ADDRESS 6850 Jefferson REV I OATE 9/9/98 t LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. ,rj 3 Rice Creek Terrace Plat 6 2 PROPERTY OWNER MAII AODRES$ Jan Wr�ght Same 3 CONTRACTOR MAILADDRESS Four Seasons Roofin & Remod 7930 Univ Ave Fridley 55 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILOING Residential 7 CLASS OF WORK PAGE OF / / RECEIPT NO. APPROVED BY SEE ATTACHED SNEET ��P PMONE LICENSE NO 4 79 — 41 O1�R7R( 21P PHONE LICENSE NO. Z�P PMONE LICENSE NO. ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOliK Reroof house & earaQe (31Sn1 Tnar_nff' 9 CHANdE OFUSEfROM TO STIPULATIONS Underlayment must comply with the State � Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBIN(i, HEATIN(i, �PE OF CO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING.OF A pERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTFIER STATE OR LOCAL LAW REGULATING CON- C7 N OR THF acoFORMANCE OF CONSTqUCT10N. � �� PLAN CHECI Lice� SIGNATUHE OF CON'R T R OR AUT F12ED AGENT IDATEI S�GNATUREOF OWN�R�IF OWNENBUILDERi IDATEI .,..,. tY �? � STA�LS —��. $2,656.00 $74.75 �EE �C $5 . ( P �OCCUPANCVLOAD CU �GARAGES ITAX $1.33 CHARGE Fire SC $2.66 AL E $83.74 IIS IS� PE�iM1T . , � ._.., � 7 . � - °� [ ] � �,���, : _: .CITY OF FRIDLEY . _ _.. � :: ; [ ] �� SIlVGLE �`AMILY �AND DUl'L�XES R-1 AND R-2 � , , .;' �UII;DING PERMIT APPLTCATION .. � ' ��V: • . . � ' 1 Y' ..����uctionAddress:' ���� � ��-�,����ri ' .: ��s�:,•1'i��ti�n: �; . �:. , � -~ N�me '� Address� •�J i'{J' � �"�'r' � P�5 Effective 1/1/98 �.�� � � . : %.; .. _.,.--- � �° --• ...,. .�;�. , � , . ..._..::ccr(y' ° ` � „��` <A Lc.C: ' MN LICENSE �_ ia >< � ' "�{,• s n^r�, � . . � ! .S-� tt/CU�2f ,�rt'[9�i.� a'�tL../C �r�� .�� r.. .._.._:;�:. ������YIlCl2,.Y'St� ���✓�.°.� /iff Frt� �-CC� Tel. � /7�� /`f�ld � _ � ' : �' i i� r'�I::L+:A; _:.,._.:�� � �i�+:A. . r t�1�.L�A: ����� �=�� . _ _ �:: • , �- . ��Attaclia'to thi�``'application, a Certiiicate of Survey of the lot, witli:`the��proposed construction drawn on it to scale. . �� . ��,.. A 1.,�� . . r'1 ,,�;} DF„SCRIP'rION 0£ IMPROVEMENT ��d,� X� ���,� ` � ;Lengtl� � �� . �� '. Width Height Sq. Ft. : Length ��i:� �.�� � Widtti Height Sq. Ft. I.engtii''� # '` � � Wid � � HgVGround Sq. Ft. �_ .o�a,-»r,� �: W� /r� _ � l��t �r-�P a��� 1,P.�S ,. ....:�..:��i�i� `lyp�:�; �,c�,� Estimated Cost: $ , . �: , (Fee Schedule on Back)� } .:. �� ��i�, ;.v ' � i RZ ��'��` T1-S Y�- � � � � �Y.r VJ : , _ ...:Y c��:�� c�t:�W�dc� �v��a�ar��:i�.�a�,` . -' 6 c = rc x S�, - � , � '.; <� ` A�; _��'��ll�a ; _�: =_'i'�:: � `"� � � � APPX:ICA►NT:'�� ° Tel. #{ , . . . :� . ,,. . :. . '{�. ° ' CI�Y U5E ONLY �µ' .. .r' � i� ki -.�d#ah�`�';11;� n ... � ' . .r . �, � r i�5c1 l i,:. .��� . .. - ...... l��ec $ ¢ ��' �� Fee Schedule on Reverse Side � � <<�. ��, . ._. ....:��;har��le � � ,;. �,001�`of Permit Valuation (1/lOth%) �.:;:� 5urcharge , $ .��� � �$;507$1;000 Valuation ' � �i�� x , � �: _C Charge , sp �;$ � r���°��,_���'"����,`�$1`OOO per SAC Unit .� � y ��� x ; . ¢�W4 .�': . ' . .: . . . :.. �1x ! :. �. . �•.V H-�� � _. _ nse Surcharge $ . �>>� _,�.. ' � $$.00 (State Licensed Residential Contractors) ;. . . � 'A � � ,�&�'+ � � . iu`, i'kE'� �ir" � x a �' h�ll'r p . � �: . � ' II 11 � . _ ,+ _ ..•,�,;;vay Escrow "$ �+� «�`�,����Alt.r .A or Alt. II Above � . • . �; � . �ti � •• ' ��j..',� �� ..:.;,�ion Control �$`� ��� a�f��;$450.00 Conservation Plan Review � . ,a , . . . -:.. i;c� $ ' a�"x�� '`�:`Fee Determined by Engineering + ' . ,. :: i�laiii Charge � "� � �; �a ri��:�:*��;4�`�q ��t�reement NecessarY [ ] Not Necessary I J ` . , � �;f ;:, �., . : >�, �� ,��< - '.d N af > � , . / a . ��. + �tY :Udd� As'��✓ � - r' t � �t �,A��� t� • �� �q � � 'k ���Tk Y 7-...... . ,., . , t , �e� '�'t� .:� t1� . .l.U.j,AL �� � ,_� � : . �- . .;,,��� � s�.�� y ' , ` • 1 ���,�� r '., .':1 , ' � . �� . '� � ry . ;; ,� (+ �':;w "�k.�"4,� _i'� t . rt'.. . i>!� � d � .'�`X �5.,��`'���`�, �� ' � • s .. ; • �' ! IbN b'�k`'v� ��S�.i,� r�}V�,�d, 7Yf 1 �'... . � , . �J.�f � . � _ r u ULATIONS °� �' tz,� � � . . . . . , �.e ,,a °,i ,'S�r:i . . . M �dY � vi . '�� �,>> 8 a i� i ' _ . . , } � °�l y� � �c„�fks'y(' r.a , • . �r e.+f k: �a" �N�y,�° f.� 0 � '} / . � '�� �� ° �.'�u �r�?' & r � : � ., . . -�3''�^��'"'�. � � � iY'� � k ! - _ ., y . - - 1'+_ n a � f � S.-� �� � i - . . . . . . . � �'` � _ . Building C'�°° Inspections 7. 63-572-3604 DATE 0 `- , �'" � SITE ADDRESS � TFIIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMTf A COPY OF YOUR STATE LICENSE WITH APPLICATTON PERNIIT TYPE � 1V1L+' (:HA1V 1l:AL RESIDENTIAL APPLICATION CITY OF FRIDLEY �p YOUR E-MAIL ADDRESS _ C) �� �e��a-� S�- �� � OWNER �CONTRACTOR NAN�: csve -� � ��� nnn�ss _�� S Ca 'r-� �Fer�o ri PHONE: COMPANY NAME• •••••• �.�°°-. ..__. _ �----- CONTACT PERSON: JOArTL1T ZI�N STATE LICENSE � EXP DATE . .,...... ..� r�� ��� ��3k� .. C� Received By: � Date Rec'd: � r °� �'J� nnD�ss: 13562 C�NT�AL AVE 1QE crr�r AI�TOKA STATE �z�P 55304 PHONE 763�757-6202 pp,�; 763-757-6701 TYPE OF WORK: � � � FANIILY ❑ TWO FAMILY �REPLACEMENT DETAILED DESCRIPTION OF WORK O TOWNHOUSE ❑ ALTERATION/REMODEL PER MS 16�.665 the permit fee is a minimum of 515.00 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 PROJECI'S Wi�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FlXTURES: (IlQDICATE TOTAL NUNBER OF EACH BELOR� Equipment Installed , MFG: �� MODEL: �'Q �° c�C� SIZFJBTU l'S � OOCj �G; MODEL: SIZF/BTU �C,; MODEL: SIZFJBTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOII.ER $35.00 �FURNACE $35.00 _GAS iJNIT HTR $10.00 CHIMNEY LINER $IO.OU _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 VENTII.ATOR $15.00 Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.d0 x $15.00 = $ TOTAL DiJE $ Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 � x $35.00 = $�� State Surcharge = $ .50 Total = $ �� • J� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII. PROCESSED I hereby apply for a building permit and I aclaiowledge 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; ttiat the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLIC �� �° ���P�T NAME ROGE'R HOFFHEIN DATE ( C ; v �O City of Fridley Building Inspections Department 6431 University Avenue NB, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT ' RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ISTiI�IG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) . a. �il or solid fuel IMC Chapter 7 with MN Amendm.ents b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments ' 2. Make-up Air (See noteT� Tow)- – a. IMC Chapter 5 with MN Am.endments , 3. Ventin.g a. Gas appliances IR�iC Chapter 5 with MN Amendments � b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load pei room � a. Required on new construction TMC 1346.0312 5. Ventilation . a. Per M1dT Ener�y Code 7670 or 7672 C Du�t Desi Per lMC 1_346.0603.2 __ __--- -- -_-- -_ -- - -- - �? - — -- .a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for ; comb�istion and make up air calculations � Building pLjJ��G Permit No.: " Inspections RESIDENTIAL APPLICATION R�I��t By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �� '—Ga DATE � YOUR E-MAIL ADD S srrE a,Dnx�ss l� 8'SD �Je cisovl �'fi�t �' o.- a THIS APPLICANT IS: ❑ OWNER i�ONTRACTOR � PROPERTY N,�: OWNER/ 1,ENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NpME: � ` SUBNIIT A COPY OF STATE LICENSE #� EXP DATE Z'! Co YOUR STATE ADDRES : /� � CITY d I1 STATE MI�IZIP Ssy°9� LICENSE OVITH pH0 Z %- D FAX �i'PLIE�33�Pd - . — - - — -- _ - — PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY - ❑ TOWNHOUSE TYrE oF woRx: o r�w �x�r.AC�•rr DETAILED DESCRIPTION OF WORK �,cp�a,cc. 6!%iC/ I�ta�l/ PER MS 16B.655 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500:00,: whichever is greater, for the impro�ement, installation or replacement of a residential fixture, excluding the fixtures. (This.shauldxeflect only.the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = .: -:FOR�'ROJECI'S WEIERE LABOK EXCEED�$3UD;�EES ARE BASED ON $10.00 PER FIX'TURE, EXCEP'f-'Vd�lE1��0:'i� :Ff�{'13��..(WDICATE TOTAL NUMBER OF EACH BEL09� BATH S1NK/LAV FLOOR DRAINS SHOWER WATER PII'ING BATHTUB GAS PIPING pv�n crrruce�vsE) SWIN➢1�IlNG POOL WATER SOFTNER ($35) _ CLOTI�S WASi�R _ KTTCHEN SINIC WATER CLOSEI' BACKFLOW PREV. ($15) _ 11ISHWASHER _ LAUNDRY TRAY �WATER F�AATER ($35) FOR IRRIGATLON , WATER METER _ OTHER - _ - � � ������� �, �� �a.� � �, z _ � � ;t. � , ,.- Permit Fee $ 3r .O o Number of fixtures @$10.00 �, x$1Q.00 =$~ � Surc e .50 Number of fixtures @$15.00 x$15.00 =$ -3'03'AL-i3�3E-- _ � �F9- — - — — - Nu�e�-e€ ��t�r�s-�- $35.88- - � � $3�-00 ¢ $ -- - - State Surcharge = $ .50 Tota1=$ THIS IS AN APPLICATION FOR A PERMI'f NOT VALID UNfIL PROCESSID I hereby apply for a buildmg permit and I aclmowledge that the information above is complete and accurate; that the work will be in conforma�e 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 a lication 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 1 work 'ch requires review and appmval of plans. t � SIGNATURE OF APPLICANT PRINT NAME ��cT ��p�` Dl0 t/Va DATE % O - ��• ,� ����;; .�u� "fc.��,�g. City of Fridley Bnilding Inspections Depariment 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-49?7 �