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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: October 23, 1968 Owner: _ Dalberg Blders Builder Address 1121. 80th Ave. N. E. Address No..._ 7455 Street Lot _13 __ Block 1 Same Same N� . 9996 LOCATION OF BUILDING Lakeside Road _ part of Lot "alb Terracm Corner Lot Inside Lot --x Addition or Sub -Division . _ _�_ erg — Setback 35' —_ Sideyard _ 10' & 5' Sewer Elevation _______ 894.20 _ 897.20 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling int 40' Depth, 24' Height 20' Sq. Ft. 960 CU. Ft. 19,200 Garage Front 20' Depth 22' Height 10Sq Ft. 440 Cu. Ft. 4400 Type of Construction Frame �t, Cost W_$16,000_ _ To be Completed SEWER LOCATION 102' South of Manhole WATER LOCATION 91' South of Manhole 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 f in complian th all provisions of ordinances of the city of Fridley. -"P 100.00 SewerConnection Cha In consideration of the payment of a fee of go , permit is hereby granted to...._. Dalberg Blders . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Clarence Belisle NOTICE: VMs permit does not cover the construction, Installation ler wiring, plumbing, gas heating, sewer or water. Be sen to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF • NAME IvQta -A0 BUILDER I Ir —Sof ADDRESS ADDRESS NO o &Zf STREET. LOCATION OF BUILDING e LOT BLOCK ADDITION OR SUBDIVISION COR -"ER LOT INSIDE LOT SETBACK SIDEYARD /0 SEWER ELEVATION TOP OF FOOTING Applicant attach to this form. Two Certificates of Survey of Lot and proposed buildirZ location drw*m on these Certificates. DESCRIPTION OF BUILDING To Be Used As: P Front Depth � Height Square feet C o O Cubic Feet 4 _ Fro:nt_.2 Depth Height o P Square feet Cubic Feet," l Type of Construction Estimated Cost (� onz) To Be Completed The undersigned her6Sy makes application for a'permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Q '" SIGNATURE �_- (Schedule of Fee Costs can be found on the Reverse Side.) 6) BUIIJDING PERMIT FEE SCEEDDI,E SECTION 20 The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, 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.- Uniform o-wit: Uniform Building Code.- Type 1, 2, & 4 ® $1075 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 $1o5O,for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout 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. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500000 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 $50000 NSSSD Connection Charges based on location - Area 1 or 20 ' C I T Y O F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 June 6, 1969 B & H -Electric Co. ,2516 37th Avenue N. E. [Minneapolis, Minnesota RE: PEPMIT SHORTAGE i 7455 Lakeside Road i' [Gentlemen: Your permit for the above captioned address was short the following: Service $ 6.00 TOTAL 23.00 Outlets 9.00 Permit Paid 15.00 Sockets 4.00 DUE $ 8.00 Furnace 4.00 $23.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, .kindly place it on a regular Minnesota State Affidavit so that ,we may properly process this permit. Thank you. Yours very truly, i 6z -LIkONARD EICHMILLER Electrical Inspector City of Fridley LE :bks Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560.3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam . ....$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water . ................ 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE f'ss- L City of Fridley: The undersigned hereby makes application for a permit for the work hereiL specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind o. Used a: To be completed about Ling Permit No. 'I 9 9 JO Permit No. DESCRIPTION OF WORK i HEATING or POWER PZ.ANTS--Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU d H.P. Total Connected Load J� . �� Kind of Fuel—� BURNER —Trade Name Size No Capacity. (REMARKS -OVER) 4E Sq. Ft. E.D.R BTU H.P. WIN- CDNDIiiGNING CO. Signed .:�... By 1�NESOTA 55432 Business Phone No HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V. . Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No I Yes—No 19_ 0 Kind F1.1 Roorn'l Length `Width /,)--Height /Fl.1 Room Windows and Doors—Craekage and Area D O Windows and Doors--( Wld.th Helght No. of Lineal ft. Area Infiltration (fP-0 I 4Q4 Wldeh Helght 1 Na. of Dane of Dane Ilghte of crack sq. It. Net exp. wall / No. o! pane of pane 1 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl.l jt?i9-;6/ Room I Length Width / --)- Heiaht Windows and Doors—Crackage and Area �- D O Coef. Btu Infiltration (fP-0 I 4Q4 Glass % , Exp. wall / S` Net exp. wall / Int. wall / v Ceiling 0 Ud Floor d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl.l jt?i9-;6/ Room I Length Width / --)- Heiaht Windows and Doors—Crackage and Area Width HelghtNo. of Lineal ft. Area No. of pane of pane ligghte of crack sq. ft. 1 9- li/. I,/ D O Coef.1 Btu Infiltration P-6 a 6 Glass S` Exp. wall Net exp. wall / v Int. wall Ceiling d Floor I / -)_ Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Nos of pane of pane lights of'crack sq. ft. 1 9- li/. I,/ D O Coef. Btu Infiltration p Glass 6. ,Ss' Exp. wall Net exp. wall NJ, Int. wall Ceiling IR Q Floor I Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /-=,) et Ins "an How Applied / Width Height and Area seal ft. Area crack sq. ft. y:3 IF. 2.'IF Coef. Btu Infiltration 6 Glass 2 / Exp. wall Net exp, wall Int. wall Ceiling 3.;1- 11b 3 O -b Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 9 Fl.l Rte–Ioplkoomll.,enffth Width /,kleiitht Windows and Doors—Crackage and Asea Width Height No. of Lineal rt. Area No. of pane of pane lights of crack sq- ft. Coef. Btu Infiltration f %, z--2&as- Gan D Exp. wall y Net exp. wall Int. wall Ceiling d D Floor Total Btu. Required sq. it. LD.R. or sq. itis. WA. Leader area F1.1Room I Length WidLZL Height Windows and Doors—Crackage and Area 2 - 1A /_ i Btu Infiltration Glass Exp. wall Net exp. wall DiiAp Int. wall Ceiling �® Floor Total_ Btu. Required sq. ft. E.D.R. or sq, ins. WA. Leader area BROOKLYN PRINTING & ADV. CO. �- ...,- -ti_ - .,•� ir• -�::i=cal !«�< t .yi ar r v:�_Ji.r..•..a.:'. c t+ 4�,.---:�^-Q��it�N A��• 1• l�lal MY OF RNXEY rMy1�Xir;S °=§• r - A�It3CAT10M FOR PbMER PLANTS AIO i�EAT1M6i`.000l1MG YEMTiLJ1T10N• IiEFR1OElu►T1O11 AMO r - "Ain . (DWITIONING SYsie+s AMo DEVICES RATE SOON !lSZDaTIJ1L RATE Furnace Shell and Duet Mork, Burner LAlao rsplasensnt turn&=) f 20.00 TOTAL Joe Address 7455 Lakeside Road $ 20.0 O Departweet of buildings. 6431 University Ave H.L...TriAlsy. nN SSa]2 City of Fridley l � Gas Piping f 10.00 f Tel. 1571-3450 fP4dsq neeied wick am fassae.) f 10.00 f The undersigned hereby msh►e& application for a permit for the work herein P - -' specified agreeing to do all warn is strict accordance with the City cods rper 10.00 f and rulings of the Department of buildings. and here" Mclaip that all the `'f facts and representations stated is this application are trueand correct. ! • Aft conditioning Tali Sims)i Is. 00 f 10:00 _ rridley, Hina. April 18 , is88 !. =' All~ others/Repairs and Alterations a_ wER Marvin Rank 11 of YalN+e of Appliance or Mork S Rrazne ' RAID or BUILODC , ctAz✓IxoIISTRIu. USED AS Residential 11 of Value of Applisaca or Mork State Surcharge s 70 BE CDPWLV= ABOUT ESTIMATED COST _ oL0 - MN WIIDIMG PERMIT 10. PEWIT MO. TOTAL !LE f 30.50 Reinspection Fee (515.00) $ ,3400.00 Rough lnap • - Date Also installing one tinal insp.c. Carrier 38ES024/24 2 !8-A air conditioner Approval for Permit sumim M rEE rOR ANY HEATING PERMIT IS.$10.00 PLUS $.So STATE SURCHARGE Attach stac► rerlfleation fors witL% replaCo" 't furnace permits •Air tbndilroners can net br placed in %&do yard without written N•raiarion frog ad)o'rninj stghiof. DESCRIPTION or NAIACL/bUMER HEATING or POKM PLANTS. Steno. Not Motor, News Ali- Mo. one Trade Mase Carrier size 1e. 58SS06OBC toncapaclty Sq. rt. EOR sTv 60,000 MP Total Connected land Rind of root nat . gas *UWER - Trade Haas size No. Capacity sq. rt. toR M or .Dependable Heating and A/C Signed by A inkoaxc, ox_, til t� ,Ct Tel. No. 757-5040 �' Original Permit f®r PEUMBING AND GAS FI 1 G N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 660-3450 giving number of this permit., DESCRIPTION OF WORK Number. Kind and Location of Fixtures Stories 1 1- FW m O Q J 3 U z C O = '" F m Q 7 m }. z m Q m x Z to m r a Q W �i F z z O O ILL 3 O S y O z 0 6 J K IL O u z I- N Q a m z °' E Q O W J U m x a 4. J m G. a IL b a W ° U z Q Q a K WATER HTR. GAs ELEC. Basement 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for : Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement heret4attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Inspector. 42 uM-6-65-v N° 4825 Permit Fee $ W-3' City of Fridley CAW . ,19 yq Owner Location Kind of Building A�� Used as To be Completed '19— Estimated 19, Estimated Cost $ Old -New. Building Permit No. 67q 0/ G Date Inspector of Buildings. PERMIT for Power Rants and Heating. Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of / Heating Plants � —to be 'taped ltered—repaired Make , Size ALd--' ; Oil fired—,* Coal fired—, Gas fired ✓ ; Gas Authorization No. Remarks 4i2� �� , Wim ' a4'h" Approved by V Final Inspection Date , 19_ Inspector Permit AT ® 4 389 Fee $ /%. Gia Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.. , 19 Owner Location YA�� Kind of Buildingr'� How Occupied Work to be Commenced ,19_ To be Completed—, 19 Estimated Cost, $ , 0 • !L5-:=) Old -New, Building Permit No. 9990 Permission is hereby granted Lfr-m to install—erect—use the material and devices described in the above statement. This permit is granted 4pon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the spelcycations set forth in the approved application for this permit on file in the office of the Inspector of Buildings. ,Inspector of Buildings 42 2M 11-67 V t City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK �i 145 Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: gg y7 y Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ �� a 7 Ua3 < (�9 °d $ 0 �O P N WATER HTR. GAS ELEC. Base I $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ 106 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st / 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ® B Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTL) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ 106 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................. ..............................$ TOTAL FEE '.6.0 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn- -3 19 nA Owner Kind of Building - Used as To be completed about Estimated Cost, $ O1dBuilding Permit No / �' Permit No. Signe By Business Phone No- ROUGH FINAL—Y 42 52-84-S9115-51 City of Fridley App9cation for Ph=Wng cmd Cv= Ming Ptnvdt Dept. of Bldgs. Phone 880-3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures i.ecatinn 7!155 Lakeside E p NO. RATE TOTAL Number Fixtures ..... x $2.00 $ Future Fixture Opening ... .... .... x $1.50 Y New Fixture Old Opening x $1.50 $ Catch Basin ... ....... ... x $3.25 $ Water heater (Up to 99,000 BTU) e • WATER HTR. GAS EIEC. Base z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... x $2.0o $ Additional Fixtures . .......... , ....... —x$.75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 lot 1 2nd 3rd 4th ° ruturo Connection Openings Connected with * New Fixture, Old OpeningsI l El❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..... x $2.00 $ Future Fixture Opening ... .... .... x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin ... ....... ... x $3.25 $ Water heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. . ... .... x $3.25 $ Electric Water Heater z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... x $2.0o $ Additional Fixtures . .......... , ....... —x$.75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 REPAIRS & ALTERATIONS—Refer to Code Description ..............................................$ TOTAL FEE $ 3.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn 1 4-25-69 Owner _ Dahlberg Bldrs Kind of Building frame res Used as To be completed about 4-30-69 Estimated Cost, $ 10.00 Old—New. Building Permit No. P® mi '0. Signed By MINNEAPOLIS GAS CO Business Phone No ROUGH FINAL docxs - 6 C) 9b IEW [ ] CITY OF FRIDLEY .DDN j ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ,LTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: -7 A -S -S— LAtb-ss-t0b- Pe -0 "L� Legal Description: Owner Name & Address: Contractor. Tel. # MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to *scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length width Height Sq. Ft Length Width -�- Hgt/Ground Sq. Ft. tom 2CS rD +� ' � f �ft-e��e- -763=1 "-0t3qS-- Construction Type: 0�n� I:-.,( D( Nv- Estimated Cost: $ is z 005 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: 6 l4 1 0,5 - APPLICANT: 'a r -c Tel. # '� ( 3- in -9 3`t,�s- 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 $ Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ ,SO .001 of Permit Valuation (1/10th%) State Surcharge $ /• YO $.50/$1,000 Valuation SAC Charge $ $1450 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 9- j%5 STIPULATIONS: City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Mechanical Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley See Back Side For Required Information Permit # � Date , � Site Address: 'a?As!s` (Pt% 1? b�(� The applicant is: (cirlce one) Owner Contractor Property Owner: X1.1-114Address: YftZ '?�6SS" LA-t,C�L�S� Pl &-C City: State: /u Zip: 3 v Phone: �:,h-5 7( - 13 WI: 3 -3<6 - Fax: Contractor Information 4«4 Company Name: Contact Person: Address: City: State: Zip: Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteratio em de Detailed Description of work: S's Z fora P10 0-u 1A, Flo'- ( A " c 4 r " 0 -rV6, Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Air $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Boiler Liner $10.00 _Gas Piping $10.00 _Chimney ,Duct Work $10.00 _Gas Range/Oven $10.00 Permit Fee $ 5D0 Minimum fee $15 or 5% of cost of improvement /5" 0 Surcharge 0.50 whichever is greaser + surcharge Total Due $ Make check payable to City of Fridley _t•1 .-L•1 wa This is an application for a permit- not valid dnur Pnvi.Caacu I hereby apply for a mechanical 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~ that the work will be in accordance with the approved pian in case of all work which requires review and approval of plans. Signature of Approval Ins Applicant: Date: —�4� pector Signature: Date. 1 i Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 KA4-t�-Z(03-36;-0-4'(9'- Building $p BUILDING Permit No.: VS - Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date Rec'd: DATE q1 Z YOUR E-MAIL ADDRESS tc-" &)4i R • R 1 -Lo ��%SD p� -td SITE ADDRESS `14 S S Q-#r"-Rr-)19>ER-O a G FA'(40T�t3 IBArs S h St wKS • Coy4 THIS APPLICANT IS: SWOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: &a—&A p�yi$a PA TENANT ADDRESS: -1455 _ A ffffY STATE 57S -43-,L $ PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE $ ❑ Two FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE IFADDITION ❑ GARAGEISHED ❑ WINDOWS $ ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE Agreement necessary ( ) Non Necessary ( ) ❑ DECK ❑ SIDING ❑ OTHER $ ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW 16ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 1�11� yc I {r� ApDOTi a ft V P�iTPh �5 �:iil%�w �O'dvj SIZE OF IMPROVEMENT LENGTH L 4� WIDTH HEIGHT I Sq. Ft. 01(p ROOFING ❑ HOUSE ONLY ? NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 7. GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan �2. proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim L Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS ' 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USTOTAL JOB VALUATION $ING/SHTp �� �U.�E OCCUPANCY TYPE Permit Fee $p : a j See Back Page for Fee Schedule Plan Review $ . 41 65% of Building Permit Fee Surcharge $ 5- (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ I S, 1( .001 x Permit Valuation (1/10%) License Surcharge $ / $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ L4AM .2Q Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which re ires fr�e�vied a proval of plans. ( r SIGNATURE OF APPLICANTS 1 l PRINT NAME 1�-� IL �'i� I ' ` DATE 1 1 1 �i t.-510� C.A&D It IO61"A1T CIVEI) TO au'51-10M 16x2. Pe nit Number REScheck Compliance Certificate Checked By/Date 2000 IECC REScheck Soitwware Version 3.6 Release 2 Data filename: CAProgrdm Files\Check\RESeheek\addition rck PROJECT TITLE: addition CITY: Fridley STATE: Minnesota HDD: 7391 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.17 DATE: 09/07/05 DATE OF PLANS: 9/7/2005 PROJECT DESCRIPTION: 14' x 14' x 8' addition offkitchen area on the east side ofthe house DESIGNER/CONTRACTOR: homeowner COMPLIANCE: Passes Maximum UA = 60 Yo nf6f e Ufa= ---- —� 0.0% Better Than Code (LTA) Gross Glazing Area or Cavity Cont. or Door Perimeter- '. t alue 8 -Value U Factor UA Ceiling 1: Cathedral Ceiling (no attic) 196 44.0 0.0 5 Wall l: Wood Frame, 16" o.c. 112 19.0 0.0 7 Wall 2: Wood Frame, 16" o.c. 112 19.0 0.0 5 Window: east: Vinyl Frame, Double Pane with Low -E 29 0.330 9 Wall 3: Wood Frame, 16" o.c. 112 19.0 0.0 4 Window: Northt tall: Vinyl Frame, Double Pane with Low -E 22 0.300 7 Door. north: Solid 18 0.238 4 Wall 4: Wood Frame, 16" o.c. 64 19.0 0.0 3 Window: south: Vinyl Frame, Double Pane with Low -E 18 0.300 5 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 196 38.0 0.0 5 Furnace 1: Forced Hot Air, 80 AFUE Air Conditioner 1: Electric Central Air, 14 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submittal with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements li ted in the REScheck inspection Checklist. Buildetrl>caigrr �;---�-�- Date l l �S- vaty: vi i v«w.Gi I�i�` +i i$iC/ i iliaa?r. .0,118,200-90 site irr%ir1"tiAW&I A..1 r ee�� JAGG 1 wIiw�e� We Road AI ^%A �i�7tD !'YJJ LQI\wiY�r 1\Vad 1r Address 2. C6:y: IFIridley County: Mocks r:.w�eiyauGii Business *Name. 4..ontacx Person: Cvmce.Ph. Fax: CeD Ph. - Address i CIi'ji: Stacy: Zip Code: EAstC w f,w,wti fiol /. w. I7rw 4rinA 11g Coawh7wu u 1 14U 1 47JY. rroject W. Lot Biodc: Subdhoision: MN Coniractor License 4: MMM RHiiY,="C04SO R8tiatilreMents Met YWi you be;"IacN or adding a watar 1"10-0-l6r, rail l lane, or Wler, ^ NO WW you be #WdI ig a decoMfive solid- ua0 app'l;ai 1ce? NO %I i you be installing] an viii IauDst a� 1 3,001 ICTI rI or weater 16140 You h -.-a i a Me ii int71fiurn •em-nownts for nuk "up sir and L'ai:iL1i5' on air as Mqulmd by the iifi`Wmatlorlai iii sa./ lai i�iCa1 Cvaucl a$ �i iiiry with8f1lB�IO�lletila. Applicant 1►Iw a). 1 C� y C .i�iNiirSiil IV4S1•I�v (�irii:y. A1,` vipa�lellats: t4 r Coo mciaN (p ii,tj: Wartalumloate: 1 v1 t , . ��L�4�y;$� • ., . ' its .. ,.. Q • Or c �,." ,�...-.•." 777777 t' F3y`�- ,. a ��,;�. .e�..� i -s2 � :.>•..'3' ar ` s•9 •. � !� � `� T � ,�.� `"� P . ''.P.,. ray e qhs �' � a,, v'k :• e ter'," "'afire 7w `i. 43 n t.,Wa a's�t1 �� ,.tarn '- nt'.t t�d0.% -p##. t a}3►, L+k�'. Pa@.• .. 9 _ ........ � .. °� � ._-�...�.„..r�*•- _ � -t vfa+r�. ''saes Z 1 UYr 1 r--(,tcS.s 3(4'` t -A- 5 �( ti4-r 6 A 0-02� '. yV1U�� L1y`�NSiti£ 5t�( W, CL 4\0&Qa 1 .P �"4s 4d, -R R w.k. 2A - --------- "£.S l 4,3"wi x 54'h :1/4' Glazing U Factar .:33 Solar Heat: Gain co 9f .31 Low a Argon Fill Of —�4 S � AA iU� L�� 4REVIEWED -�eOAFl�1 Q,�VC�'S � ODE ��UfM� �S IANCE spect Attic Veetilatl®n 1/300 of hori2ontal projeatien of roof area — 1/2 to be in 1 soffit. 1/2 to be in roof near tsar is cv�s anti to m.atci 'ASA I os:c e�Ll+q Builtrite sheath) 11 -- G 2x6 stud Engin-aered Rcof Trusses 16" O.C. cctw Aa siriKi4. �•N.11 ( 0e 1 p.'" OSB � �t 6 v lae. Water & Ice shield 1 15p 'felt Shingle to m2.toh 7'00%v x 59"h 3 4 Low a .Arl;opn F U factc r 33 .)oar Hea: Gain I, i' 2x'12 Joist W O.C. 9 f 10 ff l tN ® r c.,�.,�� s ,..I'Q4,f- - Celli n ' t to wds,ting 91 -- :3/4" Plywood decking )y 10% treated ost Bohm Grade —� �>--Typical footing 12"x42' Belled �t1 Bottom Kamn .Anderson 7455 LaImIcle Road NE Fridley, MN 55432 763.717-51395 c .-:VZ,rp,4, SII ujt�k ?" & Okil -(,: (2) 2:2",A, x '74"h l 34" Glazing Low E Argon Fill Windows ZFEOUMEJ oi� 6 kcg. r) , ,v co r 61��5 308.4 Buz �scs Wait) oeeving viall--.\ --- Existing ----\ Hous x 1 IV4" Leon "? 4'x14' 4 season addithr —, z "U Window to Existlng Garage _ bearing wall \� Is Cloor to Future patio .r Window 74:55 lalmside Road 14E Fridley, MN 55,132 Qed 6/1,407 Building - BUILDING Permit No . �- �' Inspections RESIDENTIAL APPLICATION Received B 763-572-3604CITY OF FRIDLEY Date Recd: DATE / S E-MAIL ADDRESS KH G o w @ M24- C� tl TE SIADDRESS -1455 �tYYOUR l.A{ S (n )7/Zf, THIS APPLICANT IS: `WOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: A� 01LSa�-A ADDRESS: `1 4�5,5 �5( DC: P-0 KI&Z:' CITY F04 bk-e`F STATEf`('IIP Asa 32 TENANT PHONE: 7L2-5-71%- 395 y cQ l( -7(o5 _ 3SO- 4IS4 ( �� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP— TATEZIPWITH WITHAPPLICATION PHONE FAX PROPERTY TYPE E5SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 0 DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: )KNEW ❑ ADDITION O MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SHWeD OgG�'— kV-ou (,-LS> (4u5c p SIZE OF IMPROVEMENT LENGTH 8`>c " WIDTH 2 X Z2 HEIGHT 22� Sq. Ft.O ROOFING ❑ HOUSE ONLY rr NUMBER OF SQUARES ❑ HOUSE & GARA@E . _....� BASEMENT REMODELING SUBMIT: GARAGES ATTACHED GARAGE �, 13PROPOSED 1. Existing Floor Plan 2. Proposed floor plan SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING proo t.I-tom FOR NEW CONSTRUCTION INCLUDING DWKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ?d, , ' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ . .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ JCf0. Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi h requires r view d approval of plans. iLfGA f f'f� W�SD �' SIGNATURE OF APPLICANT PRINT NAME ATE I 161 M r _ _ E it f I 1 - -a no i r , T ( - ` i r i f 14- � Aw mid ,V 4 A THIS J -:OB: -COPY SHALL BE AVAILABLE ON THE JOB .SITE FOR THE -FRAMI ' N AND. FINAL INSPECTIONS A ,4L k Qj .. .... ... ce. 1 L.f7r c s+a�n way gn pyble 1��,�� ��►I ('„��: -�11 tel( s� �►� __ C WI . 1q. % 65, (4'r A m PK&oseo [*C.4 lotl ILI, Eyj-c!rr I M& 20.0' Kitchen Beth Bd I©ai 22.0' Garage 24.0' Living 8 d I Sd