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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N! 5 s � s Date: — "" 7 _ Owner: �' 41eM Builder Address Address _ TION O I DING ���No. `� Street Part of t Lot _ _ _.__ Block ddition or Sub -Division y a Corner Lot Inside Lot' "� Setback Sideyard __. ZZ) Of Sewer Elevation _____ Foundation Elevation DESCRIPTION OF BUILDING To Used d Front Depth �,�� Height Sq. Sq. F't. ,�'!Cu. VtoV&P Front Depth Height Sq. Ft. __._ Cu. Ft. Type of Construction Est. Cost To 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 ordinances of the city of Fridley. In, consideration of the payment of 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 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 violationk of any of the provisions of said ordinances. 1"'i .4 / j Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to on the Building inspector for separate permits for these Items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner Is Name , L_&:' Builder ,,.. Address (1/ Address LO TION OF BUILDING No. (Q �� .® Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot A -----Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as i DESCRIPTION OF BUILDING Sq. Ft. .� �� ^ Cu. Ft. �/ z9 Front Depth Height Sq. Ft. Cu. Ft. ' � U Type of Constructio Estimated Cost/ To be Completed The undersigned hereby 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE^''—�' _[��� SIGNATURES (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley APPReatioe for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures p� yy �U ? Number Fixtures ......................0 $0U 3F o� $ e8�(�90 x 1.00 $ Catch Basin ...... ..................... x 3.25 00 R N WATER HTR. GAS ELEC. Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 ( Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ } 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with. Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOOnTAL, Number Fixtures ......................0 x $1.50 $0U Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ a ' ci O New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ Dept. of Bldgs. Phone SU 4-7470 -r-- City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 co ect. Fridley,.. nn / 6w 19 Owner Kind of Building Used asiL- `3 . To be completed about Estimated Cost, Old—New. Building Permit No. \& & `7` Permit No. 4" Signe By Business Phone No J&L .0— Skk- z ROUGH LI ' d (O a - FINAL 42 '2 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .. 8.00 $ �� Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ !STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE C $ el ROUGH FINAL Location �� ® / l e o ev �e v/ c. /V City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 a/nd correct. Fridley, Minn- 7/ �`c �7 19 Z' Owner IFA v ��. nss a �v u '/ c� It J- Kind of Building /— r,4 M e Used as To be completed about C� D r -2-1 Estimated Cost, $ q �d Old—New. Building Permit No. \13i6 Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—,Steam, Hot Water, Warm Air—No Trade Name'PC r f t c+ i a' v Size No- 1 22 D Capacity Sq. Ft. E.D.R l i 6 O c1 BTU H.P. Total Connected Load T Kind of Fuel -J S BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed 'E®y By �42 YM Business Phone No }�A 5�w e.A✓J'd' A- 6 ESG - MC fC,z ley S"f. Nt Z / s-fA / lai c 41 L ss `/ /,?J;% ` D-56 z. ' e HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Ye No I No 19— I F1.1 L; L,, ry 1 Room I Length J q Width -L Height Windows and Doors—Crackage and Area 66 Width Height No. of Lineal ft. No. or pane of pane lights of crack Area sq. ft. qe ya / l S /#1 1 Y Y6 300 �. 14 36 f lS 9- 3 6 '�" Dd a I ?a I Coef. Btu Infiltration 1 39 V 3 6z Glass G 1 66 -3 s S6 Exp. wall 14 d S C"Ll -Coef.1 Net exp. wall 7 16 �' 76 Int. wall I ?a I a.,o I c/ Glass Ceiling O O 9, 6(, Floor a 3Q S 9 6 Total Btu. e b 4 to Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 W,-4.,. o1.:..rfkToom Length .2 a.., Width 1 I Height Ir' Windows and Doors--Crackage and Area -Room I Length I L Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. I12 -?" 4" Dm®t q d,? L4 7 C A' /R / Width Height No. of Lineal Lt. Area No. of pane of pane lights of crack sq. ft. 14 d S C"Ll -Coef.1 Btu Infiltration Infiltration Coef. z 6-F I ?a I a.,o I c/ Glass Sol O O t{ o 6(, a- G a G Exp. wall 3Q Net exp. wall Exp. wall e b Net exp. wall Int. wall 1- 16 o a 4 6 Int. wall (, 5 / I Floor Ceiling ;�•�� Floor / °t 3 FloorI 1 1.009 - 1 6 Total Btu. .PN Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.I v.> „ 4 �. Room I Length 5? Width F Height Windows and Doors—Crackage and Area -Room I Length I L Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Height 8 - Windows and Doors—Crackage and Area Width Height No. of Lineal Lt. Area No. of pane of pane lights of crack sq. ft. 14 d S C"Ll Btu Infiltration 1 L Infiltration Coef. z 6-F Glass 1.6 Sol O O Exp. wall Net exp. wallej Int. wall 644 3Q Net exp. wall Exp. wall e b Floor Int. wall 1- 1161 7 6 6 Ceiling (, 5 / I Floor Y9 Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 -Room I Length I L Width 12- Height 8 - Windows and Doors—Crackage and Area Width Height No. of Lineal Lt. Area No. of pane of pane lights of crack sq. ft. 14 d S Btu Infiltration Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall 7 4? Glass Glass Net exp. wallej Int. wall 3Q Exp. wall Exp. wall d% Floor Net exp. wall 1- 1161 7 6 6 Int. wall 6 Ceiling 1 1 / 5 .2, Floor I J44V 1 1.009 - Total Btu. 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A F1.1 P- J Room I Length 1n-- Width / I Height f Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 19 32.D- Coef. Btu Infiltration Coef. Btu Infiltration Glass ,� 6,6 Exp. wall 7 4? Glass Net exp. wallej Int. wall 3Q ?v Exp. wall d% Floor -4 Net exp. wall 6 Int. wall Ceiling 13 1064 Floor 13-3- % Total Btu. I e - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r F1.1 R ® rl Room I Length 1 Z Width moi' Height of Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 19 32.D- Coef. Btu Infiltration / .F Glass ,� 6,6 Exp. wall 7.L Net exp. wallej Int. wall 3Q Ceiling b d% Floor -4 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. BUILDING PERMIT 8 N° 6986 CA ON UIL D G No. Street Part o t Lot __ __ Block ddition or Sub -Division . � � a Corner Lot _ Inside Lot _ _ ` Setback �" �"'__ _ Sideyard� Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Front _ Depth Height Sq. Ft. Cu. Ft. 0610 Fron DepthHeight Sq. Ft. Cu. Ft. Type of Construction —_._ Est. —�� n--- To be Completed In consideration of the issuance to me of a permit to construct buil de�7wit7aagree to do the proposed work in accordance with the description above se and compprovisions of ordinances of the city of Fridley. `' _' In consideration of the payment of a fee of $�2 -2— , permit is hereby granted 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, maintenFZjtiq pair and moving of buildings w � city limits and this permit may be revoked at any upo�ppof any of theordinanprovisions of said NOTICE. Ob permit does not Cover the Corr medon, hrstaMon for vMM phrmbing, gn headag, sewer or water. Be ams to we Ow Bntldhrg Inspector for separate permhs for than items. . APPLICATION FOR B(JILDING, PARI_Qrai r _Y. CITY. OF FRIDLEY, : MINNESOTA., OWNER i S BUILDER 5,f �- ADDRESS.. LOCATION OF: BUILDING; a No. _ _ Street ! farts of Lot Lot Block Addition. or Subdivision Corner Lot Inside Lot i/ Setback .Side -Yazd SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to,this.form Two Certificates of Survey:,of-Lot-and.proposed build- ing location drawn on these,Certificates. DESCRIPTION OF BUILDING To be used as: /t/%-- i Front % / Depth .Height. /t i Sq. Ft. Cu.: Ft: Front Depth Height Sq. Ft..,., Cu,.. Ft.., Type of .Construct,ion .0 4,> Estimated ;Coat To be Completed ., J.. The undersigned hereby 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 rulingts , o .the. Department,. of • Buildings., ands hereby, declares that .:all -;the facts and representations stated in this application are�r-ue Viand correct:. DATE S Schedule of Fee Costs can be found on the Reverse Side). f CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY D.J.'s Heat Signed & Air Conditionin el No. 497-2661 Approved By Rough—In Date .. Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON �/-ate -lam REPLACEMENT FURNACE JOB ADDRESS 6550 McKinley Street N.E. RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner —_ rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) �7 " L, ,1995 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER Cathy Ballot Gas Range $10.00 $ BUILDING USED AS Single Family Dwelling Gas Dryer $ 10.00 $ ESTIMATED COST $2800.00 PERMIT NO. *Air Conditioning - All Sizes $ 25.00 D DESCRIPTION OF FURNACE -AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of -Heating Units__ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Amana Size No. GUIC070 Commercial/Industrial BTU 70,000 HP. 1/4 EDR 1.25% of Value of Appliance or Work $ Fuel 'Nat _ Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE �_� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY D.J.'s Heat Signed & Air Conditionin el No. 497-2661 Approved By Rough—In Date .. Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON �/-ate -lam REPLACEMENT FURNACE CHIMNEY AND TACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes NA No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's ofQ� All other BTU's 34;��®061 TOTAL BTU's `® % D 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: , // _ / / List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1257 February 1, 1993 Philip and Catherine McGregor 6550 McKinley Street N.E. Fridley, MN 55432 Dear Mr. and Mrs. McGregor: The City of Fridley has a sign ordinance regulating the display of permanent signs in all zoning districts including residential districts. This ordinance regulates types, sizes, and locations of signs. The ordinance also requires a permit for all permanent signs. I recently observed a sign advertising Watkins Products located in the front yard. The only types of permanent signs allowed in residential districts are: (1) area identification signs of 14 square feet maximum; and (2) wall signs of 3 square feet maximum (see enclosed ordinance). This sign is illegal as it is not attached to the structure. If you wish to comply with the Sign Ordinance, please relocate your sign to the wall of a structure or contact me regarding applying for a variance to the Sign Code. If you have questions or concerns regarding this matter, you can contact me at 572-3593. Your prompt response is greatly appreciated. Sincerely, Michele McPherson Planning Assistant MM:ls C-93-26 0 SUBJECT PERMIT NO. "Isj City of Fridley 26384 . AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 3��/) 7 r i CITY HALL FRIDLEY 55432 NUMBER REV DATE 6/29/98 PAGE OF APPROVED BY 612-571-3450 910-Ft5 JOB ADDRESS 6550 McKinley 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Clark's Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ballot 6550 McKinley 571-0725 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Youngberg Builders 6653 Co. Rd 33 Askov M 55704 320 838-3624 20041153 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR , ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 4 season porch (16' x 161)' Construct an 11'6" x 11' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. A RNI� Before digging ewl 'for all utility focations ABY REQUIRED LAW -UPARATE PERMITS REQWRED FOR ' *3PdNC% hFATI'j'2, PLUMBINGAN �1 , TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 WORK 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 1 ISTALLS 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 $15,498 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $237.25 Fire SC $15.49 TRUCT OR THE PERFORMANCE OF CONSTRUCTION. 61 -9 PLAN CHECK FEE License C $5 0 TOT EE 65.48 iGN URE OFCONTRACT RAUTHO(DATEi N RO VALID A THIS IS YOUR ERMIT SIGNATURE OF OWNER qF OWNER BUILDER) IDATEI 9L VASP 0 NEW [ ] ADDN [ l ALTER [ ] ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/ 1/98 Legal Description: Owner Name & Address: Tel. # Contractor: e, MN LICENSE # 0x//53 Address:. (Y(OXg D Tel. #, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT LIVING AREA: Length_ Width ! f Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground. �6fl Sq. Ft./ OTHER: Construction Type: Estimated Cost: $ r slr (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: 6, Tel. #L �rR6—J-L3?-.36a CITY USE ONLY Permit Fee $� �- Fee Schedule on Reverse Side Fire Surcharge $ /� .001 of Permit Valuation (1/10th%) State Surcharge $ �- $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above. , $450.00 Conservation Plan Review Fee Determined by ' Engineering Agreement Necessary [ ] Not Necessary [ ] $8 or xxaction the eoz in the cost of all proposed work. 2___.6., in no case shall the fee charged for any permit as set forth in Section 2 be less t2,—� S4.00_ 'SNI `oNI?I-7-7Nl9N Nb9bngn.9 'TW 0'd �pR/7 V a P.1%iaAJ" sd Pry/ P!WrIA V UAY 'fir v ji ` t�ru7cvrpccvxp a�gisu ��v pra ' taarx ` s6inq!hq .�f' AN&&* swop ,P';v% Pay 2W Nor JW,* SawoP IM f V,* /7#A -V5- D,/0 U y fo j&Wa dal PQAAW P X *74 c si s w PW 0 T W 00 . I = ..1 7-1Nx ---r ` -V JQ71 4* Oil _ — %, oil 4o* NQ19 .3NIS xv�>j iO3 LOAMMS 30 0*1e2syVAa2 — 6VO& in S � 990901�u/1S ' 1001PH 9 NAD olosvia 'ONI �JNN33NIJN3 Agmtv1w �n Sys y6'H-SLB9 4uW1dPW1 II MINNESOTA ENERGY CODE --]I 1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET Appli ant Name I Phone Date Statement of Compliance: The proposed building design represented in these Building Official Use Apf licant Addr ss 0p �/ 1p / t6y0: AW, 3,3 kQg/ 0.41 documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 0.33 Building Address: 0.27 0.25 ��� 0.22 requirements of the Minnesota Energy Code. 10.19 Applicant/Engineer tR'r� ✓ 0 ���t/` 2x4 framing, R-15 insulation, sheathing R-5 or greater. If MINIMUM REQUIREMENTS for "Cookbook" Option: Entry Doors Foundation Windows 1-3/4" solid wood w/ storm door or equivalent Insulated Glass w/1/2" gap in wood or vinyl frame ng with energy truss R-38* I Rim ioist R-19 Ceiling with low heel truss R-44* Floor over R-24 unconditioned space Ceiling -no attic R-38 w/ R-5 sheathing *Insulation Performance at Winter Design Conditions Window and Door Area 100 x As % of Exposed Wall Area Window/Door Area Gross Wall Area MAXIMUM WINDOW U -VALUES: Window/Door Area WINDOW U -VALUE : Source: NFRC or ASHRAE 1993 Handbook Check Wall Type Used WALL TYPE MAXIMUM. WINDOW AND DOOR AREA % 12% 14% 16% '18% 20% 22% 24% OF EXPOSED WALL AREA 26% 28% 30% 32% 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 0.30 0.27 0.25 0.23 0.22 0.20 10.19 TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 10.18 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.36 0.32 0.29 0.26 0.24 0.22 0.21 0.19 0.18 0.17 TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 0.22 0.21 0.20 TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.430.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 0.19 0.18 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 1 0.25 0.23 0.22 0.21 ua Laine wniamb uuurpulauons of me values in the bnergy code, Part 7670.0475, Subp. 2. This is a summary only. Other requirements may apply. Seethe Minnesota Energy Code. 215196, Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. P. g, _.. MINNESOTA ENERGY CODE 1-2 Fancily Residential Building EXTERIOR ENVELOPE U -VALUES WORKSHEET Applica t Name: U -Value x Area Phone Date Statement of Compliance: 0 A,- e�� Skylights The proposed building design represented in Applicant Addr ss: 6 � � �� r � ✓ ® R- P these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been Building Address: ✓� Average U -Value: ( — OO p 7 designed to meet the requirements of the Other P Jr -6 Minnesota Energy Code. �¢ ��✓ L ®d✓ Totals © M-6960. OO Average U -Value: OO - O ® Required U -Value from Energy Code: 110 (0 — O x OO = Applicant/Engineer Assembly - Ceiling/Roof Area (Sq Ft) U -Value U -Value x Area Ceiling/Roof (Total Framing and Insulation Area) Ceiling/Roof (Total Framing and Insulation Area) Skylights Other Windows TOW o Totals ( OO Average U -Value: ( — OO p Required U -Value from Energy Code: ® 0.026 Assembly -Exposed Wall Area (Sq Ft) U -Value U -Value x:Area Wall (Stud and Insulated Cavity) Wall (Stud and Insulated Cavity) Fireplace Wall Rim Joist Windows TOW o Doors - Above Grade Foundation Wall Foundation Windows Other P Jr -6 Totals © M-6960. OO Average U -Value: OO - O ® Required U -Value from Energy Code: 110 (0 — O x OO = TRADE-OFF PROCEDURE: If OO is greater than ®, or ® is greater than S, revise the design as necessary to meet envelope criteria of the Energy Code. If the total of O +OO is less than or equal to the total of O + 0 then the design meets Energy Code. I Wood frame, metal frame, masonry U -Values are found on the Wall U -Values Tables. Calculation eouatinns are on nn 11-1 S of the rndi 2 U -Value for skylight and window must be determined by the National Fenestration Rating Council Standard 10091 or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. This is a summary only. Other requirements may apply. See the Minnesota energy Code. 2/5/96 Questions? Call Department of Public Service Information Center at 612/296-517,5 or 1-800/657-3710. CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1; 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range K�6� Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work JOB ADDRESS ® AI A� LIP y S-1- �✓G The undersigned hereby makes application for a permit for the work herein Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ 30.00 $ representations stated in this application are true and correct. C� ,1998 $10.00 $ � _ Q OWNER C*77 A e_ $10.00 $ BUILDING USED AS $10.00 $ i ESTIMATED COST PERMIT NO. / 330 $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING CO PANY Signed A*0'_ Tel No. 5' VVEV 5 Approved By Rough—In Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Final Date TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIlANEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported . Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Building BUILDING UUUUCANUY 1 Yrri Permit No.: ° '16z�4( Inspections RESIDENTIAL APPLICATION Received By: A 763-572-3604 CITY OF FRIDLEY Fire Surcharge D M'% . 763-502-4977 FAX .001 times the total job valuation Surcharge $ d .0005 x Permit Valuation Minimum $.50 EFFECTIVE 1-1-2010 $ DATE - Z % / YOUR E-MAIL ADDRESS __4 r'B ! 2 % a Y14 tk%?^ 4 ,O�!1 SITE ADDRESS 0 G /Gr /t(t.y 5 T— 14 J5 _S7 5;- 4 3 2 THIS APPLICANT IS: ❑ OWNER *ONTRACTOR $ PROPERTY OWNER/ NAME: 6 Ik- & Erosion Control TENANT ADDRESS: (2 s - S o N eiy _ i ii l_a!� YcITY art L,£� STATE ?wlip_"'5� Park Fee PHONE: CONTRACTOR NAME:SUBMIT $ A COPY OF YOUR STATE LICENSE STATE LICENSE # 7_02-6 -7!J -34, EXP DATE 3-31-11 AND CERTIFICATE OF ADDRESS: 1'34,c, 1 yjijES 9 TX Av6- LoU CITY tl2 r- Pi4Il1_ STATE fel &ZIP 15:S / INSURANCE PHONE P2-1045 -7330 FAX PROPERTY TYPE 0SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH eKROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION JeMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: T6A-P_ 'CU9y- 1F SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING�f Q HOUSE ONLY NUMBER OF SQUARESy© ,T>HOUSE &GARAGE BASEMENT REMODELING SUBMIT I . Existing Floor Plan GARAGES XATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 13 Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum 11 Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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) '1'4lJ'1'ALJU15 VALUA11UIN 5 UUUUCANUY 1 Yrri Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ` �c3 .001 times the total job valuation Surcharge $ d .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ . -3.A Make checks savable to: Citv of Fridlev 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 on site; that the work will be in accordance with the approved plan in the case of all which re utres review and approval of plans. p SIGNATURE OF APPLICANT— --- PRINT NAME_V , jd-14 A- DATE 7 Zig/ li