PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PEW=
NO 127 Office of INSPECTOR OF BUILDINGS
Owne _
`-,
F
Architect Fridley, Minn:;' 19
Builder
LOCATION OF BUILDING
No. e'P' Street �� " Part of Lot
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front �' + Depth �00� Height / 'Stories':+� Manner of Construction
To be used as ' ` To be complete - Estimated -Cost ? r C"
Permit is hereby..granted
the bundin ' °° described in the above statement-. This permit is granted
upon the express conditionAt6at the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, shall; conform is all respects to the ordi-
nances of Fridley, Minn., regarding the 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. y
.,
sctor of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being fust duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribe d sworn to before me at Fridley,
day of A.D.41 71--
19
Ndinnesota,
Village of Fridley, Minn.
BUHMING PERMr
Office of INSPEMB OF BURMINGS
Owner
Architect- Fridley,
LOCATION OF BUILDING
N . o. 'ell 31 Strest so '9' L Part of t
I — I %
Lot BIG — Addition or Sub -Division
DESCRIPTION OF BUILDING
01 11--l"'i'V41
Front Depth :3 & --— Height !�� Stories , Manner of Construction
.3/
To be used as To be completed f -A, 1--L -Vo Estimated Cost- 72 f 011" 0
Permit Is hereby granted to,
the bu1ld11g__.j�'_1L1 described in the above statement. This permit is granted
upon the express condition that the person to hom it is granted, and his agents, employees and workmen, in all
the work done In, around and upon said building, or any part thereof, shall conform In all respects to the ordi-
nances of Fridley, Minn., regarding the 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.
'=. — Tn ector of Buildings.
AGREEMENT AND SWORN STATEN=
In consideration of the issue and delivery "to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
tti Q3
Subscribed and sworn to before me at Fridley,
'.'S Y ..,/ "9,
day A -D. 19-
Minnesota,,- this
City of Fridley, Minn.
BUILDING PERMIT N0 6 216 i
Date: /--Sb
_ —
Owner: Builder &X'a-4" g)4Md it
Address Address
LO O BUILDING
NO. r � StreetA = F Part of t
Lot, _Block Addition or Sub-Divisd�on
Corner I.�ct�is� Inside Lot _ Setback -" Si
kY+u'd
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To
Wj e Front Depth Height .:a Sq. Ft.Cu. Ft Depth C'osi� Hei ht .�_ Sq. Ft. Cu. Ft.
Type of Construction +ww.• : _adEst. 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 21 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 andhis 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 upon vio�n of any of the provisions of said
ordinances. :A . l
Building Inspector
NOTICE:
ilk pemb doss not carer the candwe6m, Wdalledw for vrhb& phmblM as hsatteo, sower or wmr. Be :ars to we
tho Balhiiee lespeetor for apwde pwnft for these Bores.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
l �
Owner's Name % ' __t Builder �� 5 c f '`
Address Address
L TION OF BUILDING
No. f Street _ J 'Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback._ Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Tobe used as:
l cr Front 1 , Depth —Height
Sq. Ft. Cu. Ft.�
Front Depth Height
S 'Opt* Cu. Ft.
T e of Construction 1Z)
Yp �L Estimated Cos
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 rulings of the Department of Buildings, and hereby
declares that all the facts and representations -stated in this application
are true and correct
DATEE� - (� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse*Side).
SUBJECT
fpE NO.
City of Fridley
13292
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
R
• COMMUNITY DEVELOPMENT DIV.
�NNO.T
PROTECTIVE INSPECTION SEC.
1 i
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L , 612-560-3450
910-F15
10/29/75
JOB ADDRESS Mississippi- Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
9
Aud. Sub. #88 SHEET
2 PROPERTY OWNER MAIL ADDRESS - ZIP PHONE
Eugene Lane 1132 Mississippi Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Robert & Dale Building Mart 1312 - 104th Lane N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
R Install steel siding and alum. trim
9 CHANGE OF USE FROM TO
STIPULATIONS
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 60 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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
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.
1.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,500
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT 0 OR THE PERFOR NCE F CONSTRUCTION.
$21.00
PLAN CHECK FEE
TOTAL'FEE
$22.75
SIGNATU RE OF CONTRACTOR OR AUTHORIZEDAGENT (DATE)
WHEN PROPERLYV®ALLIIDAjTE/DJ THIS IS YOUR PERMIT
BLDG INSP DA E
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
'A!'FLICATION FOR RESI'DE'NTIAL., ALTL'RATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
r' BUILDER:
OWNER S NAME. G%'G� '
ADDRESS : /� -' Imo/ ADDRESS
NO: STREET:
LOT:� BLOCK: ADDITION:
CORNER LOT: 4__� INSIDE LOT: SETBACK: SIDE -YARD:
Applicant attach to this *f ors. Tvio Certificates. -if Surve .of Lot and.proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth • Height:
Square Feet: Cubic.Feet:
. Front Depth: Height:
Square Feet; Cubic Feet':
Type of Construction: a0'`' Estimated Cost: $
To Be Completed:
The undersigned hereby makes application fora 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 herjeby
declares that all the facts and representations stated in this application
axe true and correct.
SIGNATURE '-
• DATE:
(See Reverse Side For Additional Information.)'
CPO. •
SUBJECT
P
City of Fridley
17302
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
i COMMUNITY DEVELOPMENT DIV.
fr ------
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
L 612-571-3450
910415
8/19/98
JOB ADDRESS
1132 MississiDDi Street
1 LEGAL
LOT NO.
I
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
N1/2 of 9
Parcel 380
1 Auditor's Subdivision #88
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Eugene Lane
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
First Choice Exteriors 2405 Annapolis Ln N #240 Ply-m—outh-MN
55441 553-1918 4766
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 ]ac REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 27 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
S0. 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
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
2251
$1.12
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHW STATE OR LOCAL LAW REGULATING CON-
STRUCTION TH PER MANCE OF CONSTRUCTION.
$74.75i
Fire SC $2.25
PLAN CHECK FEETOT
(FEE
Lice S
5.0
.12
SIGNATURE OF CO CTOR OR AUTHORIZED AGENT (DATEI
W EN R P
VALID D IS P MIT
#0UR
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
8 G INSP
DATE
NEW Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: 113 0) ,/LJ % f s 1 ���� s Tel. # 7 " FS'0
01
Contractor: Ly MN LICENSE # Ll d G (v
Address: a.g p jh-.G
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF EWPROVEMENT
Width Height
Width Height
Width� Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: O� Estimated Cost: $'2 S r
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 8 r l c? — a' APPLICANT: ��)Tel. #
Permit Fee
$
Fire Surcharge
$
State Surcharge
$
�, l
SAC Charge
$
License Surcharge
$
oo
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ 6,3. / oZ
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
C.INOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY.66A&EY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287
ACTION TAKEN NOTICE
August 2, 1999
Monica Lane
3451 121 s Avenue
Coon Rapids MN 55433
Dear Ms. Lane:
On July 26, 1999, the Fridley City Council officially approved your request for a
Subdivision, Lot Split, LS #99-01 (Resolution No. 48-1999), to create an additional
single family lot, legally described as the North Y2 of Lot 9, Auditors Subdivision Number
88, generally located at 1132 Mississippi Street, with the following stipulations:
1. Petitioner to extend current 10' easement along the entire Western boundary.
2. Petitioner to pay $750 park dedication fee for new lot prior to issuance of building
permit.
3. Petitioner to grant code required 12' utility and drainage easement along Southern
boundary of property.
4. Petitioner to pay all water and sewer connection fees.
5. Petitioner shall record a 12' driveway easement along both sides of common
boundary.
6. The current 15' private easement along Eastern boundary of property to be vacated,
or new home and accessory buildings to be setback 15' from the Eastern boundary
so as to not encroach into the easement.
7. Petitioner shall meet all right-of-way dedication requirements of Anoka County for
that portion of each lot that abuts Mississippi Street.
8. The petitioner shall agree to preserve mature trees to the extent possible. All trees
required to be removed for the new house shall be marked and approved by City
staff prior to issuance of the building permit.
Monica Lane Action Taken Letter
Page 2
August 2, 1999
If you_havepR questions regarding the above action, please call me at 612-572-3590.
cerei ,
Barbara Dacy, AICP
Community Development ' or
B D/jt
C-99-137
Please review the above, sign the statement below and return the original to the City of
Fridley Planning Department by August 11, 1999.
Concur with action taken.
fOF FRIDLEY INSPECTION DIV.
lniversity Ave NE, MN 55432
5.72-3604
APPLICATION FOR; PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURtS TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES;,
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer** -
Back Flow Preventer Required ( )Yes () No
NO. RATE
I
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
.$10.00
TOTAL JOB ADDRESS
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work.in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
,20
Owner �C✓��� �%�
Type $15.00
Reinspection Fee $47.00/1 -Ir
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS SiZ
1.5% of Value of Fixture or ApplianceD
State Surcharge $ .50
Vo
TOTAL FEE $ .
Building Used
Estimated Cost PERMIT NO.
PLUMBING COMPANY
SIGNED BY A TEL N0.
Approved By Rough -In Date Final Date 102 /
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
November 26, 2001
Mr. Eugene Lane
1132 Mississippi St NE
Fridley, MN 55432
Re: Final Inspection at 1132 Mississippi St NE
Contractor: Mr. Rooter
Dear Mr. Lane:
A plumbing permit was issued on November 14, 2000 to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Plumbing Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expired the permit and no
further action will be taken.
To set up the inspection, or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
)LOA"
D NSEN
Buil' g Inspector
DJ/mh
CITY OF FRIDLEY
6431 University Ave NE
Fridley MN 55432
(763) 572-3604 FAX (763) 571-1287
Job Address: ( Ifj /YL l'�
Legal Description
Owner & Address: (
Contractor:
Address:
MOVING [ ] DEMO [PERMIT APPLICATIONA
96(0 -613-30
C'A AUO 0 8 2016
>c�t s�
V -"6f
Tel. # Sri l,yW'1103U
Tel. #
. d-1 tj
State License #
DESCRIPTION OF BUILDING
HOUSE: Length Width Height Sq. Ft.
GE:Length ZWidth Z Zt Height 1:5�- ) Sq. Ft. t/ZL(
O Width Height Sq. Ft.
Estimated Cost '— Approx. Completion Dat
Cu. Ft.
Cu. Ft.
Cu. Ft.
e
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL
UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. aw1Qp38 7-811
Moving Route:
APPROVALS) REQUIRED PRIOR TO ISSUANCE:
MPCA: NOTIFICATION OF INTENT,TO PERFORM A DEMOLITION ()� YES ( ) NO
Dllect[$ ] Signature
Conditions
Conditions
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict
accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the
property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application
are true and correct.
ALL DEMOLITON DEBRIS INCLUDING FOUNDATION & SLAB. SHALL BE REMOVED FROM SITE.
-/s/o
Date
Movin Wrec ' -
Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25
Accessory building into Fridley ... $ 42.00 For structures which would be impractical to
Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost
Move a building out of City ...... $ 20.00 of wrecldng at the rate of $6.00 for each $500.00
or fraction.
PERMFEE: �� MINIMUM $20.00 Office Use Only: SAC -D form completed
IT
Effective 1/01/2010
Building
BUILDING
Permit No.:��i( C 1
Inspections
RESIDENTIAL APPLICATION
Reci--;Vi--d-Ry-
1
763-572-36b4
CITY OF FRIDLEY
Date Rec-'d:
763-502-4977 FAX
4977
EFFECTIVE 1-1-2010
DATE SZ300616 YOUR E-MAIL ADDRESS Co Logy SQ 0.SOn
C01/ D 4L has . Q ow-. -
SITE ADDRESS !
Z
THIS APPLICANT IS: "OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: 1 `U WA CO& A
TENANT
ADDRESS:Lf?7- SSl9SlPPt gT11a6 CITY
i �1L1
D CS.1 STATEA&ZIP%74sz
PHONE:0 ` 14-4-6 • ( L&"j Q .,
CONTRACTOR
NAME: '
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE #
EXP DATE
AND CERTIFICATE OF
ADDRESS:
CITY STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
SINGLE FAMILY N SIZE
TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITIONP GARAGElffilMytotilbpo ❑ WINDOWS
11BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
1VEW bXNdE CONSTRUCTION • ❑ ADDITION
❑ MAINTENANCEIREPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: r— .Qtly
11CA. - [ :v/10
SIZE OF IMPROVEMENT LENGTH P WM4 HEIGHT -n SQ FT
ROOFING Q HOUSE ONLY
NUMBER OF SQUARES 13HOUSE & GARAGE JA (u
BASEMENT REMODELING SUBMIT:
�--7-1-
I . Existing Floor Plan
GARAGES �{ ❑ ATTACHED GARAGE 32.
PROPOSED SIZE: G irk' DETACHED GARAGE C� �j
Proposed floor plan
3. List of structural members to be used
PROPOSED HEIG T -,, j�e / % iC
d
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑Soffit 3-7
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim
1. Site Plan/Survey showing the existing structures
_ _----
13 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:
(VSII�G THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee $ 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 $ $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 $ 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 caseof alhic�5 a h r es review and approval of plans.
SIGNATURE OF APPLICAXIr C PRINT NAME L3fY fOl N4-j'AaffAlf DATE
uertiticate of Survey for: KED HOMES ESS�Nr��cona
C`A- � �7`� CLi�1T-LANE
.S.A.Hw NO.
(MISSISSIppi STREET)
6 Cvrr�+
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BeamChek v2010 licensed to. Cad Northwest Reg # 5234-55453
G3628R Garage Plan Garage Door Header
B05 -B Prepared by. Date: 8/04/10
Selection 5-1/Sx 12 GLB 24F -V4 DF/DF Lu = 0.0 Ft
Condi#lons NDS 2001
Data
Attributes
Actual
Critical
Status
Ratio
Values
Adjustments
nein bearing Area K1= 7.5 irta KZ-- 1.5 in' (1.5) DL Deft= 0.28 in Recom Cambe-0.41 in
Beam Span
16.0 ft
Reaction 1 LL
3560 # Reaction 2 LL 3560 #
Beam Wt per ft
14.94 #
Reaction 1 TL
4880 # Reaction 2 TL 4880 #
Bm Wt Included
239 #
Maximum V
48W #
Max Moment
19518'#
Max V (Reduced)
4270 #
TL Max Defl
L / 240
TL Actual Defl
L / 249
LL Max Deft
L / 360
LL Actual Defl
L 1388
Section (ins)
Shear (W)
TL Deg (in)
LL Defl
123.00
61.50
0.77
0.49
97.59
26.69
0.80
0.53
OK
OK
OK
OK
79%
43%
96%
93%
t_oags Uniform LL: 420 Uniform TL: 560 = A
Par Unif LL Par Unif TL Start End
25 H=35 0 16.0
Ib� OPk��ra
H
Uniform.Load A
R1 = 4880 R2 = 4880
SPAN =16 FT
Uniform and partial uniform loads are lbs per lineal ft.
Fb (psi)
Fv psi
E (psi x mi
Fc -L (psi)
Reference Values
2400
240
1.8
650
Adjusted Values
2400
240
1.8
650
Cv Volume
1.000
Cd Duration
1.00
1.00
Cr Repetitive
1.00
Ch Shear Stress
N/A
Cm Wet Use
1.00
1.00
1.00
1.00
Cl Stability
1.0000
Rb = 0.00
Le = 0.00 Ft Kbe = 0.0
t_oags Uniform LL: 420 Uniform TL: 560 = A
Par Unif LL Par Unif TL Start End
25 H=35 0 16.0
Ib� OPk��ra
H
Uniform.Load A
R1 = 4880 R2 = 4880
SPAN =16 FT
Uniform and partial uniform loads are lbs per lineal ft.
BeamChek v2005 licensed to: Cad Northwest Reg # 5234-65453
G3628R Garage Plan Garage Door Header
805 Date. 7117/09
Selection 3-1/8x 9 GLB 24F -V4 iDF1DF Lu = 0.0 Ft
Conditions
Data
Attributes
Actual
Critical
Status
Ratio
values
Adjustments
noun tseanng area hit= 42 rrr° ttz= 4.2 in' OL Defl 0.07 in Suggested Camber 0.10 in
Beam Span
9.0 ft
Reaction 1 LL
2003 # Reaction 2 LL 2003 #
Beam Wt per ft
6.83 #
Reaction 1 TL
2708 # Reaction 2 TL 2708 #
Bm Wt included
62#
• Maximum V
2708 #
Max Moment
6094'#
Max V (Reduced)
2257 #
TL Max Defl
L / 240
TL Actual Deft
L/415
LL Max Defl
L 1360
LL Actual Deft
L 1561
Section (€ria)
Shear (€n2)
TL Defl (€n)
LL Defl_
42.19
28.13
0.26
0.19
30.47
14.11
0.45
0.30
OK
OK
OK
OK
72%
50%
58%
64%
Loads Uniform LL: 420 Uniform TL: 560 = A
Par Unif LL Par Unif TL Start End
25 H=35 0 9.0
H
Uniform Load A
R1 = 2708 R2 = 2708
SPAN = 9 FT
Uniform and partial uniform loads are lbs per lineal ft.
Fb i
Fv i
E(psi x mil
Fc! i
Base Values
2400
240
1.8
650
Base Adjusted
2400
240
1.8
650
Cv Volume
1.000
Cd Duration
1.00
1.00
Cr Repetitive
1.00
Ch Shear Stress
N/A
Cm Wet Use
1.00
1.00
1.00
1.00
Cl Stability
1.0000
Rb = 0.00
Le = 0.00 Ft Kbe = 0.0
Loads Uniform LL: 420 Uniform TL: 560 = A
Par Unif LL Par Unif TL Start End
25 H=35 0 9.0
H
Uniform Load A
R1 = 2708 R2 = 2708
SPAN = 9 FT
Uniform and partial uniform loads are lbs per lineal ft.
BeamChek v2005 licensed to: Cad Northwest Reg # 523465453
G3628R Garage Plan Garage Door Header
B05 Date: 7/17109
Selection 3.1/8x 9 GLB 24F V4 DF/DF Lu = OA Ft
Conditions
Data
Attributes
Actual
Critical
Status
Ratio
Values
diustments
Mill nearing mea K I= 4.c in` KG= 4.L Ur uu uen u.ur In sugges1e0 Uamoer u.1u in
Beam Span
9.0 ft
Reaction 1 LL
2003 # Reaction 2 LL 2003 #
Beam Wt per ft
6.83 #
Reaction 1 TL
2708 # Reaction 2 TL 2708 #
Bm Wt Included
62 #
Maximum V
2708 #
Max Moment
6094 `#
Max V (Reduced)
2257 #
TL Max Defi
L/240
TL Actual Deft
1-1415
LL Max Deft
L 1360
LL Actual Def!
L/561
Section (W)
Shear (inz)
TL Defl (in)
LL Dell
42.19
28.13
0.26
_
a19
30.47
14.11
0.45
0.30
OK
OK
OK
OK
72%
50%
58%
64%
Loads Uniform LL 420 Uniform TL 560 = A
Par Unit LL Par Unif TL Start Erni
25 H = 35 0 9.0
H
Uniform Load A 7-71
Q
R1 = 2708 R2 = 2708
SPAN = 9 FT
Uniform and partial uniform loads are lbs per lineal ft
Fb psi
Fv o
E psi x mil)
Fc(psi)
Base Values
2400
240
1.8
650
Base Adiusted
2400
240
1.8
650
Cv Volume
1.000
Cd Duration
1.00
1.00
Cr Repetitive
1.00
Ch Shear Stress
N/A
Cm Wet Use
1.00
1.00
1.00
1.00
Cl Stability
1.0000
Rb = 0.00
Le = 0.00 Ft Kbe = 0.0
Loads Uniform LL 420 Uniform TL 560 = A
Par Unit LL Par Unif TL Start Erni
25 H = 35 0 9.0
H
Uniform Load A 7-71
Q
R1 = 2708 R2 = 2708
SPAN = 9 FT
Uniform and partial uniform loads are lbs per lineal ft
O
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