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PRE 2010 DOCSCity of Fridley SUBJECT PE O. ®13858 AT THE TOP OF THE TWINS PERMIT r BUILDING RE EIPT NO Y-COMMUNITY DEVELOPMENT DIV. <: ---- , 54d W PROTECTIVE INSPECTION SEC. --'i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11/2/76 JOB ADDRESS 7449 Talmadge Lane N.E. 1 LEGAL LOT NO. BLOCK, TRACT OR ADDITION SEE ATTACHED DESCR. 1 T2 _. Leigh Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE S. J. Construction 6305 East River Road N.E., Fridley 560-2970 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 j] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK ���� Construct a 26' x 32' Dwelling and a 22' x 22' Garage Wore digging call local utWes 9 CHANGE OF PR O AND SIGNS.` RFOUIRR) By LA STIPULATIONS Provide verifying survey before capping. Provide sod in the front and side yards. Provide a hard surfaced,driveway. AS BUILTS NOT AVAILABLE --11�Al�ORTANT-- iME CITY OF HtIDLEY DOES NOT t�VARANi@a 'WE NOTIFY THE FR+©LEY �N�R. OTIF0N ACCURACY OF �'� LOCATIONS AND EL8VARONB. REGARDING CURB REGARDINGCURNT. DIVREMOVAL TM DATA IS foot INFORMATION PURPOSES ONLY Mai PARSONS USING ' R SHOULD VpjfY V* 8000A�AWN AND REMOVALAND AT DRIOPENINGS 13N 1N# WL SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 958+484 22,992 Total 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 $30,060 $15.03 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEESAC CHARGE PROVISIONS OF ANY OTHER TE OR LOCAL LAW REGULATING CON- 11q.CA' STRUCTION OR THE PE AN E OF CON TRUCTION. $91.97 $350.00 PLAN CHECK FEE TOTAL FEE /%- - $22.99 $479.99 SIGNATURE OF CONTRACTOR OR AUT RIZED AGENT - (DATE) WHENZP�OPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) r� CITY OF FRIDLEY APPLICATION FOR - RESI DENT IAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NME: S, T, 6W6 euc7/o , C BUILDER: S, J', �o.rls�,�ss�Lo.J ADDRESS : '3 o 25 ADDRESS: 70 TEL. NO.: :5-6 ®� � ..� NO:.•lyq-q-g STREET: /";9 '-- LOT : % BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: r s' Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Gertificates. To Bq Used As: DESCRIPTION OF BUILDING L Front: Depth: 3 Height: / �— Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: Fre q^-1 € Estimated Cost: $ 320o® 4 T Be Completed: 3 — 1 — 7-7 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. DATE: /6 SIGNATURE: (See Reverse Side For Additional Inf ation.) e �2 /fit 54 C 7&7 a BUILDING PERMIT FEE SCHEDULE 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: 14EW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. 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 or 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 structure, 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 $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for construction 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 Certified 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 which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. EXTERIOR ENVELOPE AVERAGE "U" COA4PUTATIO14 OWNER- , , 0 'J IJrDATE ? 76 SITE ADDRESS:�Aq-q 7-aL.1,4Dke 4g%JF PHONE: -;:5� ? 70 COtdTRACTOR: Co ti S _rp- 0G Ti oo A Cs Determine working square footage of each 1. Total exposed wall area ...... sq. ft. x .17 9� 2. Toal roof/ceiling area ...... sq. ft. x .05 - 49,E Total exposed wall area above floor = a. Total wall window area.. ............ 04 8 b. Total door area...., ....... ............. , C. Total slidinggle .s. door area ...... .. `.:.............. ® m d. Total fireplace wall area ....... �. e. Total wall framing area ` (average f. Total rim joist area .. ............ d 0 -z , ,V - g. w 7"1 area a ove • RAP 0 ... 0 ... 0............. �e 2 h. wall area above floor... .... VP.P. f A ... , ....... i. wall area above floor......... ...... > B 1.. 79 j. wall area above floor.. ............ ......... Total exposed foundation area. 77 k. 7 k. Total foundation window area ...•.................... 1. Total net foundation area.above grade ................. 2 7` if item #3 is the same as, -or less than item #l., you have met the intent:of SBC 6006 (c) 2. Determine "U" value of each wall. segment (e.g;, window, door, each separate wall section) a. x "U"� b • 31'92- X "U" . ® 2 So C. X. 11tri d. X 111011 e. e B X "U" f.,z. 7 x "u" .06 1 _ ._ _ 6 g. X -U" 44 h.� X ttUt� ®066 _�; 30 X I:Utt J tJlt k. X itttt$ 3. ......a ... ............. .. Total_ if item #3 is the same as, -or less than item #l., you have met the intent:of SBC 6006 (c) 2. Exterior Envelope Average "U" Computation F Page 2 of 4 Total exposed roof/ceiling area m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10%) ... o. Total net insulated roof/ceiling a.rea........... Determine "U" value .for each roof/ceiling segment M. 4 h X Stull 3 Z -Z = ]LL % t> n. o.y��r X ��U��_ ®�4 1 _0t 4 ........................... Total = e+ 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 total 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. 1. + 2. _r / 3. + 4. _ 73' 36 WALL SECTIONS AOTE: Use lo% of. opaque wall -area for frame construction 3 BASIC WALL FIG. #1 TOPVIEXI OF FRIUM WALL ;ILL -1 tip MWATI :V&LL F-1 G. #3 C C, Construction 1. interior air film R -Value 0.68 2. 1T—Vii! C-eTXUr- I 3. TO -D 4, 4. 5. 6, '(07 6. Exterior air film 0.17 Total 12 W .1. --Inthki:or-air film 0.68 "F 7ee C K 3. irn"VAJ 4. 'S Y -J a T q ,AD 6. Exterior air.ilm 0.17 1, Total interior air film /t5, 0, a 14- S 0.68 2. 3. -t 7-d Albl 4. D i -)6' 7- 6. Exterior air film 0.17 Total / 61 q- -7 1. Interior air film 0.68 3. 4. 5. 6. Exterior air film 0.17 Total FIG 44 Ir Y, X let NOTB: Indicate type, 'value, depth and. placement of insulation. Page 4 of 4 ROOF/CEILING Vented FIG. 05 Heat flow up kient flow up 'vented ,FIG. 416'. 1J0 e f, �r f Hent -flow up rT.r,. r, 7 Construction R -Value 1. Interior air film 0.61 7'1 3. 4. Exterior'air film (still) 0.61 Total 1. Interior air film 0.61 2. 4. Exterior air film (still) 0.61 Total 1. Inside --.-� i:� film 2. 3. 4. 5. Outside air film Total 0.61 0.17 Note: Use additional sheets if more space is needed for details and calculations GERALDK F_ R6917 AYMOND E.N3no iCLOT SURVEYS COMPANY AHO AV. GOLDEN Y, LLEY. MINN. BROOKLYN PARI, MINN. MINN. RECD. NO„ 47'41 LAND SURVEYORS MINN." REG. NO. 6743 i REGISTERED U"E6;LAWS OF STATE OF MINNESOTA 5371 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS INVOICE NO. I 5747 W. Broadway 533.9922 F. B. NO. 1 1-16 INDUSTRIAL -- JUbICIAt Minneapolis, Minnesota 55428 SCALE I" 30w COMMEROIAL - . TOPOGRAPHICAL CITY tQTS -- .PLATTING` eumn iir'S llprtif—rate Q — DENOTES IRON S� � J. �13iV TR � �T10ul i,�C. ❑ - Denotes wood hub �et> for excavation only i c:> I r- 7 �0 s 14 ...IMPORTANT— it �� r 'NonFY THE FRIDLEY ENGR. MVIBION NG CURB AKM®VAL AND REPLACEMENT AT �.a AT DRIVEWAY oPENtNG$, X30 -_-32.rs- x `j -* ®- I t TY ©F f 6W DOES NOT WAMM W rrkCCURACY CP IftIrY f.00A'!'IONS AND UWAMNS. TWS DMA IS FOR INFORMA'I30N PURPOSES ONIY AN. >P6RSONS i am a *uw VMr TMI:_ WWAWN ON THE St'f£, Lot I, Block 2, LEIGH TERRACE W�� Before � B Call tow Utli�bes TELEPHONE-ELECTRIC - GAS #c. Revi.at d � fi rave �ropO� d , hc�u � Clctc�t, cr � e 1 7� E(�{,JiR'ED BY LAW we hereby certify Aaf,,this: is a true ,and correct representation of a curve of the bounda�es of the above described lend and the location of A buildings and visible encroachments. if any; /Z�' from or, on Said land.ff .C91gDsd Surveyed by us this day; of O CITY OF FRIDLEY'` APPLICATION FOR PLU'1BING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLU%i_',IXG FIXTURE RATES: N0. RATE TOTAL • *=her Futures x $3.00 p I Q,,)-00 %a ter x $2.00 $ New Fixture, Old Opening x $2.00 $ Cate, B_s_.. x $5.00 $ Fcater 0 O $5.00 $ lG0,C00 BTU to 199,000 BTU x $10.00 $ Water Softener r. $7.00 New Ground ?Lm Old Building x $5.00 $ Electric ::a=er Heater x $5.00 $ GAS FITTING FEES: C7 O $3.00 $ 3-o® Additional Fixtures r. $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTePaTIONS First $100.00 $5.00 $ each add. $l^u0.00 or fraction $$2.00 S State Surcharge $ .50 TOTAL FEE S -3, ,S -b 3rd I I 4t.' .ature Correction Opening Connected with Sewer ..ea =izture, Old Sf ping Water PARTIAL RATE SCHEDULE PLU%i_',IXG FIXTURE RATES: N0. RATE TOTAL • *=her Futures x $3.00 $ Q,,)-00 future _ixt..re Cpeni.^.g x $2.00 $ New Fixture, Old Opening x $2.00 $ Cate, B_s_.. x $5.00 $ Water neater - to 99,000 BTJ Ix $5.00 $ lG0,C00 BTU to 199,000 BTU x $10.00 $ Water Softener r. $7.00 $ New Ground ?Lm Old Building x $5.00 $ Electric ::a=er Heater x $5.00 $ GAS FITTING FEES: ls_ 3 futures x $3.00 $ 3-o® Additional Fixtures r. $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTePaTIONS First $100.00 $5.00 $ each add. $l^u0.00 or fraction $$2.00 S State Surcharge $ .50 TOTAL FEE S -3, ,S -b REI::S?EC:IO:: FEE ($30.00) Job Address Johartmcnt of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a per -tit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are tr-ae and correct OWNER `i , • -, L_ KIND OF BUILDING I0 USED AS O -L --c TO BE COMPLETED ABOUT ESTIMATED COST OLD -NEW U'ILDING PERMIT N0. ROUGH INS?. Date Fridley, YZ. -/Is- , 19-1/-�- le PERMIT NO. !D� Company 43 iz 5 Sign ed By Tel. No. cid - 17/z 0 o FINAL INSP. % / - /-/'" 2 / Date APPROVAL FOR PEi.:4IT(C�� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-34:,11 June 28, 1977 Mr. John Doyle S. J. Construction 6305 East River Road N.E. Fridley, Pon. 55432 Re: Final Inspection at 7449 Talmadge Way N.E. Dear Mr. Doyle: A final inspection was made on June 27, 1977 of 7449 Talmadge Way N.E. and the following item must be completed before the structure can be finaled out; Provide sod in the front and side yards by July 29, 1977. We will expect the above item to be completed by the scheduled date when a reinspection will be conducted to determine compliance. If you have any questions on this item, please feel free to contact me at 571-3450. Sincerely, C6RREL G. CIXRK Community Development Adm. DGC/mh CC: Mr. Tom Doyly SUBJECT P City ®f Fridley - r17 21 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,, 612-571-3450 910-F15 6/27/83 JOB ADDRESS 7449 Talmadge Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Leigh grace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin S. Iaca.rella 7449 Talmadge Lane N.E.571-1124 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 E2 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ConstAuct a. 14' x 10° Deck 9 CHANGE OF USE FROM TO STIPULATIONS SEPERA TE PERMITS REQUIRED FOR WIRi - HEATING. PLUM SM AND SIGNS, WARNING, Before digging calf1dbi u4WO REOU tED BY LAW 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 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 $800 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE Al $15.50 SIG T O ORAU7 ORIZEDAGEN tOATEt PROPERLY V (DATED THIS IS YOUR PERMIT IOTRAC /Y 6,27 )WHEN SIGNA URE OFOWNER(IF OWNER ELTIL15ER1 (DATE) y ,} BLDG (NSP DATE CITY OF FRIDLEY APPLICRTIM FOR RESIDbITIAL BUILDING P-M-111TS (New. Alterations, Additions, or Repairs) W Vim_ OWNER: > ADDRESS: ?4�LQ —FALMNOG6 TEL N0: s-7i-1iz4 Effective Aug. 1, 1981 BUILDER: t -- ADDRESS: TEL 140: Construction Location STJTT NO: lSTREET: �!6-6 /-IU LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTMI CTION Id Cf Front: % 7 � Depth: �� / Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: j Cubic Feet: _ Toe Type of Construction: �J Estimated Cost: $ 7b Be Ooripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ _ $, SEE P.EVF.R.SE SIDE OF SHEET Zile undersigned hereby makes application for a permit fcr the work herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Depzirtment of Buildings, and hereby declares that all the facts and representations stated in this applications true and cos"Xect. 4,' D. TE: (� d ✓ SIGNATUr.E: ° Stimulations: � The Chief Building Official 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: $1.00 to $500.00 $501 to $2,000.00 $2,001 to $25,000 $10.00 (Minimum $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plan Check: 25 percent of building permit fee. Driveway Depression Escrow: Concrete curb streets only. Alternate "A":� Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 Verification Of Foundation Permits for construction 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 Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. p f G 300 BRUNSWICK WICKK AVE S. LOT SURVEYS COMPANY RAYMOND1IDAHO AVE. N. GOLDEN VALLEY, MINN. BROOKLYN PARK, MINN. MINN. REG. NO. 4741 LAND SURVEYORS MINN. REG. NO. 6743 BEC98TIMED UNDE! L&ws OF STATC OF MINNESOTA c T ICENSED NT ORDINANCE OF QTY OF MINNEAPOUS INVOICE NO. 5 3 5747 W. Broadway 533-9922 F. B, NO, INDUSTRIAL — JUDICIAL Minneapolis. Minnesota 55428 COMMERCIAL — TOPOGRAPHICAL SCALE I" � 7 CITY LOTS — PLATTING urar S Tertifirate O — DENOTES IRON S..i . CO!'; ST'rci1GTI0A IN^ 4 q TAL 0 A VGE . _._ A d E t.j y Lot 1, Bi3�es 0510 LTH T_w:?RAC- We hereby certify that this is a true emd correct representation r of a survey of the boundaries of tha above described land and the location of an bmVim9s and vlub:a encroachments. if any.' f from of on said land.Signer Surveyed by us this 2 2 day of %+ y r-m.t; e r I9 %h SURVEYS COMPANY Rough Insp. Date Final Insp. // — Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with. replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. 'HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. S Capacity Sq -Ft. EDR BTU a•" HP Total Connected Load 326_3 f Kind of Fuer c BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company %rstandArd Heating & A/C Signed By Tel. No. 824-2656 CITY OF FRIDLEY Effective Date May 1, 1988 { APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND • AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address J d' Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ � 0.0 0 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ B .o c • Tel. #571-3450 (piping needed with new furnace) Gas Range $:10.00 $ The undersigned hereby makes application for a permit for the work herein Gas Dryer $ 10.00 $ specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ JQ,0C Fridley, Minn. 9A r/ 192-7 All Others/Repairs and Alterations OWNER JS A/Zfs A- 1% of Value of Appliance or Work $ ID KIND OF BUILDING /lam COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT /O A State Surcharge $ .50 ESTIMATED COST e 0 TOTAL FEE $ 6m /,_ OLD - NEW BUILDING PERMIT NO. PERMIT NO. L C Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. // — Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with. replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. 'HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. S Capacity Sq -Ft. EDR BTU a•" HP Total Connected Load 326_3 f Kind of Fuer c BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company %rstandArd Heating & A/C Signed By Tel. No. 824-2656 y 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-2656 HEATING AND AIR CONDITIONING CO 612/772-2449 *Serving The Twin Cities Since 1930' ORSAT TEST RECORD ADDRESS 7qq q T&by CITY V iL L OCCUPANT OWNER 10- r OG&tL 1k L DATE HTG. INST. LQ d L t` INSTALLED BY ST30WIll 60-0 GAS LINE BY S TYPE OF HEAT: GA—FA/0" HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESJG - CONVERSION MAKE - �(� UL6 CC MAKE OF BURNER MODEL 3 TV`�Q �(�® MODEL DATE TESTED SERIAL 3&92 4n 1g3ff MAX. BTU RATIN �-- INPUT PERCENT MAKE OF FURNAC 70 NAME OF TESTER CONTROLS MODEL THERMOSTAT U-,ci EAT PLUG ,(,o5 VENT SIZE a VALVE_4o,aut4 KIND OF LINER SIZE NONE LIMITAvG,� I"r DRAFT HOOD PC) REGULATOR F ?t -`ft( I Cb LIMIT SETTING iflue CHIMNEY CONSTRUCTION PVC, FAN SETTING 4 0 DRAFT (�0Q- TEST TAG 0Co1__&qSLGA PILOT TYPE 5&ajt:� LIGHTING INST. meq`} PILOT MAKE PILOT MODEL PILOT TIMING 4-5 5 ac_ PRESSURE, -� ¢` PERCENT CO2 DATE TESTED INPUT CFH r PERCENT 02 �-- STACK TEMP. 13 5 o PERCENT CO 70 NAME OF TESTER City ®f Fridley AT THE TOP OF THE TWINS SUBJECT U I L I I T 276 4 172', i?-I RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEV 55432 612-571-3450 NUMBER 910-F15 REV DATE 6/1/98 PAGE OF APPROVED BY JOB ADDRESS 7449 Talmadge Lane NE 1 LEGAL DESCR. LOT NO. BLOCK 1 2 TRACT OR ADDITION Leigh Terrace SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS Rich Bornetun 7449 Talmadge Lane NE ZIP PHONE 574-1882 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 {R7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yALUATION $2,001 SURTAX $1.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT L FEE .75 SIGN ARUR OFC .R BORA GENT MATEi N PIKOP VALIDA E ,THIS IS YOUR PERMIT ZQ SIGNATURE OF OWNERoF OWNER BUILDERI iDATEi RLtZ iNSP BATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: __1 Legal Description: G Owner Name & Address Contractor: Address: Effective 1/1/98 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ '®0/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: / o Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ %S' DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length �� Width �� � Height GARAGE AREA: Length $1000 per SAC Unit Width Height DECK AREA: Length Alt. "A" or Alt. "B" Above Width Hgt/Ground OTHER: etr_ t Agreement Necessary [ ] Not Necessary [ ] m rye Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ '®0/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: / o Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ %S' Fee Schedule on Reverse Side $ ®b .001 of Permit Valuation (1/10th%) $ /,00 $.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 [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official 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 repair 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: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction 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 Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building $'Ua BUILDING Plan Review Permit No.: 0 Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 Da 'd :a 763-502-4977 FAX C> $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-08 Erosion Control $ y1 DATE 51-71D9 YOUR E-MAIL ADDRESS 4Ae_ &4' (" (4 u (/ 5�5 ]- 0 7 t C e, `l C. t - SITE ADDRESS L- E A )E /U6 JJ THIS APPLICANT IS: ❑ OWNER OCONTRACTOR S PROPERTY OWNER/ NAME:T f l C' K D,_/L11^ T IU ADDRESS:%/ qYg / ,4t, -m 1X E_ P K%E /L) ITY re_11) LC Y STA�ZIP S3, -)BI 3 TENANT PHONE: I ( L 5 7Ll - Md - NAME: b t_ L�WLAU51 =7 CONTRACTOR ADDRESS -.-7q6/ vo Avy_)uk c)/zT CITY %(%EU_) OPE S/TATEW ZIP 55Ya SUBMIT A COPY OF PHONE -1016 FAX 33 YOUR STATE LICENSE -�5"9 l EXP DATE D 9 4 STATE LICENSE #_ „7� 6�- PROPERTY TYPE &SINGLE FAMILY N SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK OZSIDING 9ft OTHER -r-VOi2 ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION WVIAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:) D i Q67,I T i /� T U� �� /`/� i^N�R DW�1 (wf7� W s �'� �T SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT:NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED 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, Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ 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 Ryes ON. LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED L i A)mM NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) UATION Permit Fee $'Ua , A5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ °d .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ C> $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 S C1 Make checks navable 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 Constru n 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 or with a app ved 1 in the case of all work which requires review and approval of plans. % SIGNATURE OF APPLIC RINTNAME �.n�QY 7��AA / Z DATE APPROVED BY PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, ELECTRICAL AND 0e 7z 4LaP „c.o/ a4d— r5