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PRE 2010 DOCS• Village of Fridley, Minn. BUILDING PERMET Office of INS Owne Architect Builder, n U OF BUILDINGS Fridley, Minn., ,� 19 , LOCATI N OF BUILDING r Street 0 Part of Lot Lot �'' Block Addition or Sub -Division DESCRIPTION OF BUILDING Front Depth Height Stories Manner of Construction To be used as " ' "` ", , To be completed "d Estimated Cost_::L_-, II li Permit is hereby granted to r r {- j.4 the building H described in the above statement. This permit is granted upon the express condition that 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 in all respects to the ordi- nances of Fridley, Mftm., 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. '1-;a: Insuector of Buildings. AGREEM= 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 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. Subscribed and sworn to before me at Fridley, Minnesota;- this day of gip` "= A.D. 19 I City of Fridley, 3 i=. EUIILDING PERMIT N°5 9 o� 0� Date: Ifs° '-n to _ "`.r11a 2, '' Owner: �'�"r '- ��-� Builder — Address Address ffA N F BUILDING Part of Lo Lot 4 " Block _ __ Addition or Subpi on Corner Lot _ Inside Lot &back ideyard— Sewer Elevation --- F dation Elevation DESCRIPTION OF BUILDING To U Front Depth Height=— Sq. Ft. Cu. Ft.i,, Fro DepthHeight Sq. Ft. Cu. Ft. Type of Construction Est.•. f—.J — 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 ordinance=s of the city of Fridley. In consideration of the payment of a fee of $g "'", 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 conforin 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 violaof, any of the provisions of said ordinances. .,,.v-% Building Inspector NOTICE: This permit does not cover the construction, installation for whine, plumbing, Bas heating, sower or water. Be sura to no the Building Inspector for separate permits for these Mena. ....__.. 0 4 0 -. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,,MINNESOTA owner's Name , / ,(�_ 1/�4) ® Builder ;S'�L_ Address- 4& 6 -_.3 ?7fVZ-- - - - Address 1. LOCATION OF BUILDING No. 0( Street_ �sC -Part of Lot Lot ��`'�' Block Addition or Subdivis 17 Corner Lot Inside Lot setbackside-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be Azsed as DESCRIPTION OF BUILDING front , y ` Depth P-.- ` Height-�, / 4 Sq. Ft. Cu. Ft. \-3- FrontDepth height Sq. Ft. Cu. Ft. Type of Construction lV®dQ Estimated Cole;/" 1Z.0-0 .010 To be Completed i 9/,;2-- _ 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 skated in this application are true and correct. ,7 DATE j SIGNATURE 11 61 (schedule of Fee Costs can be found on the Reverse Side). • • 0 y a .. r 0 City of Fridley %blo-a' Application for Plumbing and Gins F'itttng Permit �l Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ... ............ New Fixture Old Opening .............. Catch Basin .... ....................... Water Heater (Up to 99,000 BTL) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... ................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. NO. RATE TOTAL — x $2.00 $ — x $1.50 $ — x $1.50 WATER HTR. GAS ELEC. +� ; �� — x $3.00 $ — x $3.25 Base _ a $2.00 $ NO. RATE TOTAL — x $2.00 $- - x $ .75 —x$.75 1st — x $5.00 $ 2nd 3rd 4th • Future Connection Openings Connected with a New Fixture, Old Openings Sewer I Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ... ............ New Fixture Old Opening .............. Catch Basin .... ....................... Water Heater (Up to 99,000 BTL) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... ................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. NO. RATE TOTAL — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 It — x $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL — x $2.00 $- - x $ .75 —x$.75 $ — x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ ®� TOTAL FFA $� 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, Owner �(dJ Kind of Building Used as To be completed about Estimated Cost, Old—New. Build ROUGH FINAL �J Business Phone No - 6 53 -8L, -s-915.51 City of Fridley ApPlicalion for Pkmbbkg and Cas lig Pmt Dept. of BUkpL Phone 560-3450 DESCRIPTION Or WORE 1856 N. E. 3rd. Street Xuvnbar, Kind and Location of Fixtures i •••''}•••• j Iz w � e e w�rcr Ara. I 1 3 �i Base PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES-. NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 S -. New Fixture Olaf Opening .......... x $1.50 $ Catch Basin .................... x $3.25 S Water Beater 'Up to 99,000 BTU) ... • x $3.00 $ New Ground Run Old Bldg......... x $3.25 S Electric Water Hester .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3Fixtures ................•• x$2.00 $ Additional Fixtures ................. -x$.75 $ Gat Range to 199.000 BTU .. ,......... x $5.00 $ State Surcharge $ .50 REPAIRS B ALTERATIOND - tater to Cado _ Deveripeoti••,••,.•Install .Gas .Grill 4,.t....; 5.00 TOTAL FEE S 5.50 Class "A" Surcrarge $.50 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 tact and representations stated in this application are true and correct Fridley, Minn 5-15-73 ,19. Owner Harney V. Sandstrom Kind of Building Frame - Used as Res. To be completed about 5-22-73 Estimated Cost, $ 10.00 Old -Now Building Permit No. Permit No. Signed By Mtm -4-6nn Business Phune No ROUGH i J t�,!1 �d^A/® y�+��p q•r`w I.. •. ......1,4� .. r�i =er''�r•r...,?„1 �',t�..£� i'��a -A 77 �i �•r�..�i �......►...a."�.+��p! �e� r� .hY �. i74. Yi5 YdT fW.'E YJ Cititi7 u ../.�a�tt �+t:a*i :.C� 6a+.:..ea ...�, `be'a+WO.l: �p �i bte::¢w.D �•V�Q �i ��.r��v.04r�fZ�r+! 'I��s:=ai �YM G. I�.�I! ��.....-S_..� N�^.^{.'11(1 A I�r..a R. �/••:'!�.}+r! L":.�3 'Y�+maC�u.acLva+.�Ccd e: d1:]rva.0.i7 wsr:.8 Sro't3u3�:..1Y PARTIAL SCHEDULE G7tA V r ;;.ARM AM: TIA a TOTAL P --mice Skell & 1%xi Work $10.00 $ Fir7'scer>-: t of c ar:s-,re 6.04 li F.r;,a:rs It Alter al.ons- up to $600.00 6 GO $ Reeya:rs & Ait--rations each add. $500.00 300 $ MZML'AILM 'PIM Ftr nese Shell & Duct Waris to I}0,00.0 BTU eC-L'% add. C0,000 BTU Rep's -cement of Flirrizer Rrpairs & Alte-atiows -up to $500.00 PLe-,.airs & Alteratiot'is each add. $500.00 S=M or Y.OT WAT'-R SYBTEM i`rrnace Shell & Unes--to 4,!0 sq. ft FDR Steam F'urnpce S':,s l & Lire ---to 640 ,;G ft. EDR Hot Water Each add M sq. ft EDR S'esm Fac.^. add. 320 N. ft EDP. Hot Rater OIL BURNZr -to 3 gal. per hour over 3 gal, per hour --Set Pee Schedule GAS BURNER (lip to U^91000 BTU) over IS`?.C94 p"i J See F.e Schodule GAA FIT-11NG i'�: 1st 3 Fixtures Additional FIrtures Gas Range to '.= AM C;C.T,.:TtOrIF:Ca° FAM aw t iZi v STSMI ROUGH ..$1000 S :i.tYO S 6.W S 6.00 $ 3.00 $ V O.00 $ ' 20 00 5, '400 $ 3.00 S .50 6.04 S. 5.00 $ / :r0 RATE TOTAL x* 7.00 S _ x .75 S_—. -- r. %$ 5.00 S State Surcharge .50 FsoR F C9 �cl:�iz:Sa � o Q 0 x TAA 7—" 2 s 1:!.*Pt. Of i? M. 7FIhor.m MUM City of Fridley: t The undersig:^rd hereby makes application for a Permit for the work he: dr specified apr�•vmg to de all work in strict accordance with the City Ordir_arce: and ruling -of the Department of 'Buildings, and hereby c'ccla::s that all the facu and statrd in this application are true and sorriest.. Fridley. 'Mian 3 � � 19 :.k Kind of Building Used as I'M L Tn he completed about — -3_ -�k eY i 6 Estimated Cost, S I., Old New. Building Permit No. _.__ ._ Permit No.� 7C:rte .�.�TTC}Ii of w4'3.sT'. HF-A77NG or PO,nR M.ANTrr--Stearn, Set Water, Trade Name C O jer ., # tco /Oo.000 Capacity—A t4 0 a n SG. FL F•.D.R-10tce fa 10 B-, u Z lP Total Connected Znad�QG _� �� $ C X nd Cf F't.•2 G "� c BURNER — Trode Nam. C -®1,e- ,vn Size Pda- iA� Cal+ac3ty1�e� o CJ SQ. . ..� R / FSP BTT En. 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QL .�,..ir-..,trorq�•• re.,. +•,t7 •}�'�~d'+-4) Jl r�ld't c`:w Ma .73.A, 4,ae'l•i •'� °�' p_ •r� .. ._•�--.. 1 '.!'. 4 .1 -.k � _ rt '{ rl}.... i. .e°`tr t'ro+••..*.wo.,�......pw1...ew�cr..M�nrp �, e�F , 11 � ,�' � .. .1. �ERv' i, _"$rl -L,-•I a.'f •y{m ' 'e.,,.. HEAT. LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips AZ Guide Reference 1 19- Construction No. Windows and Doors–Crackagej and Area Windows Doors I Yes-io Out. Wall I Int. WaU Ceiling Roof Floor Kind '. Yea—f o- Glass - Coef. = Btu F1.1 Vii 41 V Room I Length 2 6 Width 3 r Height Fl.) Room J 1 Windows and Doors—Crackage and Area Exp.. wall Windows and Doors—Cr+ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft Width Height No No. of pane of pane lig 2, to .� 2 1.� 30 -e ox y t y 4,p ..! 1 Coef. Btu a to Infiltration qp.77,346a InfiltraU' 3y m i i Glass TrQ Glass Exp. wall / Exp. wall Net exp. wall Net sap, wall Q / I+ItrwaN �4A 04 to 4 .9 Int. wall Ceiling ,§loorl, . Floor Total Btu. Required sq. ft. E.D.R. or.sq. ins. A. Leader area S, eo to Fl.) Room I Lengthi,, Width Height Windows and Doors–Crackagej and Area width Height No. ofAai it.. Ares,No. of pane of pane lights O,[ c�tek eq: ft Coef.1 Btu Infiltration Glass - Coef. = Btu Infiltration Glass . Exp.. wall Net exp: wall Int. wall Ceiling floor - Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader. area M-1 Room 1 Len¢th - Width:. Heiftht Windows and Doors--Crackage ,and Area Width Height . No. of Lineal ft. Area No. of pane of pane. 1166of crack sq. ft Coef.1 Btu Infiltration Glass - Exp. wall Net exp. wall Int. wall Ceiling Floor l otal Requ ED.R. or sq. ins. SLA. Lender area Tit.. NUNNEA"US. 5M Insulation How Applied 1 Width Height e and Area Lineal ft Area of crack sq. ft I 11 Btu Ceiling Floor Total Btu. , Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. -wall . . Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ms. WA. Leader area tf i Rew%vi& 1 I.Pnath . Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal tt Area No. of pane of pane lights of crack sq. ft Coef. Btu Infiltration Glass Exp. wan Net exp. wall Int. Wall Ceiling Floor Total Btu. - .. Required sq.' ft. ED.R.. or sq. ins.. WA.. Leader area City of Fridley SUBJECT PER ®146 AT THE TOP OF THE TWINS PERMIT ' ` BUILDING ECEIPT NO `� -___-- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV, DATE PAGE OF APPROVED BY IL CITY HALL FRIDLEY 55432 ----� f %.J 612-560-3450 910-F15 5/5/78 JOB ADDRESS 4856 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5,6 6 2 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harvey Sandstrom 4856 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement 4911 - 4th Street N.E. 560-4857 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 1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 15' x 8' Addition 9 CHANGE QF USE FROM TO ST)PULATIONS Provide 14 " scale plans including section, floor plan, and excavation by 5/11/78 . Provide 24" x 18" minimum access to crawl space. Applicant is aware the fire code sheetrock may be required. WARNING sEp� PERMITS Before digging call local utilities HEATING,F"A REQUIRED P'�UMQ�IVG Etc. WIRING TELEPHONE - ELECTRIC - GAS ANQR SIGNS. D REQUIRED BY LAW 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1680 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 120 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $3, 062 $1.53 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- $6. 72 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $1.68 SIGNATURE OF CdNTRACTOROR AHORIZEDA(� IDATEI V HEN PROP RLYTHIS IS YOUR PERMIT LOG INSP --VALIDATED (CXQ/Yl d DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDI-NG PEIMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OMt;R: �`�/!l'`" UILDEI2: Address: T��P/�/r�i Address: Tel, No.- S ^ 6 _ ' No.: fV s -w/ Street: LOT: Ste- ( BLOCK: �2 ADDITION: CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS: Applicant attach 'to this form IiWo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: S� Depth: Height: / f� Square Feet: leoCubic Feet: e?T-r— ie. n Front: Square Feet: Depth: Height: Cubic Feet: Type of Construction: / �.Ie Estimated Cost: ® 7 v To Bp Completed: j 7 Alt. A Alt. B Pr6posed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: ('' SIGNATUP.E: Stipulations: • s //�%� , ��` � X93 I f t a I i T I ' t � J I, --- i I _l { ; - -1 I T i � �— �- � � -- j •1 � — �} - — I j � � i I � = I i ! j i j — � —a j � i �; - 1- _r_ I -__ � I -- I ; _ 1_ i l -- � i. t � �� - � i � � I� i '� � , � - I ! _ t _ l 1 - � � 1 � ', � �, -� I fi I- ' � i I r ,-t � � � � -� � � � i � _ -� t I� I i i �- � i -� i ,* j ; - . i '; � i � � � i I_ +- r -; j 1 � � �� _ �. � �_ 1- � � , �, �- � l -`- I � ; � �- J 1 � t �_-- i I� � � I _ , I � 11 ! I - 9 - � � �_ � i i �_ i �__ i � .. ' � i � i j i � I - � I I. i ; ` i � I � i f-- � � � � � � a- -- ' - � i { - -I � - -- -h I, --- i I I II J L` L^ 0 1 q "Ilk ITT 1 A/I - ars Xv _' Vim` d 1 � I i M V 1 I I v • 1 � rj J L` t� Ft L � 1 L 1 �® u F 1 4Ci P J AL _ "Z / i 9 � P ' W �i f A !I i � EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNERSITE ADDRESS -- CONTRACTOR L/ DATE _ PHONE Determine working square footage of each. 1. Total exposed wall area . . . Flo sq. ft. x .17 = 1., 2. Total roof /ceiling area . . . .—Lsq. ft. x .05 = (o Ud Total exposed wall area above floor a. Total wall window area . . . . . . . . . . . 09.3 b. Total door area C2—/ c. Total sliding glass door area . . d. Total fireplace wall area . . . . . . . . . — e. Total wall framing area (average 10%). . . . f. Total net wall area above floor. . . . . . . g. Total rim joist area . . . . . . . . . . . . Total exposed foundation area = h. Total foundation window area . . . . . . . . I. Total net foundation area above grade . . . Determine "U" value of each wall segment. a. 3 X „U„ C X flu 11 d . — X „U„ g• 1 X „U" �� = i• h. _ i X X „Un flu 11 At -5- 3 . . » . . . . . . . . . . . . . . Total. If item X13 is the same as, or less than item f/1, you have met the intent of SBC 6006 (c)2. z�C: /ciG Beat f low up :. interierr :air Film eqb 3. Insulation /• 00 4. Exterior Sheathing U 5• Exterior Siding R C. ENLeriar Adr Film katal � D L 1, 111"AI)ER AItV J�- Total Arca N®• 1 "R" Less Insuiation 1 . U P1116 3V Softwood R� U Total RIM JOIST AREA 1, Interior Air Film- 2. Insulation---Itr� 3. ly, Sof twood 4, Exterior Sheathing 1 S, Exterior Siding R a 6, Exterior Air Film ----� a Total F_OUADATIOr WALL AREA 1 . Air Film Interior a_ T-1 cro Insulation (Block) 1 = 3, Insulation �� R : 4. Exterior Air Film ? L U Total ROOF/CEILING AREA 1. Interior Air Film 2, Interior Wallboard.. �b 3, Insulation' 1 4, Exterior Air Film R (Still) U a Total 0. 4. 0 Total exposed roof/ceiling area j. Total skylight area . . • • • • • • . . . k. Total roof/ceiling framing area >� 1. Total net insulated roof/ceiling . . • • - Determine "u" value for each roof/ceiling segment. X "u" _ j• _ k. f o2 X nun oU�� = r b d X trUu OS = 5, o Total = 5 If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total ;l/3envelope 4 shal,lsystem no[method, greatervalues than theestablished by the sum of items items III and #2.. ° GUIDELINE TO (R) FACTORS FROM (ASHRAE MANUAL) e 0.33 Plus Insl - 3/8" Gypsum Boards 0.32 OF TYPICALLY USED PRODUCTS 0.45 5/8" Gypsum Boards 0.56 (R) Interior Air Film (Walls) 0.68 Exterior Air Film (Walls). 0.17 Interior Air Film (Vented Ceiling) 0.61 Exterior Air Film (Vented Ceiling) 0.61 Interior Air Film (Non Vented) 0.61 Exterior Air Film (Non Vented) 0.17 1/4" Plywood Panel 0.31 3/8" Plywood Panel 0.47 1/2" Fiberboard Sheathing 1.32 25/32" Fiberboard Built Rite Shg. 2.06 Aluminum Siding 0.61 w/Backer 1.82 w/Backer & Foiled 2.96 1/2 x 8 Lap Siding (Wood) 0.81 7/16 x 12 Hardboard Siding 0.67 Asbestos Sidings 1/4 Lapped 0.21 Stucco (Brown & Finish Coat) - Built-up Roofs 0.33 Plus Insl - 3/8" Gypsum Boards 0.32 1/2" Gypsum Boards 0.45 5/8" Gypsum Boards 0.56 3/4" Wood Subfloor or Sheathing 0.94 1/2" Plywood Sheathing 0.62 1/2" Particle Board 0.66 Filled Vermiculite 8" Concrete Block (S & G Reg.) 1.11 1.93 12" Concrete Block (S & G Reg.) 1.28 3.15 8" Light Weight 2.18 5.03 12" Light Weight 2.48 5.82 Insulation - 3 1/2" Fiberglass 11.00. 6" Fiberglass 19100-- 9,00=All Allother insulation materials must be verified (R factor) Note: (U) x arija sq. ft. All Windows (w/storms 1" to 4" space) .56 Removal double glazing (RDG) .55 Thei°mo or welded 3/16" air space .69 1,qm 1/4" air space .655 3- �% 1/2" air space u ` (Other windows specifically tested can use better ratings) 1 3/4 Solid core door .46 w/storm, wood .31 west rm mewl , Pe°,�c: �T-[� L _..N�� T3r,,:, tJr��L 7.4SR .25 -•-.. /.3 Sliding Glass Door, wood .65 metal .715 CITY OF FRIDLEY APPLICATION FOR PUJMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x 0 . k 0 $2.00 Water c; m m A $ Catch Basin ►bi -0 m .,ater Heater - to 99,000 BTU x 4.4 w we U. $10.00 Heater d isC x E $ �J�® m E+ 1 ° 14 m .aC G=S FITTING FEES: '•u e $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU .0 x $ ci vm First $100.00 —1 $ each add. $100.00 or fraction $2.00 $ O O N aO N M N N .0 U y U a M o w CO w U W 20 3 0, O as lec �s= 2nd 3rd (R) Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ .,ater Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ �J�® New Ground Run Old Building x $5.00 $ electric Water Heater x $5.00 $ G=S FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE REINSPECTION FEE /ry$ C� IF, 0 ($10.00) Job Address �Vgv Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley 1919 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO.' PERMIT NO. 1 Company Signed By / Tel. No. / t :6— / ROUGH INSP. Date FINAL MSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 01 SUBJECT ERMIT NO. City of Fridley 3010 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. - _ � PROTECTIVE INSPECTION SEC. r � l�Ji F NUMBER REV DATE PAGE OF APPROVED BY `1 = �r'�' �,� CITY HALL FRIDLEY 55432 _--.� L 612-571-3450 910415 8/23/99 JOB ADDRESS 4856 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5, 6 2 1 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terry Smoltz502-0405 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 ❑ ALTERATION X® REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 30 SO 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 SO. 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 1 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 $3500 $1.31 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 $83.25 If Fire SC $2.62 PLAN CHECK F TOTA EE • 18 SIG RE OF CO TA CT O A TH MEN ROP%,,, HIS I$J4V:R RMIT ,YALIOATlrD (/ 3 .77 It SiGN4T qE OF gilF OWN BUILDE t IDATEI BI DG IN50 OAIE 01 NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION n (� Construction Address: -- : f Legal Description: Owner Name & Address: �,�j Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROV EMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: R(eA00 P4'4�0 A! 5 r A - g� 1 %8% 0 'Fw—p Construction Type:Estimated Cost: $ 101, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: , Tel. # . ..'" CITY USE ONLY Permit Fee $ 3 • -� S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) - Driveway 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 STIPULATIONS: