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PRE 2010 DOCSVillage of Fridley, Mian. pp BUILDING PERM [T No v 16 Office of INSPECTOR OF BUILDINGS Owned. ., Architect Fridley, Minn., -,f. .0`— Builder LOCATION OF BUILDING No. r Street - ` ' " Part of Lot Lot £' Block_ Addition or Sub -Division DESCRIPTION OF BUILDING Front _ ' Depth r " Height Stories Manner of Construcpion i ar To be used as L- To be completed �"` _t Estimated Cost Permit is hereby !graated to— the building '"` 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,, 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. w -Inspector 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 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, day of i -a:,. ,,. A.D. 0 Minnesota, this {• "`' 0 BUILDING PERMIT Village of Fridley, Minn. N° 2540 Date...71 ........................ Ownerl': ... ` ............. Address a ........•... .0,0C-0 Builder....... ............................ Address......................................... LOCATION OF BUILDING No. . �,~%9. I.... Streett' ."!7^!..✓.. !�"/......'�� . ............. Part of Lot ....................... v Lot .......... ., .. Block ................ Addition or Sub -Division Corner Lot ..."' ...... Inside Lot ............ Setback ............ Sideyard Y �.�............ I DESCRIPTION OF BUILDING �To be Used as: �..... ... /� f. ... Front � Depth rA� Height Sq. 4474 !7 .!. .. . ......... Ft. Cu. Ft. ....... , ................ Type of Constructio ... Front ........ Depth ....... Height ......... Sq. Ft......... Cu. Ft. ........ i �;?/�1!' Est. Cost :/47� .......... To be Completed 4!'. ........... 'i 'I In considerat on of the issuance to me of a permit to construct the building described above, I agree to do the proposed wor ordinances of the in accordance with the description above set forth and in compliance with all provisions of village of Fridley. r ............................ ............ Mid In co . i ration �+� 1 * of the payment of a fee of $..4,i..~, permit is hereby granted to ' �• N...... to construct the building or addition as described above. This permit .Is granted upon * the expre ndi#on that the person to whom it is granted and his agents, employees and workmen, in all work done in, aroundal I d upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minaeso regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any tim upo vio ' n of any of the provisions of said ordinances. .. ....... ........ Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or waters' Be sure to see the Building Inspector for separate ,permits for these items. lei SUBJECT PE O. City of Fridley 1642 6 AT THE TOP OF THE TWINS BUILDING PERMIT r REC NO. � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ••• �•� CITY HALL FRIDLEY 55432 i NUMBER REV. DATE PAGE OF APPROVED BY --•_� �� L 612-571-3450 910-F15 10/8/81 JOB ADDRESS 4875 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28,29 1 Plymouth SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE David Sinigaglio 4875 - 3rd Street N.E. 571-5858 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 QA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel Kitchen and install Sliding Glass Door 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRE® FOR WIRING, HEATING, PLUMBING AND SIGNS, 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 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 $500 $.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 PERFO MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE S), /® k( 1 $15.50 SIGNATUREOFCONT CT RO AU H RIZE AGENT (D WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ZEI v sr ca l® C9 1A DG INSP OAFE SrIGNATURE OF OW-NERJP OWNER ILD ) (Dj CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIOV FOR RESIDENTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) 01114ER: i n I Q C I ADDRESS:��;� TEL NO: S7/ S J? y c3 BUILDER: kaa I'l ADDRESS: C% o' 7 � - -� ` TEL NO: ,j 2/ - 5 6 J S Construction Location - STRIMT NO: l STREET: R_\ 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. DESCRIPTION OF CONSTRUCTION Front: c Depth:^� Height: Squane.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: Tb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Tile undersigned hereby makes application for a permit for the tvrk herein specified, agreeing to coo ,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 % SIGNATURE: Stipulations: o o NEW ADDN. [ ] ALTER. [ ] Construction Address Legal Description:_: a 1 City of Fridley R-1 AND R-2 Building Permit Application r- �� 28-2-1 Owner Name & Address: Contractor: 10 In Address: 49 7 5- 5" LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot n 74 Attach to this applica on`, a lot, with the proposed nstr DESCRI ON Length Width Length Width Length Width Type of Construct Inside Lot Approx. Completion Date: Proposed Driveway DATE: J^ L & 7 Permit Fee Plan Check State Surehar SAC Charge Park Fee Sewer Mai Charge . Yd. A Effective 4/1/86 Tel.L s < it to/sfa'ale. Sq. Ft.— ght Sq. Ft. /Ground Sq. Ft- 13s- t. 3s P Side Yard Setback S Estimated Cost: $ 41+— Alt. A Alt B P I?Is Desired: 2 6 , $ $ See Back Page for Explanation PP CANT: Tel. .- CITY USE ONLY $ S((Jj Fee Schedule on Reverse Side $ 14. fi 25% of Building Permit Fee $ $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ r David Sinigaglio May 29, 1987 4875 _ 3rd Street N.E. Fridley, M 55432- Cn May 18, 1987 the Fridley City Council officially approved your request for a Special Use -Permit, SP 487-07, to allow a second accessory building on Lots 28'and 29, Block 1, Plymouth ,addition, the same being 4875 - 3rd Street N.E. with the -following stipulations: - 1. Garage addition facade and roof to match house. 2. No outside storage of construction material is permitted in yard. If you have any questions regarding the above action, please call the Planning Department at 571-3450. Sincerely, James L. Robinson Planning Coordinator •. Please review the noted stipulations, sign the statement below and return one copy to the City of Fridley Planning Department by Jame 12, 1987. Concur with action taken SUBJECT PERMIT City of Fridley o 1317 9 2 AT THE TOP OF THE TWINS BUILDING PERMIT r R E CIIP++4e—' I L.0• ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � CITY HALL FRIDLEY 55432 '•J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/9/87 JOB ADDRESS 4875 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28,29. 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Sinigaglio 4875 - 3rd Street N.E. 571-5858 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 Xp NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 10' Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be anchored to the ground 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 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 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 $400 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTR CTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY DATED THIS IS YOURPERMIT E AIIF40ER�.111R, BLDG INSP / V GATE GNATURE OF O N IDATEI NEW City of Fridley Effective 4/1/86 ADDN. [ R-1 AND R-2 ALTER. [ Building Permit Application Construction Address: 075-- Legal Description: Owner Name & Address: �� ®� ! « y S S� Tel. # /jR Contractor: Sloe- //1�e, ` I U`•-'� i � �/J ��v�[�i Tel. � S7/ J$f �3 Address:-- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 'zS!`�A GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width _1 Height 12-- Sq. Ft. / 2 D s o" Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot E-A Ft. Yd. Setback Side Yard Setback Type of Construction: h.eA Estimated Cost: $ A�®04� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel.��J CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: ,,a &, Fee Schedule on Reverse Side 25% of Building Permit Fee $.56/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Lil Ak a :4 ."NOW \k- SUBJECT City of Fridley 9 7i - AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. i � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REY DATE PAGE OF APPROVED BY � �'� 612-571-3450 910-F15 5/10/94 JOB ADDRESS 4875 3 ST NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28,29 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Sinigaglio 4875 3 Street NE 571-5858 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 Q. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (16 Squares) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,200 $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.00 Fire SC $1.20. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $30.80 r SIGNATURE OF CONT ACTOR OR AUTHORIZED AGENT IDATEI PROP Y Y4nDATED T IS YOUR PERMIT BLDG INSP f1ATE NAT R OF OV ER OF O R 8 DERI IDATEI \k- NEW () Effective 1/ 1/94 ADDN (] CITY OF FRIDLEY l7 l ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 4 ---------------._--_-_-- Legal Description: Owner Name & Address: Contractor: Address: : 3,rdAj nc Tel. # 5 %A 5-�,E6 MN LICENSE # Attach to this -application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width, Hgt/Ground OTHER: /cam - I llo v�e_ J6 .dq :tl Sq. Ft. Sq. Ft. Sq_ Ft. Corner Lot [ ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $�Z( Y -, Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7 -/0- 5 V APPLICANT: � Tel. # ^� CITY USE ONLY Permit Fee $ c�'2_ On Fee Schedule on Reverse Side Fire Surcharge $ % . C .001 of Permit Valuation (1 / 10th %) State Surcharge $ D $.50/$1,000 Valuation SAC Charge $ $800 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: DOF LEY REGISTERED MAIL # Z 440 830 626 FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 2, 1999 Ms. Karen F Erickson 4875 3 Street NE Fridley, MN 55421 Re: Fire Damaged Garage and Shed Buildings at 4875 3 Street NE, Fridley Dear Ms. Erickson: On November 15, 1999, an inspection was conducted after the fire to determine whether the above noted buildings were damaged to the point of being a hazard. Per Section 102 of the 1997 Uniform Building Code which states in part, any structure that constitutes a hazard to safety, or health, or public welfare by reason of disaster or damage, shall be considered unsafe. All unsafe buildings shall be declared a public nuisance and shall be abated by repair or demolition as referenced in the Dangerous Building Code. Section 302 of the Dangerous Building Code states that any building or structure which has any or all of the conditions or defects herein described shall be deemed a hazardous building, provided that such conditions or defects exist to the extent that the life, health, property or safety of the public or its occupants are endangered. The following items deem the building dangerous; 1) Whenever the stress in any materials, member or portion thereof, due to all dead and live loads, is more than one and one half times the working stress or stresses allowed in the Building Code for new buildings of similar structure, purpose or location. 2) Whenever any portion thereof has been damaged by fire, earthquake, wind, food, or by any other cause, to such an extent that the structural strength or stability thereof is materially less than it was before the catastrophe and is less than the minimum requirements of the Building Code for new buildings of similar structure. 3) Whenever any portion, member, or appurtenance thereof is likely to fail, or to become detached or dislodged, or to collapse and thereby injure persons or damage property. 4) Whenever any portion of a building, or any member, appurtenance or ornamentation on the exterior thereof is not sufficient strength or stability, or is not so anchored, attached or fastened in place so as to be capable of resisting a wind pressure of one half of that specified in the Building Code for new buildings of similar structure, purpose or location without exceeding the working stresses permitted in the Building Code for such buildings. Karen F Erickson Re: Fire Damaged Structures at 4875 3 Street NE December 2, 1999 Page 2 5) Whenever any portion thereof has inracked, buckled or settled to such an extent, that walls or other structural portions have materially less resistance to winds or earthquakes than is required in the case of similar new construction. 6) Whenever, for any reason, the building or structure, or any portion thereof, is manifestly unsafe for the purpose for which it is being used. 7) Whenever the exterior walls or other vertical structural members list, lean or buckle to such an extent that a plumb line passing through the center of gravity does not fail inside the middle one third of the base. 8) Whenever the building or structure, exclusive of the foundation, shows 33 percent or more damage or deterioration of its supporting members or 50 percent damage or deterioration of its nonsupporting members, enclosing or outside walls or coverings. 9) Whenever the building or structure which, whether or not erected in accordance with all applicable laws and ordinances, has in any nonsupporting part, member or portion less than 66 percent of the strength, fire resisting qualities or characteristics or weather resisting qualities or characteristics required by law in the case of a newly constructed building of like area, height and occupancy in the same location. 10) Whenever any building or structure, because of obsolescence, dilapidation, deterioration, damage, inadequate exits, lack of sufficient fire resistive construction, faulty electric wiring, gas connections or heating equipment or other cause, is determined by the Fire Marshal to be a fire hazard. 11) Whenever any building or structure is in such a condition as to constitute a public nuisance known to the common law or in equity jurisprudence. Per Section 403 of the Dangerous Building Code, you are hereby ordered to demolish the entire garage structure, including the foundation and repair the shed structure. Demolition shall be started within 20 days from the date of this letter. A demolition permit is required for the garage. A building permit will be required to rebuild the garage which must be applied for within 6 months from receipt of this letter. A building permit is also required to repair the shed which must be completed within 30 days from receipt of this letter. If you have any questions concerning this matter, please feel free to contact me at 572-3603. Sincerely, DAVID JENSEN Building Inspecty DJ/mh CC: Dick Larson, Fire Marshal Ron Julkowski, Building Official SUBJECTERMI City of Fridley WRECKING 0 5 S 9 AT THE TOP OF THE TWINS PERMIT t n�� F � 1 L COMMUNITY DEVELOPMENT DIV. i �� INSPECTION SEC. PROTECTIVE (/i' 1 E I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By ' 612-571-3450 910415 12/16/99 JOB ADDRESS 4875 3 Street NE 1 LEGAL I LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 28,29 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Erickson 4875 3 Street NE 571-7815 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 O REPAIR ❑ MOVE ! REMOVE B DESCRIBE WORK Remove fire damaged garage and shed 9 CHANGE OF USE FROM TO STIPULATIONS All demolition and debris shall be removed within 7 days from the date of demolition. Secure area during demolition. 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 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 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 $20.00 PLAN CHECK FEEOTAL FEE $20.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HE P LY VAL A D THIS IS Y Lazz— Ar �_2P�71 S,GNAT RE OF OWN .Ii O TIDE RI IDATEI BLO INSo DATE DEC -14-1999 10:08 DCSOPS 88TH RSC 612?261404 P.01/01 CITY OF FRMLEY 6431 University Ave NE Fridley MN 55432 572-3604 Effective 5/10/99 MOVING [ ] WRECKUNG J�c] PERMIT APPLICATION �� �5 o6 �I Job Address: 4/f 2 ti� ST, j��_-a/fas k,�„ Legal Description: , Owner & Address :_X�¢/�L :.� 2c �C s a ,-.� . Tel. # pvs� Contractor: „s' w Tel . ,5;7/- # `.:. 3% Address: State License DESCRIPTION OF WELDING HOUSE: Length Width Height Sq. Ft. Cu. Ft. GARAGE : Length /1& Width Z? Height 10 Sq. Ft. ,35'x. Cu. Ft. OTHER: Length /,a Width Height //�_ Sq. Ft. Cu. Ft. Estimated Cost $ 1'2�0•D0 Approx. Completion Date 2,3 AO 09 UTILITITS City Water/Sewer Minnegasco N S P U S West NOTIFIED: 572-3529 ( ] 372-4720 [ ] 330-5500( ] Business -603-6000 Home -244-1111 ( ] Water Bill Paid: Yes [ ] or Collect ($ ] Signature Moving Route: The undersigned hereby mares 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 flus application are true and correct. ALL Moving: Principle Building into Fridley .... $300.00 Accessory Building into Fridley .... $ 42.00 1V hftmn Fee: $20.00. Through or within the City ...... $ 20.00 Move a building out of City ...... $ 20.00 Wreddng: For each 1,000 cubic feet or fraction .. $1.25 For structures which would be impractical to cube the fee shall be based on the Minimum Fee($20.00 total cost of wrecking at the rate of $6.00 for each $500.00 or fiaction. rEnnu�r�: oU,oD ��,TIoNs: Al/ c�e�o/llhf ��' ae,�.�.s 4#11 bP /v~xd ull 7 IY3 -2iw ftp �'��� D�' rssv�,�e. >01'4"111 NO. suejEtT RMIT City of Fridley 30953 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. �� r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMB'" REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 5/18/00 JOB ADDRESS 4875 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28,29 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Erickson 4875 3 Street NE 571-9433 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. SMSIS ®NV PNISWMd 9NIJJd3N 9NINIM WARNING :B03 03HIMH Before digging call for SJJWH3d MUMS all utility locations 4540002 REOUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,365 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 T TAL FEE $195.29 SIGNATURE OF CON' RACTORO UTHORIZED AGENT IDATEi WH VALI A 0 THIS IS YOUR PERMIT f $i RE OF WN iI WN LDA B DE Ri ITEI . BP G INSo rIATE >01'4"111 NO. 4I& -C j e 4 S "-e ;A NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER A SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 4015- Legal Description: Owner Name & Address: a fie, h r—2i c E S0 4 Tel. # l 74 3=5, t9cy Contractor. /S�iP MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: &aR—z e, Attach to this application, a Certificate of Survey of the. lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length �a, Width o� o�� Height Sq. Ft y Length ------ F— Width Hgt/Ground Sq. Ft 2-2 ic 2 2 r `` 7-0w) o f luall W1 ee,X1- $5.00 i f Construction Type: ;-,AV '1174 -621k -,c4- — Estimated Cost: $ 4 9 3&-jz go Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: "% U APPLICANT: Iii ,1' �l C � d �l Tel. # 6212`713 `3%4 CITY USE ONLY - Call (763) 572-3604 for Permit Fees If mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation 0/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $ Driveway Escrow Erosion Control Park Fee $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ ��• STIPULATIONS: Agreement Necessary [ ] Not Necessary [ ] SUBJECT PER 1r1V6" ' city of Fridley 31326 AT THE TOP OF THE TWINS BUILDING P E R M I T r � RECEIPT NO. ---e COMMUNITY DEVELOPMENT DIV. `V ------ INSPECTION SEC �� r PROTECTIVE 1 NUMBER REV DATE PAGE OF APPROVED BY I /---1 CITY HALL FRIDLEY 55432 �.A 612-571-3450 910-F15 8/18100 JOB ADDRESS 4875 3rd St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 28, 29 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Erickson 4875 3rd St NE 571-9433 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Trico Exteriors 268 S. Commerce Circle NE FRidley, MN 612-574-9261 20147770 4 ARCHITECT OR DESIGNER MAIL ADDRESS 55432 ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace front window 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform 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 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 THI TYPE OF WORK WILL BE COMPLIED $1.73 WITH WHETHER SPECIFIED HER INNOT. THE GRANTING OF A PERMIT $3,467.00 DOES NOT PRESUME TO RITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ISIONS OF AN OR LOCAL LAW REGULATING CON. $97.25 Fir SC $3.47 OF ONSTRUCTION I! PLAN CHECK F TOT L:FEE % Lice e C $5. $107.45 Si AT R RAUTHORiZEDAGENT 1DATE, E PROP 6 G -NSP VALIOAT HIS IS ]DA.LR PERMI r1ATE S-GNATURE OR OWNER,lf OWNER BUILDER. 10A1E1 NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY - (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: L4 q --? � S (- l e�' r ll � Legal Description: Owner Name & Address: P4 re (r i C o ►-. Tel. # S� Contractor: Ir N" C O r)(+k f tion S MN LICENSE # 2 D 1 t4 Address: z C O m nuAA-g Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type:©� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft SI,,f $ DATE: APPLICANT: Tel. # S t CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Call (763) 572-3604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ ! $.50/$1,000 Valuation $_$1 100 per SAC Unit $ Z) _0$5.00 (State Licensed Residential Contractors) $ E Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 9. STIPULATIONS: SUBJEti PERMIT NO. City of Fridley 32303 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE np 1 . � "9 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By ' 612-571-3450 910-F15 12/19/01 JOB ADDRESS 4875 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28, 29 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Erickson, 4875 3rd St NE, Fridley, MN 55421 763-571-9433 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers, Inc., 474 A olio Dr, Lino Lakes, MN 55014 651-784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK New windows & trim 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 $9,708.00 $4.85 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 $1,81.25 $A.71 Fire SC PLAN CHECK F T L FEE 5.0 L ens 200.81 0 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI 'ME PR LY VA ED 7H15 YOUR PERMIT _ S,GNATURE OF OWNER IF OWNER BUILDERI IDATEILDG INS OAtE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 976'LConstructionAddress: 4976 - Legal egal Description: _ Owner Name & Address: - Tel. # 7 i - q Lo o Contractor: ta4ltrm Quft4 0 Q I I MN LICENSE # Address: A _ [ Tel. # _ „5!- 7?q - a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:wxt" Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: ' Ft. + 6 Ft , Ft x $ _ $ DATE: III b APPLICANT: Tel. #6 6l' 7g i4 6 4b CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt: "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS:000 05-01)g03 NEW [ ] CITY OF FRIDLEY ADDIS! [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 4S-1 5 3 r4 S4 Legal Description: Owner Name & Address: 1Cxnni Contractor: Ot 2a12 •f to t.i LdJ-- re (763) 572-3604 I§Idg Insp (763) 571-1287 Fax ®(0 el. # :Z9?j X5`71- -9 Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to 'scale. DESCRIPTION OF IMPROVEMENT Lengtht S f Width 5 Height_ - Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Q L llOrn Estimated Cost: $ It 1-20 —1 1?0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 If using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ 6,!�87 STIPULATIONS: _ d a �. -� r* L.W.- 6ov. w/ A►4• 67- 70' I �t SP #87-07 David Sinigaglio _ 35 /30 / REScheck Compliance Certificate 2000 Minnesota Energy Code REScheck So$ware Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\Home addition.rck PROJECT TITLE: Kitchen addition 6 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.12 DATE: 06/05/05 DATE OF PLANS: 5/25/05 PROJECT DESCRIPTION: Addition onto Kitchen DESIGNER/CONTRACTOR: Home Howner COMPLIANCE: Passes Maximum UA = 81 Your Home UA = 38 53.1% Better Than Code (UA) Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 252 30.0 25.0 Wall 1: Wood Frame, 16" o.c. 112 30.0 15.0 Wall 2: Wood Frame, 16" o.c. 144 30.0 15.0 Wall 3: Wood Frame, 16" O.C. 144 30.0 15.0 Door 1: Glass 48 Floor 1: All -Wood Joist/Truss:Over Outside Air 270 30.0 15.0 Crawl 1: Solid Concrete or Masonry 270 30.0 15.0 Wall height: 6.0' Depth below grade: 4.0' Insulation depth: 4.0' Furnace 1: Forced Hot Air, 80 AFUE Air Conditioner 1: Electric Central Air, 14 SEER Proposed and Maximum U -Factor Averages Proposed Maximum 0.030 5 3 4 3 1 6 16 Average U -Factor Allowed U -Factor Above -Grade Windows and Glass Doors 0.030 0.370 Includes Foundation Windows > 5.6 $2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Date REScheck Inspection Checklist 2000 Minnesota Energy Code REScheck Soflware Version 3.6 Release 2 DATE: 06/05/05 PROJECT TITLE: Kitchen addition PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful far Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PLAN REVIEW ISSUES FOUNDATION INSPECTION foundation wall insulation R-5 minimum foundation insulation extends from top ofwall down to top of the footing exterior foundation insulation is covered by a protective coating finish CONCRETE SLAB OR UNDER -SLAB INSPECTION [ ] slab on grade perimeter insulation R-5 minimum [ ] slab insulation extends from top of slab to design frost line or top of footing [ ]floors over unheated space R-30 minimum WINDOWS / DOORS / SKYLIGHTS [ ] average U -value is 0.37 maximum for windows and glass doors (excludes foundation windows) [ ] window U -values consistent with building plan and REScheck Certificate [ ] window and door areas consistent with building plan and REScheck Certificate MECHANICAL VENTILATION ISSUES [ ] residential mechanical ventilation system provides adequate ventilation per code requirements* [ ] furnace efficiency is consistent with REScheck Certificate or building plan [ ] protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATION FOR PLAN REVIEW [ ] interior basement insulation R-5 minimum (ifno exterior insulation) [ ] ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate [ ] wall framing and insulation level is consistent with building design and REScheck Certificate INSPECTION ISSUES CONCEALED INSULATION Framing and Sheathing [ ] wind wash barrier installed at attic edge [ J exterior wall comers framed so that insulation can be installed after exterior sheathing is installed [ ] intersections of interior partition walls and exterior walls flamed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed [ ] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly * [ ] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed * Interior Air Barrier [ ] all fire stops are air sealed [ ] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed [ ] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas * [ ] air barrier behind tub and shower is sealed and protected [ ] recessed light fixtures are sealed Envelope Insulation [ ] basement insulation R-5 minimum [ ] wind wash barrier on wall separating house and garage is sealed [ ] loose fill insulation is prevented from entering the eaves [ ] insulation on skylight shags and walls exposed in attics is supported on the unconditioned side Attic Insulation [ ] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel [ ] attic card attached to framing near access opening [ ] notification of attic R -value and date of installation posted near building permit inspection card This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department ofPublic Service Information Center at 651-296-5175 or 1-800-657-3710. City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 05- ONO/ Ph: 763-572-3604 FAX: 763-571-1287 Mechanical Residential Application City of Fridley See Back Side For Required Information Permit # "��4 Date ns Site Address: 907.5' 3/ St /VE The applicant is: (cirice one) Owner Contractor Property Owner: ngft OW 1I 3e Address: 405'�9- Ne City: lw`!�l State: tld zip: 575- Y)- Phone: 7 6 3 - 3c o - 9 ZQ (P Cell: Fax: Contractor Information Company Name:$ /.� Cd�/�o`ifD ►°�c Contact Person: rt Address: 2 & L D o City: 13/4/A/ AM State: � Zip: Phone: 763 - S36 - ®i&— Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New a lace Alterati Remodel Detailed Description of work: bw.,A.c 6A God %144 Z %Y�tgaC Equipment Installed: MFG: a Model: / o7LC1ZASize1BTU: 72,0x® MFG: ATt}v Model: .SAI&©v3®K Size/BTU: 30,20o MFG: Model: Size/BTU: Ple se check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00ireplace (wood) $35.00 _Gas Unit HTR $10.00 Air to Air exchanger $15.00 ✓ Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _!!!"'Chimney Liner $10.00 _Gas Piping $10.00 %/6uct Work $10.00 ja 4"4,w Gas Range/Oven $10.00 Permit Fee $ © 06 t; 0, ' (Total from above -Minimum fee $35.00) Surcharge $ 0.50 60 Total Due $ .9b Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the Information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Approval Ins Date: D Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Rpvicprf R/14/*?nn.j; REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations 10 Date: 08/09/2005 Revision Date: 08/09/2005 Site Information Address 1: 4875 3RD ST NE Address 2: City: Fridley County: Anoka Application Information Business Name: Marsh Heating and Air Conditioning Contact Person: Kelly Marsh Office Ph: 763-536-0667 Fax: 763-536-0226 Address 1: 6248 Lakeland Ave no Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Cell Ph: City: Brooklyn Park State: MN Zip Code: 55428 Minimum Mechanical Code Requirements Met Will you be replacing or adding a water heater, furnace, or boiler? NO Will you be installing a decorative solid -fuel appliance? NO Will you be installing an exhaust fan 300 CFM or greater? NO You have met the minimum requirements for make-up air and combustion air as required by the international mechanical code, as adopted by the state of Minnesota with amendments. Applicant Name (print): K-� d�A Signature/Date: !'"`'" glY�'<- Code Official (print): Signature/Date: © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'dV DATE as, YOUR E-MAIL ADDRESS SITE ADDRESS X �•� S� THIS APPLICANT Is' E3OWNER ,TRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: Z HJ C SUBMIT A COPY OF STATE LICENSE # .� EXP DATE U O O `w TE /i91✓LIP�2 YOUR STATE ADDRESS: w CITY LICENSE WITH PHONE - FAX APPLICATION PERMIT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW — ACENIDU DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SINK/LAV DRAINS _ SHOWER _ WATER PIPING —BATH _FLOOR _ BATHTUB GAS PIPING (nom crn'rrcFA-A _ SWIMMING POOL _WATER SOFTNER ($35) WASHER -7 KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ CLOTHES _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Number of fixtures @ $1 0 x $10.00 = $ b 00 Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ /L7 SD State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work Which requires review and approval of plans. J SIGNATURE OF APPLICANT PRINT N City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977