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PRE 2010 DOCSCity of Fridley SUBJECT PE 16 233 AT THE TOP OF THE TWINS BUILDING PERM I T _ � ! ECEIPT N L'______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ZZ 1 = � "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE 16/9/81 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 5832 - 3rd Street N.E. 1 LEGALLOT NO.' BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ° Ed Andrajack 3459 - 2nd Street N.E. 781-9778 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. .Z12 PHONENSE N0. 5 ENGINEER MAIL ADDRESS RATE PERMITS PFOR v*��i MO 16 B USE OF BUILDING HEATING, It D SIA�,� (� Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 38' x 30' Dwelling Capprox) and a 22' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City witlh copy of verifying survey before capping. SEWER, LOCATION: (Approx. 9' Deep In Street) 29' N. of M.H. Clnv. 836.89) WYE. ELEV: 836.98 TOP OF FOOTING: 839.98 Minimum WATER LOCATION: 10' South of Sewer Service DRIVEWAY DEPRESSION ESCROW: 23' x $13.50 = $310.50 Before a CAU IamI ofili 1 TW IM OF TEWHONE - ELECTRIC - GAS Et raa�r �oEs >i+rpr av A CI*A qtr una►a ''`R'� M THE REQUIRED BY LA , MTA 16 �t WW0& A 4WAncx, P� AtIRPOSgS ON[V Usm R ENOUtD I►► .; ON TH! SITE. VIWY THE WfOWATom TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 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 $48,650 $24.33 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- $108.70 $425.00 STRUCTIO R T E PERFO CE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE xar :�'7- l $27.17 $585.20 SIGNAT EOF ONTRAC ED AGENT (DATE) 1 . WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT f OAJE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATim FOR RLSIDMTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) • OIdIIER: � 7�!WE �}��'�� L'UILDER: A ADDRESS: ' �{�� _ ADDRESS: TEL NO: _'`7 7- Z TEL NO: Construction Location STRL'GT .NO S2 21-L STREET: 3� ��• LOT: BLOCK: 2.'L ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot .and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION • front: �� 7` �-a' �� Depth: �� / Height: .o/ , Square.Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: c t U$� `Su Type of Construction: " Y Estimated Cost: $ C To Be Completed: �� X /yn �— D3 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 1074(0-1- $ � $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the work" herein spec i.f' d� 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 t,rjhe a rest. DATE: - SIGNATURE: Stipulations : 1ot.70 s .e a�1.33 • 3_o sass 9is. r)o 4.0'oS CIL IV o�'b8��►� o�2S a t 'p41 '�i0 .4ry cAb' Zi , (iA -('J-* Z.Vmvb tn SON lln ' XXL 'J'S I' c�� 7t �Z? d'Zy►ZZ I,; _-= hz s x R2 XCQ R x g•� 111 5 • S — Z X Vu A '1311 _ •o£ x WrL c.r�tl municipal pisnnin, environments land surveying soil exploration Den'0— iron Monument O sc,, 1 r = 3Q_'___ Certificat, F®r EDWAAO ANORAJACK Sa. LOTS % � 8, BLOCK 2 Z HYDE PARK ANOKA COUNTY') MINNESOTA 1 30 DAY E'40TICE TO C!, a Y ENG. DIV. REQUIRED FOR CURB REMOVAL AND REPLACEMENT yywRINlt"� As ®RIVEWAT OPENINGS. �+es eetote CC19611call local uti�+ ONE- RE NE - RIC - GAS Efic. REQUIR BY LAW 3' C.alr..-LINK FENCE --138,.9 410 - 77 - tlouStc. � 2+ - a0 q � I Cts t / in - -130.48 i 6 j j �f No' GUARAN7i I gi� �� FWLff DOES ,^,1s AND E1.t1 A711 \3, CMAIIF NCE LOCATION ,� ctr'f 1JiILiN oll Jb�;i;5 AAAA ��f ��3H4� S{10 ER MSSHOU bove mriclari the land described a We hereby certify that this is a true and correct representation of a surve�� !1 and of the location of all buildings thereon,.and all visible encroachments, any, from or on said land, that this survey was a duly Registered Land Surveyor under Qhe laws of the prepared by me or under my direct supervision and that I am State of Minnesota. As surveyed by me this -- _.J-_ day of __—D� GENl� EB ----- -- -- �.CItli� a p.o box I Osseo, Minnesota 55369 ❑ (612) 425-2181 C;j Ire E� by i G C�al�oy1- - 1 �, r .4 - -i c,..... Page 58 4 5 / M,nnesols Rrnr,o At cocell�f 10 /2 /0 1 P" OF EXTERIOR E14VEL'•OPE AVERAGE "U" CO?iPUTATION OW14ER SITE ADDRESS, CONTRACTOR Com. 7A 1�11�, J;ACJ< DATE I 451 PHONE Determine working square footage of each. 1. Total exposed .wall area . . . . I V-ai IZ-1q. ft. x .19 = 3 • 2. Total roof /ceiling area . . /®R® sq. ft. x.04 _ = 3 r �� Total exposed wall area above floor = 155401, a. Tonal wall window area . . . . . . . . it Total door area . . . . . . . . . . . . . c. Total sliding glass door area . . . . . . . d. -Total fireplace -.wall areae. Total wall framing area (average f .' Total net wall area above floor. g. Total rim joist area .• /o��p IOU is 'e. Total *exposed foundation area = �- }I. Total foundation window area . . . . . . . . i. Tota? net foundation area above grade Determine "U" value of each wall segment. 13-71-71 .X it . 5'� _ 3 a . .111 d. X IOU is e. 1 7, X IOU 11 • � � — sa - - f .--- 1�17 Z , X IOU11 _ g ,q d O l X IIU II b- X X ,IUII IIU" I 'Y7 d� _'aJ 3. _ . . . - - • . . . . . . . - . - . Total. = 1J If item P3 is the same as, or less than item Y/1, you have met the intent of SBC 6006 (02. G Total exposed roof/ceiling area J. Total skylight area . . . . . . . . . k. Total roof/ce-iling framing area . . . . . / 1. Total net -insulated roof/ceiling ]7�`' Determine "U" value for each roof/ceiling segmenta X nun _ k. X Stull /17 1. �'I% �- X Stull 4. . . . . ' . . . . . . . . . Total if total of 04 is the same as, or less than"02, you have met the intent -- .of SBC 6006(c)l. Alternate Building Envelope Design . To utilize the total envelope•system method, the values established by the sum -.of items 03 and 114 shall not be greater than the sum of Items #1 and 02. —,.,---7!Interior Air Film .68 Double Glazed Window 1.00 (single glass w/outside storm) Exterior Air Film -17_ R = 1- 5 1 = u of .54 95 Interior Air Film .68 Triple Glazed Window 2.09 (Dbl pane glass w/outside storm). Exterior Air Film .17 R =-2.94 1 = U of .34 2.94 �1 0 0 -� Interior Air Film .68 1-3/4" Solid Core Oak Dr. 3.07 Combination Storm 1.25 Exterior Air Film .17 R = 5.17 1=Uof.193 5.17 6- 4-1 1 Air -Film .68 1-3/8" Pine Door 1.89 Exterior Air Fila .17 R = '2.7�F 1 = U of .365 . 2.74 'Interior Air Film .68 1-3/4" Insulated Steel Dr 7.48 Exterior Air Pile _17 R = x.33 I' = U of .120 • 8.33 B- Z Interior Air Film .68 ' 1-3/411 Solid Core Oak Dr. .3.07 - Exterior Air Film .17 = R _ 3.92 1 = U of .255 3.92 Ci- 3 " i Interior Air Film .68 - 1-3/8" Pine Door 1.89 Combination Storm 1.25, Exterior Air Film .17 • R = 3.99 1 = U of .251 3.99 - \ 6- 4-1 1 Air -Film .68 1-3/8" Pine Door 1.89 Exterior Air Fila .17 R = '2.7�F 1 = U of .365 . 2.74 'Interior Air Film .68 1-3/4" Insulated Steel Dr 7.48 Exterior Air Pile _17 R = x.33 I' = U of .120 • 8.33 • Interior Air Film .68 Patio Door - -2.00 Exterior Air Film .17 2.85 1 m U of .351_ -'2.85 - ' - Y EI INTOUM AM FILM A7 SME-TROLK 3'/z SOFT WOOF - IC INSUL - SI--ATPSING _ HARMOARD Slb"G IE%TE1ZtM A91Z nLm R A Z(o EZ INTEMOR AIRFU-tA E5 INTERIOR AIR FILM .45 I '/i' SHEETI;OCY - 4.3� 1,22 1.05 -7 .9S Vi S44EETKOC.K 45 3'A" SOFT WOnA 4.38 Vtp INWI- SMEATHING ; 1. Z?- IWO REDWOM OR CEDAR %G- ,S7 E rEz%oz AYR FILM - . 17 U='�i-477=.134 .INTrzv.m A1R F1134 Vk! SlInTgom 3'/i' SC*T WOOD ; '�" IiaSUt„ gHEd�►TN1IvG ' w CEPPA 151D%* ; EXTERIOR AIR FILM R = E4 INTERIOR AIR FILM 3'/z SOV -T WORD 5s' S"ESTwm F -WO M AIR FILM _ U .45 Ve SOFT WOC'JD 4.3a - 4%, IM513L. SVIEATHING 2.05 HAROWARD SIDING 1.05 EXMIZIOZ- AIR PIL M .171 II�iTER10'R A1'�Z FILM - - ..Ice Vii'61E�'C20+C� 45 VIZ7 SOFT WOOD. W32 WWI-. SOEATWwo "t.05 W" REDwoor> oR CF-Vms ,57 EWeRICZ AIR FILM .1? U a Vs. -to - •120 INTEMOR NR 'F1LM do3 .45 3'/s.' SMT Woc* .4.38 Mwu3 It sm. SMEA MINCE Z.05 - . W. CEM 51D)MG .54-- - E%TElZM AIR FILM • 1'7- 1Z. t 8 O7 U = %a.ort = :IZ4- INTEQIM AIV- RUR .o8 W, 5VIEET1~OCSG .45 3'/i" SOFT WmO 4.38 ` 1" 1xuE SlNmr•-OAS► 5.41 HARDBoPXD SIDIAIG _ I wOS EXTERIM AIR FILM .11 R � 12.14 • la.�► ;v� � rel ': V << � !� �7 t'� . Fl F5 oTrEE& m ASR F1UA • - yZy 5�1�� - '. 3`!i'-'6t.111A1SULAT109�1 - �/i' tN�JlS1.,:51.1 �A'T�rlIt�1C� _ HA�.1J�A�A SID1l�:C-r EXTES M AIS RLM s . R U = ,s� ! .O{o9 INTERJOY, .AT9.1~lLM R-11.wp�tl ` LAMOW E�MEIZ M AIR FILM - 14.57 . olb .45 11.00 1.ZZ. .57 .1? 14.08 Flo A05 11.00 .34 - 13.$dn F8 12.88 U 4713 :r7 " 74;;` INTERIM PM FILM Il SiiE£T1'.00.1C AS 3'!L' Ft. -It tNWLA-r%w 11.00 Z�/3i' INSUL. 51AEATH046 2.05 1.1AXDBOAM SIDING? - 1:OS EXTERIOR AtiZ FILM wrl IZ 15.40 U- V6,40 = .O&oS INTEMM AM .Fu a► .. _ � . • .� VC e;ma-TROL.IL .45 - VIC IZ-11 INWLAITICU 11.00 - 1-Vio . tM. WL. S ZATH*1 2.OS '51e REDWOM 07. CLAA_R EWE?JCA AUL FILM .17 U ►��s.97- INTM103L AUL FILM •� Ve SHEET a4 .4S �3i' 1�St1i.. 51iEATHt►s{� Z.OS _`;� ; V27 CEDAR 1 401M& EXTEPUM Al2 FIU4 .17 IZ I4.�o9 U Iq.� -= .Otob INTERIM AM Fitli Ace) Vz, 5wr_Smcy_ AS 3'li R-11 Iw;A)LA'nom 11 .C?0 I" BWE. c5WMOFVAM .5.41 my-P80AIM SIDimco 1.05 EXTEEMIM AIR FIUA . i? CZ Ir , atm All, FILM _ .. vle 1;-11 IW.,-IXATIOU 'JZ lwskx 514EAX141MC9. W REIDWCW OZt.EDAZ WG. EXTEIZIM AIR FILM :. U I`f4.o9 -7.0-71 IINTERtOR AIRFILM _W %MTROCK W R-11 Iit ULATIOM - Ile C.EDAX SIDINC? FXTERIOX'AiR FILM Rs U = %f3.8is:p .0 F4 INTERJOY, .AT9.1~lLM R-11.wp�tl ` LAMOW E�MEIZ M AIR FILM - 14.57 . olb .45 11.00 1.ZZ. .57 .1? 14.08 Flo A05 11.00 .34 - 13.$dn F8 12.88 U 4713 :r7 " 74;;` INTERIM PM FILM Il SiiE£T1'.00.1C AS 3'!L' Ft. -It tNWLA-r%w 11.00 Z�/3i' INSUL. 51AEATH046 2.05 1.1AXDBOAM SIDING? - 1:OS EXTERIOR AtiZ FILM wrl IZ 15.40 U- V6,40 = .O&oS INTEMM AM .Fu a► .. _ � . • .� VC e;ma-TROL.IL .45 - VIC IZ-11 INWLAITICU 11.00 - 1-Vio . tM. WL. S ZATH*1 2.OS '51e REDWOM 07. CLAA_R EWE?JCA AUL FILM .17 U ►��s.97- INTM103L AUL FILM •� Ve SHEET a4 .4S �3i' 1�St1i.. 51iEATHt►s{� Z.OS _`;� ; V27 CEDAR 1 401M& EXTEPUM Al2 FIU4 .17 IZ I4.�o9 U Iq.� -= .Otob INTERIM AM Fitli Ace) Vz, 5wr_Smcy_ AS 3'li R-11 Iw;A)LA'nom 11 .C?0 I" BWE. c5WMOFVAM .5.41 my-P80AIM SIDimco 1.05 EXTEEMIM AIR FIUA . i? CZ INTEMICR Allt FILM INTEMOV. AIR FIU4 VA.7 K-11. MUILATICU -Vle R-11 twwLATIC*4 11.00 11w eA)F.T WOOD 1.e fle SOFT WOOD PJN"WA3.0 STU= .14 EXrEv.-AM AM F)U4 EwTERIDit Nv. r-" L) %.Of U .07Z. IGZ INMMOR AM FU.M INTEMM All. f 3'/z7 9-11 INWI-A-110M 11.00. 3!1-.- V.-Il Mc.AXATICH 11.00 fle 41-OFT WOW 1.28 VC el-CFT WOOD Me PLYWOOD -31 EXTERIDYL AIR FILM —.17 EX-1EXIORML T1M 14.30 v 14.04 L) - V14-S.6 - 070 1:7 G7 INTERIM AIR. FILM IMTEMM AM FIU4' JOS B!W V.-Il IM%LATIM I%.C* Vle P-41 1N6,%XA-V10?4 - 11.00 fle SCF-T Wvot) 1'h7 c.,C*T WOM I.Slb 3/tr CeDAP. 4" FACE IMICA 44 EXTERIOZ AM FlU4 EXTmot Alit FILM .11 14.01 14.17 V4.61 U .071 . . . . . . . . . . G4 INTERIOR AIX FILM Avlb 3/.L'4 g-II IN-50Lawlt*4 11.00 I'le e.;,OFT Woov I.vb EXTF-XiM AIR FILM U 070 Interior Air 8" Poured Concrete Exterior Air Film • - 1 = u of -.4o8 2.45 .68 1.6o .1 R = 2.45 Interior Air Film .68 8" Block 1.11 Exterior Air Film :.1 R 1 = U of .510 196 , Interior Air Film .b8 10" Block 1.19 Exterior Air Film •1 R = 2.0 1 = u of A90 2.o4 _ T-3 Interior Air •68 12" Block 1.28 Exterior Air Film .1 R = 2.13 1=Uof..47 2.13 -- 1-g S NOTE: 1" Styrofoam Supplied by Customer Interior Air•68 12" Block 1.28 1" Styrofoam 4.70 Exterior Air Film ,�•1 R = b. ts3 1 = U of .146 9.83 Interior Air 8" Poured Concrete Exterior Air Film • - 1 = u of -.4o8 2.45 .68 1.6o .1 R = 2.45 ' - - - nterior Air Film • .61 ' -" Gypsum Wallboard .45 • ' " SY, Soft, Wood 6.88 • ' _ Interior Air Film' - .61" • '.'. _ Rd 8.55 - '. ' ` •.. • ' ' • - 8.55 - � •. - :: • • .. • � i ' • •' . . • • • r r.. , - � S' • .2 ' — r �.-• ' ••• .i . : 2 • � : , ..ice .. +... . Y -mT.erior Air elm .61 �Gypsum Wallboard .45 ' R-19 Insulation 19.00 Interior Air Film .61 R = 20.67 1 = u of .o48 20-67 ++a vct l Vl' J -L L r X.Lm 00-1 2'.Gyps= Wallboard ' .45 10" R-30 Insulation 30.00 Interior Air Film .61 . R=317 1 = U of .032 31� .67 , r l.uu . u i . •" Gypsum Wallboard .45 12" R-38 Insulation 38_00 Interior Air Film .61 R = 397 1 U of .025 397 � r x ++a vct l Vl' J -L L r X.Lm 00-1 2'.Gyps= Wallboard ' .45 10" R-30 Insulation 30.00 Interior Air Film .61 . R=317 1 = U of .032 31� .67 , r l.uu . u i . •" Gypsum Wallboard .45 12" R-38 Insulation 38_00 Interior Air Film .61 R = 397 1 U of .025 397 • s 1 - 1 •pp Ss Dia =B g� ;;;11 S ;IoSRAai3a s � I i I f T T o 0 I � 0 o q T cz �o m N n � T > I . I T' Ni 1 Znm �o to .d - d N N ?1 d m . 9 2), 1. TM , jr I F TYPIEi 17 ides of itsd, reb- deld4ed A 6'vefwl -t ime"Sions'.16e to -vie 4V=1 1. A tic beaN Flo k no A d R% - -0 , I-ocations, STRUCT M esignt 'at d e ba sec! on FNA Date. Ifuss Bulletin J3 -�J4 6 Jd je Zx XT� , 5; -• v 0 V jj I A6k, 4r ST Rla-7 5S 777 f.4 't —, ;.ce A o Ic 2:7 CL, 75P i sir; *7iV 5? 7 -F,-W s. ms`s a 'si ±'l1s'� 'VN'NN p�7 a/_✓ zs f; ' r . _ � r ! .� � -_ - '. �` I G-4 CF 'x AI.CV 5 ' J'i'' tQ_ `?J'�Glj 7 ` i r t' C^61.#f circ rr �.•' ., 9.r ; t�� :14141 -3.y' --� — -- °----- - �' n .e!OARagjq Ie:ole pvt C A• .. a;�d; y� ppV �d/'S� `i i./ !'-f �� ;l/�.i - :I ' %:` y� �� 'y �; •F1411� V R~moi!✓ ita' ./:taqu�e. ts�: �o►}aauU�a JHaNI ?7 ~ ' ,BID . OZ. 3Ilvvio- til; -- lo.L 0totd to pomolle IV0, ;n +"LT 443.1@B 9tagW4Uj `dwo7 lid uo11e'!igeo of J C aC g4tAlsBilt. �I��+tt�p. Qa�}. s•s�l�eulfAo!11�Pg't!tu{i�lve: ay>P� ��j uo psjojfJ4°; 4q ^ sL1u3 �Pf��; ssniul�ea�buo 4104 014 aatidde as iyetm sajald g•:s.0�,aa�pIodIpS,-fl ;VdAN rs� V,idl ob sujjoiuoa v6osaO 'as;®y . -® ' 1 Nil ia�' LTJ- d7cl' t.3o� a+�u57r dev�reaz . j M$Y .. iV • i - r -� - n• i CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL ' x`c93.00 $ SO x .yip00 $ Oo x $2.00 M x $5.00 $ l x $5.00 U x $9.9 go X d $ Water $ M M x Oil AO $ x $1.00 $ W $5.00 $2.00 $ State Surcharge iM TOTAL FEE Heater om .+ m c M Eiu N G C ro d a�w w 4 0 M C 0 3 U -44 O 8 E7 .0-4 0 i O 2 u a 3ocawv� ;. wtto � 3 � � as lec 1st I ( I 2nd 3rd 4 th (R) - Future Connection Opening ewer Connected with :Water i*) = New Fixture, Old Opening PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL ' x`c93.00 $ SO x .yip00 $ Oo x $2.00 $ x $5.00 $ l x $5.00 x $9.9 go $ x $7.00 $ x $5.00 $ x $5.00 $ x Oil AO $ x $1.00 $ X $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ s" mj REINSPECTION FEE ($10.00) Job Address 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 roprosontations stated in this application are true and correct Fridley, Mn. P�' s(� , 19 OWNER��- KIND OF BUILDING USED AS TO BE COMPLETED ABOUT -pp t I ESTIMATED COST 9 &-\--) OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company \ vv"V'InCr� `L*(10 CD- )(JC - Signed By - SN44 h—%--aeA Tel. No. �Ztio 4`�d n'CwA ROUGH INSP. Date FINAL INSP. /9 -//-,Vj Date APPROVAL FOR PERMIT _r,i to.. -Do MINIMUM FEE FOR ANY PLUMBING PERMIT IS $9r5a- PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner $ 20.00 $ 01C Gas Piping $ 10.00 $�� (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations 18 of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ State Surcharge $ .50 TOTAL !EE $ ,0. Reinspection Fee ($15.00) $ Rough Insp. F� 25- / Date Final Insp. Date Approval for Permit y,o"g MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits Job Address Effective Aug. 1, 1981 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. � r f� Fridley, Minn.. OWNER ( ! (d/ KIND OF USED AS TO BE COMPLETED ABOUTS ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER , Steam, Not Water,a Air NO.. Trade Name Size No. ,&(.31-3 - X0'0 Capacity Sq. Ft. EDRAZot,%TU HP Total Connected Load Rind of Fuel/I aa (r -,0f5 BURNER - Trade Name Size No. �7'Y/ r�'�� 11"OUE> Capacity Sq. Ft. EDRBTU HP Company -"c Signed By [s Tel. No.�%�� / i ' i .rs.a.� WindowsI Doan Reference Out. Wap �o Yes 0 19- 1- R.1figdW, Room I Length /� Width Windows and Doom--Crackage and Area Width I Height No. of Lineal t Area No. of pane of pane lights of crack so. tt. --I V R I gid. 6 l 2 1 A J. do 4 Exp. wall Net e.- p. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or set. ins. WA Leader area Room I Length 3 I Width Wmdows and Doors—Crackage and Area ldtk Height Na of Lineal It.Area Ne. of Waco eR Wane Ush" of crack es. ft. �___�_® ASM Glace Ell, wap ,� y Net cap. wall Int. wall Ceiling Floor AA Total Btu. Required sq. ft. E.D.R. or sq. ins. WA 4ader area Fl.I Room (Length 40, Wild: Windows and Doom--Craekage andAnn r 'ARTMENT OF INSPECTION iVIINNEA Condruction No. Insulation ell CeilingRoof Floor Kind How ieight A II / Fl.I i � ®� Room I Length i3 � Width Btu Clay, ® O &p. wall y � Net mp. wap Int. wap Ceiling o� Q Floor r! Total Btu. Reanind so. ft. E.D.R. or so. ins. W.A. Leader area Windows and Dion--Crackage and Area Width Height No. of Lineal ft. Ar" Na of pane of pane lights of crack q. CL 0� Room I Length 3 A Width Windows anOf Doors--Craekage and Area Width No. of pane Ar Height No of Llaeal ft.ea of puns Hghts of crack sq. R. Coef. Btu Latration –! f, ,"/ Glass r Exp. wall Net cep. wall /p Int. wall Ceiling / J Y Floor ffe Total Btu. Required sq. ft. E.D.R, or sq. ins. WA Leader area Fl.I Room I Length 3 A Width Windows anOf Doors--Craekage and Area Width No. of pane Ar Height No of Llaeal ft.ea of puns Hghts of crack sq. R. 1,1. 1' 1 �2a-) /--2' 1 iA,. 1 .2-9_/9 I IAA Infiltration 6 Glass d FmL wap o� Y Net exIL wap Int..wap Ceiling • 3 Floor Total Btu. Regoaad sq. ft. E.D.R. or sq. itis. WA Leader area F1. Room I Lengthy 3 }' Width Windows Oda Doon--Crachage andWidth Area I 14mal EL Ana No. of paao Height vaine HghtMe.tss of crackk,. tt. _o - / . . 0 -2 .� t, -:V� --a :rs. ® n In6itsation Clan Exp. wap Net vM. wall Int. wall Btu �HIF�771/ltSF_'� ►�S%C-_� t�:t� tt��;�' • ra 7 SUBJECT PERMI City of Fridley 17633 AT THE TOP OF THE TWINS BUILDING PERMIT r REC COMMUNITY DEVELOPMENT DIV. .: ------ ; PROTECTIVE INSPECTION SEC. /3/33 1 . � _---5 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6/5/84 JOB ADDRESS 5832 - 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE E. Andrajack 5832 - 3rd Street N.E. 571-9082 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 20' Second Accessory Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Special Use Permit approved 5/21/84. Provide a hard surfaced driveway to new garage off alley. WA is r, SEPERATE PERMITS REQUIRED FOR WIRING. digging call local utilities HEATING, PLUMBING AND SIGNS- Beton tC- ONE. ELECTRIC - GAS E TELEP RE U IRED 8Y LA TYPE OF CONST. OCCUPANCY GROUP 'OCCUPANCY LOAD SEPARATE F ERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATIN 3 OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMBECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZE IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREE PARKING ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY C RTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION Z STALLS GARAGES VALUATION SURTAX AND KNOW HE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,380 $2.69 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHAR E DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $59.19 SI UREOFCONTRACTOR UTHORIZ DAGENT (DATE) WHEN PRO PERL ALIDATED THIS IS YOUR PERMIT D tE 17 G A E OF OW ER OF OWNER BUILDER) 41IDATEI ra 7 NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Jam- --4 J- -� S 7 G � Legal Description: L® / 7Y -T' h -if E P Property Owner/Address: ?S a-- ,� /2 T % �� ^ Tel. # Contractor: S z5- L )7- Tel. # Address: L.� .71 -0-- - � R- S l ( � 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. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Td" Hgt/Ground Sq. Ft. Sq. Ft. 'c d Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: X25?A /M 6 Estimated Cost: Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation p � DATE: Z�APPLICANT: Tel. # ✓�� l Off' �- Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge CITY USE ONLY $ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �- $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ = —) Y / 9 STIPULATIONS: ��FH(__. 5 Y SP #84-06 Edward Andrajack 18 10 ARK vi For EDWAAio ANDRAJACK SFA. LOTS -7 2E ► HYI)F- PARK F N r E --- 130.48.,4 'o 7, 33 3 —WAY Ole r. --130.48- -- bif LP44 i --E; ic cc,,re::t teE,-5, a !,�,vev cl 7,v tris ln�D -)Pr cl a.1 -c o,! 3-,c i,,! if al�".. D.. I' 1 a rT, i; c i vc-. %d,:. 7- -mnnosota 55369 (612) 425-2181 e 0 o 0 .moi J i --E; ic cc,,re::t teE,-5, a !,�,vev cl 7,v tris ln�D -)Pr cl a.1 -c o,! 3-,c i,,! if al�".. D.. I' 1 a rT, i; c i vc-. %d,:. 7- -mnnosota 55369 (612) 425-2181 e 0 �� SUBJECT PERMI City of Fridley 16 S 8 AT THE TOP OF THE TWINS BUILDING PERMIT ' , RECE T NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ^ I✓ t NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 IL---- 612-571-3450 910-F15 12/4/92 JOB ADDRESS 5832 - 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Andrajack 5832 3rd Street NE 571-9082 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 101 x 13 c 'Three Season Porch. on top of existing deck (W/O Windows) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. See letter dated 12/4/92 on existing footings. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 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 $2,000 $1.00 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- STRUCTION_ OR THE PERFORMANCE OF CONSTRUCTION. $45.00 Fire SC $2.00 PLAN CHECK FEE TOTALFEE $48.00 SIGN RE OF NT AC OR ORAUTHORiZEDAG T tDATEi Y VALI T THIS IS YOUR PERMIT "HEOP -r BATE SIGNATURE OF OWNER t)F R BUiLDERi IDATEi �� NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: C:5-' T I ;,- — -1 5 % � A Legal Description: Owner Name & Address: _ � ��'64 C� � 3 ' I k P $ rTel. # J—? Contractor: "V MN LICENSE # Address: -?" — � b- 0 5 / %l �a ` Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length /® Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. 0 Corner Lot [ j Inside Lot [ Ft. Yd Setback Side Yard Setbacks Type of Construction: P,, gL# Estimated Cost: $ Approx. Completion. Date. i4 All /,J° P e-I7FN p S , /60 TV %� o (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge Q � APPLICANT: rA140", Tel. # $ X00 $ 2,00 $ /.,go $ —6— License Surcharge $ Driveway Escrow $ Park Fee $ `® Sewer Main Charge $ ` TOTAL STIPULATIONS: $ ic 00 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] December 4, 1992 To: Building Inspector Re: 5832 3rd Street NE, Fridley MN 55432 I have submitted a pian for the constriction of a three season porch to be added to the deck that is existing at my address noted above. I verify that the footings for the deck are at least 42 inches deep and in excess of the pian drawing for the porch. ED ANDkMAQ 5832 3rd Street SP #84-06 Edward Andrajack <. 18 K 1 FQr_ EDWARD ANDRAJAGK SR. i HYDE PARK r j I 1 r ^FF:.:L :p _ a G i (10 - # �. c`' ,�� - - •G �Q ASE a • • �• I 2 � ' PR viF WAY `►i fi` � - -130,48• - -- -� � � cry _ �r •r- ?v !1121 :1�1: i^C Ci•-fF; te,, - "ta ... 1.•. I 1^7 .^,i ?' • ...... C� ci � : J 1-. �: '1`f fi'.^• 3-•C 9. c•1... {+• ...� .c•i!S �+ ..'�. �' i' '1.. � .�� .L .. :1. 1 VII t _ m l;nt�sct� 55369 (612) 425- 2181 egr- tip eco 3 4,as lr- f - Engineering WATER AND SEWER Permit No.. � �,6 ,_ 763-572-3552 PERMIT APPLICATION Received B fax CITY OF FRIDLEY �d O: ,xk3-�'71-1287 EFFECTIVE 1/12010 Da APPLICATION DATE: YJ YOUR E-MAIL/FAX: _ THIS APPLICANT IS: ❑ OWNER ❑ CONTRACTOR JOB ADDRESS: NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: OWNER/ TENANT ADDRESS: �� ✓�v�3 ll=.Ci T Gz,��C CITY A/i 1,eV STATE�ZIP PHONE:_ �- 5 7/— f--CONTRACTOR CONTRACTOR NAME:�T2S 4,)c, % e, a SUBMZTA COPY STATE OF ADDRESS: 6) 0 y t ai.�Y /�G/P A/ CITY 111 �OS STATES ,Z -ZIP LICENSE WITH PHONE _!2 ,7N9_'Z Z CELL PHONE: Zo_& .l APPLICATION STATE LIC # 2- 3 STATE BOND: EXP DATE: 1. Narrative/written deription: _ 2. Please attach sketch showing curb line, utility line, building, etc. with distances on1back page. 3. Stipulations: '0. 1 �C14jrWt, L 6727 3,55 Z- AD -4- k5PXe Lt 62 y- 4,rj,,- PERMIT TYPE D. SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 ❑ WATERLINE REPAIR $40 -., SEWER LINE REPAIR $40/E; _ ❑ ADD STATE SURCHARGE $.50 D SAC CHARGE @ $2100 = e � n TOTAL $ , OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST – SEE UTILITY BILLING SPECIAL ASSESSMENTS – SEE FINANCE WATER TAP – SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF /EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in nfonmance with the ordinances and codes of the City of Fridley. I understand this is not a permit but only an application for a perm] an work �n t to start without a permit. z SIGNATURE OF APPLICAN f 3 G -PRINT NAME: 1,;2 Z600 l`t DATE: APPROVED BY: DATE: I� COPY G N Td ❑ U ITY BILLING (only if new meter) ❑ PUBLIC WORXS ❑ ENGINEERING City of Fridley, Engineering Departmenti�`' 6431 University Avenue NE, Fridley, MN 55432' 763-572-3552 FAX: 763-571-1287 6,(-t �,l � L 07�Qe IN v