PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N°5 9 5 z
Date: A46
Owner: ! -.w-- Bull L
Address ___w____ _ Address
OC OF BUILDING
No.� Street Part of t
Lot __ Block Addition or Sub -Division.
Corner Lot _ .— Inside Lot __ _–__�___ __ Setback _ _ Sidey --,/
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used �,
nt ' Depth A Height Sq. Ft.: Cu. Ft.
Front _ Depth Height _ Sq. Ft. Cu. Ft..
Type of Constructiopy__ Fast, 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
ordinances of the city of Fridley.
In consideration of the payment of a fee of
permit is hereby granted to_
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon viol#kk"f any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, Sewer or water. Be sure to we
the Building Inspector for separate permits for these Items.
«._ 0Q10.4 0 ..
Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
NO RATE TO AL
1st 3 Fixtures .......................
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ....
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ..
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour ....................... 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ..... ................. 5.00 $–
--
GAS FITTING FEES:
NO RATE TO AL
1st 3 Fixtures .......................
x $1.50
$ 1
Additional Fixtures ...........
... x .50
$
Gas Range to 200,000 BTU ..........
x 2.00
$
AIR CONDITIONING
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and
®correct.
Fridle Minn_ A11G
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ Q�
ew uilding Permit No. �`� Permit No.
DESCRIPTION OF WORK
HEATING ori , Warm Air—No—
' s
Trade Nam Si,7e No�So7 7 �/O
Capacity Sq. F't E 4¢0 4a4TU H.P.
Total Connected Loa014Vn y `Mind of Fuel
BURNER — Trade N ' y Size No - a
Capacity Sq. Ft.Hp
a GEO. SEDGW ICK HTG. & AIR -CO O
1001 Xenia Av. S.
Minneapolis 16, Minn.
Signe
By
<Z ZM Business Phone o
(REMARKS—OYER)
At'?�q�/n y.PrT-t-'A^t.•r!D w-Kt� ��''^�^^� �aj (?,.T r��R•.n�R�y1 [/7j`��n^,>.; �+r+� ��/C .!Iq �',...t}4tR. F9"•.^i �T'^`nr,..r?�.�, ��¢]��
er tJ`b vF(ai �I 'l �fi'� ®fls'0V '�.n�C i¢� Ci.dS•A -tl W.ic„p®Yw'.1•:I.g C®'4Y YCi'4Yt Y'V�.9 4r4 Cp1i Sli rtLi l'�i g Y�.+fiiJ4•m.-W li rfiY {i ii°f� C"SYY+LI
1� �� qq g� • a iY� e�g r�o. V
PARTIAL RATE SCHEDULE
GRANT iT WARM AIR: RXIVE TOTAL
1``artaace Shell & Duct Work 310.00 �
Replacement of nrnare 6.00 $
Rcpair% & Alterations— up to 5500.00 6 00 S
Repa:rs & lteratloas each add. 5500.00 3 ()J $—
NXCI-L WARM ATR
F' zrrace Shell & Duct Work to 120,000 BTU
e --ch add. d .WO BT -LT
Repiacernmt of Flarri .ce
R pairs do Alteratiors—up to 5500.00
P--palrs a Alterations each add. 3500.00
STEAM or HOT WAITR SYSTEM
$1000 $
3.W $
600 3 6
6.00 $
3.00 $
F'-rr_ace Shell & Lines ---to 400 sq. tt F.DR Steam $10.00 t
Furnac,- Shell & Lint—to 640 sq ft. EDR Hot Water I000 S.
Each add 2011 sq. ft EDR Steam 3 on $
Each add. 320 sq. ft EDR Hot Water 3.00 $
OIL BURN-Z?—to 3 gal. per hour 6.00 S.
over 3 gal. per hour eee Fee Schedule
GAS BURNER (up to W9,000 BTU)
over IS9.000 BTU Soo Fee Sckedulo
GAS FITTING _-"r.F.S: NO RATE TOTAL
—_ xS 200 $ a A .='-Y
— r. .75 S_._. —..
xS 5.00 3 _
State Surcharge . 50 h a o / °®
2.00 ramcl.u]er
T7✓iAI.. a•�
8.00 3-,,-ka = /O
Ist 3 fixtures
Additional Fixtures
Gas Range to 199,000
AIR CO.—M51iIOKI3IG'
FAN. =:i-XG STE713
�v SY sig
ALs�,iLp.4°iC�B ffi T.EPitI�
Fi7�rt,�
l6pt. of BIASO. PhoneLo-uso
City of Fridley:
The a:nders'gned hereby makes application for a Hermit for the wont herein
specified agrc-eing to do all work an strict accordance with the City Ordinance`
and r:lirg.of the Depa:tment of Buildirgs, and hereby declares that all the facts
and rcp,.,sPntetiuns stated in this application are true and correct.
Fridley. Minn IS
(.owner��1
Kind of Buildin,
Used as
To be completed about r„ =% — /
Estimated Cost; $ ®za-rx
Old—New. Building Permit No. ____ __ — permit No. 4,3
Dr..". r—?IPTIOs`i or WOR.i
HEATING or POWER rL At,NT."r,- term, Yet Water arm Air No
Trade Name — Size No- "s —/as
s
Capacity-- —_ Sq. n E.D.R Hp
Total Connected Le»d Kind of rluz
BURNER — Trw4e Name Size N
Capacity Sq. I, EM.R BTU - MO,
ieW
m
G
SUBJECT
PERMI
City of Fridley
6964
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RE
COMMUNITY DEVELOPMENT DIV.��
V _ _
i V --�
� � PROTECTIVE INSPECTION SEC.
r
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
� CITY HALL FRIDLEY 55432
612-571-3450
910415
8/3/98
JOB ADDRESS
5942-5940 4 St NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
HO11 Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James Krlma 5942 4 St NE
572-2694
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Basement remo el w o acement
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO 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
800
.50
DOES qT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PR ISI NS OF ANY OTHER STATE OR LOC LAW REGULATING CON-
S UCTI NOR THE PERFA CE O TRUCTION.
$27.60
Fire SC .80
PLAN CHECK FEE
TO FEE
8.90
N' OR OR NO D AGENT i
EN ROP
VALIDAT THIS IS Y R PERMIT
i Na URE iF WNE BU DER,' IDAT
LFO.N
r• 33L INSP
.r
DaTE
G
NEW [ ]
Effective 1/1/98
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION�����
ConstructionAddress:
J-7 7 `'
5- % V (1"4" Sy
/t)f—
Legal Description:
Owner Name & Address:
S
LL
e S-� �/ LTel. #
Contractor:Ce-
A
o;,!2OC.�v► f tt
MN LICENSE #
Address: ,- 96(Z
L%-1-4 S f
NF-
Tel. # 5 -?d -069Y
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EWPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGEAREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: (e Estimated Cost: $ 0'6
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: $ APPLICANT.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$�2 ,,G�) Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ , g� $.50/$1,000 Valuation
Tel. # S%�)
$ $1000 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$
SUBJECT
P IT,NQ,�
City of Fridley
313 7 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
I� /®
i
1 = "1 CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�.j 612-571-3450
910 -FIS
9/8/00
JOB ADDRESS 5940-5942 4 Street NE Address change to 5942 4 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Holly Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
James H Krcma 5942 4 Street NE
763-572-2694
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
Double
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION) REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
REMODEL DUPLEX INTO SINGLE FAMILY HOME - Permit
changed on Marcti 7, 200t.
9 CHANGE OF USE FROM TO
STIPULATIONS
See plans for notations. Separate permits required for any
electrical, heating
or plumbing work.
Additional permit fees added below. Additional $400 value,
$12.20 permit fee,
$.20 State SC, and $.40 Fire Surcharge added to March, 2001
reports.
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 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
2
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
ORDINANCESAND I
$2,000
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF AO PERMIT
W •7"
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
2.00
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC -
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
-W-45- $69.25
:f8
PLAN CHECK FEE
TOTAL FEE
-59-.4.-5 $72.25
Si NATURE OF CON: A T r RIZEO AGENT �DAi
��Yb�
HE PROP VALIDAT
Bl �NSo
THIS IS OUR PERMIT
QAT
SIGNATURE OF OWNER�6 WNER 4DERi tDATE�
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: 517 o d �� ! a- L/ � ST/"l f—
Legal Description:
Owner Name & Address: (i7 1m .(q P f Tel. # ���7 y
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 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: ,� F04F,✓ �- F//Z/45A'S— Estimated Cost: $ 41006. I-V
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 6) APPLICANT. �
Tel. # a
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$'� (�
Fee Schedule on Reverse Side
Fire Surcharge
$ l (v0
.001 of Permit Valuation (1/10th%)
State Surcharge
$ C
$.50/$1,000 Valuation
SAC Charge
$
$1100 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
$ �S
STIPULATIONS:
C1ose-iz--
to" "
C-*pE7)
c (CISE�
._
�,Trury R�
v,vPwIsk,o
� , 0 (,� *k-P.F�
%J /Z oo#, � iI. LrN L�vr�
�� 7 w�s11--6rleecAf `"
W
v�
G�oaOa�/
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [°� SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION►
Construction Address: 5-q 4a 41
Legal Description:
Owner Name & Address: UWIES J6W ±S ae+ 4 Tel. # I � -
Contractor. ame Or, ,n er- MN LICENSE # 6e-
Address:
cAddress: LL02 Tel. # '1<'
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. R.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: Qcyyy-n6 ( aa1es, IA TIZ Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Call (763) 572-3604 for Permit Fees if mailing in application
$ m s 0
. r 7 Fee Schedule on Reverse Side
Tel. #
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1150 per SAC Unit
(State Licensed Residential Contractors)
"A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
1�dll, 2 ( /I
STIPULATIONS:
ffi
�
i
t,
rn� I
T'
•t,
N'
�f
T•.I,1 �
ffi
�
jw
I L
I I
A
ffi
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763) 571-1287
PERMITO.: 2004-00632
DATE ISSUED: 05/04/2004
ADDRESS : 5942 4TH ST NE
PIN : 233024210083
LEGAL DESC : HOLLY TERRACE
: LOT 1 BLOCK 1
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 72,972.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 35'X 22' GARAGE ADDITION WITH 25'X 22' LIVING AREA
ABOVE.
APPLICANT
KRCMA, JEAN & JAMES
5942 4TH ST NE
FRIDLEY, MN 55432
OWNER
KRCMA, JEAN & JAMES
5942 4TH ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
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 provisions of any other state or local law
regulating construction or the performance of construction.
BUILDING PERMIT FEE 804.75
PLAN CHECK FEE 523.09
FIRE SURCHARGE 72.97
STATE SURCHARGE, VALUE 36.49
TOTAL 1,437.30
PAID WITH CHECK # 6364
Bldg Ins
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Q
S
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: Tel. # (/
Contractor. MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the L�
lot with thero osed construction drawn on it to scale.
P P �1
DESCRIPTION OF IMPROVEMENT
LMNG.AREA: Length �J Width �� Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
Sq. Ft '77
Sq. Ft� -
Sq. Ft
OTHER:
Construction Type: c � timated Cost: $ � �e
9 09
Driveway Curb Cut Width Needed: t2 Ft + Ft = Ft x $ _ $
DATE: lApPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if ma' i 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
TOTAL
$ Fee Schedule on Reverse Side
$ Fl 65% of Permit Fee
$ Zj, .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1350 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 [ ]
$
/597. a
STIPULATIONS:
2:390d
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05/03/2004 07:55 7637869088 MENARDS PAGE 01
I!PORTANT TRUSS INFORMATrON-lot
INTER -COMPANY MAIL
1 AMAM MIDWEST
MANUFACTVRINO
TRUSS SPECIALS
DESIGN DEPARTMENT
COVER sifEET
TOMENARDS— BLAINE
ATTN: TOMT CC/SALES
OF PAGES INCLUDING COVER 4 DATF,,5/3/04
RE: JIM PREMIER SDG
80C# BLNE30025107
ATTACHED ARE coplES OF ALL SPEC SHEETS, TRUSS LAYOUTS, AND DETAILS
AppUcAaLz FOR THE TRUSSES ORDERED PLEASE PORWARD TO ERECTING
CONTAINS RUORTANT BRACING AND
CONTRACTOR. THIS INFORMATION
PRECAUTIONARY NOTES.
PLEASE NOTE: THESE SPEC. SHEETS REPREBBNT HOW TRUSSES WILL BE BUILT.
PLEASE vEpiry WITH ERECTING CONTRACTOR THAT MME WILL WORK FOR THE
APPLICATION HE/SHE IS INTENDING.
;j
IF THERE ARE ANY CHANGM NECESSARY PLEASE CONTACT THE MIDWEST
MANUFACTURING DESIGN DEPARTMENT AT ONCE.
THANK YOU FOR CHOOSING MIDWEST TRUSS FOR ALL YOUR TRUSS NEEDS
PLEASE LET US KNOW IF ALL PAGES
TRALNEWaTTED WERE NOT RECEMD
THANKYOU
jolm Wigging
tn"T M A aNl T H19 n I r-CkCC QJ M C 7 J
MAY -3-2004 MON 08:57AM ID:
I
itcn-Ml QnbjwKl*2fd 13-1 1.1w Qh!o
PAGE: 1
05/03/2004 07:47 7637969GS6 MENARDS PAGE 0--
'CAUTION
=
'CAUTION *** WARNING'
***READ BEFORE USING TRUSSES***
GQ NOT CUT
TRUSS MEMBERS
UNLESS INSTRUGTkD BY
MANUFACTURER OR
PROFESSIONAL
ENGINEER
DO NOT DRILL
NOTCH, BORE. ETt.
INTO TRUSS MEMBERS
DO NOT
OVERLOAD
WITH COMM RUC ION
MATERIALS
DO NOT
ALLOW WORKMS TO
WALK ON UNBRACED
TRUSSES
DO NOT OUT BEYOND OVERHANG, OR ALTER THE TRUSS IN ANY WAY WITHOUT
APPROVAL OF PROFESSIONAL ENGINEER OR TRUSS MANUFACTURER.
DO NOT STACK CONSTRUCTION MATERIALS ON FLOOR OR ROOF TRUSSES GREATER
THAN DESIGN LOADS. SPREAD MATERIAL OUT. DO NOT STACK IN ONE LOACATION.
* TRUSS CHORDS (TOP & BOTTOM). MUST BE SHEATHED OR BRACED AS SHOWN ON
TRUSS DRAINING. UVEB MEMSERS MUST BE BRACED AS SHOWN. THIS BRACING IS
REQUIRED FOR LATERIAL SUPPORT OF TRUSS MEMBERS TO REDUCE BUCKLING.
THIS BRACING IS NOT ERECTION BRACING, WIND BRACING. PORTAL BRACING, OR
SIMILAR BRACING WHICH IS PART OF THE BUILDING DESIGN. ADDITIONAL BRACING
OF OVERALL STRUCTURE MAY BE REQUIRED, SEE BUILDING DESIGNER. FOR
GENERAL GUIDANCE IN STORAGE, HANDLING, BRACING, ETC FOR TRUSSES—SEE
HIS -91 SUMMARY SHEET BY TRUSS PLATE INSTITUTE (TPI, 583 D'ONOFRIO DRIVE,
MADISON, WI 53719)_
ANCHORAGE ANDIOR TIE-IN COMPONENTS ARE. RESPONSIBILITY OF OTHERS
UNLESS SHOWN,
DON4OTWFFSINGLE
TRN 8'2S BY ONE
BEARING LOCATION
POINT. o114
OdgE PDX S,
Wo Mfdr18ERS.
STANDARD INTERIOR 13FARdNG'
(END OF TRUSS) OR CANTILEVER
1— ovEatNAxGSTORING
I /
�iaa�m m
!)SE CARE HANDLE tG AND
TRwsFA. RM TO YHE H115-
91 SUMMARY SHEET MENTIONED AW#%
I eNma4lntlnn
FOR RECOMMENDATIONS
Tr
SEARING poK
AG
rNOTOR
sNmw ON muss
MAWING
ON
AM N iI>,QWEST $231 Kane Road
OR
Eou Claire, WI 54703ES
rozz d ' d 3N I U-19 Ol 99SS S48 S T'L ° 5sfl?il SaHUN3W N3 WU 94 : S b002
MAY -3-2004 MON 08:49AM ID: PAGE:2
m
WA
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release le
Data filename: C:\Program Files\Check\REScheck\rescheck calcs.rck
PROJECT TITLE: krcma garage addition
COUNTY: Anoka
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/18/04
DATE OF PLANS: april 18 2004
PROJECT DESCRIPTION:
two level garage addition on existing structure
DESIGNER/CONTRACTOR:
home owner
COMPLIANCE: Passes
Maximum UA = 312
Your Home UA = 192
38.5% Better Than Code (UA)
Furnace 1: Forced Hot Air, 88 AFUE
Air Conditioner 1: Electric Central Air, 13 SEER
Proposed and Maximum U -Factor Averages
Proposed Maximum
Average U -Factor Allowed U -Factor
Gross
Glazing
Area or
Cavity
Cont.
or Door
Perimeter R -Value
R -Value
U -Factor
UA
Ceiling 1: Flat Ceiling or Scissor Truss
748
38.0
38.0
10
Skylight 1: Vinyl Frame:Double Pane with Low -E
6
0.310
2
Wall 1: Wood Frame, 16" o.c.
748
19.0
19.0
25
Window 1: Above-Grade:Vinyl Frame:Double Pane with Low -E
24
0.310
7
Basement Wall l: Insulated Concrete Forms
748
50.0
13
Wall height: 4.0'
Depth below grade: 2.0'
Insulation depth: 4.0'
Door 1: Solid
128
0.310
40
Door 2: Solid
21
0.310
7
Door 3: Solid
21
0.310
7
Floor 1: Slab-On-Grade:Unheated
112
50.0
71
Insulation depth: 4.5'
Floor 2: All -Wood Joist/Truss:Over Unconditioned Space
748
38.0
38.0
10
Furnace 1: Forced Hot Air, 88 AFUE
Air Conditioner 1: Electric Central Air, 13 SEER
Proposed and Maximum U -Factor Averages
Proposed Maximum
Average U -Factor Allowed U -Factor
Above -Grade Windows and Glass Doors 0.310 0.370
Includes Foundation Windows > 5.6 ft2
Skylights 0.310 0.550
Floors Over Unconditioned Space 0.013 0.033
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 RES checkVersion 3.5 Release le (formerly MECchec� and to comply with the mandatory
requirements listed in the RES checklnspecti Checklist.
Builder/Desigr� ^ Date_ y
Land Planning efa 6875-Ayhnoy OCS A/.E.
Land Survey, y Minnea�nlis 21,
SoilsTejhiy ENGINEERING, INC. "'1n'c5°la
Civil & mVnicipal Mimi 440"
byhremn E/79 ineers c SurvecJors —
certificate of surv'eT for DWEI__i-iNG`, INC.
31A 11N ,
SD19
I
10
1h certiry #W /his is a bw arrd anracf represeafofron Of e sLVrttf elk bow doiles qr//,r 464mr d c14brd land, dnd
/orvfii�n gl'oll 6uvldm9s , Nxiecn , avx/d/ visible aw»vrlimenfs , ��'a y. fm or w roid /araad. As surveyed Gy mw lfas _ cbtj
a'a ��' SUB URBAN ENGlNEE21NG , INC.
L TTS Fr Sunt ors f
a
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 k'AX: (763) 571-1287
ADDRESS : 5942 4 ST NE
PIN : 233024210083
LEGAL DESC : HOLLY TERRACE
: LOT 1 BLOCK 1
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT NO.: 2004-0125913
DATE ISSUED: 08/05/2004
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. BURY MAIN OVERHEAD.
1;1
APPLICANT
KRCMA, JEAN & JAMES
5942 4TH ST NE
FRIDLEY, MN 55432
OWNER
KRCMA, JEAN & JAMES
5942 4TH ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
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 provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date.
ELEC AMP SERVICE FEE 30.00
ELECTRIC FORM FEE 1.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 31.50
PAID WITH CHECK # 6393
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABUVE.
0, P1
Building
MECHANICAL
Permit
Inspections
RESIDENTIAL APPLICATION
d
Received Y:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: DOWNER OCONTRACTOR
PROPERTY
OWNER/ADDRESS:
NAME: 1 -3C( - y ^c v �
Sri CITY l STATFQ�ZIP S�z(
TENANT
oL
PHONE: ��
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
PERSON:
CONTACT
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WTTH
ADDRESS: CITY STATE ZIP
APPLICATION
PHONE FAX
PERNIIT TYPE
PLSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
0 NEW 0 REPLACEMENT ❑ ALTERATION/REMODEL
DETAJILED DESCRIPTION OF WORK /1 We -�—
PER MS 1613.665 the permit fee is a minimu OF o U1 Lue 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 $``1,_0.0.•0 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
Equipment Installed MFG: � tit t MODEL: 1d � SIZE/BTU
�� �
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
NEW GAS GRILL $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00
UNIT HTR $10.00
_ BOILER $35.00 _FURNACE $35.00 _GAS
LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
VENTILATOR $1500
_CHIMNEY
_DUCT WORK $1000 GAS PIPING $1000
A- {fit x
%.;i,3.� k ,�.✓�. F.. L.�W,.
$ Number of fixtures @$10.00 x $10.00 = $
Permit Fee
Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ �. Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
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.
SIGNATURE OF APPLICANT PRINT NAME DATE
City of Fridley'AD
Building Inspections Department 77
6431 University Avenue NE, Fridley, MN 5 2 ,
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEWIEXISTI-NG 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 TGC 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
t&
`14
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{�'' _x� t .J �,r_ • } y tiJ ',1i�r1� }'. 4 �r t cM
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.,:� }�i.t ,. �-�, �r�'.� � � �._.r�{ • F ' �0' ( �.,•nl ,0 � y,C �1`��� i �ti�i�y
u �, 1tr+ P. M 1 .t'' • I + r „ y �a� Yh aL gi3t€� : ".j
S,..R:�1
''s '. � 1�' ICd4 Ott ttx -T • „{�,�1 � " r Rk �"�.y ah "i����'" cr ^ ' '
1I V
c�`�
w5j„ fist {�!1 7 Tf
. d r 111 i' ! � ; � �, • I g". ffij yIt, Y iai A,�u rN p P,y. tt�
S%",�'"ur�.�cv�" r�brl;jb"'•�
MI W
c ;mar �t� }
� ea l�
.j t iii
e li � a � t �. itp� '� �;�r� � 1 `rJ�a i x 1 � ��; •
z„ f li)c17�'.r �v •• .+ul'
— - • , � ��^ .! y n, C'. �� . .. .. �:�,IM1StA,l.Pi,...A��.,.."Ad'�"S 4!`�+et.�'F:.. n ... � . � ...
basement installations. Maintain a mini-
CHIMNEY PIPE
CHIMNEY
mum of 2" clearance to combustibles at
ROOF
all times. The DuraTech Chimney needsT
FLOORING
i T SUPP(
to extend a minimum of 3" below the fin-
•
ished ceiling or exposed flaming members.
Please note that you cannot extend the
FRAMED
i EXTERIOR
chimney all the way to the appliance - you
FRA ZING
must have some connector pipe.
(ALLIES)
1. Cut and frame opening to provide a
-: THEl-.WALL TEE
01 SUPPORTED
minimumof 2" clearanceon all sides ofthe
INSTALLATION
-
chimney. Be sure to maintain the proper
OF 3" FII(ESTOP
clearance to combustibles for the
BELOW CEILING
OR EXPOSED
FRAMING
connector pipe.
2. Bolt on the Roof Support Brackets to Fig 22
the Roof Support Band using the supplied hardware. Attach the Roof Support
Brackets to floor using (4) 8 penny nails or (4) #8,1-1/2" screws per side (Fig 22).
3. Determine how much DuraTech Chimney will be extending into the room
(minimum of 3" below the framing), and attach the of the Roof Support Band to the
Chimney Section by tightening the Bolt, and secure itby using (4) supplied sheet
metal screws (Fig 21 & 22).
4. Install the specialized Firestop below the finished ceiling or framing members.
The Firestop can only be used when installed with the Roof Support in this type of
installation. Use a standard Firestop Radiation Shield at all other locations.
5. Follow steps 4, 5 & 6 for the Roof Support Installation (page 15).
TEE -SUPPORTED INSTALLATIONS
Tee -Supported installations are used when passing through a wall to an outside
chimney. The Tee Support can hold a maximum of 60 feet of DuraTech Chimney.
The Tee Support and Wall Straps are adjustable, allowing from 2" - 6" of clearance
between the chimney and the wall, as needed to fit your installation. There are two
options when installing a Tee -Supported installation: the Tee Support above the
Tee, or the Tee Support below the Tee. The required parts and general
configuration are as shown in Figures 23, 24, 25 and 26.
1. Place Appliance: Position the appliance according to the manufacturer's
instructions. It is a good idea to try to position the appliance so it will allow the
chimney to lineup centered between studs.
2. Locate, Cut & Frame Opening: Determine the location where the chimney
will pass through the wall. The chimney MINIMUM
6INCHES `
should pass through the wall, CenteredBETWEEN
CAP AND �
between two studs. The height of the
CHASE TOP CHASE TOP
FLASHING
penetration can be determined by positioning
sections of stove pipe until you have the
desired configuration (refer to the appliance
FRAMED
i EXTERIOR
manufacturer's installation instructions for
ENCLOSURE
restrictions on stove pipe). Cut and frame an/
TYPICAL THRU-
opening in the inner and outer walls at this
-: THEl-.WALL TEE
01 SUPPORTED
location. Refer to Table 2 (page 8) for the
INSTALLATION
-
appropriateframingdimensions.
ACCESS
Wall Tbimble: The Wall Thimble
D003.Install
, s CLEANING
is athree piece unit which includes the cover I
plate, sleeve extension, andthebackportiou ' Fig 23
with shield. On the outside wall, install the
back portion of the Wall Thimble. Center the back portion of the Wall Thimble
(with shield inside wall) in the framed opening of the outside wall. Be sure to seal
the flange of the W all Thimble around the wall by using anon -hardening waterproof
sealant. Attach the backportion of the WallThimble to the outside wall using atleast
(4) 8-pennynails or (4) #8,1-1/2" woodscrews. Depending on the thickness of
your wall, you will need to adjust the shield extension to insure that you have a
continuous shieldthroughoutthewallpenetration. Youmayfield-fabricatealonger
extension tube if needed. Adjustments can be made by sliding the extension in or
out of the back portion of the shield. Verify that the shield extension reaches the
WAIL
A
FINISHING COLLAR
16 1 17
CHIMNEY
SECTION
CHIMNEY TEE
USE 8 -PENNY NAILS OR 118.2-1/1'
WOOD SCREWS. USE 4 FOR EACH
SUPPORTLEG.
TEE SUPPORT IS ADJUSTIBLE TO
ALLOW FROM 2"-6" CLEARANCE
FROM CHIMNEY TO WALL
TEE CAP
Fig 24
Building
Inspections
763-572-3604
PLUMBING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR
Permit No.
Received By:
Date Rec'd:)�
SITE ADLIRESS
T-
/UL
���✓
THIS APPLICANT IS:
ROWNER
❑CONTRACTOR
SHOWER
PROPERTY
NAME:
_FLOOR
PIPING (mm cirrucmE)
_
SWIMMING POOL
OWNER/
ADDRESS:
S
CITY CdJL STAT0t1/ZIP_V5_4kS!2
TENANT
_
—DISHWASHER
_
_ LAUNDRY TRAY
_
HEATER ($35)
FOR IRRIGATION
PHONE
_WATER
WATER METER
CONTRACTOR
NAME:
STATE LICENSE #
EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDRESS:
CITY STATE ZIP
LICENSE WITH
PHONE
FAX
APPLICATION
,�T
PERMIT TYPE
11 �WGLE FAMILY
❑ TWO FAMILY
❑ TOWNHOUSE
TYPE OF WORK:
&W
❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK
PER MS 1613.665 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$500 -FEES ARESASED.ON$I0X0 PER FIXTURE, EXCEPT WHERE.NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINKILAV
DRAINS
SHOWER
_ WATER PIPING
_
_FLOOR
PIPING (mm cirrucmE)
_
SWIMMING POOL
—WATER SOFTNER ($35)
—BATHTUB
CLOTHES WASHER
—GAS
KITCHEN SINK
_
WATER CLOSET
_ BACKFLOW PREV. ($15)
_
—DISHWASHER
_
_ LAUNDRY TRAY
_
HEATER ($35)
FOR IRRIGATION
_WATER
WATER METER
OTHER
Permit Fee $ t L:7 .a Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $
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 ork which e uir s r view and approval of p ff
SIGNATURE OF APPLICANT ✓L44 6 PRINT N=q*Lq'G DATE �Q di0
AI
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977