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PRE 2010 DOCSCity of Fridley SUBJECT PER O. 2Q- 2 16 9 5BUILDING AT THE TOP OF THE TWINS PERMIT ' ' L� CE ______ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. 1 I � /---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE P OF APPROVED BY 612-571-3450 910-F15 7/21/81 / JOB ADDRESS ...3 5430 - 5th 5t. N. E. 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR. f 6, 7 [BLOCK 11 Hamilton's Add. to Mechanicsville SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Chuck Westling 2523 Woodcrest Dr. New Brighton 55112 786-4445 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Westlincr Const Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING 7 CLASS OF WORK X1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 33' X 58' double bungalow. 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hardsurface driveway. provide varifing survey prior to capping. provide sod in the front and side yard. Variance on area approved by City Council on 11/10/80. TF:E CITY PF FRID EY DOES NOT U N1I:E TRIS 8 8 SEWER LOCATION: (Approx. 9'-10' Deep In St M ffl G$T. - d flIATftppl5 WYE ELEVATION: 855.11 Tt;;S DATA 15 FOR INFORMATION PURPOM ONLY AND TOP OF FOOTING: 858.11 Minimum p'�RzGNS LIZING IT SHOULD YErY Tme INFCRMATI N WATER LOCATION: 10' N. of Sewer Service �,•I.{:; SITE.�8_ e A DRIVEWAY DEPRESSION ESCROW: N/A, Access from alley �ld�pf�f�s Before digging call local utilities SEPERATE PERMITS REQUIRED FOR GCMG, TELEPHONE - ELECTRIC - GAS Eh HEATING. PLUMBING AND SfGNS. R E-QUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 1,800 14,400 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $73,600.00 $36.80 WITH WH HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DO 'N T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR S S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $144.00 $850.00 ST OR THE PERF RM�1, OF CONSTRUCTION. CHECKFEE TOTALFEE $1,066.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEV ROPE LYOUR PERMIT }`aWHEN r s �� SIGNATURE OF OWNER IF OWNER BUILDERI IDATEIj i r CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PEIV41TS (New, Alterations, Additions,, or Repairs) 01.111ER: ADDRESS: TEL n0: DUILDI:R: •� ?'ate e 5�. ADDRESS:,��`� TEL. NO: % Construction Location 3 STREET NO: � 0 STREET:. s_ of � 1 . +1,�ria ��® �� Pio® -ro �«�����Ji�� LOT: y BLOCK: ADDITION. �.i 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: Depth: height: I 5'r oft Square. Feet_ �_ Cubic Feet: I Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Rb Be Completed: _ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET . Iiia undersigned hereby makes application for a permit for the %.nrk' herein specified, agreeing to do .all work in strict accordance with the .City of Fridley ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representltions stated in this applications ar# true and correct. DATE: / U SIGNATUI.E : Stipulations: PPS A Ae.. S.T. 2 SAC - h X30.32 Z 133 = W504 x W s 3`, 4w0% it j t to 33.43 s L©� t7%{ of ie�• �' s ?, i X093 �o a.3y S' 9 7 31 Ste►. I't �•• � . �, 3C X � = I y � •oma RICO! 1 3C , od 3G ,40 743. 4.460 ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is -the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. el JOB LOCATION: `f' ® — . �°I". 1� ,�w� W • rrp re ! OWNER/CONTRACTOR: tj y., WL(e 1►J �a'�� \ h]6 W1+ j ^� ^ l� S 1 ®C S`; ADDRESS:?�� Vim®®I� C�C-'�T� �JJ�, ���!(�MP ONE: 16 A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 6 2. Total door area 3. Total sliding glass door area PA 4. Total fireplace wall area PT - 5. Total wall framing area (average 10%) 6. Total net wall area above floor(average 90%)� 7. Total rim joist area (� Subtotal: 'I.2 al exposed Nall area above floor 8. Total foundation window area 9. Total net foundation area above grade__ Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA 1A I 0 B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area or 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA O D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = . , a q - Item I �!_�' • • i Item II � 0 , E. Determine the "U" value of each segment- (1-9) and multiply by the area as follows: 10. 0 N x "U" 1. \ x fluff t `!o ► k0 12.. x fluff ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS 3. ® x fluff _ 4. x "U" _ 5. 1 x fluff 6. ^ I'' x fluff 8. x slugs 9 • � is l x "u" ADD 1-9 FOR TOTAL WALL SEGMENTS i ITEM III 7� ( t S F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. 0 N x "U" _ 11. Ito x "U" 12.. x fluff ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV�o G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) ,1. I. Add Item I Item II 3, 4 �. J. Add Item III + Item IV ' r E+ _ 7 2 *R K. If the sum of Items I.II and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By 6 1 1 DATE: ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INrORMAT.ION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S . responsibility to accurately compute the data; reflect the proper DESIGN'CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. r JOB LOCATION: 7 �� A G E C� T V) OWNER/CONTRACTOR : ADDRESS: PHONE: (� A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average .10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRIND TOTAL EXPOSED WALL AREA I r, 13 7-6 W A - v .� . ', J 2_ C- L . 2. a B. Multiply the GRAND TOTAL EXPOSED WALL :AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area � GRAND TOTAL EXPOSED ROOF/CEILING AREA 4� 9 D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II ``� E. Determine the "U" value of each segment (1-9) and multiply by the area as follows: 109, '1-- x "U" 12. 1. t , 3 x fluff , 2-2" 2. x $full 9. r.3 h x "U" 5. 7, 'I x ,i,T,f 6. x „u„ 8. x fluff e all ®� Zc 9. x fluff ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III 1'0- Oi l F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. tj A x IfU„ 11. 109, '1-- x "U" 12. 11 ! a, 1 x Iful, ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV 2 , G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I z , ®+ Item fI J. Add Item III _1 S1, 0 1 a, + Item IV 2 2, 11 = I S 11, 18 9 K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. t By: DATE: = rpjr.-f 0q% �ICINT .rr 0#-).t . G/ — of edK _ - --- ---- � • l��t , �iNFwrtl..aL _ _�• oL _ �-� . EKT' �►M - • (► � - -- -- '�• �z Slpl.11._Fi�r — .'�1— -- ^* _ _ 2_3.b7 . Ova, _ 3 3 js• VriR y�/ S� - - Am /9 _.___-_.. .. 1. _.►h%Y k�x ... _ •/►-t S. ExT pl.c I W 'f pe 1 f— 3. tretr . 14/we . ►� - -- --- - _..- 13• .47 wr SAF S?c 3 • Y ..��,m►,rcK. i I vr'_ , = rpjr.-f 0q% M �,' 11 Gi11 ADDRESS AND LEGAL DESCRIPTION: IV 3,0 ='L14 -V // , 14 OWNWCONMCT PURCHASER: CONSTRUCTION DATE: -7-sl-,i , ADDITIONS: Bikeway/walkway Street right-of-way Utility Drainage Alley Other (Specify) G. LICENSE S) (List): Date of Renewal: H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED I. MISCELLANEOUS: CERTIFICATE OF OCCUPANCY ISSUED: YES NO DATE A. ZONIM ACTION: ORDINANCE NO: B. SPECIAL USE PERMIT(S): # C. IDT SPLIT (S) : #D. VACATION(S): # ORDINANCE1p:� E. VARIANCES�` � ✓�j : �c 6 APPEALS MISSION: APPROVED DISAPPROVED DATE NO. CITY COUNCIL: APPROVED DISAPPROVED DATE NO. F. EASEMENTS: REQ'D DEPT RDC'D Bikeway/walkway Street right-of-way Utility Drainage Alley Other (Specify) G. LICENSE S) (List): Date of Renewal: H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED I. MISCELLANEOUS: OCT -12-2005 16:19 CITY OF FRIDLEY Building MECHANICAL, Permit N Inspections RES�ENTIAL APPLICATION Received 763-5I. I"- . --F 4 CITY OF PREDLEY DAM DATE SITE ADD _ THIS APPLICANT IS: OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: YOUR P-MAILADDRESS f O OWNER CTOR NAME: ADDRESS: 10 10 Curr i e PHONE:_ WA - -7G--7 - ?i i no CITY��S COMPANYNAME: CONTACT PERSON. STATE LICENSE w OO(a - y EXP DATE 1 3 D 1® � 0 O SINGLE FAMILY <TO FAMILY O NE W ICUPL.ACEMENT PAX _fit) 1-c+�iq e O TOWNHOUSE O ALTERATIONIREMODEL P.02/03 DETAILED DESCRIPTION OF WORK 1/1 PER MS 168.665 the Perion or fee is a ent o nIn *($15.00 or S% of the total cost up to $500.00, whichever is greater for the improvement, installation or replacement of a residential fixture excluding the f aures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $SOO - cost of labor x .OS = FOR PROJECTS WHERE LABOR EXCEEDS SM. SEGS ARE BASED ON $10.00 PER POMW, EXCEPT f Wyk NOTED FIXTURES: (INDICATti TOTAL NUMBER OF EACH BELOW) Equipawntinstalled (a, MODEL6ms 30 3 40A sm"TU a®® MFG 1 F? SIZEBTU _AIC TO A "AIRTOAIREXCHANGEERSIS MODEL; �FIREP4LCE ES) S15.00 FIREPLg2 OD) 535.00 GAS RANGE10VEN SS0.00BOILER 534.00 ClitINNEY LINER 510.00 _ _�URNACb50 CTAS DRYER $10.0o ?`SEWGAS GRl1.L 510.00 (LAST 1rIR $lo.00 DUCT WORK 51000 OAS PIPING $10.00 POOL ITER 535.00 V MATOATORSIS.00 Permit Fee $ Surcharge ``' Number of maum @ $10.00 _ x $10.00 = S TOTAL DUE S Number of fixtures @ S 15.00 —x$15.001== Number of fkWm @ $2S.00 �1_ x 525.00 S i s , Number of fiXUM @ $35.00 �2 x $3S.00 m $ o x State Surcharge = $ Total @ S , a 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 nota permit but only an application or a peratit d rk is tot to start without a pernm; that the ork will be in accordance with the approved plan in the case of a which bow and approval of plans. SIGNATURE OF APPLICAN R1N l NAME TES 'P% S�ii7f'IS'Fs �z ter �---�--n.._,� .■ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ 69 BUILDING Permit No.:,,,-,-rol-.� Inspections $ A RESIDENTIAL APPLICATION Received By: 763-572=3604CITY $ OF FRIDLEY Da 'd a r / -I !! DATE (n' ,�'�0t)� YOUR E-MAIL ADDRESS OC'+nti719 Ct�l—Gl+�+�^:�n bL�A fOYh SITE ADDRESS _'-Y3 D 4- V.Z S J, - Al- C _ $ THIS APPLICANT IS: ❑ OWNER VCONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME: Sal vct ; oh A . y $ 11-1. A D ADDRESS: CITY 04 iIZ STAT&b IP TENANT PHONE: CONTRACTOR p / NAME: �'v� r•cmr. ®;N STATE LICENSE # 20e I/N 4 � EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:R "i 7i rd Ae Al Si.,. 0 82 CITY r-144 n 10W STATE4VLtIP d`a`�lL� WITH APPLICATION PHONE -763 � V -Vl v -? FAX '?141 PROPERTY TYPE ❑ SINGLE F Y/1NEW CONSTRUCTION SIZE OF /NEW CONSTRUCTION STORIES I PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING IAOTHER ❑ SWI IMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: r 1,•cr -P"td- al4crele s s 0, 444_C deJ o- 4 SIZE OF IMPROVEMENT LENGTH WIDTH 4 HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DICKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OFWINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a,000 OCCUPANCY TYPE Permit Fee $ 69 Plan Review $ Fire Surcharge $ A Surcharge $ / License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 11-1. A D See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) . $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 r view and approval of plans. (� SIGNATURE OF APPLICANT �^ PRINT NAME De n A; S Balks il/1 DATE d,9 7