PRE 2010 DOCSCity of Fridley, Minn.e'
BUILDING PERMIT o 4 s s 7
Date:
Owner: ..�-�r -'e q� ._......_..__..... Builder
Address... ._...... _.__._..__ .._ .._.._. _ _ . — __._. Address ........_... ... _._......____...-._.._..._._._..__.
LO TION Of BUILDING
No. !_ ...F.__._. Street Part of IAQt .................
Lot ...-._..�%�.... Block .....__......s ------------------.. Addition or Sub -Division
, Jv ,t
Corner Lot ....-_................... _...... .. Inside Lot ------- ... . ................. Setback ....._.. ... _. Sideyard ....._/....®......._ r._' ---``......_._.__.
SewerElevation ..... .............. _......_...._....._-----•------------__..__._........._.._.._ Foundation Elevation _ ................................. _._.__.._....---.._. ....--•-•_-__-- --
DESCRIPTION OF BUILDING
To I- Usjda
. Front ....._.......� Depth -.. Height ..... ? Sq. Ft. z/ Cu. Ft. , j p
... ;..... ..:8............ on .. ...� .. fo
Depth .- ./.- Height .,. `. �!. ! rr Cu. Ft. _34--..r]" C'
Type of Construction .:.. ----- --- - -- -----•----- Est. Co�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. I
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 violatof any of the provisions of said
ordinances.. 'e'° yllq
.— Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items. CA / f'T/o w j
®� ,, S PERMIT DnFc nlrrr A' 1,- ^-
nVrIILt VIOLAI
10ANY PRIVATE -AND COVENANTS AN8
yJ n BUIL NG RESTRICTIONS.
APPLICATION FOR BUILDING PER M
CITY OF FRIDLEY, MnMESOTA'
Owners Name Builder- . ,_a A���
Address Address .i .? 9' ®,. a - e&d ja
LOCATION OF OF BUILDING
No.Part of Lot
Lot, Block._. �. Addition or Sub.Div.
lu_ `.
Corner Lot_ side Lot_�_,Set Back Z Sj0— Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Construction Estimated Cost 41 -
Type of _ .
To be completed
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 representa-
tions stated in this application are true and correct.
DATA SIGNATURE
(A Schedule of Fee costs can be found on t�h`e vert e.
City of Fridley
Application for Plumbing and Gas F!Mng Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK Location��
Number. Kind and Location of Fixtures
q
TOTAL
Number Fixtures ......................
x $1.50
$ tl
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
Q t
z
Catch Basin ............................
!26
W
z
�i
`
+
WATER HTR.
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
x $1.50
$—�—
1st 3 Fixtures ..........................Z
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
�
t�0
F
N
GAS
ELEG
I
Base
1st
1z
2nd
_
3rd
_
4th
• Future Connection Openings
Connected with
Sewer 8
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
n
PLUMBING FIXTURE RATES:RATE
TOTAL
Number Fixtures ......................
x $1.50
$ tl
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
x 2.00
$ U U
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
x $1.50
$—�—
1st 3 Fixtures ..........................Z
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................... ...........$
TOTAL FEE $�tiS��
City of Fridley:
0
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 applica;n/re;true and correct.
Fridlev. Minn , 194 5
Kind of Building
Used as --r%l— OE
To be completed about
C"r
Estimated Cost, $ 1
Old ew. uilding Permit No Permit No.
ROUGH
FINAL
da 2M 7-59
Phone
Application for Power Plants and. Heating. Cooling, Ventilation, .Refrigerawion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
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$$��j---
.each add. 60,000 BTU .... a .................. 2.00 $
Replacement of Furnace ............................. §.00 $
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 ....... :...... 2.50 $
STEAM or HOT WATER SYSTEM
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 TOTAL
1st 3 Fixtures ...................... x $1.50 $ /I
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL—
By
INAL
See Fee Schedule
TOTAL FEE
Dept. of Bldgs. Phone SU. 4-7470
pc�
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 arecorrect.
Flidley, Minn - 19
Owner
Kind of Building
Used as
To be completed about
0
Estimated Cost, $
Old—New. Building Permit No. en'�7 ef Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot W`attee�r, Warm Air—No
Trade Nam ' � Size No -
CapaciSq. Ft. EMM BTU H.P.
Total Connected Loa , Kind of Fue �
BURNER —Trade Na— Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
By—�� Z��.
4 z 2M 7-59 Business Phone No f�
L�
City of Fridley, Minn.
BUILDING PERMIT
Date: AUGUST 31, 1966
-# �40
N9 8991
Owner: DANIEL WINTERSTEEN Builder DMWEN B=ERS9 SNC.
Address 1343.- 53rd Avenue N. E. Adm 7705 CENTRAL AVENUE N.E.
FRIDLEY, MINNESOTA 55421 MINNEAPOLIS, Ml:IMSOTA 55432
LOCATION OF BUILDING
No. 1343 Street 53RD AVENUE N.E. part of Lot WEST SIDE OF
Lot 11 __ Block 2 Addition or Sub -Division SWANSTROM' S COURT
Corner Lot _ Inside Lot — X Setback 35' Sideyard 10 and 5
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
ATT. GARAGE Front 8' Depth 26'811 Height 91
Sq. Ft. Cu. Ft.
Front Depth freight Sq. Ft. Cu. Ft.
Type of Construction FRAME Est. Cost _ $12 2 00 _ To be Completed
In consideration of the issuance to me of a permit to construct the building described above I Fdo
the proposed work in accordance with the description above set forth and in ance with a'll
ordinances; of the city of Fridley.7
In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to DERRSEN
DUSLDER.Se INC. 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of builings
within the city limits permit may be revoked at any time upon violation of any of the provisions &f - said
ordinances.
CLARENCE BELISLE Building Inspector
NOTICE
Ub puma does ft" corer the aonatntdlon, inata bion for whine, phmnbhrB, ees hoaNue, Sower or Wein. Be Son to Soo
tM evuhm h>apeftr for separate permh for thea BMW
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERS NAMEAAWi IF 4- o r-Ze M - k-7, BUILDER
ADDRESS/3' ADDRESS 'Z 7E
LOCATION.OF BUILDING
NO. % STREET _634 441E -A4_. PART OF LOT LtJgg� s r- S/
LOT BLOCK ®lam ADDITION OR SUBDIVISION ''St&1' "1 7W u -7A - �p ,1Z ;1
CORNER LOT INSIDE LOT 1� SETBACK -3S®_ SIDE -YARD �- '�
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
q �
Front ,g' Depth �•Height
Sq. Ft. Cu. Ft.
Type of Construction dot�(3i'eioaWA�Estimated Cost Z °
P
To be completed9� /s
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. ,
DATE SIGNATURE'Li� �A I-
(Scl4dule df Fee Costs can be found on the Reverse Side).
e
F. 0. JACKSON
L"M SUMMON
WGISTER[O UNOM LA*8 OR STATM GW &UHNIMIA
122-61
o
Or. 1628
SUBJECT
PE
City of Fridley_
197 86
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
CEIPT NO
11 ______ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
CITY HALL FRIDLEY 55432
,'j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
1/2 7/ 89
�
JOB ADDRESS 1343 - 53rd Avenue N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
2
Swanstrom's Court Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Kevin Hopps 1343 - 53rd Avenue N.E., Fridley
574--0389
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 XO ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Basement Remodel
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. This structure can not be used as a two-family
dwelling.
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
1
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
$5,000
$2.50
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-
$72.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$74.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VA
DATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
BLDG IN51'
OATIf
NEW I City of Fridley Effective 5/1/88
ADDN [ ] R-1 AMID R-2 Q
ALTER U4 Building Permit Application � l
V�
1
Construction Address: 13' 3 53rp Ave IJP- XX -
Legal
Legal Description: Lo,;
Owner Name & Address: KEvi,,1 Now5 . 1343 53eo .AA=- rvE� Tel. # S7y-x389
ODntractor: SE1.1= Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
t• C• I. C, OF �.. • a
MARM.- •Heightr ;;N AREA2 Length -
R«; •
und
Sg. Ft. 10 `ID
Sg. Ft.
Sg. Ft.
Cbrner Lot I I Inside Lot D4 Ft. Yd Setback Side Yard Setbacks
Type of Construction: 6P66mgN•T 1 *WeL Estimated Cost: $ 50M
Approx. Completion Date: -1Z/1/Z1
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
Width + 6' See Back Page
DATE: 1-' APPLICANT: 1 'j " T. Tel.fv-
MY USE ONLY
Permit Flee
State Surcharge
SAC Charge
Driveway Escrow
Park Flee
Sewerbairn Charge
TOTAL
L
31'IPUIdMOFLS:
$ ?2 A ®y Fee Schedule on Reverse Side
$ Z ASO $.50/$1,000 Valuation
$
SZ -056 per SAC Unit
$ Alt. "A" or Alt. "B" Above
$ Fee Determined by Engineering
$ Agreement Necessary I I Not Necessary I ]
$
CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 6A
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Wash Gas
Floor :6**.
Auto.
ate eater
Urinal Shower pqs. n p
Stories Tray Drain Washer Range Gas,' Eiec
-7777777
W.A.
Basement
Floor I
Floor 2 .... ..
Floor 3
Floor 4
PLUMBING FIXTURE RATES: NO. RATE TOTAL OB ADDRESS cc
0
LO
Now Fixtures $7.00 The undersigned hereby makes application fora perm it for the work herein 0 z W W
9�1?ulz
Old Opening, New Fixture $4,00 specified agreeing to do all work in strict accordance with the city codes Wr-.o>2
Beer Dispenser $5.00 and rulings of the Building Division, and hereby declares that all the facts 221<
Blow Off Basin
$7.00 and representations stated in this application re rue and corr ct. J:3c4O-
�Lu 0
Catch Basin $7.00 V ic a-
C)--ZW[C<
Rain Water Leader $7.00 _10 dr Lu
Sump/Receiving Tank $7.00 -,law Mo &Z
ION
HOPP'--,, CA
Water Treating Appliance 0
$10.00 Own J:-34:3, 5, -::RD AWiELIE NO T Z> Ch
Water Heater -Electric $7.00 FR I DLEY 55421 Cm
Water Heater - Gas** $10.00 Building Used As— H 574-0,;-,,.8,C4 W
Gas Range" $10.00
0
The
anda
e
d
ADDRESS
u ndersigned here
specified agreeing to d
rulings of the Build
and representations stated
rue
I
7w
Hj_
Ow
n IT W,
Gas Dryer** $10.00 Estimated Cost PERMIT NO.
Back Flow Preventer Required )Yes No
Type $15.00 PLUMBING C PA Y
oP,5LJW
Reinspection nspecflon Fee $42.00/Hr�L
SIGNED BY.7
TEL No A7 7,
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I 11/00 if 17 - - IfA I —0,C .4
11.5% of Value of Fixture or Appliance V--^ cei �f, 0
State Surcharge $ .50 Approved By Rough -In Date Final Date 16 1 // 1 01
kj 57() MINIMUM FEE �(QR ANY PLUMBING/GAS PERMIT IS $20.00
TOTAL FEE $
PLUS THE $.50 STATE SURCHARGE
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE SQ INCHES.
Building
BUILDING
Permit No.:
_Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE O
YOUR E-MAIL ADDRESS
SITE ADDRESS
PHIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: PS
TENANT
ADDRESS: CITY
STATE ZIP
PHONE- (¢ '-
CONTRACTOR
NAME:_ RENEWAL BY ANDERSEN
SUBMIT A COPY OF
STATE L 1920 COUNTY RD. "C" W.
YOUR STATE LICENSE
' ADDRES ROSEVILLE, MN 55113 CITY
STATE—ZIP-
• WITH APPLICATION
PHONE 651-2644777
❑ s1NGL
❑ Two i LICENSE #20130983
PROPERTY TYPE
.oRiEs
PERMIT TYPE
QADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK
❑NEW ❑ ADDITION
❑ CE/REPAIR ❑ REMODELING'
)ESCRIBE WORK BEING DONE: Gl
v1
;IZE OF IMPROVEMENT LENGTH WIDTH
HEIGHTFt
;OOFINGq.
❑ HOUSE ONLY
(UMBER OF SQUARES
] HOUSE & GARAGE
BASEMENT REMODELING SUBMIT•
'ARAGES
❑ ATTACHED GARAGE
I •
Fodsting Floor Plan
ROPOSED SIZE:
❑ DETACHED GARAGE
2.
Proposed floor plan
ROPOSED HEIGHT:
3.
List of structural members to be used
!DING
I Amyl
OSoffrt
FOR NEW CONSTRUCTION INCLUDING DECKS,
Tr
ADDITIONS_
& PORCHES SUBMIT.❑
I Other
❑ Fascia
1.
Site Plan/Survey showing the existing structures
-
and proposed project
M\%OR's
2.
Two sets of construction plans
I EXISTING OPENINGS ❑Yes
❑No LOCATION OF WINDOWS
3.
Energy Calculations
R FOR NEW OPENINGS -DESCRIBE SIZE OF
PENING CHANGES &
RE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
AT.T.7V-DCADV 1QAVV'n.' TT•TTT..+r�,.,,�.,.�,.�.�_
TOTAL JOB VALUA
;rmk Fee
an Review
ircharge
re Surcharge
cense Surcharge
W Charge
ub Cut Escrow
osion Control
rk Fee
wer Main Charge
ital Due
Tt%JUUtL.11v11, DOST Ut+ LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
W $ , OOO OCCUPANCY TYPE
51. -ot See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ 4. (.0005) times the total job valuation — Minimum $.50
$ IS,—. 6 C) .001 x Permit Valuation (1/10%)
$ ai. ryn $5.00 (State Licensed Residential Contractors)
$ $1450 per SAC Unit (Plans to MWCC for determination)
$ #+6ft= ftx$20=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ Make checksa able to: Ci of Fridley
Attach
AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
tereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
iformance with the ordinan and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
'mit but only an applicaiio or a permit and work is not to start without a permit; that the work will be in accordance with the approved
n in the case of all work h mires reAey a� approval ofplans. ,
NATURE OF APPLICANI��II LyIJI�L/�_/Lt /] � Q_ f> - n S D A DATE (1J 1 V W oS
Bui4ing.
1016•
BUILDING-
Permit No .: ` 3�
Inspections
$
RESIDENTIAL APPLICATION
Received By'
763-572=3604CITY
c
OF FRIDL
Date
DATE 0
/EY
YOUR E-MAIL ADDRESS 4%�U4a Sen
USif'1-.
f
SITE ADDRESS
THIS APPLICANT IS:
❑ OWNER XONTRACTOR
PROPERTY OWNER/
NAME:
ADDRESS: /W3 &3-f eve AV CITYF/� STATfi ZIP�ZI
TENANT
PHONE: 7ev.3- 5-79'-030-Y
a
CONTRACTOR
NAME: LX 205 mo tPe I'
57 - I
STATE LICENSE # Za3 ZSY 0 EXP DATE / arc
SUBMIT A COPY OF
YOUR STATE LICENSE
ADD SAO CITY STATEMIP
WITH APPLICATION
PH NE J' 745- FAX
PROPERTY TYPE
S CTION SIZE
TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
�%DDMON ❑ GARAGE/SHED ❑ WINDOWS
❑BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW J24ADDITION
❑ MAINTENANCEIREPAIR ❑ REMODE G
DESCRIBE WORK BEING DONE: ('en 6Z &15, 1
'/V1U 0
SIZE OF IMPROVEMENT LENGTH WIDTH
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 DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMrf:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other .
❑ Fascia
and proposed project
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
L FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING T E 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee $ , A5- See Back Page for Fee Schedule
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
1016•
1 a
I
$
'l,
l Clio
$
c
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 oavable to: Citv of Fridlev 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 w . requires rea approval of plans. ///
SIGNATURE OF APPLIC PRINT NAME�� ® DATE 0 �/
Project Title: Kevin and Mara Hopps
Report Date: 04/23/07
Energy Code:
2000 Minnesota Energy Code
Location:
Hennepin County, Minnesota
Construction Type:
Single Family
Glazing Area Percentage:
19%
Climate Zone:
2
Construction Site:
Owner/Agent: Designer/Contractor:
1343 53rd Street NE
Fridley, Minnesota 55421
rM
dV
d"MPT
.
Flat or Scissor Truss: 267 0.0 44.0 6
Wood Frame, 161n. o.c.: 671 19.0 0.0 31
Wood, 2 Pane w/ Low -E: Above -Grade,: 48 0.350 17
Glass: 80 0.330 26
Solid: 17 0.070 1
All -Wood JoistlTruss Over Uncond. Space: 267 30.0 0.0 9
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-Web and to comply with the mandatory requirements listed inj4a REScheck Inspection Checklist.
Ha..t tAJ411,csx.1= #-Z3- 07
Name - Title Signature Date
Kevin and Mara Hopps
REOEWED
F-CnrR .CEDE
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in ti: In wr/
Page 1 of 3
CGenerated by REScheck-Web Software
NJ( REScheck Inspection Checklist
Date: 04/23/07
Plan Review and Inspection Issues
This list of items may be helpful for 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 of wall 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).
El Window U -values consistent with building plan and REScheck Certificate.
rj 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:
El Interior basement insulation R-5 minimum (if no 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:
o Wind wash barrier Installed at attic edge.
o Exterior wall comers framed so that insulation can be installed after exterior sheathing is installed.
E] Intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and
exterior sheathing after exterior sheathing is installed.
C] 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:
Kevin and Mara Hopps
Page 2 of 3
C] 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 '.
El Air barrier behind tub and shower is sealed and protected.
E] Recessed light fixtures are sealed.
Envelope Insulation:
Basement insulation R-5 minimum.
C] Wind wash barrier on wall separating house and garage is sealed.
0 Loose fill Insulation is prevented from entering the eaves.
Insulation on skylight shafts 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 of Public
Service Information Center at 651-296-5175 or 1-800-657-3710.
Kevin and Mara Hopps
Page 3 of 3
PLUMBING
Pempi
RESIDENTIAL APPLICATION
City of Fridley
Dat Reaei+red
NOTE: IFPROPERTY IS NOT OWNER/OCCUPIEO- A UCENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATESSI 'D S YOUR E4"L ADDRESS
�_
SITE ADDRESS
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR
NAMEelp�aip 5
PROPERTY OWNER!
TENANT
ADDRESS —•S--fe-rvv
CITY STATE
ZIP
PHONE # S-714 ®o 3w
NAME 'LICENSE #
CONTRACTOR
ADDRESS
crry STATEAIK-)
2
PHONE # Xd; -- I 1 FAX><t
_ZIP,�
PERMIT TYPE
SINGLE FAMILY TWO FAMILY
TOWNHOUSE
TYPE OF WORK
p NEW $—REPLACEMENT'
DETAILED DESCRIPTION OF WORK W
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SIIKIL.AV FLOOR DRAINS SHOWER
WATER PIPING
BATHTUB GAS PIPING (Need CUy License) sYYGIAmM POOL
WATER SOFTENER (Baal
CLOTHES WASHER KITCHEN SINK WATER CLOSET
RACKFLOW PREY. ($15)
DISHWASHER LAUNDRY TRAY _,NhVATER HTR (SM
FOR IRRIGATION
WATER METER
OTHER
Permit Fee $ 5 - MINIMUM: $1S00 or 5% of cost of the
improvement -whichever is
Plan Review $ greater on work less than $300
Surcharge
TOTAL DUE $ As -,So— Make checks payable to: City of Fridley
into fa An ArruGAr r*m PUR A PERMIT — NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and i acknowledge that the i nknination above Is complete and aoauate: that the work will be in conformance with
the ordinances and codes of the Clly of Fridley and with the kinnesota Construction Codes: that I undensland this is not a permit but only an
application for a permit and work is not to start witimt a permit that the work will be in accordance with the approved plan in the case of ad work which
requires review and approval of plans. _ //
NAME OFAPPUCANT DATE — lD�
Please type or
SIGNATURE OF APPUCANT
TOTAL P.01