PRE 2010 DOCSCity ®f Fridley
r 4T TMP. TOP OF TME TWINS
1 L
t4-'-""GOMbVNITY DEVELOMENT CIV.
I i MOTECTIVII 970ftCTIQN 09PT,
CITY HALL FVADL4V 004$
r� .J i31;' BBQ' 3 COQ
IJob Address
pIX1�EGT
Permit No.
PLUMB I S G PERMIT APPL I CAT I O 4
/1.
dARA 1 :11
ress Phone
111umbing
Contractorress
a
one
I
"Y1+0 &X933414
-Kind of Building
Use
Comp
do
Date
stimate ost
Plumbing Fixture Rates; NO.
RATE TOTAL
I W
i I
Number Fixtures `'� x
$2.00
Future Fixtures x
$1.50
aflsra!
I f I
G
•�
;
New Fixture -Old Open. x
$1.50
lddtll
I
;
1
I
O
Catch, Basfn x
$3.25
ovo i
I
—�
Water Heater -99,000 BTU _�` x
$3.00
•�s wl
I
I
I '
II
!
�
i
Ground Run Old Bldg. x
$3.25
sda,
•enNrval
Elec. Water Heater x
$2.00
II
dl
$N„IV.
I
I
I i
Gas Fitting Fees:
lst 3 Fixtures / x $2.00 J. 00
Additional Fixtures x $ .75
Gas Range -199,000 BTU x $5.00
Repairs &-Alterations
See
Description: Code
State Surcharge .50
TOTAL FEE $ jj . �
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 declare that
all'the facts and representations stated in this
applicati n a e true and correct.
-Signature Date
t
City of Fridley
SUBJECT
jPE___
1352
AT THE TOP OF THE TWINS
PERMIT
r
`
BUILDING
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-580-3450
910-F15
5/13/76
JOB ADDRESS 1572 - 61st Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
1
Shady Oak Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Briar Homes 8535 Central Avenue N.E., Blaine
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 42' Dwelling and a 22' x 24' Garage
SEPERATE PERMITS REQUIRED FOR WIRING]
9 CHANGE OF USE FROM HEATING, PLUMBING AND VMS.
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before
capping. Provide sod in the front and side yards. Cover polystyrene with sheetrock.
Provide vapor barrier in walls and ceiling.
..a
SEWER LOCATION: (Approx. 9' Deep) 103' West of Manhole (Inv. 932.83) rn r- ER
WYE ELEV: 937.77
TOP OF FOOTING: 940.77 Minimum_ Q
-IMPORTANT
WATER LOCATION: 9.1' West of Sewer Service
NOTIFY THE FRIDLEY ENGR. rn o�
OF FRIDLEY DOES NOT GUARANT[! THE DIVISION REGARDING CURB
THE CITY
ACCURACY OF UTILITY LOCATIONS AND ELEVATICt:u. REMOVAL AND REPLACEMENT
� a! o
THIS DATA IS FOR INFOVMATION PUPPOSES ONLY ANJ AT DRIVEWAY OPENINGS.
PERSONS USING IT SHOULD VERIFY THE INFORMATION N
ON THE SITE. h'
TYPE OF CONST.
OCCUPANCY GROUP
OCC NCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
R-1
1116 + 558
21,360 + 5580
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.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$35,130
$17.56
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-
$49.28
$350.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
-SIPNATUREOFC
$416.84
TRACTORORAUTHORIZED AGENT (DATE)
WHEN PRO ERLY VALID TED THIS IS YOUR PERMIT
w
Ld .S_d_')6
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
f
v �
R
1
o DENOTES IRON MONUMENT.
SCALE: 1"mss 30o - CPVti[tJkkmi th :iUedVr
AUD -T' 'I r*
Horth Ilse of Sic 24, T. R.24.
EAST
61 ST AVENUE N. E. � �1
TF
124
i w
ri W
F � I
wi'
i'4d',�•rT'--- 't -_— ___—_7
C- -- ..- -----e--
r !
ti t i
0
;'�.?kits' 90 �
_.� 1t ► Ii:I��I
10.
}0
A tt y FERNDALE
...... AVENUEw.
. 321.1
i It
AUDITOR'S �� -
t.�-r , SUBDIVISION �._aC44 3�
WFICE of RtG1$11R of DffCS t�
The attached plat is furnished as
an added service,-by North Star
Abstract & fftIe Guaranty, Inc.
—IMPORTANT—
NOTIFY THE FRIDLEY ENGR.
DIVISION REGARDING CURB
REMOVAL AND REPLACEMENT
AT DRIVEWAY OPENINGS. FF:
67dI^��{�jgg
�Ck:-t-t1019S �� :J 4 D
Y.1 . ®P `l°►@LIT, , P19 ,poc,r ®►dLY �I
%5 DATA iss us1�� ►S S"OULD
Before digging call local Utilitiesveno-'As
TELEPHONE - ELEC-I'fO - GAS Etc. ®V4 j'V►E SISL
a zay L
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERS NAME: BUILDER:
ADDRESS :ADDRESS:-
NO:.
DDRESS:
NO:. STREET: �o�JTi •AA i
LOT: BLOCK: ADDITION: � ��, �(
CORNER LOT: INSIDE LOT:- SETBACK: SIDEYARD:�
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
_-r Depth: � Depth: `�"� Height:
Square Feet: ' 4' (* Cubic Feet: -all ° ®
Front: "� Depth: ��l Height: d
i
Square Feet; Cubic Feet:_
Type of Construction: \-)v - j Estimated Cost:
To Be Completed: �►��-'�_Y �� 3 ��® .�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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.
C
DATE: _ `J `��-' �. �- SIGNATURE:
(See Reverse Side For Additional Information.)
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RICHARD S. CARLSON
8535 Central Ave.
Blaine, Minnesota 55434
10 1
ON
ir.
A. 'BALL 1R'A 1';ALYSIS (FROM PLAN)
Aw1-(I';5UL1T :D AR,A 13TM.,r;7TN STUDS)
Aw?.-( STUD FRMIG AREA)
Aw3-(RIM JOIST AR,0 _
4w4-(C^"CR:TS ?T.00K AR34 ABOVE GRADS)
4dl-(4R A OF DOOMS)
A7l-( ARBA OF GL??I`lG)
Ao- (TOM GROSS i, .P OS'0D ,4ALL ARSA) _.
B. R 1' D U VALU F, A:; ALYSI;3 OF Wti LL SSCTIONS
STUDS)_
tTw1=1-Rw1�l; w' .OGg
.124 _
Uw3- ( RIM JOI'3T nH " +
Uw3=1: Rw3=1- m-, ,1• - - 06,l
Uw4-(FOTJN0?TIO1N ;1?LL A��? A'_30V3 GRADS
Ui 4:�1-R:44=1.; 7
Udi-(XOR AREA)'
Udi=l ; Rdl=1; ►3. S'/ =.07f
Awl= 1398.7 s4. Fr,
[-Awl
= 1. 3,-0 sa'. F --r, I
Uw_
[—Uw3 — e a 61 1
1._ Ud-
^�Rdl and Rgl were obtai.nod by Checking the test results of each style and
size of door and window used in this building then usin;; the units with
the le :est R factor for the Uo calculations -even though many units used
in this building, will actually have a better R factor.
C. CAYNLATION OF THE COMBINTD GROSS +,dALL ARL4 Uo VALUE USING NN EXPA"MiD BASIC EQUATION
Uo=tTTrl Awl ¢ Uw2 Awl + Uw3 AIr3¢. M4 Aw4 ¢ Udl Adl + UPl A91
Ao
Uo- ,068x1317,,1,7 -�-?4/f5,44-.06/y,1*3-f- 9-f-,4- -t^.o7¢><37,7-f- 5$x/t,a?,
20IPS" +
U 9 Z3 -1- 13,/22 Z, 7 17 0 -105,
Uo.-_ ZIP+, 65 fU .12/ 6ANrnETS ::ob!` �-6?G(/R4ZA1 "7' dr -./7 4(A%/MaNA
;L.*Z5.4- r
Ro-(%OM'1IN',D AVERAGE R FACTOR OF TH CROSS WALL AREA
Ro.1=Uo=1; . !�? t - , �,� Ro
D. ROOF/C ,ILI'lI 4R.4 ANALYSIS(FROM PLAN)
Acl_(I%7)UL1T?:D AR?4 S?T';f,3NI JOISTS IN FLAT CFILnG)
No VA91.760 Ac2_(JOIST/FgVxIlG AREA IN FLAT C•ULINIG AR -k)
AREA Iu �W-(I'ISULATFD A2FA B',T*C,7?d RAFTERS IN VAULTTD CEILING)
THIL FiAltjl�c4_(W,-TSR/FRti,;I'IG ARTA IN VAULT:,D C�.ILITRI', AR��.A)
N® oI�N�Ni6�=�+lc5-(o.�'�,`1Ir1; AR�,,4)..
Aco-(TOTAL GLOSS AR's4 OF ROOF/CEILIVG)
R.
R AND U VALU�s ANIALYSIS OF ROOF/C"�,ILING STOTIONS
Ucl-(I'?.SiiL1T?D 1R A 97',T?"NI JOISTS -FLAT CEILING)
UC1=1=Rc1=1= 20.6.7 - • c'�'8
UC2-(JOIST/FRi.MEIG AMA I`I FLAT CKLING AREA)
Uc2_;;l-Rc2=1; G. r6
No vAuLlr
tuce
I.;31TL1T,7) :A:?,A 13"T'7 _N 3AFT,RS IN V:AULTaD C�ILINC
►N THISUc3=1;Rc3-,=PLAN 4_(a.. FT::i/FRAl.'.I'lG AR:*]l IN VAULTED C'�',ILIi?G ARFJA)
Uc 4_1; Rc 4=11 o
Uc5-0-ILINI3 OP :IING A17LA)
Uc5= o [rvo opEwwc )
rHE ONLY 11PENI46 IN -THIS PLAN IS A SGuTrl.F WHICH
SQuIVALEk'T YO A&1
Aco c _1 i I a. �3 sem, FT.
- Ucl tr . 04-6
A R71, A)
Uc = 0
WILL INSOtLAT&D
F. CALCULATION OF THS, CON-13ItI M GROSS ROOF/C ILI?IG ARBA UCO VALUE USIFG ANI EXPANDED
BASIC FOXMUL A
Uco=• Ucl Acl Uc2 Act f Uc3 k22__+ Uc,4 Aco f Uc5 Ac.5
Aco
Uco.= . 048,c
UCo= 1: z7,ifr- _ 72.!'r.,' UCO = . (009,5 Nt. ,,r 6V1ELI r COP -19 �EL�tLBR��d�E fl �=--
1110, 63 111d.� i o� . 05 ntAkrAlaz:Jt+�
G. TOTAL MV's OPT H,AT L03S CUMIPARI.30N
1 EAT LOSS A'N`ALYSIS OF SIMILA,i 3I.-: RUIUMIG 'K'PETING ' moi. CODs REQUIRMEFTS
Uco- ROOF C ILI,'IG ART'A COU?
Uo-( .%LL AflF A. COD: RiJ{._UIR ti!"'?Ts-r'AxIMU�) .._ _�___-_-_ _ -2!
Aco-(ROOF/C3ILING AR ,A FROM ABOT' ,ANALYSIS -D}
Ao-(;GALL •AR3A F?Oi-i ABOVE ANALYSIS -A)
HEAT LOSS/°F = Uo Ao + Uco Aco = W79 20225,* 4-.*rS.x1t1n.!�3
H, AT LOSS/ °F =� 3¢¢. 3i� - $'r,', .Sx a 3-11. $S MAT LOSS
�_—
2. M, AT LOSS AAIALYSIS OF PLA lN';3D RUILDh,G
Uco-(ROOF/-ULING 4R?A FROM AuOV? 4'IALYSIS-F) _
Uo-(' JALL ARTA '+POM ABOIj'. A1I4LYSIS-C)
4co- (ROOF /OILING AR714 FROM .A�10V'3A' AI.YSI 7-D) co_ - l ► 10• �
AID -(,GALL ARTA FROM kBOV', A'!4LYSI3-A) CA
HI -AT
LOSS/°F=
U0 AO + Uco Aco = .121XZo2�;
4 t •o�S t►I�•�3
'
H.�AT
LOSS/o F=
24-5,67 -r 72, 19
H'i,1T—T,073 d x
=.31-7. 126��
317. Z�, B btpc��__.1
Li
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I.L.,
f 'o � "vii
J
cot ah v!
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3
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OA
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.9
f 'o � "vii
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1= r c1�nr t�
0
NOT i The total heat loss of e building as planned is less than that for a
similar building meatinE; equirt'.mo nts, t s the U values of the
building as planned would fbe acceptable.
/11
f�:
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i
3� ;- CV-9nk--a P^i..i7� %«.^ yRt C��.`- 'f Sr'� w Win. rq� e.i ay er,R/� .r !Pr -',4W
����im..rdf{i a .e. �d�o:l $ fi�u.Yd 4.'s--:1 b •Awr •. � 'T. �C�31i�o $b2iS ii a. rlS WL11� �a':r�eY �wd�rtl ieY'� ICs�M
Y'A�`� �6'mr"�+SoSGw•rc Yi.e� au �.i:d ir:d Ym1 rmid4.� �m vtMYv�...P ,
PARTIAL RATE SCHEDULE
G74AVM WARM A.M: RAiE'er. TOTAL
ruTmAee Shell do Duet Work $10.00 $
Re :a^ement of Furna-,e 6.00 1
Pepairc & Al crat.oas-- up to 1500.00 611*
Repairs & p.:terations each add. $500.00 3W "a
XECIL ti?kRH AIPi
7Vmace Shell & Duct Wnrk to 120,000 BTU .$1000 $ O> 7
each add. 60,000 BTU 3.110 S
RepineeTnent of TNmu lace
Re a;rs & AltPrations---up to 1500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM ex HOT WATER SYSTEM
Pm acr She'] & Lanes- to 4:0 sa. ft TDR Steam . el0 ^? $
Furnace Shell & Line --to 640 sq ft. EDR Hot Water 1000 S.
Each Add 200 sq. ft. EDR Steam Ion $
Each add. 320 sq. ft EDR Hot Water 3.00 $
OIL BUP.NEP.-to 3 gal per hour 6.00 S
over 3 gal. per hour -See Fee Schedule
GAS BURNER (up to 299,000 BTL) 5.00 $ 6,00
m-er 12-3.000 I3I'U- See roe Schedule
GAS FITTING FEE3. NO RATE TOTAL
Ist 3 Fixtures x$ 200 $ 0 G
Additional Fixtures A .75 1_-• --
Gas Range to M000 x$ 5.00 8
AIR CO'xDI'PYOXr9'1 Gr
vr.YoPII.Tt.T'IZ,e SY37-122
ALTrRA770?M & RE AIRS
i'11~AL
State Surcharge .50
Sae Fee Sch*::.: %
TOTZ. 2= 212,_<_0
D,:Pt. of B11172. Phc-na =- _11=
Lccci'^r+
City of Fridley:
The t:ndersigned hereby makes application for a p^rmit for the work herei
spec;fi<•d agn.•cir.g to de all x•ork in strict accordance With the 'City CTd!na:.c/
and ruling of the Depaitmont c,f r)usld:n.;.s, ar:d hereby declar-_s that all the fac
and rep r':sPntatiuns stated in this application Pre true and correct.
Frtdley. Minn
Owner
Kirrd of Building . �A
Used as . �1--e, e %/." Or—
To be complel ed about
Estimated Cast. S ?
Old'ew Building Permit No. Permit No.
Du �"D;:^TIOR OF wonx
BEATING or POWER PLA:vr-,�,S eam, sot Water,
_arm Air No�
Trade Name V N/ ��® �- Size No 7/ _//0
Capacity,/t 0 G _r" Sq. Ft E.D.R BTU—
Total
TU Total Connected Load�,���0 hind of Fuel 67,4.5-
BURNER — Trode Name Size No
Capacity Sq. Fit. E.D R BTU- =:
tecs®Aaaz.-aaaal
T i 'RI/V �?� 1/ 70
MEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips Guide Construction Ido. I -- Insulation
Windows Doors Reference Out. Wall lot. Wall Ceding Roof floor Kind How Applied
es-- o I Yes— No 19_
Fl.1fit/%/� y Room I Length ,2 c, Width Height � II Fl.1 /<—Tip= 46om I Length j; Width i . ; Height i
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq ft
e'L G3 3
3 L
coel.1
Btu
Infiltration
3 3
(
Glass
o
S -C,
35-0
Exp. wall
71
Net exp. wall
lei u
�r
/ yf o
Int. Mall
O
Ceiling
1 C)
-7
C"
Floor
`% t
L
Total Btu.
Required sq. h. E.D.R. or sq. ins. W.A. Leader area 1S SL L
F1.1 L 10 /.v G- Room I Larlsstth A 9L-, 9 Width /3, % Heiftht 9 --
windows and Doors—Crackage and Area
Width Helgbt No. of Lineal ft. Ara
Na or paws of pang llgbte of crack p. ft.
e'L G3 3
L
Coef.
Btu
1n61tration
3 3
(
/ 3 ,� v
Glass
o
S -C,
35-0
Exp. wan
c 7
Net exp. wan
lei u
�r
/ yf o
Int. wan
O
Ceiling
3 1
-7
o
Floor
`% t
L
Total Btu.
3 A -
Required sq. ft. E.D.R. or sq. ins. W.A. Laader area I
Fd n/Ay/NG Room ILength /rJ Width /,-:� .; Height V-
Windows and Doors--Craekage and Area
Idth Height No. of Lineal ft. Area
No. of pens of pane Ilgbte of crack p. ft.
V.1111th Height No. of Lineal ft. Area
[ ragas of pant lights of crack p. It.
L
Coef.1
Btu
smltrat101)
3 oZ-
Coef-I
A P 0
Glace
o
S -C,
a, o o a
FJ1p. Wall
L X
Ne esp. wan
I A2L-
�r
74
Int. wan
O
Ceiling
f
—/
o
Floor
`% t
L
tht.l kiln_
Required sa. h. E.D.R. or sa. ins. WA. Lader area
Windows and Doors--.Crackage and Area
_No
2 -
V.1111th Height No. of Lineal ft. Area
[ ragas of pant lights of crack p. It.
L
f.
Btu
Infiltration
7
Coef-I
B►tt
Glaze
3
5-e- ;
/ g- o
Exp. wall
`f S'
Exp. wali
dt
�r
3
Net exp. wall
O
lot. wall
f
—/
o
Ceiling
`% t
L
Floor
Total Btu. vZ .
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Fl.l /J 111 Room I Length S , C Width A 3 Heis ht �
Windows and Doors--Craekage and Area
Width Height No. of Lineal ft. Area
No. of lune of pone liable of crack eq. ft.
s- / 7
f.
Btu
Infiltration
7
�4C.,
vA c;
Glaze
3
5-e- ;
/ g- o
Exp. wall
`f S'
Net exp. wall
dt
�r
3
Int. wall
Ceiling
f
—/
o
Floor
Total Btu. / �-
Required sq. h. E.D.R. or sq. itis. W.A. Laader area
F1.1 t1 n Rnem I Length / V- Width A? / Heiftht
Windows and Doors--Crackage and Area
Width Heighto. of Lineal It. Area
No. of pane of pane llgbte of crack sq. ft.
Cod.
Btu
Infiltration
/
0
Glass
Exp. wan
a. i
Net exp. wall
C, �r
ff
Int. wall
Ceiling
3 G
Floor
7 otal Utu. ill
it 54
Required sq. ft. ED.R. or sq. ins. W.A. Lader area
BROOKLYN PRINTING i ADV CO.
MEAT LOSS CALCULATIONS DEPARTMENT O! BUILDIMOS
Weathentrips Guide Construction No.
Window, Doors Reference Out. Waq Eat. Wall Ceiling Roof door
es— 0 19_
�t l f1 r' n Rnntn Irttath /A 3 Width /v, 3 Height II FI.1
Windows and Doon—Crackage and Area
'•°-"+�.
Width Height No. of Lineal ft. Area
No. of pose of page lights of crack eq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack p. ft.
a Y— 7
a- G 3 'Z-- i 3
C.,
Coef. Btu
1n61tratiort
Coef.
&u
1a51tntion
/
4 U
U
Gla„
73
5"c1
15, O
Fop. wall
/ .3
-53
Net exp. wall
/
EtgL wall
75
Int. wall
7 5
Ceiling
Ceiling
C
D -3
Floor
oZ
Int. wall
Total Btu. S vy
Required sq. ft. ED.R. or sq. ins. W.A. Leader area
R-1 Unath _?k Y Width -2 S, Y Height
Windows and Doors--Crackage and Area
'•°-"+�.
Width Height No. of Lineal ft. Area
No. of pose of page lights of crack eq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. It.
34 5 Of
a- G 3 'Z-- i 3
C.,
Coef. Btu
1n61tratiort
Coef. Btu
Glu,
coef.1
Btu
In6ltratioa
Net amp. wall
S
Int. wall
9-01
,.Z G
Glm
Floor
S
.6-0 12-
5_0
EtgL wall
Int. wall
7 5
Ceiling
Net amp. wall
C
D -3
oZ
Int. wall
Ceiling
Floor
737110
? C�
Total Btu. jae G
Required sq. ft. E.D.R. or sq. ins. WA Leader area,
R I Room I1lrtath Width Heiuht
Windows and Doors--Crackage and Area
'•°-"+�.
Width Height No. of Lineal ft. Area
No. of pose of page lights of crack eq. ft.
7-1
Coef. Btu
1n61tratiort
Coef. Btu
Glu,
W. wall
Net amp. wall
S
Int. wall
1 5V
Ceiling
Floor
Teta) Btu.
Reouired ,a. ft. E.D.R. or sa. ins. WA. Leader area I
Insulation
Kind How Applied
a-- I I onath width Heiaht
Window, and Doom,-Craekage aad Area
'•°-"+�.
WWW HolKht No. of Lineal t. A
No. of pane of pane Ilehto of crack sq. ft.
Coef. Btu
IIIbltratg0
Coef. Btu
Glass
Esp. wall
Net exp. wall
S
Int. wall
1 5V
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. of sq. ins. W.A. Leader area
931 Rmm I LAoath Width Height
Windows and Doom--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lighte of crack sq. ft.
Coef. mu
Infiltration
Coef. Btu
Glass
Exp. wall
Net exp. wall
S
Int. wall
1 5V
Ceiling
Floor
Total Btu.
Required ,q. ft. ED.R. or sq. ins. WA. Leader area
ci I R.....n I I.onath Width Height
Windows and Door&—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pass light@ of crack sq. ft.
Coef. Btu
Infiltration
13191.0
Glass
S
_2 7
1 5V
Emp. wall
Net exp. wall
Int. wall
Ceiling
C
Floor
Total Btu. 1<.;z F-7—
Rewired sq. ft. E.D.R. or sq. itis. W.A. Leafier area I
BROOKLYN PRINTING & ADV. CO.
SUBJECT
P
City of Fridley
O 19258
AT THE TOP OF THE TWINS
BUILDING
PERMIT
R
Ir
`V _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
`
CITY HALL FRIDLEY 55432NUMBER
REV.
OAT
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
10/30/87
JOB ADDRESS 1572 - 61st Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
1
Shady Oak Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter/Diane Kycia 1572 - 61st Avenue N. E.
571-6359
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 ❑x ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install a bay window and side door
9 CHANGE of USE FROM TO
STIPULATIONS
See notations on plan
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,400
$.70
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$23.50
LAN CHECKFEE
TOTALFEE
$24,20
S IIGGNNAT RE OF CONTRACTORORAAUUUTTH(OO�RRIIIZZ�EEDD AGENT (DATE)
WHEN PROPERLY
VA A E THIS 1P YOUR PERMIT
/U ,,ll
er�
4
/�E
SIGIURE OF OWNER II OWN R BUILDER IDAT
BLDG INSP
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
T
Construction Address: .ldS -7,)— �,
Legal Description: IL 10
Owner Name Name & Address: i 1 )�%� � fl J �'--- 'L /� Tel . # �� 7/- 9
Contractor: Tel. #
Address:
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:
4 ) -)j-
,X
J- -
Corner Lot [ ] Inside
Lot [ ] Ft. Yd. Setback
Side Yard
Setback
Type of Construction:
Estimated Cost: $
L�ll�l) • v -a
Approx. Completion Date:
Alt. A
Alt B
Proposed Driveway Width
If New Opening Is Desired:
$ $
See Back Page for Explanation
DATE: _ 10 /0 9- .F7 APPLICANT:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS•
CITY USE ONLY
$ &-
$ 9
$ •211
$
$
e
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation y
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
iWi
listr .�
CERTIFICATE OF SURVEY
FOR: riot "0 nes Inc.
ST AVE. NE
Z2.5
House
Under Corti-.
,27.6
N
o p o s kron monurnev%*
Le9n1 descc%O-ior% s LCA
3, Block k, SNADY OAK
MANOR, Anoka Coun+y
Minnesoto�
Power pole '4'-.
o� lot co�mIr -12 ZS meas.
Rev ised S -19-7(p -}o
Show house under cons+ruc�►on
I hereby certify that this is a true and correct representation of a survey of
the boundaries of the above described land and of the location of all buildings,
De MARS - GABRIEL if any, thereon, and all visible encroachments, if any, from or on said land.
LAND SURVEYORS, INC 10 {k day of M " 197(e-•
3030 HARBOR LANE As surveyed by me this
PLYMOUTH, MN. 55441
Minn. Reg. No. I 44
Job No.
50G
Book — Page
1-7-10
Sca l e
1= 40
'\A
10 0
ot4
'\A
ot4
CITY OF FRIDLEY INSPECTION DIV,
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 30.00 $
$ 10,00
$ 10.00
$ 10.00
"Air Conditioning — All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
11% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
.50
$.`�.
MINIMUM FEE FOR AN(HEkTINg/CQOLING[_VE:NTILATIUN
REFRIGERATION/AI_R CONDITIONIIVG PERMIT IS $25.00
PLUS THE .50 STALE SURCHARGE
REINSPECTION FEE $42,MHr
'Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner,
Effective On March 1, 1996
6/30)q(.
JOB ADDRESS G./ 1y -c— N(:�
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 Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct,
JCS 9� ,1996
OWNER L*t)Ct 1- C.I CA S7 /- 6 3 <41
BUILDING USED AS
ESTIMATED COST�'�J PERMIT N0.
IDESCRIPTiON OF FURNACE AND OR BURNER
No. of Pleating Units
Trade Name
BTU_
Fuel
Burner Trade Name
BTU
Circle One (Steam) (Hot Water) (Warm Air)
Size No,
HP EDR
Total Connected Load
HP
Size No,
EDR'
HEATING COMP Y G` cku i L So -5 ` �M
Signed By / _ Tel No.--- 7
Approved By `Rough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks:
List ALTERATIONS Beim Done:
HEATING CO:
Signed By:
Date:
CEWMEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ()
No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects lodged within
Yes ()
No ( )
4.
Is securely supported
Yes (
) No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes (
) No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ( )
No ( )
8.
Has combustion air been provided for water heater
Yes(}
No (, )
Remarks:
List ALTERATIONS Beim Done:
HEATING CO:
Signed By:
Date: