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PRE 2010 DOCS• Date: 0 City of Fridley, Minn.. BUILDING PERMIT Sept. 7, 1967 owner: _ Ernest Klar Builder Same Address 1373 64th Ave. N. E . Address Same No .9441 LOCATION OF BUILDING No. 1373 Street — 64th Ave. N. E. Part of Lot Lot __.. 14 __ Block 1 Addition or Sub -Division ___ Spring Valley Addn. Corner Lot — Inside Lot Setback , Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Storage Front 16' Depth 24' Height 10' Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost �187_.00 _ 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 a11 provisions of ordinances oP the city of Fridley. In consideration of the payment of a fee of $ 6.00 1 permit is hereby granted to Ernest Klar 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 buildinas within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Biding Spector NOTICE: TMs permh doss not eorer the construction, hutagation for wiring, Plumbing, ga hsathM awer or wow. Bs aura to ass the Building Inspector for separate permhs for thea ho m e _LICA1.CM }tti:t B?li'i,DIi.G MIMIT CI' 5i of FitxD:,Ei, MINNESOTA OWNER'S 1VAb1E �% L, '1,DuR A M r ADDRESS Tk A.VADDRESS M0/15Al jjMN LOCATION OF BUILDI,TG ITO. 1__---_. 7 _.__.�. STP.EET c , E; PART OF LOT A Ir- K LOT 1 BLOCK / ADDITION OR SUBDIVISION 2 CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATIMI ELEVATION 4 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location draurn on these Certificates. DESCRIPTION OF BUILDING. _ To Be Used As: = ®R A®G Front �,�i Depth/ Height ..� Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction !.&?A LN 9 Estimated Cost l 7 To Be Completed -----4- S R L �. 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 g s — L SIGNATURE (Schedule of Fee Costs can be found cn the Reverse Side). r, o� ® 33 I -fir �' �► v CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of V [ue of Fixture or Appliance 4 S �— State Surcharge TOTAL FEE .50 JOB ADDRESS /3 2 3 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. / 9l ,1991 Owner r ell Xy f k 1 s Building Used As tl40 le Estimated Cost / 0 G _ PERMIT NO. lb 90/ PLUMBING COMPANY_R SIGNED BY TEL N0. v Approved ByaRough-In Date Final Date G MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE M 7 SUBJECT City of Fridley C_�� 2 AT THE TOP OF THE TWINS BUILDING P E R M I T RECEIPT NO. _______ COMMUNITY DEVELOPMENT DIV. 1 v INSPECTION SEC ✓ %� r PROTECTIVE 1 � i "1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6/10/96 JOB ADDRESS 1373 64 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bernard Marihart 1373 64 Avenue NE 571-6447 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 L] REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (16 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $.66 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,320 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- $45.75 Fire SC $1.32 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEAL FEE 1'$47.73 A�TURE_OF/C/O///NTCT�O/�R�,"/QR AUTHORIZED AGENT IOATEI PAO Y VA D T THIS IS/YOUR PERMIT "SSI/G/IN SiGNATUREOFOWNEROFOWN RBUILDERi tDATEi - OG NSP MATE M 7 NEW [ ] Effective 3/1/96 ADDN [ l CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -b�J Building Permit Application ConstructionAddress: 13 73 Legal Description: Owner Name & Address: 69AAWO 1i4,4r,�/�0 / 3 7 3 Tel. # 7/ G Yy Contractor: O AlvVD '' MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%1PROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length OTHER: q" Width Hgt/Ground Sq. Ft. 617 L9IT611 d' G'A44'-'X- / Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ b Approx. Completion Date: _ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: , Tel. CITY USE ONLY Permit Fee $ 4K- 9S:—Fee Schedule on Reverse Side Fire Surcharge $ / 3c� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 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 $ 4 STIPULATIONS: i' /373 6 Yftyar oA�, � � �� - , SUBJECT P City of Fridley 2584 AT THE TOP OF THE TWINS BUILDING PERMIT w_---_ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ��/; ((� r PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY i ----I CITY HALL FRIDLEY 55432 '� L J` 612-571-3450 910 -FIS 5/13/02 JOB ADDRESS 1373 64 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bernard Marihart 1373 64 Avenue NE 612-384-0361 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW JD ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct a 24' x 10' Addition to Living Area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before Dogging call foF all utility IOoations SEPARATE 454-0002 u REQS_ MITRING HEAt'IN G�LUMBI i AND S 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 1 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 $6.81 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,622 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- $237.25 Fir SC $13.62 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE $ 57.68 S.GNATUREOF RAC RORAUTHORIZEDAGENT tDATE, HEN P OP ALID TE THIS ISY YOUR PERMIT / r S' NATURE OF OWNERdF OWNER BUILDER$ [DATE, BLDG iNSp - gArE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �'�, Construction Address: 13-7-3 Legal Description: L caj�4- y4a� % A�V�' Owner Narr Contractor. Tel.# 6/2 - 3F11 -(:;?3C :NSE # Address: Tet. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT fes% Z-�C LIVING AREA: Length Width Height 0 Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: 02 vk vr. ? = �GZZ ov Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $. DATE: �� ` 5 APPLICANT: Tel. # 6 1,2 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $c -3;7,-i- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ ,�S% 6� STIPULATIONS: FRIDLEY MUNICIPAL CENTER 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 763-572-3604 Job Site Address: 1373 ENERGY CODE WORKSHEET FOR ONE & TWO FAMILY DWELLINGS INSTRUCTIONS: Complete Parts I, 11 and 111. Clearly mark plans with: insulation R -values; window and skylight U -values; size and type of equipment; equipment controls; and location of interior air barrier, vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Code Summary Sheets available from the Minnesota Department of Public Service. Part I. BUILDING ENVELOPE Check option used: `Cookbook" Method (complete worksheet below) ❑ MnCheck method (attach report) ❑ Building Component method (attach calculations) ❑ Systems Analysis method (attach analysis) MINIMUM REQUIREMENTS . for "Cookbook" O tion ❑ Heating system efficiency: Minimum 90% AFUE MItedu : 1'/4" solid wood or maximum U -value of 0.40 one ermittedlation: Minimum R-38sulation: Minimum R-10 unconditioned s aces: Minimum R-30 windows: '/Z" insulated glass in wood or vinyl frame or maximum U -value of 0.51 "Cookbook" Worksheet INSTRUCTIONS Step 1. Check item(s) that design meets on Minimum Regctirements list to the right. Must meet all items to use Cookbook option. Step 2. Indicate proposed wall type on table below. Step 3. Indicate Window U -value and source. Step 4. Verify total window (including area of all foundation win- dows) & door area is equal or less than allowable percentage TABLE FOR DETERMINING MAXIMUM WINDOW AND DOOR AKLA Maximum Allowable Total Window and Door 12% 14% 16% 18% 20% 22°/. 24% 26% 28% Area as a Percents a of Exposed Wall -� 10% Window U -value (except foundation windows 0 5.6 sf ): Wall Type (R-5 up to R 10 Foundation Insul.): Maximum Average 0.26 0.23 0.20 0.18 0.16 0.15 - ' 0.14 ❑ 2x4, R-13 insulation, < R-5 sheathing0.37 0.36 0.30 0.37 0.37 0.35 0.31 0.28 0.25' 0.23 0.22 C3 2x4, R-13 insulation, C R-5 sheathing 0.37 0.37 0.37 0.37 0.34 0.31 0.28, 0.26 0.24 . El2x4, R-13 insulation, C R-7 sheathing 0.37 0.37 0.37 0.34 0.31 0.28 0.25 0.23 , 0.21 O '7x6, R-19 insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.33 0.30 0.28: 0.26 2x6, R-19 insulation, R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.33 0.30 0.27 0.25 0.23 ❑ 2x6, R-21 insulation. < R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.35 0.31 0.29 .0.27 ❑ 2x6, R-21 insulation. R-5 sheathing 0.37 0.37 Wall Type (with R-10 Foundation Insulation): Maximum Avera a Window U -value (exce t foundation windows 0 5.6 sf): 0.15 ❑ 2x4, R-13 insulation, < R-5 sheathing0.37 0.37 0.33 0.28 0.25 0 22 0.20 0.30 0.18 0.27 0.17 0.25 ` 0.23 O 2x4, R-13 insulation, ❑ R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.33 0.33 0.30 0.27 ° 0.25 El 2x4 R-13 insulation, 0 R-7 sheathing 0.37 0.37 0.37 0.37 0.37 0.36 0.29 0.27 0.24 0.23 ❑ 2x6, R-19 insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 0.32 0.37 0.35 0.32 -0.29 0.27 ❑ 2x6, R-19 insulation, rE R-5 sheathing 0.37 0.37 0.37 0.37 0.37 0.35 0.31 0.29 - 0.26 0.24 ❑ 2x6, R-21 insulation, < R-5 sheathin 0.37 0.37 0.37 0.37 0.37 0.37 0.37 0.36 0.33 0:30 ` 0.28 O 2x6, R-21 insulation, ❑ R-5 sheathing 0.37 0.37 0.37 Window U -value (except foundation windows 0 5:6 s Wall Type (with RO19 Foundation Insulation): Maximum Average 17 0.29 0.26 0.23 0.21 ' 0.19 0.17 0.16 O 2x4, R-13 insulation, < R-5 sheathing 0.37 0.37 0.34 0.37 0.37 0.37 0.34 0.31 0.28 0.26 0.24 ❑ 2x4, R-13 insulation, R-5 sheathing 0.37 0.37 0.37 0.37 0.34 0.31 0.28 0.24 ❑ 2x4, R-13 insulation, i, R-7 sheathing 0.37 0.37 0.37 0.37 0.37 0.37 _ 034 0.30 0.28 0.25 0.23 El 2x6. R-19 insulation, < R-5 sheathing_0.37 0.37 0.37 0.37 0.37 0.37 0#360.33#03U 0.28 ❑ 2x6, R-19 insulation, a R-5 sheathing 0.37 0.37 0.37 0.37 0.36 00.29 0.25 ❑ 2x6, R -2l insulation, < R-5 sheathing 0.37 0.37 0.37 0.37 037 0.37 0.37 0.0.34 0.29 O 2x6, R-21 insulation,,--- R-5 sheathing 0.37 0.37 0.37 Source: ❑ NFRC Default Table (see Part 7670.0700) Window U -value: E=❑Code goo x j = Fi =- -.11..- window & door area gross exposed wall area DESIGN ALLOWABLE (from table above) Part II. DEPRESSURIZATION PROTECTION Check option used: Cl Aggregate (complete aggregate worksheet on next page) ElPrescriptive (complete worksheet below) ❑ Performance (submit test report prior to final inspection) ❑ No fuel burning equipment PRESCRIPTIVE PATH WORKSHEET INSTRUCTIONS Step 1. Complete the Combustion Equipment Schedule on the right. Step 2. Choose a Make-up Air Path with a Y (Yes) for all selected equipment. Step 3. Complete the table below for the ddake-up Air Path chosen, indicating flows in cfm for exhaust and make- up air methods proposed. Only the capacity of largest exhaust appliance in each category need be considered. Step 4. Fill out the Passive Make-up Air Opening Schedule on the next pag� COMBUSTION EQUIPMENT SCHEDULE (check all types proposed) Path 0 Permitted E ui ment Path 1 Path Z Path 3 Space heating ❑ Sealed combustion Y Y Y Y " Direct or power vented N Y. :_ _ Y Y_. ❑ Atmospherically vented N . Y* Y Nater heating Sealed combustion Y Y Y ❑ Direct or owe ented N Y Y - ❑ Atmosph ' ally vented N N Y ' Hearth -gas 0 Seawcombustion Y Y. Y Y_Ppe.. irect or power vented Y Y Y ❑ Atmospherically vented N N Y* N Hearth olid ❑ Closed controlled N Y Y* N ❑ Decorative N N ; Y* _ N * Only one atmospherics vented appliance maybe installed in Prescriptive Path 2 ❑ Path 0 — Prescriptive Make-up Air Method Exhaust Passive Infiltration Passive Opening :" Powered Make-up Clothes dryer. Passive infiltration for up to 175 cfins Passive openings for cfms over 175 Kitchen exhaust: Passive infiltration for up to 250 cfm Passive openings for cfms over 250 Powered to match flow for cfins over 500 Other exhaust:f Passive openings for up to 140 cfm Powered to match flow for cfms over 140 N/A f Need not include central vacuum exhaust in Path 0. TOTALS C3 Path 1 — Prescriptive Make-up Air Method Exhaust Passive Infiltration Passive O enin* Powered. . Make -u Clothes dryer:++ Passive infiltration for up to 175 cfm Passive openings for cfins over 175 Kitchen exhaust: Passive openings for up to 250 cfm Powered to match flow for cfins over 250 N/A Other exhaust:++ Passive openings for up to 140 cfm Powered to match flow for cfms over 140 N/A TOTALS $ If, closed controlled combustion solid -fuel burning appliance is installed inPath 1, then the clothes dryer and any central vacuum that .exhausts to outside must be. provided with make-up air by passive opening , to match flow. Otherwise need not include central vacuum ❑ Path 2 — Prescriptive Make-up Air Method Exhaust Passive : Infiltration Passive Opening Powered Make u Clothes dryer. Passive openings for up to 175 cfm Powered to match flow for cfins over 175 N/A Kitchen exhaust: Powered to match flow N/A I N/A Other exhaust: Powered to match flow N/A N/A - TOTALS N/A ❑ Path 3 — Prescriptive Make-up Air Method Exhaust Passive Infiltration Passive Opening Powered Make-up Clothes dryer: Powered to match flow N/A N/A Kitchen exhaust: Powered to match flow N/A N/A Other exhaust: Powered to match flow N/A N/A TOTALS N/A I N/A ' PASSIVE MAKE-UP AIR OPENING SCHEDULE Passive OpeningMake=u Powered TABLE FOR SIZING PASSIVE MAKE-UP AIR OPENINGS Diameter Path 0 Path 1 Path 2 Notes: a) b) c) d) This table assumes 20 feet of smooth unobstructed round duct with three 90° elbows and a screened hood Equivalent designs calculated using pressures of 50 Pascals for Path 0, 25 Pascals for Path 1, and 5 Pascals for Path 2 may be used. If a make-up air opening is used with no duct or elbows, the diameter can be decreased by I inch. If flex duct is used, increase diameter by t inch. 3 inches 50 cfin. 35 cfm - 15 cfm 4 inches 90 cfm 60 cfin 30 cfin 5 inches 140 cfm 100 cfin 45 cfin 6 inches 200 cfin 140 cfin 65 cfm 7 inches 270 cfm 190 cfrri 85 cfm 8 inches 350 cfin 250 cfm 110 cfm 9 inches 450 cfm 320 cfm 140 cfin 10 inches 570 cfin 400 cfin 180 cfm Make-up Air Application/Location CFM Opening size * If a closed controlled solid -fuel burning appliance is installed in Path 1, then a passive opening must be installed to provide make-up, Duct Type ❑ Path 2 — Aggregate Make-up Air Method Passive Infiltration Passive O enin Powered Make-up ❑ Smooth ❑ Flex ❑ Opening only Powered to match flow for cfins over 175 ❑ Smooth ❑ Flex ❑ Opening only ❑ Path 3 — Aggregate Make-up Air Method Passive Infiltration ❑ Smooth ❑ Flex ❑ Open'pg only Powered to match flow N/A N/A ❑ Smooth ❑ Flex ❑ O enin onl AGGREGATE MAKE-UP AIR WORKSHEET INSTRUCTIONS Step 1. Complete Exhaust Schedule on the right indicating cfin of largest device in each category. Step 2. Complete the Combustion Equipment Schedule on preceding page. Step 3. Choose a path with a Y (Yes) for all selected equipment. Step 4. Complete Aggregate Make-up Air table below for chosen path. Using the total cfm from the Exhaust Schedule, indicate flow in cfin for proposed method(s) of providing make-up air. Step 5. Fill out the Passive Make-up Air Opening Schedule above. EXHAUST SCHEDULE DEVICE CFM Clothes dryer Kitchen exhaust Other exhaust TOTAL ❑ Path 0 — Aggregate Make-up Air Method Passive Infiltration Passive OpeningMake=u Powered Passive infiltration for up to 425 cfi-n Passive openings for cfins over 425 Powered to match flow for cf ns over 985 ❑ Path 1 — Aggregate Make-up Air Method Passive Infiltration Passive Opening* Powered Make -u Passive infiltration up to 175 cfm* Passive openings for cfms over 175 Powered to match flow for cfins over 565 * If a closed controlled solid -fuel burning appliance is installed in Path 1, then a passive opening must be installed to provide make-up, air for the clothes dryer and for any central vacuum that exhausts to the outside. ❑ Path 2 — Aggregate Make-up Air Method Passive Infiltration Passive O enin Powered Make-up Passive openings for up to 175 cfin' Powered to match flow for cfins over 175 _N/A ❑ Path 3 — Aggregate Make-up Air Method Passive Infiltration Passive Opening Powered Make -.0 Powered to match flow N/A N/A Part IIIc. VENTILATION INSTRUCTIONS Step 1. Complete the Ventilation Quantity worksheet below. Step 2. Check the Make-up Air Path (from Part II) on the Ventilation Methods table below. Step 3. Choose permitted method(s) for People and Supplemental Ventilation from the Ventilation Afethods table. Step 4. Complete the Ventilation Fan Schedule. VENTILATION QUANTITY VENTILATION METHODS TOTAL VENTILATION: 0.05 cfm/sf x sf = cfm conditioned floor area normally including basement MAKE-UP AIR PATH from Part II) PEOPLE PEOPLE VENTILATION: x 15 cfm/bedroom) + 15 cfm = cfm # of bedrooms Prescriptive or Aggregate) Path 0 Balanced or Exhaust only SUPPLEMENTAL VENTILATION: i cfm — cfm = cfm total ventilation people ventilation Prescriptive (or Aggregate) Path 1 Balanced or Exhaust only Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant (print name) Signature Date _ Telephone number Part IIIb. VENTILATION (Submit Part IIIb upon completion of system verification) Job Site Address: Permit Number Fan description or location TOTALS MEASURED Intake* cfm cfm cfm cfrn cfim PERFORMANCE Exhaust* cfm cfin cfm cfm cfm *Measurement required for ventilation system intakes and exhausts from the building with design air flow of 30 cfim and greater. Compliance Statement: Installed ventilation system is in compliance with NIN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature Date Telephone number VENTILATION METHODS Fan description or location MAKE-UP AIR PATH from Part II) PEOPLE SUPPLEMENTAL CO ALARM ❑ Prescriptive or Aggregate) Path 0 Balanced or Exhaust only Balanced or Exhaust only* Not required.... ❑ Prescriptive (or Aggregate) Path 1 Balanced or Exhaust only Balanced or Exhaust only* _ Not re uired ❑ Prescriptive (or Aggregate) Path 2 Balanced Balanced or Exhaust only* Required .'. ❑ Prescriptive (or Aggregate) Path 3 Balanced Balanced Required,. ❑ Performance Path (see part 7672.1000 subpart 7) Performance Performance Required * Passive infiltration shall not be used to provide make-up air for exhaust only supplemental ventilation in excess of 0.05 cfm/sf. t A carbon monoxide alarm must be installed if a controlled combustion solid -fuel burning appliance is installed in Path 1. Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant (print name) Signature Date _ Telephone number Part IIIb. VENTILATION (Submit Part IIIb upon completion of system verification) Job Site Address: Permit Number Fan description or location TOTALS MEASURED Intake* cfm cfm cfm cfrn cfim PERFORMANCE Exhaust* cfm cfin cfm cfm cfm *Measurement required for ventilation system intakes and exhausts from the building with design air flow of 30 cfim and greater. Compliance Statement: Installed ventilation system is in compliance with NIN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature Date Telephone number VENTILATION FAN SCHEDULE Fan description or location TOTALS' Fan Purpose ❑ People ❑ People ❑ People ❑ People cfm' ❑ Supplemental_ ❑ Supplemental ❑ Supplemental ❑ Supplemental cfm- VENTILATION AS DESIGNED Intake cfm cfm cfm cfm cfm Exhaust cfm cfm cfrn cfrn cfin Statement of Compliance: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Applicant (print name) Signature Date _ Telephone number Part IIIb. VENTILATION (Submit Part IIIb upon completion of system verification) Job Site Address: Permit Number Fan description or location TOTALS MEASURED Intake* cfm cfm cfm cfrn cfim PERFORMANCE Exhaust* cfm cfin cfm cfm cfm *Measurement required for ventilation system intakes and exhausts from the building with design air flow of 30 cfim and greater. Compliance Statement: Installed ventilation system is in compliance with NIN Energy Code and is sized to provide the design air flow. Applicant (print name) Signature Date Telephone number ;pU"IS s'-IN IPPROVED .:��Cr TO Art n k c`, 7; _-z < yY MY tnao&l�� Sewcx-��7 I loo's 7,007d#4vAl je7 fl- ,, ✓�, - ;-/7 WI.Aj 04 r AP ,iq47Z� a -ter r1V,44ez i9 � i j � �i � r � / 7/ 1 e b {\ n /&W", Jef-1;15 44'-7cl-,g./6- k /,,4, /,--- '- -/2 � e a a500 CITY OF FRIDLEY PERMIT NO : 2004-00569 6431 UNIVERSITY AVENUE NE -- - - FRIDLEY, MN 55432 DATE ISSUED: 04/22/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1373 64TH AVE NE PIN : 133024420018 LEGAL DESC : SPRING VALLEY : LOT 14 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 38,364.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 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 22'X 24' ADDITION TO DWELLING. APPLICANT BUILDING PERMIT FEE 532.65 MARIHART BERNARD J FIRE SURCHARGE 38.36 1373 64TH AVE NE STATE SURCHARGE, VALUE 19.18 FRIDLEY, MN 55432 TOTAL 590.19 PAID WITH CHECK # 3755 OWNER MARIHART BERNARD J 1373 64TH AVE 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 work will be complied with whether specified herein or not. The granting of a permit does not presumeto give uthority to violate or cancel the provisions of any other to or local law regulating co truc ' e pe rmance f cons ^tiionn. Applicant Date Z2re�q 01 Bldg Ins SEPARATE PERMITS REQUIRAD FO WO*. OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: / 3 73 Legal Description: Z- d/ /y Owner Name & Address: Contractor. . F3 , +, Q Effective 4/1/2004 (763)72-3604 Bldg Insp (763) 71 287 F Tel. # Clor2) 3 FW o3Ceo' 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 2 , Width 2 Height GARAGE AREA: Length Width Height DECK AREA: Length • rCS P Width Hgt/Ground �oo� - cDS� j F Sq. Ft. 5 Z Sq. Ft Sq. Ft. Construction Type: �� a" Estimated Cost: $ �0q Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: r y APPLICANT: �G� Tel. # I'6 /`2> 3 �Y. �3G / Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $� Fee Schedule on Reverse Side $_ 65% of Permit Fee 3 $� C�� (� .001 of Permit Valuation (1/10th%) $ I q I $.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 [ $ S -I®° {q STIPULATIONS: Q M-0 TABLE R404.1.1(2) — TABLE R404.1.1(3) TABLE R404.1.1(2) RctNcnRr_Pn r_nntr•_RETE AND MASONRYe FOUNDATION WALLS FOUNDATIONS For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm. a. Mortar shall be Type M or S and masonry shall be laid in running bond. b. Alternative reinforcing bar sizes and spacings having an equivalent cross-sectional area of reinforcement per lineal foot of wall shall be permitted provided the spacing of the reinforcement does not exceed 72 inches. c. Vertical reinforcement shall be Grade 60 minimum. The distance from the face of the soil side of the wall to the center of vertical reinforcement shall be at least 5 inches. d. Soil classes are in accordance with the Unified Soil Classification System. Refer to Table R405.1. e. Unbalanced backfill height is the difference in height of the exterior and interior finish ground levels. Where an interior concrete slab is provided, the unbalanced backfill height shall be measured from the exterior finish ground level to the top of the interior concrete slab. TABLE R404.1.1(3) occucnor_cn r_nMt1PPTF ANn MASONRYa FOUNDATION WALLS MINIMUM VERTICAL REINFORCEMENT SIZE AND SPACING°, `FOR 8 -INCH NOMINAL WALL THICKNESS Sop ¢lasses° MAXIMUM WALL MAXIMUM UNBALANCED HEIGHT (feet) BACKFILL HEIGHT' (feet) _ GW, GP, SW and SP soils GM, GC, SM, SM -SC and ML soils SC, MH, ML -CL and inorganic CL soils 5 #4 at 48" o.c. #4 at 48" o.c. #4 at 48" o.c. 6 6 #4 at 48" o.c. #4 at 40" o.c. #5 at 48" o.c. 7 4 #4 at 48" o.c. #4 at 48"o.c. #4 at 48" o.c. 5 #4 at 48" o.c. #4 at 48" o.c. #4 at 40" o.c. 7 6 #4 at 48" o.c. #5 at 48" o.c. #5 at 40" o.c. 7 #4 at 40" o.c. #5 at 40" o.c. #6 at 48" o.c. 8 5 #4 at 48" o.c. #4 at 48" o.c. #4 at 40" o.c. 6 #41M o. #5 at 48" o.c. #5 at 40" o.c. 8 7 #5 at 48" o.c. #6 at 48" o.c. #6 at 40" o.c. 8 #5 at 40" o.c. #6 at 40" o.c. #6 at 24" o.c. 9 5 #4 at 48" o.c. #4 at 48" o.c_ #5 at 48" o.c. 6 #4 at 48" o.c. #5 at 48" o.c. #6 at 48" o.c. 9 7 #5 at 48" o.c. #6 at 48" o.c. #6 at 32" o.c. 8 #5 at 40" o.c. #6 at 32" o.c. #6 at 24" o.c. 9 #6 at 40" o.c. #6 at 24" o.c. #6 at 16" o.c. For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm. a. Mortar shall be Type M or S and masonry shall be laid in running bond. b. Alternative reinforcing bar sizes and spacings having an equivalent cross-sectional area of reinforcement per lineal foot of wall shall be permitted provided the spacing of the reinforcement does not exceed 72 inches. c. Vertical reinforcement shall be Grade 60 minimum. The distance from the face of the soil side of the wall to the center of vertical reinforcement shall be at least 5 inches. d. Soil classes are in accordance with the Unified Soil Classification System. Refer to Table R405.1. e. Unbalanced backfill height is the difference in height of the exterior and interior finish ground levels. Where an interior concrete slab is provided, the unbalanced backfill height shall be measured from the exterior finish ground level to the top of the interior concrete slab. TABLE R404.1.1(3) occucnor_cn r_nMt1PPTF ANn MASONRYa FOUNDATION WALLS For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm. a. Mortar shall be Type M or S and masonry shall be laid in running bond. b. Alternative reinforcing bar sizes and spacing having an equivalent cross-sectional area of reinforcement per lineal foot of wall shall be permitted provided the spacing of the reinforcement does not exceed 72 inches. c. Vertical reinforcement shall be Grade 60 minimum. The distance from the face of the soil side of the wall to the center of vertical reinforcement shall be at least 8.75 inches. d. Soil classes are in accordance with the Unified Soil Classification System. Refer to Table R405.1. e. Unbalanced backfill height is the difference in height of the exterior and interior finish ground levels. Where an interior concrete slab is provided, the unbalanced backfill height shall be measured from the exterior finish ground level to the top of the interior concrete slab. 68 2000 INTERNATIONAL RESIDENTIAL CODE® VERTICAL REINFORCEMENT SIZE AND SPACINGU FOR 124NCH NOMINAL WALL THICKNESS Soil classes° MAXIMUM WALL MAXIMUM UNBALANCED HEIGHT (feet) BACKFILL HEIGHT' (feet) GW, GP, SW and SP soils GM, GC, SM, SM -SC and ML soils SC, MH, ML -CL and Inorganic CL soils 4 #4 at 72" o.c. #4 at 72" o.c. #4 at 72" o.c. 5 #4 at 72" o.c. #4 at 72" o.c. #4 at 72" o.c. 7 6 #4 at 72" o.c. #4 at 64" o.c. #4 at 48" o.c. 7 #4 at 72" o.c. #4 at 48" o.c. #5 at 56" o.c. 5 #4 at 72" o.c. #4 at 72" o.c. #4 at 72" o.c. 6 #4 at 7 " o.c. #4 at 56" o.c. #5 at 72" o.c. 8 7 #4 at 64" o.c. #5 at 64" o.c. #4 at 32" o.c. 8 #4 at 48" o.c. #4 at 32" o.c. #5 at 40" o.c. 5 #4 at 72" o.c. #4 at 72" o.c. #4 at 72" o.c. 6 #4 at 72" o.c. #4 at 56" o.c. #5 at 64" o.c. 9 7 #4 at 56" o.c. #4 at 40" o.c. #6 at 64" o.c. 8 #4 at 64" o.c. #6 at 64" o.c. #6 at 48" o.c. 9 #5 at 56" o.c. #7 at 72" o.c. #6 at 40" o.c. For SI: 1 inch = 25.4 mm, 1 foot = 304.8 mm. a. Mortar shall be Type M or S and masonry shall be laid in running bond. b. Alternative reinforcing bar sizes and spacing having an equivalent cross-sectional area of reinforcement per lineal foot of wall shall be permitted provided the spacing of the reinforcement does not exceed 72 inches. c. Vertical reinforcement shall be Grade 60 minimum. The distance from the face of the soil side of the wall to the center of vertical reinforcement shall be at least 8.75 inches. d. Soil classes are in accordance with the Unified Soil Classification System. Refer to Table R405.1. e. Unbalanced backfill height is the difference in height of the exterior and interior finish ground levels. Where an interior concrete slab is provided, the unbalanced backfill height shall be measured from the exterior finish ground level to the top of the interior concrete slab. 68 2000 INTERNATIONAL RESIDENTIAL CODE® �1 O R S6 0 0 1 � C)s I TeAn J -e qlz� a -1,3,1 �► �-`�� >vdVA panrod6V l 1 S 9�9✓ava7�' �,�� Gjai Aq� c�, I ,Eai,7 (NCO C�A I ►a. N. UU j VOL, VOL ';�i a t�J 9 ��/�m��o✓ SG,e��xJ7r�W e� ?3 6 lc�el' Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code REScheckSoflware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\bjm rck PROJECT TITLE: addition COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 04/11/04 DATE OF PLANS: 4112004 PROJECT DESCRIPTION: addition COMPLIANCE: Passes Maximum UA = 107 Your Home UA = 93 13.1% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 528 38.0 0.0 16 Wall 1: Wood Frame, 16" o.c. 176 19.0 0.0 9 Window 3: Above-Grade:Vinyl Frame:Single Pane 8 0.370 3 Window 10: Above -Grade: Vinyl Frame: Single Pane 8 0.370 3 Wall 2: Wood Frame, 16" o.c. 176 19.0 0.0 8 Window 7: Above -Grade: Vinyl Frame: Single Pane 12 0.370 4 Door 2: Solid 21 0.350 7 Wall 3: Wood Frame, 16" o.c. 192 19.0 0.0 10 Window 8: Above-Grade:Vinyl Frame: Single Pane 15 0.370 6 Basement Wall 1: Masonry Block with Empty Cells 176 5.0 10.0 8 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 8.0' Window 9: Basement <= 5.6 ft2: Vinyl Frame: Single Pane 2 0.510 1 Window 10: Basement <= 5.6 ft2: Vmyl Frame: Single Pane 2 0.510 1 Basement Wall 2: Masonry Block with Empty Cells 176 5.0 10.0 8 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 8.0' Basement Wall 3: Masonry Block with Empty Cells 192 5.0 10.0 9 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 8.0' Proposed and Maximum U -Factor Averages Proposed Maximum Average U -Factor Allowed U -Factor Above -Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 Foundation Windows <= 5.6 ft2 0.370 0.510 0.370 0.510 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 REScheckVersion 3.5 Release le (formerly MECchec4 and to comply with the mandatory requirements listed in the REScheckInspection Checklist. Builder/Designer Date CITY OF FRI)LEY PERM NO.: 20040068 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/11/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 1373 64TH "ENE PIN : 133024420018 LEGAL DESC : SPRING VALLEY : LOT 14 BLOCK 1 PERMIT TYPE : SEWERIWATER REPAIR PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SEWER/WATER LINE REPAIR VALUATION NOTE: CALL FOR INSPECTION AFTER UNCOVERING THE LINE, BEFORE ANY REPAIRS ARE MADE, AND AGAIN WHEN THE REPAIR IS MADE BUT BEFORE RECOVERING THE LINE. REPAIR BOTH THE SEWER AND WATER LINES. APPLICANT AQUA CITY PLUMBING & HEATING INC 5428 NICOLLET AVE S NIINNEAPOLIS, MN 55419 - OWNER MARIHART BERNARD J 1373 64TH AVE 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 work 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 regulqfia&constp4ction or the performance of construction. Bldg Insp� °I SEWER LINE REPAIR/RELOCATION WATER LINE REPAIR/RELOCATION TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 40.00 40.00 80.00 MAY -11-2004 08:25 FROM CITY OF FRIDLEY TO 6128259744 P.01r01 0133 �- CITY OF FRIDLEY UTILITY UNE REPAIIi/REIACATION INSPECTION REQUEST Dam— y Job Address: _ ,� 0361 owner: AM Less►I soft Von //2 Plumbing mmw Lc. « 3 o " �Im 1 �K a Call to inspections after urieorerin9 � d Ww.betri the (Inv. are made, and a20when the reps r is'Tadv but Hefore recovering Water Line Foe:Total. �)-26 Sewer Line Repair ill R*Wcafwn G Fe.. Chapter 206, Fr�fty City Code Receipt #---- INSPECTION RESULT gpprrnvd p Denied C Comments Inspector;_ Dote: wntw ftwr— " °iii• • mow■ oovy�a"o Co. • Mud Covl� +er O�pl. P)cAsc, c— 4-p4- 14.- -7 6 3 - S-7/- / a P 7 TOTAL p.01 G )d - S1,27- d 97/ .jl190 d8�-7 143& �/-O/`% ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY PERMIT NO.: 2004-01358 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/19/2004 572-36U4 FAX: (763) 571-1287 1373 64 AVE NE 133024420018 SPRING VALLEY LOT 14 BLOCK 1 ELECTRICAL RESIDENTIAL ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL FOUR CIRCUITS IN NEW ADDITION. # INSPECTIONS 2 APPLICANT MARIHART BERNARD J 1373 64TH AVE NE FRIDLEY, MN 55432 r WENT MARIHART BERNARD J 1373 64TH AVE 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 PERMIT FEE - MIN (RESI) ELECTRIC FORM FEE STATE SURCHARGE, ELEC FLAT TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 40.00 1.00 0.50 41.50 CITY OF FRIDLEY PERM No.: 2004-01604 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/15/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1373 64 AVE NE PIN : 133024420018 LEGAL DESC : SPRING VALLEY : LOT 14 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 7,500.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES.RESIDE HOUSE; SOFFIT/FASCIA STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 153.25 MJ CONSTRUCTION (20233970) FIRE SURCHARGE 7.50 8071 RANCHERS RD NE STATE SURCHARGE, VALUE 3.75 FRIDLEY, MN 55432 LICENSE SURCHARGE 5.00 TOTAL 169.50 PAID WITH CHECK # 8195 OWNER MARIHART BERNARD J 1373 64TH AVE 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 work 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 regulatin c s cacti n or the perf rmanc f cons ction. A plic Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [) CITY OF FRIDLEY& ` gk41 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: 1 �37,3 — AV -e -n ax Legal Description: Owner Name & Address: be.1''1go—^ _ MCc 1 Gla rf Tel. Contractor. i14 -T GB 51-YU C4 -47W- MN LICENSE # AOA 3 3 °170 Address: ,icea.ct iii►"��% L®e�±, Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: r 51 ; p TGt_eCtVEstimated Cost: $ :7j500 °a- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 4? 'I5-tg APPLICANT: ft aV_.P Jo - IX )OL Tei. # %3--79'5_ e?95/ Call (763) 572-3604 for Permit Fees if mailing 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 $ 53- d- Fee Schedule on Reverse Side 65% of Permit Fee .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 [ ) TOTAL $ j&9 �Z' STIPULATIONS: