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PRE 2010 DOCSr SEPAI liJIWI M Now SUBJECT PERMIT NO. City of Fridley 9 14 8 8 AT THE TOP OF THE TWINS BUILDING PERMIT" _ r � RE COMMUNITY DEVELOPMENT DIV. B L� r PROTECTIVE INSPECTION SEC. NUMBER REV. DATEP AGE OF APPROVED BY 0--l' CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/24/88 JOB ADDRESS b 120 - 6431 Way N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Oliver Olson Addition SHEET 2 PROPERTY OWNER, MAIL ADDRESS ZIP PHONE Mike O'Brian 535 West River parkway, Champlin, MN 55316 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK WAKNIfib Construct a 38' x 26' Dwelling; a 221.x 24' Garage TELEPHONE - ELECTR'C - GAS Ei'. 9 CHANGE OF USE FROM TOY�W • r► Y�, STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City a copy of the verifying survey before capping. SEWER LOCATION:_ (.Approx. 12' Deep in Street) 8" main approx. 20' N. of N. Property Line of Lot 2, WATER LOCATION: 6" Main, 10' N. of N, Property Line of Lot 2. (SERVICES MUST BE TAPPED) See notations on plan. Paid Park Fee of $750.00 THE CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. ATE PERMITS REQUIRED FOR THIS DATA IS FOR INFORMATION PURPOSES ONLY, G, HEATING, PLUMBING AND SIGNS. AND PERSONS USING THIS INFORMATION SHOULD VERIFY IT ON THE SITE. 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 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 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 $68,650 $34.32 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTALFEE $1,084.32 + PF --�SIGN ATU 9F CONTRACTOR OR AUTHORIZED AGENT�q IDEI WHEN PROPERLY V ATED THI IS YOUR PERMIT • Cif -I/AT^/®-v ' iGNATURE OF OWNER (IrUWNEREILDE (DATE, BLDG INSP A E M Now ISSUE DATE (MMIDD/YY) AGORID® CERTIFICATE `CSF ' INSURANCE _- .._. _ ..._....-__ May 24, 1988 PRONNDUCER dd pp z�1�ff I�lnS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, %Elmqulsn& Z� Agency, Inc. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 14324 - 21St Avenue North EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Plymouth, MN 55441 COMPANIES AFFORDING COVERAGE Phone: ( 612) 475-2711 _ _ _ __ __ ___ _ _..._._. _.__._............ --------- COMMERCIAL GENERAL LIABILITY COMPANYA Io LETTER Auto Owners Insurance Company____.,,,,,,.,, CODE SUB -CODE ._. .... _ _.. _ ___...._. ._,.._�....._.. _..__....... ......... ------- _ ._. _._ .. __....._ INSURED COMPANY B LETTER Michael F. O'Brian LETTERY C 535 W River Parkway Champlin, MN 55316 LEERY D COMPANY E _.., ANY AUTO LETTER COVERAGES. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO i TYPE OF INSURANCE LTR? POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS DATE (MM/DD/YY) DATE (MM/DD/YY) p GENERAL LIABILITY GENERAL AGGREGATE $ 500 _. _.. COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ _.. CLAIMS MADE_XOCCUR.I _. PERSONAL & ADVERTISING INJURY $ j OWNER'S &CONTRACTOR'S PROT. EACH OCCURRENCE $ _.. FIRE DAMAGE (Any one fire) $ ____Policy _... being is -sued'' 5/23/88 5/23./89 MEDICAL EXPENSE (Any one person) $�. AUTOMOBILE LIABILITY COMBINED SINGLE $ _.., ANY AUTO LIMIT _._. ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) GARAGE LIABILITY ' PR OPERTY ' $ ` DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE; $ $ City of Fridley 6431 University Ave NE Fridley, MN 55432 CANCELLATION ------------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIW N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITYQPMY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORI D REPR SEN IVE ©ACORD CORPORATION 199 NEW P City of Fridley Effective 5/1/88 ADDN ], R-1 AND R-2 ALTER [ Construction Addr4 regal Description Building Permit Application Owner Name & Address: 6 AK119 /V �t Tel. # 19 /- W 7 Y Contractor: i F% .air C Tel. # - CQ %L Address: /0633 V61LILICY Foliar LN, CP Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVEMM LIVING AREA: Length 38' Width �� � Height SL3. Ft. 16 qR GARAGE AREA: Length 2"1/ Width � Height Sg. Ft. 51:5 DEQt AREA: Length Width Hgt/Ground Sg. Ft. a) 4,104; Corner Lot [ ] Inside Lot [0}- Ft. Yd Setback :55 Side Yard Setbacks IV Type of Construction: WOOCJ F�0_40A%-) Estimated Cost: $ 108��®,00 Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: �' `�� Width + 6' See Back Page DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee5(�. CX1 90`Tee Schedule on Reverse Side State Surcharge 5 $.50/51,000 Valuation SAC Charge 5 $550 per SAC Unit )PTro�Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ __Agreement Necessary [ ] Not Necessary [ l TOTAL STIPUIMIONS: 120 - Gq /-L cum 6.32,x �98z 160066 x `0,01 + (x 1n o ,� as In 5-."Sg'x i q,3� J010(-) Alp/ o, �Lf'.Dq (og,(�o0 Iq)c J CANE a ASSOCIATES LAND SURVEYORS, INC. 17720 Highway 65 N.E. - Ham Lake, Minnesota 55304 434-7646 CERTIFICATE OF SURVEY FOR: O'Brian Construction DESCRIBED AS: Lot 2, Block.l, OLIVER OLSON ADDITION, according to the recorded plat thereof, Anoka County, Minnesota. NE WAY X 1000 2 no k �. `—'70'v-� •l'. vv S7& 27.2 X /OO.oDppot,es Existing Elevation / NEREBY CERT/FY THAT TN/S SURVEY, PLAN, (IOO.o) "Denotes Proposed Elevation OR REPORT WAS PREPARED BY ME OR ENDER MY O/RECT SUPERVISION AND THAT / AN A _� D a no t 0 s Direction of DULY REG/STEREO LAND SURVEYOR UNDER Proposed Surface Drainage THE LAWS! OF THE STATE OF MINNESOTA. Proposed top of Found. E1. = yo1-y 30 Propo•sod Garage Floor E1.=/O/,O 0 OEN / S // FEET. 'pro used Bsmt . Floor El.= ge. t O DENOTES //$ /MCN IRON PIPE SET. p 0 DENOTES FOUND /ROLA NONUNENT. 1 DATEd1d %t3. �9gR IEC. NO. /2251 BEARINGS MOWN ARE ASSUMED. NOTE: Lath set at Building O Aehoes N�6 q�T4c Say'. Corners. JOB NQ 918-/25 SEC. /S T. 3o R. 2-i' Tf f - %C �SJrfon) 6.'. C1,112,8110 G- - (�3,1-01- I- AO ":; VC, i hrG"-/Z- y d I-- �ecr�,w.IV9 (IZE�Ioollv®9.0a,71, Of LT Z ' f ENERGY CONSERVATION SUPPLEMENT TO BUILDING �ERMIT APPLICATION FSR PLANNING AND INSPECTION DEPARTMENT r, JOB LOCATION OWNER(S) PHONE CONTRACTOR PHONE A. Determine The Total Exposed Wall Area As Follows: 1. Total wall window area (A) 2. Total door area (B1 + B2) 3. Total patio door area (C) 4. Total fireplace wall area (D) 5. Total wall framing area (avg. 10%) (E) /16:�), 6. Total net wall area above floor (F) 8 U, A 7. Total rim joist area (Z) x'67 91 Subtotal: Total exposed wall area above floor (X) 8. Total foundation window area (A) 9. Total door area (B1 + B2) -, 10. Total patio door area (C) 11. Total foundation framing area (avg. 10%)(D) 12. Total net foundation area above grade (Y) q 5,5'9_ Subtotal: Total exposed foundation area (Y) 9 �, GRAND TOTAL EXPOSED WALL AREA (W) 0 A. �3 B. Multiply The'Grand Total Exposed Wall Area x 8''= 435, R0Qt? Item I 435.cr4),Qq C. Determine The Total Exposed Roof/Ceiling Area As Follows: 13. Total skylight area (B) ' 14. Total roof/ceiling framing area (A) Gj, go 15. Total net insulated roof/ceiling area (U) a O GRAND TOTAL EXPOSED ROOF/CEILING AREA (V) $' D. Multiply The Grand Total Exposed Roof/Ceiling Area x,,B OI tem II ? 5.(, 990 01 t, I E. Determine The "U" Value Of Each Segment (1-12) And Multiply By The Area As Follows: 1. 170.(05 x "U" 3 1 =,Oa10 2. x IlU" ►�\ = lo.. 3. X "U" _ 4. X "U" _ 5. 150,1 y x "u" 6l39 6. x "U" , o y'�1 S = 10 6, 9,8 LI rd 7. I67 91 x flull ,0L)co`a 8. X 18ull _ 9. X "U" _ 10. X "U" _ 11. X "U" _ 12. 115,32 x "u" Add 1-12 For Total Wall Segments Item III F. Determine The "U" Value Of Each Segment (13-15) And Multiply By The Area As Follows:(�•, 13. X "U" _ `J 14. 9g.F56 X "U" 17y81 = 17 222-), 15. 99cl x "U" , 005L4 to Add 13-15 For Total Roof/Ceiling Segments = 3°1.�5,5Er Item IV 3�.�5 G. If Item No. III is the same as, or less than Item No. -1, you have met the intent of State Building Code 6006 (c)2. H. If Item No. IV is the same as, or less than Item No. II, you have met the intent of State Building Code 6006(c)1. I. Add Item No. I + Item No. II o?5.1eFsFO J. Add Item No. III I!,©, 5353 + Item No. IV 39• �s55� = 0 00, 9 / / K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the code for total envelope system. Signature Date VALUE BREAKDOWN SHE.E.T WOOD_ WALL (SOLID) AREA EXTERIOR AIR FILM 1/2" HARDBOARD SIDING 25/32" SHEATHING 1" STYROFOAM SHEATHING 3-1/2" WOOD 5-1/2" WOOD 1/2" GYPSUM BOARD .17 .67 2.06 7.a 57" 4.38 6.88 .45 67 ,y5 INTERIOR AIR FILM • 68_ R 1 / R = U , 673 RIM JOIST AREA EXTERI O R Al R F1 LM .17 17 1/2" HARDBOARD SIDING .67 t,7 25/32" SHEATHING 2.06 a 1" STYROFOAM SHEATHING X ---0"T 1-1/2" WOOD 1.88 3-1/2" FIBERGLASS INSULATION 11.00 3-5/8" FIBERGLASS INSULATION- 13.00 6" FIBERGLASS INSULATION 19.00 INTERIOR AIR FILM .68 , G VA-LUE BREAKDOWN SHEET INSULATED WALL AREA EXTERIOR AIR FILM .17 31" HARDBOARD SIDING .67 / & 25/32" SHEATHING 2.06 _ 131" STYROFOAM .a 7�-sa� 5.00 1" STYROFOAM SHEATHING 1.11 r� %. a( 3%" FIBERGLASS INSULATION 11.00 % �• 00 3 5/8" FIBERGLASS INSULATION 13.00 (� g 6" FIBERGLASS INSULATION 19.00 R lg" GYPSUM BOARD .45 Li INTERIOR AIR FILM .68 R ao, 17 1 = U .0495 1 R' U �I�l0a EXTERIOR AIR FILM /7 5.00 _ 131" STYROFOAM -4-.� 5.00 8"BLOCK 1.11 12" BLOCK 1.28 -.68 (� g INTERIOR AIR FILM R �, ►� 1 R' U �I�l0a °UA VALUE BREAKDOWN SHEET _(T'cR10R AIR FILM .1T I 17 6" FIBERGLASS INSULATION 19.00 12" FIBERGLASS INSULATION 38.00 Fi.C.e 18" FIBERGLASS INSULATION 57.00 5/3" GYPSUM BOARD .56 Jr INTERIOR AIR FILM .61 R 39.SL1 :/R U CEILING FRAMING AREA - EXTERIOR AIR =I16"1 .17 ( 17 3-1,!2" '4000 4.38 y 3 5-1/2" 400 6.33 7-1/4" WOOD 9.06 9-1/4" ;000 11.56 5/8" GYPSUM .56 ilii-R10R AIR Fila .61 , rD R lea - U CUSTOMER NAME UPPER WALL WINDOW AREAS Glass No. No. Sq. Sq.Ft. A. _ Size Lites Windows Inch Glass X _ X X 144 = X X X + 144 = _ -' X — X X -4- 144 = - - X --- X Xr 144 = X __ -� X X + 144 = X _ x x T 144 = A - Total ip B. Steel Door Area Sq.Ft. X X _= —' X X = B1 - Total q O ,B2. Wood Door Area Sq.Ft. X X = X X = B2 - Total C. Patio Door Area S_q Ft. X X = - X X = C - Total FOUNDATION WALL WINDOW AREAS A. Glass No. No. Sq. Sq.Ft. Size Lites Windows Inch Glass X X — X 144 - x x x f 144 = _ X X X :- 144 A - Total _ 01. Steel Door Area SQ -Ft. X X = X X = _ B1 - B2. Wood Door Area Total -LTt_ X X = X X = 82 - Total C. Patio Door Area (3-- X = X X = C - Total e I, lr. DATE G - �" gel EXPOSED WALL AREAS Total Upper Wall Area Minus: A. Upper Wall Window Area B1. Upper Wall Steel Door Area 02. Upper Wall Wood Door Area C. Upper Wall Patio Door Area D. Fireplace Wall Area X Total Adjusted Upper Wall Area =Q1, Minus: E. Upper Wall Framing Area (10% of Adj. Wall Area) --_-! J__ F. Net Insulated Wall Area Above Thq Floor- _ /_�5"(„L, Total Exposed Foundation Wall Area 9— Y Minus: A. Foundation Wall Window Area B1. Foundation Wall Steel Door Area _ B2. Foundation Wall Wood Door Area C. Foundation Wall Patio Door Area Total _— Adjusted Foundation Wall Area Minus: D. Foundation Wall Framing Area (10% of Adj. Wall Area) E. Net Insulated Wall Area Above The FloorTj-,?�;i, Total Exposed Rim Joist Area _ —Z Minus: A. Rim Joist Framing Area (10% of Rim Joist Area) -- /0,79 B. Net Insulated Rim Joist Area zf7,1 ; - Total Exposed Wall Areas (X + Y + Z) _ _- � �%r) , W W Total Insulated Ceiling Area _�C IX V Minus: A. Ceiling Framing Area (10% of Ceiling Area) _q ss ?;b B. Skylight Area A + (i Tota — , .. (, Net Insulated Ceiling Area = _ ,. Ty U TPI" J. D. ADAM Cir+ipp"v OPT. Jr. L/3 SCARF L/4-1 -i/4 PNL 16 OPT. JT. D 1/4 PNL 16" SPLIC SP ICE - L Cwn 4w; 2 -18 - - ------------------------------------ -- ---- FOR SPAN 24'- 4" OR LESS MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR -LAR 01 BOTTOM CHORD -2X 4 DOUG FIR -LAR Ol ALL WEBS -2X 4 DOUG FIR -LAR STU SPAN JOINT SPLICES JOINT Al -4. SX 3.6 JOINT C2-4. 5X 3.4 THE MINIMUM BEARING- 3.3 INCHES 1 - JOINT D -3.2X 3.6 JOINT E -3.2X 3.6 4.00/12 1002 'BOTTOM FOR SPAN 39'- 3" OR LESS^ MINIMUM LUMBER TOP CHORD -2X 6 DOUG FIR -LAR 01 CHORD -2X 6 DOUG FIR -LAR Ol ALL WEBS -2X 4 DOUG FIR -W( SW JT. A- 3. 9X 9. 0 JT. AI -2. 6X 1. 8 JT_ B-3. 9X I. 4 JT. C2-4. SX 3. 6 PLATE 80 IN- 266.0 WEB BRACES 1-0.2-0. JOINT SPLICES JOINT AI -7. OX 3.4 JOINT C2-7. OX 9.0 THE MINIMUM BEARING- 3.9 INCHES JOINT D-4. DX 5.4 JOINT E-4. 3X 3.6-�- ---------_ BY HANDLING. LACKING SUCH A JIG, GREATER CARE MUST BE EXERCISED TRUSSES NO RESPONSIBILITY FOR THE ERECTION OF TRUSSES. PERSONS JOININTTS ---------- ------- FOR SPAN 361- S` OR LESS ------- --- MINIMUM LUMBER TOP CHORD -2X 6 DOUG FIR -LAR 01 BOTTOM CHORD -2X 6 DOUG FIR -LAR 01 ALL WEBS -2X 4 DOUG FIR -LAR STU JT. A- 3. 9X 9. 0 JT. AI -2. 6X 1. 8 JT. B-3. 9X S. 4 JT. C2-4. IX 3. 6 PLATE SO IN- 266.0 WEB BRACES 1 -0.2 -0 - JOINT SPLICES JOINT Al -7. OX S. 4 JOINT C2-7. OX 3. 4 THE MINIMUM BEARING- 3.5 INCHES JOINT D-4. SX 3.6 JOINT E-4. IX 3.6 _--- -NMULTISPIKE NOTE: PLATES WITH "S" AFTER SIZE - SPLICE PLATEi "H' AFTER SIZE - 16 yo. PLATE • TOTAL SQUARE INCHES ODES NOT INCLUDE PLATES REWIRED TO SPLICE A TRUSS I TRUSS LOADING FOR SPAN SPAN 34-- 2' OR LESS ---------------____� MINIMUM LUMBER TOP CHORD -2X 6 DOUG FIR -LAR 01 BOTTOM CHORD -2X 4 SOUTHERN PINEOID ALL WEBS -2X 4 DOUG FIR -LAR STU JT. A- 3.9X 9. 0 JT. Al -2. 6X 1. 8 JT. B-3. 9X 5.4 JT. C2-4. IX 3. 6 PLATE SQ IN- 266.0 WEB BRACES 1 -0.2 -0 - JOINT SPLICES JOINT A1-7. OX S.4 JOINT C2-7. OX14.48 THE MINIMUM BEARING- 3.9 INCHES JOINT D -3.9X 5.4 JOINT E -4.3X 3.6 REQUIRED NAILS ON BEARING BLOCK-(MIN.9RG.-3.S)X 6.14 I SPACED PAGE FOR SPAN 30'- 3` OR LESSM MINIMUM LUMBER TOP •CHORD -2X 6 DOUG FIR -LAR 01 BOTTOM CHORD -2X 4 DOUG FIR -LAR 01 ALL WEBS -2X 4 DOUG FIR -LAR STU JT. A- 3. 9X 7. 2 JT. AI -1. 3X 1. 8 JT. B-4. SX 3. 6 JT. C2-4. IX 3. 6 PLATE SQ IN- 218.9 NEB BRACES 1-0.2-0, JOINT SPLICES JOINT Al -7. OX 5.4 JOINT C2-7. 0X14.48 THE MINIMUM BEARING- 3.5 INCHES JOINT D-7. 2X 5.4 JOINT E-4. SX 3.6 FOR SPAN 29'- 1" OR LESS ^MINIMUM LUMBER TOP CHORD -2X 4 SOUTHERN PINEGID BOTTOM CHORD -2X 4 DOUG FIR -LAR 01 ALL. WEBS -2X 4 DOUG FIR -LAR STU JT. A- 3. 9X 7. 2 JT. AI -1. 3X d 1. 8 JT. B-4. IX 3. 6 JT. C2-4. 3X 3. 4 PLATE SQ IN- 218.9 WEB BRACES 1-0.2-0. JOINT SPLICES JOINT Al -4.5X 3.6 JOINT C2 -7.0X14.48 THE MINIMUM BEARING- 3.5 INCHES JOINT D -3.2X 5.4 JOINT E -3.2X 3.6 --'- --------- ---------- FOR SPAN 26'- 4" OR LESS ----------------���_�_�r_�____� IR-LA H RD-2X2X 4 DOUG UG FLA- SR 1 MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR -LAR 01 BOOM CHORD-2X JT. A- 3. 2X 7. Z JT. AI -1. 3X 3. 8 JT. B-4. IX 3. 6 JT. 02-3. 2PLATE SQ IN- 180.0 WEB BRACES 1-0.2-0. JOINT SPLICES JOINT Al -4. SX 3.6 JOINT C2-5. BX S.4 THE MINIMUM BEARING- 3.3 INCHES JOINT D-3. 2X 3.6 JOINT E-3. 2X 3.6 - ------------------------------------ -- ---- FOR SPAN 24'- 4" OR LESS MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR -LAR 01 BOTTOM CHORD -2X 4 DOUG FIR -LAR Ol ALL WEBS -2X 4 DOUG FIR -LAR STU JT. A- 3.9X 5.4 JT. Al -1. 3X 1. 8 JT. 9-3. 2X 3.6 JT. C2-3. 2X 3. 6 PLATE 60 IN- 162.7 WEB BRACES 1-0.2-0. JOINT SPLICES JOINT Al -4. SX 3.6 JOINT C2-4. 5X 3.4 THE MINIMUM BEARING- 3.3 INCHES tj ;1 JOINT D -3.2X 3.6 JOINT E -3.2X 3.6 --------------------------------- - ����- FOR SPAN- 22'- 4" OR LESS MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR -LAR 01 BOTTOM CHORD -2X 4 DOUG FIR -LAR 01 ALL WEBS -2X 4 DOUG FIR -LAR STV a JT. A- 3.9X I. 4 JT. Al -1. 3X 1. 8 JT. B-3.2 3. 6 JT. 02-3. ZX 3. 6 PLATE SO IN- 162.7 WEB BRACES 1-0.2-0. 1 ! JOINT SPLICES JOINT Al -4. IX 3.6 JOINT C2-4. IX I.4 THE MINIMUM BEARING- 3.3 INCHES JOINT D -3.2X 3.6 JOINT E -3.2X 3.6 WITH A MECHANICAL JIG THAT ELIMINATES HARMFUL STRESSES CAUSED THE BEST RESULTS IN TRUSS FABRICATION ARE OBTAINED IN HANDLING THE TRUSS DA LARGER CONNECTOR PLATES BY HANDLING. LACKING SUCH A JIG, GREATER CARE MUST BE EXERCISED TRUSSES NO RESPONSIBILITY FOR THE ERECTION OF TRUSSES. PERSONS JOININTTS SHOULD BE SUBSTITUTED. J.D.ADAMS CO. BEARS MUST SEEK PROFESSIONAL ADVICE IN REGARD TO ERECTION BRACING AND PERMANENT BRACING. ALL JO ARE ARE CAUTIONED TO BE ACCURATELY CUT AND FIT. DIMENSIONS MUST HE VERIFIES. ALL PLATES CENTERED UNLESS SHOWN OTHERWISE. PLATES THAT SOME JOINTS MIGHT REQUIRE LARGER PLATES FOR i s MINIMUM BASED ON STRESSES. FABRICATOR MAY FIND FROM EXPERIENCE AND CHORDS TO BE ANCHORED AT BOTH ENDS TO A SUITABLE SUPPORT. HANDLING ALL CONTINUOUS BRACING ON WEBS (ALL BRACING TO BE SUPPLIED BY OTHERS.) ALL WEBS 2X4 UNLESS OTHERWISE SPECIFIED. 20 GAGE STEEL AND PRESSED INTO BOTH FACES OF JOINTS. `(BY J. D. ADAMS CO.) SHALL BE MADE OF ��- -NMULTISPIKE NOTE: PLATES WITH "S" AFTER SIZE - SPLICE PLATEi "H' AFTER SIZE - 16 yo. PLATE • TOTAL SQUARE INCHES ODES NOT INCLUDE PLATES REWIRED TO SPLICE A TRUSS I TRUSS LOADING MULTIPLY SPAN BY FACTORS BELOW FOR STREGGES I ROOF A -AS -122.03(0) Al- B -106.72(C) A-C2-11I.76(T) C2 -Cl- 79.69(7) A1 -C2- 22.35(C) I LL- 40.00 PF IOL- ILIO P8F "$ B -C2- 31.79(T) I CEILING Y BRAC®) I LL- 0.00 P8F ALL BRACING- 1X4 (USE 8'D. C. BRACING ON B. C. IF 8. C. 13 NOT ADEQUATELDL- 10.` GREATER THAN 3 1/2' BVT NOT EXC j 7 �.y I PEF FOR A MINIMUM DEARING % INCREOASE FOR STL-IS ADD ONE BEARING BLOCK �.Q J � AT 24'0.0. REQUIRED NAILS ON BEARING BLOCK-(MIN.9RG.-3.S)X 6.14 I SPACED PAGE ---- ----- �-� f - DIVISION OF VILLAUME INDUSTRIES [Za 2926 LONE OAK CIRCLE ST. PAUL, MINN. 55121. , `` CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic valve Sump or Receiving Tank Water Treating Appliance: Hot Water Heater Gas Range - Gas Dryer RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 S 5.00 $ 7.00 S 5.00 $ 10.00 $ 10.00 TOTAL S S Back Flow Preventer Required. . . Yes ( ) N•0 ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of -Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ V' D a Job Address / - Department of Buildings City of Fridley Tel. #571-3450 Ettective Date May 1, 1988 / O nKr __V o i The undersigned hereby makes application for a permit for the work herein specified agreeing to -"do all wor�k'in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicattionG are true and correct Fridley, Mn. U Lj 19 OWNER lEo gi2FRy 6 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. /D Company , Signed By Tel. No. //70 ROUGE INSi�. DateY- FINAL INSP.� Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PLUS THE $.50 STATE SURCHARGE IS $15.00 v m o+ e w a water a1 m m ti W E c -+ � 1ma o -oi ri -.xi Heater i •.pph m mm 4 i M r r. B ® mU 8 0 -4pp® 8 N D m A! y O W to W 3943 0 C7 O 1 1st I I 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic valve Sump or Receiving Tank Water Treating Appliance: Hot Water Heater Gas Range - Gas Dryer RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 S 5.00 $ 7.00 S 5.00 $ 10.00 $ 10.00 TOTAL S S Back Flow Preventer Required. . . Yes ( ) N•0 ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of -Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ V' D a Job Address / - Department of Buildings City of Fridley Tel. #571-3450 Ettective Date May 1, 1988 / O nKr __V o i The undersigned hereby makes application for a permit for the work herein specified agreeing to -"do all wor�k'in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicattionG are true and correct Fridley, Mn. U Lj 19 OWNER lEo gi2FRy 6 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. /D Company , Signed By Tel. No. //70 ROUGE INSi�. DateY- FINAL INSP.� Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PLUS THE $.50 STATE SURCHARGE IS $15.00 v CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. b, [ TOTAL New Fixtures $ ri � m Future Fixtures Water 3.50 .tll N 1.50 E C m w m c� e w W [v $ 5.00 Heater Catch Basin $ 5.00 $ Rain Water Leader w 5.00 $ Hydraulic Valve 82 $ 5.00 Sump or Receiving Tank $ m U D a0 $ y 3 o caw m $ 5.00 $T.0e) Gas Range $ 10.00 $�o Elec $ 10.00 $ Back Flow Preventer Required. Yes ( ) No ( ) w U M"ro 3 o s 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE 1st 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) m New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $20.0 Future Fixtures $ 3.50 Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $T.0e) Gas Range $ 10.00 $�o Gas Dryer $ 10.00 $ Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE Effective Date May 1, 1989 Job Address 12 ® Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct nFridley, Mn. OWNER e�-'A ..n. Al _ RIND OF BUILDING m s LTJ USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - FBUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date FINAL INSP. 3 — 3 Date APPROVAL FOR PERMITA4jZ2 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEDiTIAL ` RATE TOTAL Furnace Shell and Duct Work, ry OD Burner (Also replacement furnace) $ 20.00 $ '20 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 10.00 $16,60 State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit/Iq MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 $0� Job Address / '-�Lo ' 7 /c� Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. , 19 OWNER / c.[ --,L KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST f226-0. O� OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLA N TS, Steam, Hot Water, Warm Air- No. �v Trade Name ' ;6� T GG Size No.SCCSda Capacity G G2 70AI Sq. Ft. EDR BTWtuq HP/y��y �c Total Connected load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company*,/'7 „Ae Signed B,,Tel. No.0�n Fill out back side for stack verification on replacement furnaces CHIMNEY 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 currc^t Code requirements for :!ize and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date CITYOF FRIDLi✓Y CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 January 5, 19.89, Mr. Mike O'Brian 535 West River Parkway Champlin, MN 55316 Re: Final inspection at 120 -- 641i Way N.E.., Fridley Dear Mr. O'Brian: Final inspections were conducted on January 3, 19 -89 -of the above.address and the following item must be completed before the construction can be.. finaled: Provide City with. a copy of the. verityi'ng survey. We will expect the above item to be submitted to us by February 1-f•1989, If you have any questions on this. item, please feel fwee to contact me at 571-3450. Sincerely, DAR G. CLARK Chief Building Official DGC/mh CC: 120 - 64� Way N,E. r) Effective Date January 1, 1991 CITY OF FRIDLEY APPLICAT CIN FOR PLUMBING AND GAS FITTING PERMIT Job Address m s a°i U .eCei 01 IA N e E i +ci O W a N M G y. U m gV N 4 3 �t4py t7 +0� 7G a'A G7 .A O Water Heater 7.00 = $ lec $ 7.00 = $ Rain Water Leader $ 7.00 = $ Sump/Receiving Tank $ 7.00 a $ Water Treating Appliance $ 10.00 = $ Water Heater - Electric +I 7,00 = $ Water Heater - Gas S 10.00 = $ Gas Range 1st 00 = $ Gas Dryer $ ;'° _ Back Flow Preventer Required { ) Yes ( ) No Type S 5.00 $ 2nd 3rd 4th (R) - Future Connection Opening (*) - New Fixture, Old Opening Connected with Sewer Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. KIND OF BUILDING RATE TOTAL New Fixtures S 7.00 = S Old Opening, New Fixture $ 4.00 = $ Beer Dispenser S 5.00 - S Blow Off Basin S 7.00 = $ Catch Basin $ 7.00 = $ Rain Water Leader $ 7.00 = $ Sump/Receiving Tank $ 7.00 a $ Water Treating Appliance $ 10.00 = $ Water Heater - Electric $ 7,00 = $ Water Heater - Gas S 10.00 = $ Gas Range $ 00 = $ Gas Dryer $ ;'° _ Back Flow Preventer Required { ) Yes ( ) No Type S 5.00 $ ALLOTHERS AND/OR REPAIRS AND ALTERATIONS Is of value of Fixture or Appliance $ / State Surcharge S .50 REINSPECTION FEE $30.00(r�_, TOTAL FEE Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct 19 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST % OLD - NEW BUILDING PERMIT NO. PERMIT NO. a 12 / /✓ Company Signed By�C/� C'a Tel. No. 2/ ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR FERMI MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE <-0 S 'PITY OF FRIDLEY INSPECTION DIV. 431 University Ave NE 'ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective Apri11, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR $10.00 leer Dispenser KIK.... Urinal .................. I � « Shower .�...... ................ :$►�=: ....----.....:::::>• Wash Tray :=:::::<:::>::: < Floor Drain fes: = :<::: Auto. »<;. Washer :::::>:::: •;. -.:�<:>�:. Gas ane :..:.:.::. " Water Heater Ston es �<>� Gas Elec Basement Vater Heater - Gas** I $35.00 Sas Range** $10.00 Sas Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type $15.00 Floor 1 Floor 2 Floor Floor 'LUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS6&4-%r'.Q. - 0.S aw d� Jew Fixtures $10.00 )Id Opening, New Fixture $10.00 leer Dispenser $10.00 Ilow Off Basin $1.0.00 ;atch Basin $10.00 lain Water Leader $10.00 ;ump/Receiving Tank $10.00 Vater Treating Appliance $35.00 Vater Heater -Electric $35.00 Vater Heater - Gas** I $35.00 Sas Range** $10.00 Sas Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type $15.00 leinspection Fee $50.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ -60 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 fads and representations stated in this application are true and correct. BRANDSOY,DENA 120 64 1/2 WAY NORTHEAST FRIDLEY, MN 55432 OWNER (612) 432-1152 BUILDING USED ASSI d e.�c� ESTIMATED COST q6() oo PERMIT NO. 1 1% .20 05 PLUMBING COMPANY D (- Y0` o'llA uAAx r SIGNED BY // TEL N0. Ae 12) 927- clo33 Approved E Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ �S. OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. 3VOMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (} No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to Install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat. Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building $ BUILDING See Back Page for Fee Schedule Permit No.: �( Inspections RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 .001 times the total job valuation CITY OF FRIDLEY $ Date Rec'd: S-� 3- �-' DATE QS' a a - O �h YOUR E-MAIL ADDRESS License Surcharge SITE ADDRESS (2D roy 112 W21 i3 1E - $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: 03 c� 1rA k).b S $ TENANT ft + 6 ft = ft x $21 =$ Erosion Control $ ADDRESS: CITY STATE—ZIP- TATEZIPPHONE: Park Fee r�� PHONE: CONTRACTOR NAME: SS ?1J� °tel a w 0 1�u SUBMIT A COPY OF nn STATE LICENSE # EXP DATE YOUR STATE LICENSE ADDRESS: 111' -1 -1 b'� 9� 1 CITY�U �v� STAT�"ZIP SS's'► WITH APPLICATION PHONE &Z • �.31. —Q09 FAX k 0-160 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH GOOF ❑ DRAIN TILE ❑ DECK Z SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Psi '�k t? \ 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 PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WUgDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.$.0 FEE SCHEDULE) TOTAL JOB VALUATION S a-Ll`SL OJ OCCUPANCY TYPE Permit Fee $ S3 .a'q See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ;1 . q So .001 times the total job valuation Surcharge $ 1 .'2� 5 .0005 x Permit Valuation Minimum $.50 License Surcharge $ c;-00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee r�� lr� $ Fee Determined by Engineering S--- _ =at== arg� $ $ 3. aS Agreement necessary ( ) Non Necessary ( ) Total Due $ 1-1 15.1 01 Make checks payable to: City of Fridley Attach Stipulations 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 cr`equ� a evtew and approval of plans. c �, SIGNATURE OF APPLICANT � `"� ��\ PRINT NAME � C ��- 5�0) DATE O s - a3 -0 6 Building BUILDING Permit No.: �� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 703=502-4977 FAX EFFECTIVE 1-1-09 DATE YOUR MAIL ADDRESS aye tr��r®/ ! A a com SITE ADDRESS MAJ 6_5972 THIS APPLICANT IS: AOWNER ❑CONTRACT R PROPERTY OWNER/ NAME: 0PI cown t TENANT 11 ADDRESS:I I tJJ CITY % STATE'" / ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE CKSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE fpECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: � SIZE OF IMPROVEMEN LENGTH WIDTH I HEIGHT S FT 30 ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: bs4— ® ``0�10">'_- FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl []Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim L Cck-) S� 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 ORWINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �i"SING T E 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �� :(ASI 1 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 13 as $ '90 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) -ft +6 ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable 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 wor is not to start without a permit on site; that the work will be in acc rdan a with the approved plan in the case of al rk which require view and approval of plan SIGNATURE OF APPLICANT PRINTNAME� �� C, �`�yDATE Co J s ` CAINE a ASSOCIATES LAND SURVEYORS, INC. 17720 Highway 65 N.E. - Ham Lake, Minnesota 55304 434-7646 AS -BUILT SURVEY FOR: r naj> jQ fxe 11'dfMdit5 DESCRIBED AS: Lot 2, Block 1, OLIVER OLSON ADDITION, according to the recorded plat thereof, Anoka Countv, Minnesota. NE. WAY 641/2 1Z7:Z.,M� _ 7L SCALE. I /NCN• 30 FEET. O DENOTES I/! INCH IRON PIPE SET. 0 DENOTES FOUND IRON MONUMENT. BEARINGS SNOWN ARE ASSUMED. I / HEREBY CERT/FY TNAT rH/S SURYEY, PLAN, OR REPORT WAS PREPARED BY ME OR GVDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS' OF THE STATE OF MINNESOTA. AirDATE 12 L7 1, / 3 REG. NO. IPP51 ✓os No SEC. 457 r. 30 R 2y N 7o ao p f 1 N. log 1 W w w �X/5�� N° J 11 12 � 1 r i pr 70.0 SCALE. I /NCN• 30 FEET. O DENOTES I/! INCH IRON PIPE SET. 0 DENOTES FOUND IRON MONUMENT. BEARINGS SNOWN ARE ASSUMED. I / HEREBY CERT/FY TNAT rH/S SURYEY, PLAN, OR REPORT WAS PREPARED BY ME OR GVDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS' OF THE STATE OF MINNESOTA. AirDATE 12 L7 1, / 3 REG. NO. IPP51 ✓os No SEC. 457 r. 30 R 2y N � f n } i �t x �F� F „ r n - u. I I �f E� 6;r ro rn 0 6;r ro rn 0