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PRE 2010 DOCS• City of Fridley, Minn. BUILDING PERMIT N® 3909 Date: ....�.'.o..— `.J .......... ......... Owner ....................................... Builder ....... ... ........................... Address ...................................... Address ............ ............................... LOCATI OF%B%U�IL�DING No. ...(R,/. .. Street ...... ... �f .. �Ilr.� :': Part of Lot .......... ...... ............ . Lot ... !.. ..... Block ...... ` ..... Additio or Sub -Division .!�.. . . Corner Lot ............ Inside Lot . ........ Setback 311.7. Sid . . ................. DESCRIPTION OF BUILDING 17�Te Used .. . Front �5:�. Depth Height <. I : ry Sq. Ft (. �( !. Cu. Ft l4 .E 9.,G�� •... L Front ®=�$ Depth � � Height ��.�� Sq. Ft. T.!..®. Glu.n T.:40 of Constru on ................... Est. Cost../Or,/xx 7—. To be Completed ............ In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. -X ................................................. In consideration of thea ent of a fee of p ym $31. permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �— NOTICE: IThis permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. �7 City of Fridley Application for Pi mbling and Gas Feng Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures U3 NO. RATE TOTAL Number Fixtures ......................T x $1.50 $� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ < °d �U4a Z (�9O • F • N WATER HTR. GAS EIEC. Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $--1-,5-6 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th ' Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................T x $1.50 $� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $--A , C b New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $--1-,5-6 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $--1-7--0 6 Dept. of Bldgs. Phone SII 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn 19 Owner 6 19- 67 Kind of Building t�y z , 19— Used 9 Used as To be completed about Estimated Cost, $ OldNew. uilding Permit No_ Signe �L- By Business Phone No it POST 1M-12-58 SUBJECT PERMIT N City of Fridley i�� r AT THE TOP OF THE TWINS BUIL DING PERMIT i � COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. , I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 812-580-3450 910-F15 I I 5/31/73 I JOB ADDRESS 61 — 652 Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin E. Christenson 61 - 652 Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 2 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Install 36' x 16' Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See Health Inspectors Memo (Attached) SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10500.00 .75 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- b' STRUCTiON OR THE PERFORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE $9.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT E /C BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) TATE) - • y APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �/}2(//tO G, ("��c /S�F�✓SBUILDER: �%�D ADDRESS : f f 4 ADDRESS : 11e,e Tl1 NO:. STREET • - 66 yc..9 U LOT: BLOCK: ,_7 ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As; L-r—Lv.!ff, r �.v VUIQE Depth: Square Feet: Cubic Feet: -Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: V,'& X/ ,Suess �,t4��u, r«gZggtimated Cost: _$ 1,5-23 4--r4g T To Be Completed:dma, ,45 pvssibcr The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st#ict 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: 73 SIGNATURE: �- (See Reverse Side For Additional Information.) i q0D fT , r IatausrnlA>. COMMERCIAL ' CITY LOTS CERTIFICATE OF SURVEY ' TOPOGRAPHICAL LAKESHORE PLATTING Andrew FiOhrY 137-lt}�;�.17&1$ � 1 \IN d- 1 l 0 11,\ '~ ` P r � I f i NORMAN C. HOIUM Land Surv.yw • 7101 13th AVE. SO. MINNEAPOLIS 23, MINN. mm9 6-8209 V1 1 hareby certify that this is a true and correct plat of a survey or: Lot 14, Block 5, ED EWATER OARDLITS, Anuka Co1mty,Iimz esota As .surveyed by me this30th day of April, 1')i+D. SAgn ad / r ®® Ft2um Qawr;L LAA�r owner of the property located at .%WAy have no objection to the City allowing the construction of a S:U'IW +e � � ®� L to be located at j �/,� without the required certificate of survey that the City ordinarily requires for all new construction. a Signed .� L - Address Date fitness a • a • . fCkq. C/ 70-- • i 1 1 P J r 1 c Cit of Fridley Cityy SUBJECT ? 15111 AT THE TOP OF THE TWINS BUILDING PERMIT r 111_ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � t CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 812-580-3450 910-F15 419179 JOB ADDRESS X 61 - 65% Way N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. .x 14 5 1 E4g eAAacfte& Gahm SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mauin n Cht "tensan 61-65% May N. E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Lestie TAanbu RooAim 6 Sidina Co. 6917 VaUey Peace ft tat 533-3330 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Res.cdentiat 7 CLASS OF WORK ❑ NEW ❑ ADDITION C]. ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 1C 8 DESCRIBE WORK Re oo 9 CHANGE OF USE FROM TO STIPULATIONS Rooj can be .aecand but not th tkd %ooS. Instau n i-dged gaZvan"ized vaueyd. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. $1., 200 $.60 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- $9.00 STRUCTION OR THE PERFORMANCE OF CON TRUCTION. PLAN CHECK FEE TOTAL FEE -- /�ti $9.60 SIGNATURE OF CONTRACTOR OR AUTHORIZEDA ENT (DATE) PROPERLY LIDATED THIS IS YOUR PERMIT hWH^EN�, BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: �%iePl A/ L-f//,!/.sy�--rA/SO/✓ BUILDER: '/SSE Address: Address: �/ % 1�i9 �= �G�G� C /��•l TJ9L Tel. No. r�3 '� 3¢• No.: / / Street: LOT: /y BLOCK: J---" ADDITION: 7F!I e . o fz . !/,S CORNER LOT: INSIDE IAT: �z SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: ) / Cubic Feet: Type of Construction: {�Es?6pF`yUUSaE ��/1fL6EEstimated Cost: $ To Be Completed: z%y /4 /97 // Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: _ / J SIGNATURE: stipulations: id Go i i SUBJECT PERMI City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT � R O. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. so V 73 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910415 10/5/88 JOB ADDRESS 61 -. 6.5h Way N.E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Edgevater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doug/Sarah. Miller 61 _-. 65h Way N,E, 574-9715 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. H.C.R.. Contracting 17555 Nowthen Blvd N.W., Anoka, MN 55303 75 3-53 50 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 IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install S, fiareplace insert 9 CHANGE OF USE FROM TO STIPULATIONS Provide fire alarms on Both levels of house. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $].1500 $,75 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- $35.0.0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $35,75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) _ WHEN PROPERL VALIDATED THIS IS YOUR PERMIT 1 N !0 r L BLDG )NSP O TE SIGNATURE OF OWNER OF OWNER BUILDER) )DATE) NEW [ ] City of Fridley Effective 5/1/88 ADDN [ ] R-1 AMID R-2 ALTER [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: oma+ Ste+ ozq h % / %.¢ R Tel. #—S Qontr actor : A (• Tel. # S3 Sy Address: t SS S A/bwf�e w WUcQ Attach to this application, a Certif irate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AREA: Length Width Height Sg. Ft. GARAGE AREA: Length Width Height S3. Ft. DB X AREA: Length Width Hgt/Ground Sq. Ft. CDrner Lot I l Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ��`2R r' c� Estimated Cost: $ i 0 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: $ Width + 6' DATE: ttD'S _ APPLICANT: ib,AW-di,'H CITY USE OILY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer Main Charge � 3Sn s J � Alt. A Alt. B $ See Back Page Tel. Flee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "T," or Alt. "B" Above Flee Determined by Engineering Agreement Necessary I ] Not Necessary [ ] z v C/ 01 SUBJECT City of Fridley ?3606 AT THE TOP OF THE TWINS BUILDING PERMIT IPT 'f ' J • COMMUNITY DEVELOPMENT DIV. LV ------ r � � PROTECTIVE INSPECTION SEC 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/4/95 JOB ADDRESS 61 65 1/2 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred/Paulette Steinmann 61 65 1/2 Way NE 572-9251 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C ALTERATION 0. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling/Soffit & Fascia/Install bow window 9 CHANGE OF USE FROM TO STIPULATIONS 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,000 $6.00 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 $187.25 Fire SC $12.00 PLAN CHECK FEE TOTAL FEE 205.25 SIGNATURE OFCONTRACTOR ORAUT RIZEDAGENT IDATEI WHEN PAOPERL ALIDATED THIS IS YO R PERMIT 7,GA �11R�11 *,A TURF O EI p INSP rJA E z v C/ 01 NEW [ ] Effective 8/l/95 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: im S Yz U-., <, Al Ie of Legal Description: I- p t 11 610 `lf. �C- e �frd{1�Y Owner Name & Address: r e_t 4- �' l � Sfe� ��,,,,�,„� G d L�/� `'"``7'Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Re-PIAcG �x<',,�.'�y S!,k,'1s , S , Fws�«� Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Dater Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 1 a U v �✓ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: & Lq Z -4j= APPLICANT: Tel. # J Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY $ IrZ, 2Fee Schedule on Reverse Side $ ��, 00 .001 of Permit Valuation (1/10th%) $ �.� $.50/$1,000 Valuation $ _ $850 per SAC Unit $ $5.00 (State Licensed Residential Contract $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineerinp $ Agreement Necessary [ ] N�; 0 TOTAL $ �� STIPULATIONS: `$1 M '9100( AI Ajte %tr �e SUBJECT PERM t City of Fridley8 AT THE TOP OF THE TWINS ?' BUILDING PERMIT r I , R 1 _- COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC.41 r ----; ®9� NUMBER REV GATE PAGE OF APPROVED BY lCITY HALL FRIDLEY 55432 ----/'-',.� L 612-571-3450 910-F15 9/15/98 JOB ADDRESS 61 651 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE RxgAAmR>xtm11 Fred & Paulette Steinmann 55432 572-4251 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 O NEW O ADDITION O ALTERATION W REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (26SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 I HAVE READ AND EXAMINED THIS APPLICATION 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 $2,228.00 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- $74.75 Fire SC $2.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT FEE $78.09 SIGNATURE OF CONTRACTOR O;AUTHORIZED AGENT (DATE/I EN RQ VALIDA HIS'R PE MIT �L FU VPSi ATURE OF E IDATEI Bl INSP DATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 'k ConstructionAddress: Legal Description: Effective 1/1/98 P0 201 C? g Owner Name & Address: /W o j Tel. # (6! L) S7 i - -12- 4 / ,4� Contractor: S,- /-F MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK°AREA: OTHER: Construction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ��rar ofd Z k.� 0 f fti =-7 e p� 62 - �r Driveway Curb Cut Width Needed: Estimated Cost: $ C�?"ZI?CS (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $ ,DATE: AY APPLICANT: _ --- Tel. # CITY USE ONLY Permit Fee $ `- . 9S` Fee Schedule on Reverse Side Fire Surcharge $ 93 .001 of Permit Valuation (1/10th%) State Surcharge $ /, ll $.50/$1,000 Valuation SAC Charge $ $1000 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 $ STIPULATIONS: 01 sueJEcr RMIT NO. City of Fridley 3 i 396 AT THE TOP OF THE TWINS BUILDING PERMIT r • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 915t) 1 1 , NUMBER REV DATE PAGE OF APPROVED BY � 1 8 CITY HALL FRIDLEY 55432 %j 612-571-3450 910415 9/15/00 JOB ADDRESS 61 65 1/2 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred/Paulette Steinmann 61 65 1/2 Way NE 763-572-9251 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Finish basement 9 CHANGEOFUSEFROM TO STIPULATIONS RrMAN See notations on plan. SEPARATE PERMITS REQUIRED FOR: PLUMBING AN® SAS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $8,000 $4.0.0 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 PLAN CHECK ETOOL FEE $179.25 // SIGNATURE OF CON" RACTOR OR AUTHORIZED AGENT 400E, HE P VALI A D THIS IS R P RM OSXGNATIqRAI� G NSP AtE 01 NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572.3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: r 61%- GUQ„ /ICE f r' KTOc e y w, Legal Description: L f /`t Bl. Owner Name & Address: Ftc-o 4-P—de/�- Tel. #f7c3) F7z-,Qz s- / Contractor: 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 Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt(Ground Sq. Ft OTHER:tc P" z•7-/-- Construction Type: tti,-? J -F-.ane Estimated Cost: $ 8, o mcg Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: 411'*" cav APPLICANT: Tel. # ?C 3 - Slz -gzs/ CITY USE ONLY - Call (763)) 572-3604 for Permit Fees if mailing in application Permit Fee $ Ctl �� Fee Schedule on Reverse Side Fire Surcharge $ anx(0 .001 of Permit Valuation (1/10th%) State Surcharge $ �/� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $, Driveway Escrow Erosion Control 9 Park Fee $ $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL STIPULATIONS: $ I W . 5 THIS JOB COPY SHALL BE OeOVI(l& AVAILABLE ON THE JOB SITE FOR THE FRAMING ,. / AND FINAL INSPECTIONS �`� 6 L4) 6" Tub • 3.-�. Drat /'!�` /C-�' ✓nP' G (y✓ r 'µ` Q b' Utility Room .� 13'-1 1/2' • � • Ra1 6'-111/2' r. < :&"Il64- ol A lk Retum Fumace ol S Supp(y Air Family Room A R 1 .2x to QW4 N � � U 14'-7 1 /2' •eplace , ■ o vidle SUAD& 1;lth Illy IZ&F /x+00 - • f — ucd d8p��s IN y ` c®an ; Aik %ti P �os4ibm t t N V�tu� W44 a.- a .,/` n . . IDJ— N meow. w* -k 1. Cie{ 46 wall .oc 8'-8 3/4' Craft Room ilk% f2UN (�{ WH Storage Room Add additional heat runs into basement living room. Re -pipe and support gas line along heating duct. Remove unnessassary gas line from utility room and rest of basement. Add hinged box around incomming water pipe and drain cleanout. Replace fues box with breakers. —j (, r_ e w 4 ?e Bring new circuits into family room. Basement bathroom and utility room; Replace existing 24" deep shower with 36"x36" shower stall, the drain will need to be moved. Move South wall of bathroom to make room for shower stall. Build 2x4 insulated wall along west block wall. Move toilet east to allow for wall. Move sink to North bathroom wall. Add GFI outlet near sink. Add exhaust fan/heater, vented to outside. Add drain under water heater. Replace double washtubs with a single washtub. Relocate the water softner to the West Wall. Build new walls and doorway to create a hallway to bathroom. Basement Liviingroom and Storage Room Replace east -west 2x4 wall, remove closets and doors in storage room. These materials are mildewed from water damage. Water came in though the window well which has since been replaced. Replace block wall in center of basement with 2x4 load bearing wall with double 2x10 headers. Remove brick planters from either side of basement fireplace. Why are there planters in a basement? Build and insulate 2x4 stud walls around basement walls. Sheet rock these walls. Add new outlets per code. G F2 Remove tiles from storage room and living room ceilings, replace with sheetrock. Reroute heating duct through north -south wall instead of over stairway. Place cold air returns in new north -south wall. pCITY OF FRIDLEY INSPECTION DIViSION 1 I v 6431 University Ave NE I Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value off Appliance . or Work a,' f '�V��l rG s� l F�lnr�w-4 Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS OWNER SOC s T�y,,,,� /J-IVA.i TOTAL BUILDING USED AS A, -e- ESTIMATED $ �dOU ESTIMATED COST A' PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ 25sv fr DATE ` ` f -co HEATING CO SignedTBRough-In L # 372 _ h z s-/ V ApprovDate Final Date JD d- 0j COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 : CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Fred Steinmann 6165 1/2 Way NE Fridley, MN 55432 Re: Final Inspection at 6165 1/2 Way NE Contractor: Owner Dear Mr. Steinmann: Permits were issued on November 7, 2000 & December 6, 2000 to install basement fixtures and ductwork at your address. According to both the 1991 Uniform Mechanical Code and the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. As of this date, no inspection has been called for. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permits and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DAVE J Building DJ/mh CITY OF FRIDLEY INSPECTION DIV. t� 6431 University Ave NE Fridley, MN 55432 I 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas*` Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 l.00 p_UU JOB ADDRESS ( CS �i �fi�� 'yr--- 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. fl/L Y ,200 Owner F 2(an Building Used As #erne - Estimated Cost PERMIT NO. PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By State Surcharge S .50 MINIMUM I TOTAL FEE $9�1' sO PLUS THE Rough -In Date EE-1�10. 1 -72 -,VZ -J-1 Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT IN'PO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 : REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE EffecLive January 1, 2UU3 CITY OR"FRIDLEY INSPECTION DIViSION 6431 University Ave NE F.+idley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,V } (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS—& NE • &.4 om y RATE SCHEDULE s-M/Nh(AI✓/II OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner . BUILDING USED AS Also Replacement Furnace $ 30.00 $.3D. �0 _ (Side Vent - Fill Out Back) ESTIMATED COST l0 N5 PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units p_ Circle One (Steam) (Hot Water) ( rm Gas Dryer $ 10.00 $ Trade Name le-P . Size No. 1/0 fn- BTU %!v Ono HP EDR *Air Conditioning - All Sizes $ 25.00 $ a� Fuel /I/47T SAS Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name_ Size No. 1% of Value of Appliance or Work $ BTU _ HP _ EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ _ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. . TOTAL FEE $ JAS DATE �i 3 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO Home Energy Center REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 15200 25th Ave N #128 PLUS THE $.50 STATE SURCHARGE Signel— Plymouth MN 55447 FAX # 763476-1990 fax 763-476-1143 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When m ra inn an Pxkfing furanng,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 (Vi 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 (Vf No( ) The P i�nfina,Semtn,_efinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes (�' No ( ) When required to install a new comb, 'Stien air; it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (v,� No( ) When installenn a now venting sUstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes o No( ) Is the common vent and vent connectors sized and installed correctly atter an appliance has been removed from the common vent and vented separately as per current codes. Yes (v+ No( ) Appliance #1 Type rtiIW AC -E BTU Input '7S ®o® Oak�Asststeidor r Nat Appliance #2 Type BTU Input Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances �/ Total Btu Input S�6&b 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 HEATING CO: PILE r✓NG1ZG `/�T�� Signed By: WM Date �I RIGHT -J LOAD AND EQUIPMENT SUMMARY 0Entire House Home Energy Center 15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143 A� Project fnformatlon .. y' For: Steinmann 61 NE 651/2 Way, Fridley, MN Notes: Design, InformationAN -1 �. .. ,. Weather: Minneapolis -St. Paul, MN, US Winter Design Conditions Summer Design Conditions Outside db -22 OF Outside db 91 OF Inside db 70 OF Design TD 92 OF Inside db Design TD 75 16 OF OF 1.0 Daily range M 180 90 Relative humidity 50 % Moisture difference 29 gr/Ib Heating Summary Building heat loss 48361 Btuh Ventilation air 0 cfm Ventilation air loss 0 Btuh Design heat load 48361 Btuh Infiltration Method Simplified Construction quality Average Fireplaces 0 Efficiency Heating input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat 1 I • 2111,14 0 Btuh 00 O Btuh 1035 cfm 0.021 cfm/Btuh Sensible Cooling Equipment Load Sizing Structure Heating Cooling Area (ft) 1344 1344 Volume (ft3) 10752 10752 Air changes/hour 1.0 0.5 Equiv. AVF (cfm) 180 90 Heating Equipment Summary Make Trade Efficiency Heating input Heating output Heating temp rise Actual heating fan Heating air flow factor Space thermostat 1 I • 2111,14 0 Btuh 00 O Btuh 1035 cfm 0.021 cfm/Btuh Sensible Cooling Equipment Load Sizing Structure 19346 Btuh Ventilation 0 Btuh Design temperature swing 3.0 OF Use mfg: data n Btuh Rate/swing multiplier 0.96 cfm Total sens. equip. load 18572 Btuh Latent Cooling Equipment Load Sizing Internal gains 1380 Btuh Ventilation 0 Btuh Infiltration 1751 Btuh Total latent equip. load 3131 Btuh Total equipment load 21703 Btuh Cooling Equipment Summary Make Trade Efficiency 0.0 EER Sensible cooling 0 Btuh Latent cooling 0 Btuh Total cooling 0 Btuh Actual cooling fan 1035 cfm Cooling air flow factor 0.053 cfm/Btuh Load sensible heat ratio 86 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. t wnghtsoft Right -Suite Residential*" 5.0.28 RSR20001 2003 -Aug -11 13:24:46 C:\Wrlghtsoft 1-1VAC\200MA13as1cl-oad.rsr Page 1 RIGHT -J WORKSHEET Entire House Home Energy Center 15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143 �' MANUAL J: 7th Ed. I 1 I Name of room Entire House Teeinmann 1 21 Length of exposed wall 152.0 ft 1 152.0 ft 1 1 1 3 Room dimensions 32.0 x 42.0 ft 4 Ceiings Condit. Option 8.0 ftl heatt000i d 8.0 fti heaUrool TYPE OFC S HTM Area Load (Btuh) Area Load (Btuh) Area Area EXPOSURE NO. Htg CIg (ftp Htg Clg (ftp Htg Clg Htg Clg Htg Clg 5 Gross a 12C 8.3 1.8 1216 "" "" 1216 Exposed b 0.0 0.0 0 I "" I 0 walls and c I 0.01 0.011 011 "" I 01 I I partitions d l I 0.0l 0.01 011 *�" I I 0 11 •*» I ""'' I 1 "" I ""' I I "`"" I '�" 1 e 0.0 0.0 0 .». .,.. 0 f 0.0 0.0 0 "" "" 0 6 Windows and a 2A 43.7 152 6642 - 152 6642 glass doors b 0.0 0 0- 0 0 "" I Heating c 0.0 I I 01 0l - 01 01 - I I _ I I I I I I Id o.ol I of o- I 01 01 - I I e 0.0 If 0 0 = 0 0 - `" 1 i 0.0 0 0 "* 0 0 7 Windows and North 27.8 28 *"' 778 28 '"" 778 1 glass doors NE/NW 0.0 0 ""' 0 0 0 - Cooling E/W 1 63.81 84 5359 84 "" I 53591 1 - i 0 i 0 0 0 SouSttW 144:9 40 1792 11 40 *.... 17921 ..�.�. Horz 0.0 0 "" 0 0 "" 0 8 Other doors a 10F 29.4 6.3 42 1236 263 42 1236 263 b 0.0 0.0 0 0 0 0 0 0 c 0.0 0.01 0 01 1 9 Net a 12C 8.3 1.8 1022 8462 1803 1022 8462 1803 1 1 1 1 exposed b1 0.01 0.01 01 01 OI 01 011 01 walls and c i 0.0 0.0 11 01 0 0 11 pa01 I d I 0.0 0.0 0 i 0 0 0 0 i 0 i 0 0 0 I I el 1 0.0 0.0 of 01 0 0 OI 01 I I 1 f 1 0.0 0.0 0 01 0 0 0 0 10 Ceilings a 16C Ib 8.1 2.7 1344 10881 3570 1344 10881 3570 0.0 0.01 OI 01 OI 01 01 0 1 1 1 cI 0.0 0.01 OI OI OI OI OI of d 0.0 0.0 0 0 0 0 0 0 I I a 0.0 0.0 01 01 0 01 01 01 1 I f 0.0 0.0 0 01 0 01 0 01 1 �11 Floors a 21A 2.2 0.0 1344 2968 0 1344 2968 0 1 1 (Note: room b 0.01 0.0 O I 01 0 0 O I 0 1 I 1 I di 0.01 0.0 011 o 0 0 011 0i ildispl. i I for slab Is 1 0.01 0.01 011 0 0 0 011 01 I 1 I 1 1 floors) it 0.01 0.0 0 0 0 0 0 0 12 Infiltration a 93.7 8.1 194 18171 1580 194 18171 1580 1131 Subtotal loss=6+8, +11+12 "" 48361 ""` - 48361 - I I Less external heating 01 ~~ I I 01 - Less transfer "" I 01 "" "" 01 14 Duct loss 0°/ 0 "" 0°/ 0 15 Total loss =13+14 "" 48361 '"" "" 48361 16 Int. gains: People @ 300 6 """ 1800 6 - 1800 Appl. @ 1200 2 "" 2400 2 - 2400 1 171 Subtot RSH gain=7+8..+12+16 '*' 1 - I 193461 '*"' 103461 Less externacooling I I i 1181 Less transfer) Duct gain ,, 0°/d .... -I 011 01 - o°i - "" 011 I 01 119Total RSH gain=(17+18)'PLF 1.00 1 - I 193461 1.00 - ! 19346 01 Air required (cfm) 1 '""` 10351 10351 - I 1035 1 1035I "" 1 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wr�ghtsOft Right -Suite ResidentialTM 5.0.28 RSR20001 2003 -Aug -11 13:24:46 Ak C:\Wrightsoft HVACt2003WABasicLoad.rsr Page 1 _(0HOUSE HEATING TEST RECORD c% ? ADDRESS N �° (OS //a' my APT. FLOORS ITy riZ I D LEY OCCUPANT OWNER ��E t tr A 4 N HEAT LOSS DATE HTG. INST. SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER Electrical Work By HARRISON ELECTRIC Gas Line By TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE Model Serial THERMOSTAT Valve Limit Limit Setting _ Fan Setting Pilot Type Pilot Make Pilot Model Pilot Timing _ L.W. Cut Off _ Pressure Input CFH _ Stack Temp._ Form 235 __P Z S �. o z y rF24 s 9 CONTROLS Heat Plug 5 4 elc Percent CO2 .� Percent 02 Percent CO MAKE OF BURNER _ Model Max. BTU Rating MAKE OF FURNACE Model Vent Size KIND OF LINER_ Draft Hood Filters Size _ Chimney Location Chimney Construction SIZE NONE Regulator Number Inside Outside Smoke Bomb Wiring Draft Test Tag Door Pressure Lighting Inst. Date Tested Company Testing HOME ENEFA5Y CIENTIM Name of Tester Building PLUMBING Permit No. I Inspections RESIDENTIAL APPLICATION Received By; 763-572-3604 CITY OF FRIDLEY DaT d:11„ IIS M DATE YOUR E-MAIL ADDRESS SITE ADDRESS_ L l L57'12- L �Q i (f\E� THIS APPLICANT IS: ❑ OWNER JNCONTRACTOR PROPERTY NAME: � j!� ADDRESS: &6 '/,a cQ 01 CITY En 1 ci l U STAT IP � OWNETENANT -7 PHONE: � f ..�— ,ff A - iS ) CONTRACTOR NAME: d- S L9 SUBMIT A COPY OF STATE LICENSE # EXP DATE ' YOUR STATE ADDRESS:_C oc HCl J ®� CITY STATE Z P . LICENSE WITH PHONE 4=S -i `k I FAX APPLICATION PERAHT TYPE I)6NGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK Zz b(n d C2 bgz lY U PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the .improvement, installation or replacement of a residential fixture, excluding the fixtures. (Thisshould_ reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR ROIECTS WHERE LABOR EXCEEDS $500 -FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPTNIB ERE NOTED. :FIXTURES _• INDICATE TOTAL NUMBER OF EACH BELOW) BATH SWKILAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (vEw cnruc&vz) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) _ _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = State Surcharge = $ .50 Total = $ 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 ap canon 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 f al rk wh' requires r e and approval o l s. SIGNATURE OF APPLIC PRINT N _ 7 ! ATE J_6a City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.: 0 `o 10 q® Inspections RESIDENTIAL APPLICATION Received B :AAaJ 763-572-3604 CITY OF FRIDLEY Da= 763-502-4977 FAX EFFECTIVE 1-1-08 DATE ay�Y Z �- 2 v,�,,, "UR/E�-MAIL ADDRESS c ,110L1e AIAI 575-43 2— SITE ADDRESS /1/•�r M ! THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: XZ it�AK CITY �r%� `+/� STATE#A ZIP .ya/,4I.�Cry PHONE: / �/ 7 / �' ✓ Z' 7 NAME: ADDRESS: ?.r%! S�fii,/e �i'I�CITI'1Y�i:�GUV�I'[iC,LZIP ,� Q, /� CONTRACTOR SUBMIT A COPY OF PHONE "^ FAX YOUR STATE LICENSE STATE LICENSE #� EXP DATE PROPERTY TYPE SINGLE FAMILY Q N O IZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER/��V ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH 14P WIDTH Z ��HEIGHT SQ FT 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum 11 Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS )lYes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ON ALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) f4,/ • P'40 OCCUPANCY TYPE $'% 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) $ $1825 per SAC Unit (Plans to MWCC for determination) $ —ft +6ft= ftx$21 =$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ a Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota C nstruction 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 on site; that the work will be in rk# with the approved4jan in the case of all work which requires review and approval of plans. SIGNAGJ GAPPLI �StAAM PRINT NAME iC�l ANU% DATE -491 APPROVED BY DATE 6 7 8 9 10 12 11 --V� 13 • 14 16 r 1. � l +r -ami+ w wra�.v��awroraewa+ewC�+! . ..