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City of Fridley, Minn. BUILDING PE N® 3796 Date: ..` . J .../...� ... ............ Owner ..� ........ ..... Builder..y.... ............. . Address..................................... Address ............................................ LOCATION OF BUILDING No. .... Street .. (Q..�.-. .... �` .. .......... Part of Lot .. . AXA.' ° . p� .. . Lot ..... Block .................. Addftion or Sub -Division ' ...... .... . Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To Used _ F .. .. .... Front l.'?:.D. Depth 4.. 7' Height P7 : �� Sq. Ft. /16 � Cu. Ft �p�, .. Front . (9 • Depth, .. /P Height A . `.0. Sq. Ft. d.4 .. Cu. FLM '�!.® Type • . .... Fst. Cost. ,/..� . 0 A .. �. To be Completed ................... of Co etion ............... 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. In consideration of the payment of a fee of $.,,1......., 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. it / �....... Building Inspector NOTICE: This 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. r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name ° Builder'` Address W A Alla uV 1 Address ,`" "� ` ° �.y'�� r✓ ' � .ill LOCATION OF BUILDING No. �,.I. Street s' Part of Lot ». Lot Block Addition or Sub. Div.j��! Corner Lot fr' -`: Inside Lot Set Back Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as Front (� �� Depth Height 'Cu. Ft. Front ..- _._._ Depth flight _... �.._.. Sq. Ft; Cu. Ft. Type of ' Construction .1 Estimated Cost �..�-..... To be- completed J® Jfs`' The undersigned hereby makes application for a permit for the work herein'specified, agreeing to do all work in strict accordanee with the City Ord.iances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true � and correct. Date Signature (A Schedule of Fee Costs can be found on the Reverse Side) SUnset 4-5847 SUnset 4-3572 B & H CONSTRUCTION 2335 Hillview Rd., New Brighton 12, Minn. CUSTOM BUILT HOMES REMODELING, ADDITIONS 0 1 - 0 �4s-T City of Fridley Application for Plrembing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 J� r DESCRIPTION OF WORE /I 16 '— (o� �� � ��� umber, Kind and Location of Fixtures Location r 1Z N 8 i�j a 80 O m Z , R N WATER HTR. GAS ELEG S a3 �°1 �p rn B 1st 1. 2nd 3rd 4th • Future Conaectioa Opeafags Connected with New Fixture, Old Openings Sewer cesspoolSewer El I ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 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 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 17 0� . Description ........................................... TOTAL 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 Owner _ 19— Kind of Building 1 19— Used as To be completed about Estimated Cost, $ s Ol New. uilding Permit No e r ... Sign By Business Phone 5 ®� MAY 18 1959 R®UA �o 11 POST IM -12-58 Application for Power its and Heating, Coating, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ P each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $_ - GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ......................�_ x $1.50 $� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU .......... , x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $-�T V ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Dept. of Bldgs. Phone SII/4-77470 Location�® 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 ® 195 Owner Z314M02fwe s2 � � 195— Kind of Building _ 195— Used as To be completed about Estimated Cost, Olduilding Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water Warm No.o Trade NameSize Nod®,3-",Pp Capacity Sq. Ft. E.D.R oe,-* BTU H.P. Total Connected Load 1% 3 Kind of Fuel BURNER. — Trade Name ize No/A-3 46092 Capacity Sq. Ft. E.D.RBTU H.P. Signe HUMAN HIATING & SHIff METAL By �M 11 POST IM -12-58 Business Phone No_ Ael �' �V3 �pe �t:gihGFr HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Village of Weatherstrips A.S.H.V.. Construction No. Insulation Guide Windows I Doors Reference Out. Wall I Int. Wall I Ceiling I Roof I Floor Kind How Atmlie es No No o G'1I n ssi®✓ = t?.,...., t e....t, i -s _ d41:.7rt. U -:—f. Ply II i C-1 I t2 _ /I �t R ...... I f e....►I, >i - •.1 pis -i r — — - ---•-- 1 ----0--- - — -• Windows and Doors—Crackage and Area 14 19 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �2 9 / <66 31 Lineal ft. Area of crack sq. ft. ppane Coef. Btu Coef. Btu Infiltration? " ��20 --z Glass Infiltration J 7 Exp. wall / Glass Net exp. wall 3 / 0 f` Int. wall 360 sZt- fi" Ceiling y� Floor /C)if 0 Total Btu. 9 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl -1.4 / Room I Length /,�P Width / ,�z Height Windows and Doors—Crackage and Area 14 19 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ,1 Lineal ft. Area of crack sq. ft. ppane Coef. Btu Infiltration Infiltration Glass Glass Coef. Btu Infiltration Net exp. wall a Coef.1 Btu Glass Ceiling '`' %% / 3 Ceiling 2 e/ a— Floor/ Exp. wall 360 sZt- fi" =_ Net exp. wall Net exp. wall /C)if 0 Int. wall Ceiling zz Floor Int. wall Total Btu. 1-7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .7 F1.1 , �; e Room I Length d41 Width i1-�Ieight Windows and Doors—Crackage and Area �► r� Width Height No. of Llaeal ft. Area No. of pane of pane tights of Crack sq. Lt. Width Height No. of No. of off ps6ne lights Lineal ft. Area of crack sq. ft. ppane Coef. Btu Infiltration Infiltration Glass Glass Exp. wall - _ :2-6 Exp. wall Net exp. wall a Coef.1 Btu Infiltration Ceiling '`' %% / 3 Ceiling 2 e/ a— Floor/ yJ 1 360 Glass =_ Net exp. wall Exp. walls— Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling Floor 1, Total Btu. I <�t'�15/ Required so. ft. E.D.R. or so. ins. W.A. Leader area B.D. 218 // 4— U.;At Windows and Doors—Crackage and Area �► r� Width Height No. of Llaeal ft. Area No. of pane of pane tights of Crack sq. Lt. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Infiltration Glass Glass Exp. wall - _ :2-6 Exp. wall Net exp. wall a Net exp. wall 4zo a Int. wall Int. wall Ceiling '`' %% / 3 Ceiling 2 e/ a— Floor/ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r Fl.l AAAV 3 Room I Length /*' —Width .ia— - Height 9' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef.g�BtInfiltrationGlass,� Glass Exp. wall Net exp. wall 4zo a Int. wall Ceiling 2 e/ a— d - 2 Floor Exp. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I— A Fl.l .l'$ Room I Length /ol --7-Vidth ," Height Windows and Doors—and Area Width Height No. Lineal ft. Area of No. of No. off vane of.pane lights of crack sq. ft. Coef.g�BtInfiltrationGlass,� Exp. wall =_ Net exp. wall & Int. wall Ceiling . Floor Total Ttu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Village of Gia Weatherstrips .S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applie Yes—No I Yes—No 19_ ,� I.I I /Till r➢.►f M.n 1 t Pnsf{. "1'_ v;AFh el 4 FIPfRMm I t.Pfl Oth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. !t. Width Height No. of Lineal ft. Area No* of pane of Dane. Ilghts of crack sq. ft. I d� Coef. Btu Coef. Btu Infiltration ST , Glass 0 Exp. wall FAP. wall Net exp. wall Net exp. wall 5—_ Int. wall Int. wall Ceiling Ceiling / Floor Int. wall Total Btu. —3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiuht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. !t. Lineal ft. Area of crack sq. ft. Coef. Btu Infiltration ' Glass Exp. wall Infiltration Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No: of No. of pane of pane lights Lineal ft. Area of crack sq. ft. Coef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area B.D. 218 Windows and Doors—Crackage and Area Width Height No. of Llneal Z. Area No. of Dane of pane lights o! crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Length Width Heistht Windows and Doors—Crackage and Area Width Height No. of Lineal !t. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq, ins. WA. Leader arra City of Fridley Application for Plumbing and G= Fiit� ing Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Ffxtures 13 8� 55 W 6 • P 4 N WATER HTR. GAS ELEC. 3 g� a G S 5 6 (�9 0 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................ $ ........... TOTAL FEE 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. �q Fridle Minn Z 57 Owner 19— Kind of Building' ` 19— Used as d To be completed about Estimated Cost, $ Old—New. Building Permit N 11 POST 1M-12-58 Bq Business Phone NS-,4-- lip SUBJECT PERMIT N City of Fridley o 004 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI COMMUNITY DEVELOPMENT DIV. n' r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 �•j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I 7/27/89 I I JOB ADDRESS 1610 - 6612 Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Moore Lake Park 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Swenson 1610 - 6612 Avenue N.E. 574-9836 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 J7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan 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 I 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 $1,500 $.75 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 ANY OTHER LOCAL LAW EGULATING CON- PROVISIOSTRUCTON $35.00 ORFTHE PERFORMANCE OF CONSTRUCTION.O PLAN CHECK FEE TOTAL FEE \ $35.75 r SIGN TUREOFCONTRACTORORAUTHORIZED'AGENT (DATE) HEN PROPERLY VALID D THIS IS YOUR PERMIT 7-�-)-o9 iGNATURE OF OWN ER IIF OWNER BUILDER) IDATEI I BLDG INSP FATE lip NEW [ ] Effective 5/1/88 litm[ ] R-1 AND R-2 ALMM Building Permit Application Construction Address: A / 0 &(0 aye legal Description: �-O 7- / Owner Name & Address: ,�k1 k3 e v15 n ►rn Tel. Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ZlVn4G AREA: Length Width Height Sq. Ft. QMRRM XMMU length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. Corner Iat [ ] Inside lot [ ] Ft. Yd Setback Type of Construction: Approx. Cmpletion Date: Side Yard Setbacks Estimated Cost: $ / Sl, C� . 6o Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 2A 7 j9q APPLICANT: Tel. #57L/-c18�� CITY USE ONLY Permit Fee $ �' State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ 96, STI MAXIMS: Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering ng Agreement Necessary [ ] Not Necessary [ ] /500,00 sv a, (Zicj - )SICO lcDx o S,, Od 3' i I � I i • I I � I I1 ,� I Y I , 1 1 I I , CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Bear Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve BURP or Receiving Tank Water Treating Appliance Not Water nester Gas Range Gas Dryer NO. RATE $ 5.00 S 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL S Back Flow Preventer Required. . . Yee ( ) No ( )- Type $ 5.00 S ALL OTHAS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Rainspection Pae S State Surcharge $ .50 ($15.00) TOTAL FEE $ / 57 S-0 Effective Date May 1, 1988 Job AddressI �j 0 _ �, (� �� aye Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a perisit 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 herebZ• declares that all the facts and representations stated In this application are true and correct C Fridley, Mn. /1%-7/9PJ , 19 OWNER To , RIND OF BUILDING USED AS Ta BE COMPLETED ABOUT -q - ESTIMATED COST i1/ OLD NEW BUILDING PERMIT NO. PERMIT NO. l Qa Company Signed By Tel. no. ROUGH INSP. )1119' Do to FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS :15.00 PLUS THE $.50 STATE SURCHARGE a. a a U0 water . � + u e a u w w 5 Heater 'Jr g a' g a agge lec 9 4 a w 2 o w ,`tel amici u s gg a x�°M vi a� ai w° rn ori 3 ci o a let 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (`) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Bear Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve BURP or Receiving Tank Water Treating Appliance Not Water nester Gas Range Gas Dryer NO. RATE $ 5.00 S 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL S Back Flow Preventer Required. . . Yee ( ) No ( )- Type $ 5.00 S ALL OTHAS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Rainspection Pae S State Surcharge $ .50 ($15.00) TOTAL FEE $ / 57 S-0 Effective Date May 1, 1988 Job AddressI �j 0 _ �, (� �� aye Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a perisit 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 herebZ• declares that all the facts and representations stated In this application are true and correct C Fridley, Mn. /1%-7/9PJ , 19 OWNER To , RIND OF BUILDING USED AS Ta BE COMPLETED ABOUT -q - ESTIMATED COST i1/ OLD NEW BUILDING PERMIT NO. PERMIT NO. l Qa Company Signed By Tel. no. ROUGH INSP. )1119' Do to FINAL INSP. Date APPROVAL FOR PERMIT 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 4ESIDE�iTIAL RATE TOTAL / p/ Job Address {0 / ® �Q�p /� p /V Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. 0571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ •10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application true and correct. • Air Conditioning (all sizes) $ 10.00S /are Fridley, Minn. % / i , 19� All Others/Repairs and Alterations CC OWNER ��®�,� ..Ji�3 �' VlSO h Is of V lu�jof Appliance or Work $ Tal' Move iArr,ace V e -,,i - KIND OF BUILDING hDLLJSe, COMMERCIAL INDUSTRIAL USED AS It of Value of Appliance or Work $ 70 BE COMPLETED ABOUT ESTIMATED COST �7(�- 0 State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO.lbt�%� TOTAL !EE $ Reinspection Fee ($15.00) $ 15 DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. Date Approval for Permit 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. HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP 7btal Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed Byy"(`tsu �, .IA!S,A17iw Tel. No. 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 current Code requirements for size and total BTU connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Da to ®/r\ c/�t v t Minnesota Well and Boring WELL OR BORING LOCATION'MINNESOTA 2FITMENT OF HEALTH Sealing No. H247 County Name WELL AND BORING SEALING RECORD Minnesota unique No. Anoka _ Minnesota Statutes. Chapter 1031 or W -series No. Il- a e blank it not —ownl Township Name Township No r23 ge No. Section No. Fraction (sm. • Ig.) Date Sealed Approximate Date Well Fridley 30 13 NE,„SEr,14E 10-19-95 orBoring Constructed Numerical Street Address or Fire Number and City of Well or Boring Location 157 1610 661 AVe NE, Fridley Depth Before Sealing ft. Original Depth n. Slow exact locates of well or boring Sketch map of well or boring Static Water Level ❑ Accurate in section gnd with -X` location. showing property lines. 43 roads. and buildings. Approximate N W y 72 x LJ` Single Aquifer ❑ Multiaquifer tt. below above land surface CASING TYPE I ;6] Steel ❑ Plastic ❑ Tile ❑ Other b mile 153 157 h O n Hole from to tt. N-- 1 mire No Screen from to pe OBSTRUCTION/DEBRIS/FILL ,D.RWbstructlon ❑ Debris ❑ Fill PROPERTY OWNER'S NAME John Swenson NEE 631 1-11 d.p. & jet Type of debris/obstruction - Obstruction/Debns/Fill removed? ® Yes ❑ No Mailing Address if different than property address indicated above. PUMP Removed ❑ Not Present ❑ Other N��� GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION FROM TO NERN hole? Annular space initially grouted? 6 No ❑Yes ❑ No ❑Unknown If not known. indicate estimated formation log from nearby well or boring. y 72 x LJ` Single Aquifer ❑ Multiaquifer tt. below above land surface CASING TYPE I ;6] Steel ❑ Plastic ❑ Tile ❑ Other b mile 153 157 h O n Hole from to tt. N-- 1 mire No Screen from to pe OBSTRUCTION/DEBRIS/FILL ,D.RWbstructlon ❑ Debris ❑ Fill PROPERTY OWNER'S NAME John Swenson 631 1-11 d.p. & jet Type of debris/obstruction - Obstruction/Debns/Fill removed? ® Yes ❑ No Mailing Address if different than property address indicated above. PUMP Removed ❑ Not Present ❑ Other CASING GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION FROM TO Diameter Depth Set in oversize in. from 5 to 153 ft. 11 Yes hole? Annular space initially grouted? 6 No ❑Yes ❑ No ❑Unknown If not known. indicate estimated formation log from nearby well or boring. in. from to tt. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown in. from to tt. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: E��No Annular Space Exists ❑ Annular space grouted with tremie pipe ❑ Casing Perforation/Removal in. from to It. in. from to If. Type of perforator ❑ ❑ Perforated ❑ Removed ❑ Perforated ❑ Removed Other GROUTING MATERIAL Grouting material ut Cm from 5 to from to 157 fl. yards 61 bags ff. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING from to tt. yards bags from to tt. yards bags UNSEALED WELLS AND BORINGS J Other unsealed well or boring on properly? 11 Yes ®No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was seated in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true to the best of my knowledge. GAR . t"1c; k Ne11 Co. Inc. n 02133 Con sines NaW � OW Licrense or Registration No. 10-19-95 Auff razed Representative Signature Date Greg Ricke {� 72247 Name of Person Sealing Well or Boring HE -01434-01 a SUBJECT PERMIT NO. City of Fridley 2389 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. fr PROTECTIVE INSPECTION SEC. f I i 1 NUMBER REV DATEPAGE OF APPROVED Br i CITY HALL FRIDLEV 55432 1'j 612-571-3450 910-F15 11/22/95 JOB ADDRESS 1610 66 1/2 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 Moore Lake Park Second Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Swenson 161- 66 1/2 Avenue NE 574-9836 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. XXX 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 ;V ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior basement alterations,• install gas fireplace insert 9 CHANGE OF USE FROM TO STIPULATIONS ' See notations on plan. 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 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 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 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 FEE TOTAL FEE $79.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT / IDATEIy^ R P LY V LI A ED THIS IS YOUR PERMIT AGNSP IGNATUREO OW NER I IF OWNER BUILDERI IDATEI PATE a NEW (] Effective 8/l/95 ADDN (] CITY OF FRIDLEY ALTER () SINGLE FAMILY AND DUPLEXES R-1 AND R-2�� Building Permit Application Construction Address: / J C7— Legal Description: Owner Name & Address: T ny � f w .e v„ � r, ,,o, Tel. # 7 1 Contractor: Address MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width =jtg" Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length . Width Hgt/Ground Sq. Ft. OTHER: $ $.50/$1,000 Valuation SAC Charge $ Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: $5.00 (State Licensed Residential Contractors) Estimated Cost: $ 5 00 b Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 57L/ y CITY USE ONLY Permit Fee $ �% %S Fee Schedule on Reverse Side Fire Surcharge $ 3,06 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 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 $ 1 % �2r STIPULATIONS: T4 WP 27'2 WP WP LO CV WP 5'8 T6 V, ' . ' C L el — ',9 r Tr M 15'10 New -:).x H vm%l WP WP CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION.AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes r All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work pie, (-, tV�, v, + Effective On August 1, 1995 State Surcharge TOTAL FEE $.60 S= MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner -Trade Name Size No. BTU' ` HP EDR HEATING COMPANY Signed Bye �1 r,r�el No. 1 ® - Approved By Rough -In Date2i -i Final Date �N X15 FILL OUT BACK SID FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS/+/ V Cc_ �/ y %� �' �' ►'`-. ;The undersigned hereby makes application for a permit for the work herein Rate TOTAL specifitsd 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 $ 30.00.• $ representations stated In this application are true and correct. • t / a o // ,1995 $10.00 $ OWNER -J C kvI $10.00 $ BUILDING USED AS $ 10.00 $ ESTIMATED COST 17-4O' f0n- • ` PERMIT NO. $ 25.00 $ 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 State Surcharge TOTAL FEE $.60 S= MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner -Trade Name Size No. BTU' ` HP EDR HEATING COMPANY Signed Bye �1 r,r�el No. 1 ® - Approved By Rough -In Date2i -i Final Date �N X15 FILL OUT BACK SID FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEY AND STACK VERIFICATI The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) -6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: HEATING CO: Signed By: Date: susik? PERMI . — City of Fridley 3 14 2 AT THE TOP OF THE TWINS BUILDING PERMI T f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r ~ PROTECTIVE INSPECTION SEC. I;'� CITY HALL FRIDLEY 55432 NUNBERDATE REv PAGE Of APPROVED BY L J` 612-571-3450 910-F/5 9/25/00 JOB ADDRESS 1610 66 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 Moore Lake Park Second Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy/John Swensen 1610 66 1/2 Avenue NE 763-574-9836 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jansick Inc 6480 Squire Drive NE, Fridley, MN 55432 763-574-9679 8618 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 ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 26' x 8' Living Area Addition and a 24' x 6' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. WARN111no SEPARATE PERMITS Before digging call for REQUIRED FOR: all utility locations WIRING HEATING 4540002 PLWBINd AND SIGkS REQUIRE® BY LAW 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $55,000 $27.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR T E PERFORMANCE OF CONSTRUCTION $.678.75 FireAC $55.00 PLAN CHECK FE TOTAL EE _?Z4 4- Uv Licens S $5.0 $ 66.25 SPOu RE OF CON -RACTOROR TMORiZED AGENT tDATEt ENRO E ALIDA ED IS 1 S-GNATURE Of OWNE A, If OWNER SURDERI tDATE� BlD NSP �F r�AiE c �. iii ADDN ') CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6 , �12- 4 UP Legal Description: Effective 1/1/2000 (763) 572-3604 Bldg Insp Owner Name & 'Address: i /�� d6i,,( dd �n Tel. # .4'7L/ , 9£>' 31, Contractor. Ay MN LICENSE # Address: I zlro .SQ v/"eP Tel. # 5 7t-/ - 9� 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: Construction Type:�l(I'LL157 Estimated Cost: $ ��I�DU. uU �D.dGu • ac► Driveway Curb Cut Width Needed: Ft.+6Ft= Ftx $ $ DATE: z APPLICANT: Tel. # 5 IV - �6�l CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 08,7-5- Fee Schedule on Reverse Side Fire Surcharge $ 5�, ©0 .001 of Permit Valuation (1/10th%) State Surcharge $ &-7 ,,E0 $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $ 5 Q 0 $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 $ � A✓- STIPULATIONS: ,CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE 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 of Appliance or Work Commercial/Industrial 1.25%u of Value of Appliance or Work Rate TOTAL $ 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. $ .50 $8559 Effective On May 10, 1999 JOB ADDRESS 16 ADZ�! 49_/ &E i��{ v C'LT BUILDING USED AS Ll > cn• 7`g l ov ESTIMATED COST C) PERMIT NO. 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 Na BTU Size No. 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. HEATING CO llK Signed C% DATE Approved BZ Rough -In Date Final Date �f �✓y/ F Remarks: List ALTERATIONS Being Done: �• , , ,K2l - HEATING CO: Signed By: Date: —06 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 O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: �• , , ,K2l - HEATING CO: Signed By: Date: —06 1 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. John Swenson 1610 66 1/2 Avenue NE Fridley, MN 55432 Re: Final Inspection at 1610 66 1/2 Avenue NE Contractor: Suburban Air Conditioning Dear Mr. Swenson: A mechanical permit was issued on October 19, 2000 to alter returns, supply lines and a kitchen exhaust at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit 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 permit 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. ]DAVEJ Building DJ/mh CITY OF FRIDLEY INSPECTION DIV. Effective On Jan 1, 2000 .6431 University Ave NE , 3D , CSU Fridley, MN 55432 % o APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE TOTAL Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinsppction Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance � State Surcharge TOTAL FEE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. JOB ADDRESS 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. ` 1® -- 'p, 1 , 2000 Owner )AW S(,A. ,0/ Building Used As Estimated Cost PERMIT NO. PLUMBING COMPANY SIGNED BY TEL NO. l 4 — 79 `-01 n ka A up_ /V fns / ss, COMMON VENT INFO 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 : AW CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. John Swenson 1610 66 1/2 Avenue NE Fridley, MN 55432 Re: Final Inspection at 1610 66 1/2 Avenue NE Contractor: Delson Plumbing Inc. Dear Mr. Swenson: A plumbing permit was issued on October 30, 2000 to install two fixtures at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit 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 permit 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 Building DJ/mh SUBJECTIT NO. City of Fridley 32669 AT THE TOP OF THE TWINS BUILDING PERMIT r ` NO. 1 COMMUNITY DEVELOPMENT DIV. v __.___PROTECTIVE INSPECTION SEC. r� r /00 NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY SS432 ,'j L j\ 612-571-3450 910-F15 6/7/02 10B ADDRESS 1610 66 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 Moore Lake Park Second Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE John Swenson 1610 66 1/2 Avenue NE 763-574-9836 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 f7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 5'8" x 10'6" and a 4' x 4' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMItS WARNING REQUIRED FOR: Before digging call for �MHTING all utility locations AND SIGNS 4540002 E® IRE® BY LAW 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 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 I HEREBY CERTIFY THAT 1 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 @@ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $701 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- $32.65 �+ Fire SC x.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT EE - / y-'A_j 3.85 SIGN TUAE OF CO N'A TOR OR AUTHORIZED AGENT �DATEi HE PRO VALID THIS IS YOUR PERMIT (�--7-6� IIIIpa.GNATURE DG �NSp '6 a -D1 OATS OF OwNERiiF OWNERBURDER� iDATE, NEW [ ] ADDIS! [] ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION /✓ Effective 1/1/2002 (763) 572.3604 Bldg Insp� W� Owner Name & Address: :Km I, v% &o -e vt5ov► Tel. #„7[a3 Contractor. Ow 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 Wdth Height Sq. Ft DECK AREA: Length �` �Width 10' Hgt/Ground % , � �Sq. Ft reVI OTHER: r"q I LJ / 'I Construction Type: 00Od Estimated Cost Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: aH -©.-:)L APPLICANT: Tel. #.5 7 y -q 9 3 eo 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 TOTAL CITY USE ONLY - $ ?, &5 $ ® 7Q $ SCS $ $ $ s' 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 [ ] STIPULATIONS: --------------------------------------------------- X-7 Sir Drawing Scale = 3/8" =1' J./l a W lllv� kjvalV __._ 1 / !r Drawing Scale = 4" Treated Post 8" x 48" Concrete Footing 35 i i 66 1/2 Street N.E. i i S 89'2459' W _ --132.21-- — — GRAPHIC SCALE 20 0 10 20 40 (INET) 1 inch = 20 ft 30 4 M , LO w � � � i I Con W i !0p --- 29.7 x I in n LO et M 0 00 "t 0 00 I 0 �- Of 1 Story Frame N I Z (n a 11610Womb e L a 0.0/ 2 • "Ib i 29.4 43.0 Con-------- L 3' Chain Link r'ence-' 11 x --131.93-- Fw,d C40 AW8 i N 89'2651' E I t GRAPHIC SCALE 20 0 10 20 40 (INET) 1 inch = 20 ft CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2003 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** M Gas Range** Gas Dryer** Back Flow Preventer Required (des () No Type RATE $ 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 TOTAL Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 401,101.5% of Value of Fixture or Appliance AZI State Surcharge $ .50 TOTAL FEE JOB ADDRESS `v f 4, ( i/a &,,) e 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. :z -- -0 5 , 20jo--3 Building Used As gea2 GC( L -u c -e �e' Estimated Cost $ f 00 PERMIT NO. PLUMBING COMPANY SIGNED B TEL No. Approved By Rough -In Date Final Date o't 1b3 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CnmmnN VENT, VENT CnNNFCTnR Min COMBUSTION AIR VFRIFICATInN When : r a _in0 an _Yic in0 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The PYoting r-nmhi ictinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to on -gall a new cnmbnstinn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When on-rdallonn a new ventinn syc _m, 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 #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 HEATING CO: Signed By: Date : Building 6'-5, OCCUPANCY TYPE BUILDING $ 1`61. W 5 See Back Page for Fee Schedule Permit No.:l�`>�% -00 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ Received By: 1/ nlam' 763-572-3604 $ 1-{ , g CITY OF FRIDLEY License Surcharge $ Date Recd:® a SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) DATE 1 -1 \ 1 QLA O YOUR E-MAILt,A�DDRESS �� �7C�V �CiQ�. ft + 6 ft = ft x $21 =$ OVJ: � I� r i n , Cyyy SITE ADDRESS o) - Z <_ l rot, t, Park Fee $ THIS APPLICANT IS: ❑ OWNER '44PNTRACTOR $ Agreement necessary ( ) Non Necessary ( ) PROPERTY OWNER/ NAME: 55-110 Make checks Davable to: Citv of Fridlev Attach Stipulations TENANT ADDRESS:� CITY STATE_ZIP 2 " PHONE:—LU NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 t —STATE—ZIP— STATEZIPWITH WITHAPPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEI 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW C PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 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.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 6'-5, OCCUPANCY TYPE Permit Fee $ 1`61. W 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1-{ , g 0005 x Permit Valuation Minimum $.50 License Surcharge $ $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 $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 55-110 Make checks Davable to: Citv of Fridlev 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 ordin I s and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicati for a p t d 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 'ch uireter4lew and approval of plans. SIGNATURE OF APPLICANAME DATE Building ' Inspections 763-572-3604 DATE S / �O SITE ADDRESS 10 THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING Permit No.'s RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY Date Rec'd: YOUR E-MAIL ADDRESS ❑ OWNER )CONTRACTOR CITY PHONE: -76 — S3 e/ — 2 2?—? 6 STATE LICENSE - EXP DATE PHONE��� 71 ❑ SINGLE FAMILY/NEW CC ❑ TWO FAMILY/NEW CON: ❑ DECK ❑ NEW ❑ MAINTENANCEMEPAIR DESCRIBE WORK BEING SIZE OF EvTROVEMENT. NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other FAX C .rI - 6 SCJ' ggr!? � STATE �11yA ❑ ROOF ❑ DRAIN TILE ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ ADDITION ❑ REMODELING A 0a WIDTH Von HEIGHT pi 70 q• S Ft. ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑soffit '1�-,'❑TrimA� ❑ Fascia ( 3 £C" BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS - :ww — 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEESg B ED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ®iJf)o OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ �� `-"( 65% of Building Permit Fee Fire Surcharge $ b 43 .001 times the total job valuation Surcharge $ LI , 1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 15�10 $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 $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 whiAh re uir re .ew and approval of plans. I X I- , _ — SIGNATURE OF APPLICANT PRINT NAME MANUI'ACTtMERS OF PAM & PORCH ENCLOSURES 'SOLARIUMS • GREENHOUSES ENCLOSURES, INC. CUSTOM Y)i,FNDS & SHADES 'FINE CASUAL ftP.MTURE • "ion 90ployee O�Nand Cor»pany" • ' 720 EAST HIG14LAND ROAD MACEDONIA, OHId 44056 PRONE; (330) 468-0700 FAX: (330) 467-4297 Certification of P)EI Roof S stein, The following 18 pages, revised December 23, 2006, contain allowable span, data for 010 Patio Enclosures "Super Foam" sunroom;oof system. The charts are specific to Patio Enclosures products, and cannot be used to determine the allowable span of any other roof system. Paremeters: • The charts address the 3", 4-5/8" and 6" thick PET "Super Foam" roof system fdr shed and gable roof sunrooms. • .Two cases are presented for each roof thickness: A. "Super Foam" roof systems without gla.Is roof panels. ..B. "Super Foam" roof systems with one glass roof panel in every other panel. A licensed Professional Engineer (P.E.).registered in the jurisdiction where the project will be installed has certified the information eotltained within these charts. • ..Applied loads are determined for three snow load cases, per ASCE 7-05: I. Ground snow only II. Ground snow + drifting snow III. Grouttd'anow +,sliding -snow s .'Wind loads calculated per ASCE 7-05, Exposure 13". • Total roof deflection limited to /120 per IBC & IRC 2006. • Use of the charts is restricted by the limitations listed in the general notes on each sheet. I hereby certify the following: 1. 1 am in responsible charge -concerning the information cobtained herein. 2. The information contained herein is true and correct, to ih� best of my knowledge and ability. 3. 1 am qualified to prepare the information contained herein, based on my education and experience. . 4. lam an actively registered pmfessional'engineer in the states) having jurisdiction over the application'of the information contained herein, to. which I affix my seal. Name: Karl A. Rinas Date: L& 1 I-.rRt y cot -My that ttda plan, spgr.Iffaatir=tl, of report was .prepared by Me or UnOer n)y direct supervision and that t Bat 8 duly fieglslered ruf essioiw r" tart; p11 ttte Pit&to of Mnnesate. f,ata/%-_D�-Q It istnttiwl KID._ . 25.3:1.3 .. VYV 80:9t►:0L 900z/zV9 :01e0 LIZ :abed umoqun :woi I RNINIVED FOR CTI_ M E:CL20NC. 720East Highland Road Macedonia. Ohio 44055 www.patioer►Gosuresinc.com General Notes 3" Shed Roof Span Charts Case I — Ground Snow Load or Wind Load • This chart Is In accordance with Installation procedures established by Patio Enclosures, Inc. and is for general reference. See Individual job submittal for specific job conditions. • 50 year mean recurrence interval used for both wind and snow loads based on ASCE 7-02. . importance f=actor of 1.0 assumed. • U120 roof deflection limit used per IBC/IRC 2003 Tables 1604.3(h) and R301.7(c). • PEI Super Foam aluminum clad roof system with single (- beams. • Where Glass Roof Panels (GRPs) are specified, use of this chart is limited to one GRP in every other panel. The maximum edge distance of the GRP from the header or hanger is 2 feet. • 12 -inch maximum roof overhang on bearing wall. 64nch maximum roof overhang on non -hearing wall. • %z:12 minimum roof slope. 'itv4 ��� ' y 4•V�. ;:+' � `'`>•.. ''•.. � '^'•-„ r""^'` =.t.: �'�v"ter -•5� oveanawG Select lesser of allowable spans for both snow and wind as shown below Snow Load Roof Span Chart Ground Snow Load (psf) Allowable Span No GRP With GRP 20 14'- 9" -13'-(r 25 14' - 9" 13'- Cr 30 14'-6" 12'-9" 35 --73"- 9" 2'--0- 12'-0- 40 40 12-9" 11'-6" 45 12' - 0" 10' - 9" 50 11'-6° 10'-3" 55 11'-0" 9'-9" 60 10'- 6" 9' - 6" 65 10'-3°9'-0" 10'-0° 70 9' - 9' B -9. 75 9'-6° 1 8'-61 so s' _ 3' $' - 3" 85 9'-0" 1 8'-0" Snow Assumptions • Case I applicable to basic snow load only. For other conditions. see Case II or IH. TA FA Wind Load Roof Spam Chart Wind Speed (mph) Allowable Span No GRP With GRP $5 iT-3' 15'-6° 90 16'-6" 14'-9° 95 16'-0" 141--0- 100 15' - 3" 13'- 6' 105 14'- 6" 13' - 0" 110 13'-9" 12'-3" 115 13'-0° 120 12' .- 3• 125 11'-q- 1'-9'130 130 11'-3" 10'-0° 135 10'-9" 9'-6° 140 10'-3° vrina—surpmons • Exposure 'B", 3 -second Gust used per ASCE 7 e IRC 2003. • Mean roof height IM than 30 feet. • Maximum permissible roof slope for use of this shed roof wind chart Is 2:12. 0 Rev. 12123/03 ID 2003 Patio Enclosures, Inc. All rights reserved. WH 90:9t1:0 1, 900Z/ZWS :a;ea U£ :96ed umouNun :uao14 `""' MY -0 -IM 1 1:5/AM 33U-40-419/ N0.9027 P. 2 B 0 tip, 60CA International Evaluation Report A I30CA International, Inc. 4054 WM Flossmoor Road a Cotultty Club HMIs, IL 60478.5795 telephone (708) TW2305 • fax (708) 79MJ 0 e-mail: tyoca.e4aocai.org • httQ: r/www.bacai.org EVALUATION REPORT 21.65 Published February, 2002 DIVISION 07 — THFRMML AND MOiSTWg PROMMON , Seglion 07410 — Man-4MWMd Roof and V11aIl F'snels MANUFACTURER: EVALUATION SUBJECT: PATIO ENCLOSURES, INC. 720 E. HIGHLAND ROAD MACEDONIA, OH 44056 Phone: (330) 468-0700 www.patloondoguresine.com SUPT=l2 FOAM ROOF PAA! Copyright 2002, BOCA Intematbrlar, Inc. Page "I of 4 A PwtciP Mg Mea *er ofNEA Inc MOTI4E TO REPORT USERS This rcpon is subjeat to annual comfi inion. Repots drat are not wood shall natbeWW ortdbued xa Tedammdnedw dew of mea eW!t report, contact BOCA hmnadonal, Inc., or cmUlt the ROCA Pmdacr 6M&gQ at w*.k,or 411 the Fwt4u-D==d Swiee ax ROM antendon 500. This spar; is mbjmct to the coadidons listed heroin sad to the Mmelfie prodocy detn and M Apo% wbrdued by the appM= mpeW gg ibis report. ladependenE HM were not performed by BOCA Intetnadonal, Inc. and BOCA Intenamtioaal sptoiftcally dots riot M&M any warranty. cutter repressed Or implidd, as to any findings at other matt in this report or aS to any product covered by this report. Evaluation rapom are not to be nor uwd ars tepreseattng aeddtedcs Or ROY other ettribntes net speclftaaily addressed nor w an andorseuaam or reo mtnett Won far aha rise ofthe mportsabjecL This disclaimer includes, but is not limited to, merebantablliry. 1'lome cootW SOCA !;.valuation Services. with any questions you may have ragsrrdiing this report, Addhtlenagy, please con its hf yea have slay hrfortnafto on the perfarmuce of the product deserlbl hereto which h contrary to this rept+rt, IIIb 60:81:06 800626/9 :a}ea 111 :abed umouNun :woa=j MAY. 1 h. 1003 11:5 /AM 330-461-4291 N0.902 / F. 3 Research Report No. 21.65 Page 2 of 4 ffgp.Alaxernational, Inc.. Em" ft+a/I,Lft Ustlna evaluniOri scope r � dosor1pGon condMons of use Ham Maulrina verme ration Inf+ar�elton sub_mltted reDrgrlloatlon for �dYCR IdentMoation backtothe BOCkInumellat►rtl, Inc. T home Rage evaluation scope Comprraece with the fallowing oodo: BOCA Nafonal Briding Cada"Da INTERIOR FINISHirS m Section 803.0 Interior finish and trim STRUCTURAL e Sedon 1604.5.8 Roofs ■ Section 1608.8 Minimum design word toad ■ Section 1704.3 Labeling ■ Section 2313.2 Sandwich panus c =M -c ,fi 2603.9 Alternative approval ' .AI desoa'ijptiton Patio Enclosures Irw.'s Super Foam Roof Panels are nornind 3 or 6 in. (76 or 152 mm) thlok laminated foam core sandwich panelsk joined with aluminum Hbmin mullions, for use on roofs of residential patio endosures. The 36 in. (9.14 min) vAde panels are manufaowrsd In various lengfhs with non%nal 0.024 in.(0.8 min) thick aluminum sky sheets, Grade 3105 H274 in ammance with ASTM 8209, adhered to each side of a 2.95 or 5.95 In. (75 or 151 mm) thick expanded polys"ne foam cors Mtn a moisture -cured. one -component, noodle la urethane adhesive. The expwsdsd poly=dam core has a density► of 1.5 pd (24 kgh� end is expands) aoalditions of use This report is Ioll►)ted to the applications sod produ* se Stated herein. BOCA htt Ws that the report be used by the code oftial to determine that the report subjW comppres with the code requhernants speoftily addressed, provided that this product is installad in accordance with the foil wing conditions: ■ Super Foam Roof Panels are cbmbuslr"ble panets and ere Wrilted to use on buitdmg mala which are of Type 513 construcdon. ■ For a given combination of graft and wind uplift loads, the maximum allowable span shall be the lesser of the two values shown in Tables 1 and & TABLE 1 ALLOWABLE PANEL SPANS BABOD ON APPLIED GRAVITY (AADS Gravity Load (pec 3 in. Thick Pastel Mulmum Span U90L1120 U180 L24 6 in, Thick Panel Mardmum Span LU lJ120 U'I8Q Nt40 10 (PLL 13'-o' 18-7- 16'-7' l r4r 18'-0" is'. r 18'-0' 'IF -0' 20 (RLL) 18'-6" 10-10" 12-7 11'-5' 19'-0" IW -0' 19'- r 1v 7" 20 (SL) 1$'-4" 18'•9" 11'-4° F--11' 19'-W 19'.0" 19'-0" 17'-0" 30 (SL) 12.11" 11'•8" � 8'-6' 1T 2' 17'-2' 16'-8" v4r 40 (SL) 111-3' 10'4' B -T 7'-6' 15'-0" 15'-0' 15'-0' 13-3' 60 ($L) I 10-2 94r T-9' i3'-9" 13'-6" 131x' 1 17-7 1211• 81:1 Irti *; 23.4 mm: 1 ft a 3044 mm: PLL = Patin Live Land (short tivr obn roof Ova loads) SL - Snow Load pdng.dumtion five loads) 1. The m9nitnum pane► slope required for 3 In. thick rod panels subjected to Patio live toads is 3M UL perYce of projection. 2. The minimum parcel slope required for 3 in. thick ref panels subjected to snow loads La 112 in. per foot of pr jetion. 3. The nth] num panel olop0 mquired for 6 in. thick roof panels subjected to patio live loads is 114 in. per hoot of proedon. 4. The minimum panel slope required for 6 In. thick roof Panels subjected to Snow Iasis Is 318 ln. per fact of projection 6. The deftecrmrns do not ensure OpMst ponding, Rams that do not have suiident slope or camber to assure adequate drainage, shall be Investigated for prndirrg. WH 60:9V:0 6 90061z V9 :aaeQ i L19:abed unnouNun :uaa=l .,.. r1 .ni nn n� .v. .f N... MAY. 15. Z0U3 11:5UAM 330-461-4191 NO. 9021 N. 4 Research Report No. 2135 Page 3 of 4 jS?CA Jntemational. Inc. Product Evaluation Llstlm uatlon segim des wMan condldons of use Berns requI ring verlflsmtlian hiferrma l ian subml#tsd lawJ1.0afta.ftr Rama coda )I.dsntSilcatlon baric to the ARCA I MERM1onar..Inc. home page TABLE 2 ALLOWABLE PAM. SPANS BASED ON WIND UPLIFT LOADS APPBW VILoad . 3 In. Thick Panel Maximum Span LoLl1ZQ u9@0 [1240 6 in Thick Panal S wdm m t.190 Lm 2e LNBQ I Span tr1,a0 10 19'-0' 19'-0' 17"-9' 16'-0" 15-01 Mr 19-0' Ir4r 13 M& 16'-G 1044 14'4° 1F -4r IV -0° IW -W '18'-W 15 ur-w 1r r 15'-1` 13`-6" w -T iaw 4W -V 191-T 7s 17'-8• 16'-11" 13'-6° 12=3' 19'-0' I 17-T 1W -W 18'-0' 23 16-T 1d'T 12'-S' 11'-0 191-V 1V4r 19`-V 19'x0' 27 14-11° 13=10" I 19=10° 10-7' 19'-0' 19'•0• 99'60° 77'-10' 61:1 in. n 25A mm,. i ft O 304.9 mm ■ Super Foam Roof Panels have been evaluated for fimu slatence When placed in the cellirwroof location. ■ super roam Roof Panels are a nonclassified roof covering. Buildings with nonclassMod red coverings shall have a minimm flit separation dlsmxxp, from d7®Isadi v edge of the roti panel, of 6 A (1829 mm) in buildings of Use Group R-3 and 30 R in other use groups. Y Super Foam Roof Panels have been evaluated for use without a thermal banter. • This n"rt Is Nmited to the evaluation of panels with no openings or penetrations. ■ Fmresistance of Super Foam Roof Panels Is outside the scope of this report. ■ Structural evaluation of roofassembles using Super Foam. Roof Panels Is outside the scope of lhis report. ■ Evaluation of the roof assembly connecftm is outside the scxtpe of tits report. ■ Use ofauper Foam Roof Panels in conjunction with separate roof covering, "or interior ceiling "hes Is beyond the scope of oris report, Rome rerquiring weriiflasgon The %hawing items are related to the Installation of the report sutject, but are not wlhrn the scope of this evaluation. However, these items are related to the delenninatian of code compllartce: V Pmduct identification o¢nslstent with this report intornmItion submitted ■ Quality Contmi Manuel for Patio Enclosures Im Super Foam Roof Panels, dated October 16, 2001, signed by representatives of PaW >_ncbsures Inc. and Cl Professional Services, Inc., containing afteria for 3 and 6 in. (76 and 152 mm) Super Foam Roof Panels. i -Comic clidal `16 dng Compan* Report Number 787574;4 dated May 21. 1991, containing ting in a= dance with ASTM E84 indirating that a panel con- stricted out of nominal 0.024 in. (0.6 nun) thick 3105-11174 aluminum sheet adhered to each side of a 2.55 in. (75 mm) thick 1.5 pry' (24 kgfe) expanded po foam core has a Aam4 spread coling of 15 and a smoke developed cadet of 80. e GOnm erdid tesfaig Company, Report Number 82378, dated February 1, 1993, aotrt kit testing in accordance with ASTM E84 Indinaing that a panel con- structed out of a nominal 0.024 in. (0.6 mm) thick 3105-1-1174 alurninum sheet adhesed to each aide of a 5,95 in. (151 mm) thick 9.5 pef (24 kglrn� expanded polystyrene foam core has a flame spread rating of 50 and a smoke deveto* rating of 445. ■ omega Point Laboratories, Report Number 12480.93841, dated July 1, 1992, containing testing. In soowdance with UI,1716, of a nominal 6 x 8 it ceding panel constructed out of a 0.024 in. (0.6 mm) thick 3105-M174 aluminum sheet adhered to each side of 3 in. (76 mm) thick 1.5 pof (24 kg/m') e*anded polystyrene foam Core, Wd 60:8b:06 8002;6/S :2380 U9 :a6ed umouNun :woj=1 MAY, 15.1VVi II:WM JJU-0/`40/ NU, 902/ P. 5 Research Report No. 21.65 (sage 4 04 IM international. Inc. Eradyat Evaluation Usf eya~lualleftt Dg9J % dowdo#lon a ""Wong of huaeeb InforntlaelM -SUMM" applloatlon far Ilawmit prodhuct IldenlIMMMon bakto ttfe BOCA "matlj al. Inc. home page a Omega Point Laboratories. Report Number 124aOQ842, dated July 1, 1892, containing testing, in accordance with UL 1715, of a nominal Ow 8 It ceding panel constricted out of a 0.024 M. (0.6 mm) thlok 310rrH174 aluminum sheet adhered to each side of a 6 in. (152 mm) thick 1.6 prf (24 kg/m°) expanded polystyrene foam core. a Underwrftsrs laboratories, Inc., Follo"p Service Procedure Type R for Falcon Manufacturing inc., issued April 29,1971 and reed June 6, 1990. The Lis" and Follow -Up Ser&s Agmernsrit between UndenWters Laboratories, Inc. and Falcon Manufacturing inr~ ■ Terrapin Testing, Inc., I t*W Na TT50017 A, dated November7, 2000, containkV structural tooting of the 3 In. (76 mm) sandwich panel, signed by Rick Cavanagh. a Terrapin Testing, Inc., ReportNo. TT5081743. dated November 7.2000, contahft atrudural testing of the 6 In. (162 mm) sandwich panel, signed by Rids Cavanagh. r TJC and Assoaatas, Int, engineering analysis for the 3 in. (76 mm) sandwich panel in conjunction with test Report No. TJCAA 60017 A, dated November T. 2000, signed and sealed by Terence J. Cavanagh, AL ■ TJC and Associates, Inc., a ngineering analysis for the 6 In. (152 mm) sanWmh panel in conjunction with test Report No. TJCAA 50017-8, dated November 7, 2000, signed and sealed by Tereh= J. Cavanagh, P.E, a TJC and Associates, Ino., TJGAA Pr*ct No. 40002 Tr -50017, containing structutal calculations for the 3 and 6 in. (76 and 162 mm) sandwich panels, dated May 24, 2001, signed and sealed by Terence J. Cavanagh, RE. application icor permit To aid in tike detenntlnallon of compliance with this research report, the falowfng represents the minimum level of Information to accompany the application for permit: • The Wriguage'See BOCA Irtemati'onai, Inc. Research ReportNo.21.85" are copy of Iwo report a Construction documents consistent with this report, The individual preparing such documents shall be competent and qualified in the application of the strwaml design principles involved, and shall possess the registration or license required in s000rdarm with the professional registration taws of the state In which the project Ls constructed. The following Items, at a rninknum, shall be provided on the construction documents: a Structural analysis of roof assembly a C wdlon detaffs a Inveskelion determining that the roof design provides drainage to prat ponding, product 1de nhti C"O n Palo Enclosures, Int.'s Super Foam Roof Panels manufactured in a=nianos with this research report Shall bear the following Identification: a "See BOCA intsmattonal, Ink~ Research Report No. 21-W ■ A lebol that Identifies the panel manufacturer, model number, the polystymna foam manufaaturar, and the third party inspection agency name dr logo (CI ProfessI&W Services). Wil 0 Vet7:0 L 800Z/Z NS :elea UL :abed umouNun :wad Building Inspections 763-572-30 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE — SITE ADDRESS THIS APPLICANT IS: PROPERTY NAME: OWNER/ ADDRESS: TENANT PHONE: ' CONTRACTOR I COMPANY SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PEPJYM TYPE Y CITY Permit No.: Received N �� Datf d: CONTACT PERS( ,CEJ�J-; 1 410 WEST L STATE LICENSE I{ ��i%, MN 55408 2•tl24- STATE ZIP ADDRESS: PHONE TYPE OF WORK: I O NEW FAMILY DETAILED DESCRIPTION OF WORK FAX ❑ TWO FAMILY ❑ TOWNHOUSE ❑ ALTERATIOWREMODEL PER MS 16B.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. _(This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 FOR PROJECTS WHERE LABOR EXCEEDS $501 FEES ARE BA—MD— ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FI3CTURE.S: (WDICATE TOTAL NUMBER OF EACH BELOW) 3S� MODEL: sizEIBT © , O� Equipment Installed MFG: !!! MFG: MODEL: SIZEIBTU AY MFC,: MODEL: SIZFIBTU 4C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 mTO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 ,FURNACE $35.00 GAS UNIT HTR $10.00 HIM CNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 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 @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 L x $35.00 = $' State Surcharge = $- Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and co)daesgf the City of Fridley and with the Minnesota Construction Codes; that i understand this is not a permit but on1�cMfion for and work is not to start without a permit; that the work will be in accordance with the approved plan is a ork w ' h s review and approval o91ans, SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXIST IN HQ�III:S 1. Combustion Air (See note below)` a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a_ Gas appliances TFGC Chapter 5 with MN Amendments b. Fuel other than gas TMC Chapter 8. with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a_ Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per TMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations