PRE 2010 DOCSCity of Fridley
SUBJECT , E14314
AT THE TOP OF THE TWINS
BUILDING PER '
t
RECEIPT NO.
• ______ COMMUNITY DEVELOPMENT DIV.
v
r PROTECTIVE INSPECTION SEC.
1 � �
�1 /-•'1 CITY HALL FRIDLEY 55432
�.!
NUMBER
REV.
DATE
PAGE OF APPROVED BY
••" 612-560-3450
910-F15
8/23/77
JOB ADDRESS 25 - 67th Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
2
Edgewater Gardens SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Donald Fleigle 32 - 67th Way N.E. 566-1369
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE
8 DESCRIBE WORK
Construct a 60' x 36' Dwelling and a 22' x 26' Garage Before digging call local utilities
Etc.
8 CHANGE OF USE FROM -EATING. PLUMBINGAND SIGNS.
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. Provide 10' clearance
and 2' height from chimney to nearest roof or wall. Provide curb block over
center bearing footing to elevate bearing wall off concrete floor. _-_
SEWER LOCATION(Approx. 9.5' Deep In Street) 9' West of Manhole
Way (Inv. 830.91) WYE ELEV: 830.46 TOP OF FOOTING: 833.66 Minimum
WATER LOCATION: 11' East of Sewer Service, 24.8' North of Manhole
DRIVEWAY
I`�I�O NoTN/&ARANTfC THE
THE CITY OFD
ACCURACY OF UWff LOCATIONS AND ELEVATIONF
7...S DATA IS FOR INFORMATION PUP.POSES ONLY Awa
PERSONS USING IT SHOUM VERIFY THE INFORMATION
ON THE SITE.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
R-1
1496 + 572
35,640
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
$44,775
$22.39
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$142.56
$375.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
_- $ 35.64
$575.59
- SIGCONT CTORORAUTH RZEDr (DATE)
A
a W POPERLY VALATED THIS IS YOUR FERMI
�-TT)o .3
BLDG. INSP DATE
SIGNATURE OF )OWN (IF OWNER (DA E)
M.
01
a6- & � Y-1,
a6
ORB =
/w J6 =
0;�x zv =
C>2&x z z = ..S,22-
C 62616
X
't- 16
CITY OF FRIDLEY
f APPLICATION FOR RESIDENTIAL BUILDING PERMITS.
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER; ���lC'L�� ��� BUILDER: /�Q /lI'1� L. d] �Cj, CC, 4-e
Address: _� _ , U /V& Address: 2g t/el/y IV
rr Tel. No.:g
No.:—c2 Street: /
LOT: _ BACK: ADDITION : �/, �� `�-19 7-6 4, eQ / L-,,o9s'
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
a
DESCRIPTION OF BUILDING
To Be Used As
6-S)D&4 e, Front: ,• 6U Depth: Height: 2 V
Square Feet: �[1 6/ Cubic Feet: � � 1
Front: 2 Z Depth: L Height:
Square Feet: Cubic Feet:
%�-
r—
Type of Construction: ;;`_ Estimated Cost: $ s�
To Be Completed: D12 C,� Z 7 9 It . A %/�
Alt. B
Proposed Driveway Width If New Opening Is Desired to / $ po"', $
(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 add'tional information.
WAI
�6� -T Zee
DATE: - Z 9- 9 SIGNATURE:
'
Stipulations: � I � ft�� , J�
ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION
PLANNING AND INSP} CTION DEPARTMENT
CITY OF FRIDLEY, MINNESOTA
This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE
AVERAGE "U" FACTOR INFOR14ATION. This information is required so the BUILDING
OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S
responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA
in the plans; submit product specifications, if needed to support the "R" and "Lr"
factors used; and to assure construction is per approved plans.
JOB LOCATION:
OWNER/CONTRACTOR :
ADDRESS: — (,-7 14JA 1,1 Al PHONE:
A. Determine the Total Exposed Wall Area as follows:
1. Total wall window area
2. Total door area
3. Total sliding glass door area
4. Total fireplace wall area
5. Total wall framing area(average 10%)
6. Total net wall area above floor(average 90%)'
7. Total rim joist area
Subtotal: Total exposed wall area above floor
8. Total foundation window area
9. Total net foundation area above grade
Subtotal: Total exposed foundation area_
GRAND TOTAL EXPOSED WALL AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17
C. Determine the Total Exposed Roof/Ceiling Area as follows:
10. Total skylight area
11. Total roof/ceiling framing area (10%)
12. Total net insulated roof/ceiling area
GRAND TOTAL EXPOSED ROOF/CEILING AREA
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 =
Item I 71'3G
Item II
E. Determine the "U" value of each segment (1-9) and multiply by the area as +►.
•
QQ
2. X "U" i 5CJ =
3. _A080 0 ,v, ,,,,,
•
5. �d X Ulf �d _
6. x fluff
7. ® x " U "
x sluff 211
9.
ADD 1-9 FOR TOTAL WALL SEGMENTS _ °', ITEM III
F. Determine the "U" value of each segment (10-12) and multiply by the area as
follows:
11.
"140-2,0 X "U" _
12. � i X IlU•- _
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ��• I� ITEM IV
G. If Item III is the same as, or less than Item I, you have met the intent
of State Building Code 6006 (c) 2.
H. If Item IV is the same as, or less than Item II, you have met the intent
of State Building Code 6006 (c) 1.
I. Add Item 'I + Item II
J. Add Item III '� &+ Item IV — l♦ _ •
K. If the sum of Items III and IV are less than Items I and II, you have met the
intent of the Code for -total envelope system.
The undersigned, as applicant for a building permit, hereby affirms the above
information has been prepared and submitted by himself or under his direction,
hereby acknowledges the information to be correct and accurate; and hereby
presents the information with required plans in support of the building permit
application.
By: DATE:
WALL SECTIONS
JUOTE: Upe loss of opaque wall area for
frame construction
FRAME VALL
.£3G. ##3
• p 11_
• . ^! - b`
r- -
Page 3 of 4
Construction 'Sr - L Q R -Value
1. Interior air film 0.68.
2 r ' Z
3 20 ^ -- 5
,-
r
6. Exterior `air film 0.17
Totals
Lp
2/)C,tA
1. Interior air film 0.68
2
4. f I We- r V
•: `9' tins+► a ®l'i
0r. 7-S7
6. Exterid air film 0.17` `
Total
ota IF
TTL 0.,1_ Interior air film 0.08.
2. -fl1XV4r�?2°Wf 61- 40
3- �ZJ
6. Exterior ;air film 0.17'
Tota3 �6�f
k d ® /3 4-C)
1. Interior air film 0.68
2. I // Da
3. FjjYYjha E31
4.] ,
5 .GV�r ® ' ® I
6. Exterior air film 0.17
,
FIG. d#4
NOTE:
Total
1j /
-=
. ! e r' .
f
Ir
arc k •, o l
IK
Indicate type, "R 'value, depth and
placement: of insulation.
.. .,`
' ROOF/CEILING
Y
V'
1
• VERT • , � .� .:d
Ld)G
Tented Heat flow
up
FIG. #5
Neat flow up ;'vented
• FIG. #6no
..
Page 4 of 4
Construction R -Value
1. Interior air film 0.61
2.
3. ► +6
4. Exterior air film (still) 0..61
Tota„
► 6 6
j,
u ► ► 040
1. Interior air film 0.61
2. L Z'
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film
y`
2.
3.
4.
5. Outside air film
. irut�:-vladlY:U '.
•• Hent ` •.
£low up .
PIG. #7 .
0.61
0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
c
NNd -- - - ---- ------ _--- --_. - -.. - _ --. ----- -__-. ------ ---- ---- --����N
11,,nuu,l l.
511 6066
6871,-qwN„ 65 55432aINC i 11 Ott w 8906510
1101 II Fi—,jQUO
B, r ,, . u r , ,tj 55337
h � r
Certificate of Survey for ALD Jr FLEIGLE
(1110ra.., /%e
94 / ' �PwQfPr
a�j v ��� • � area _ _ ` o��j-efQ
bloc, c
o Jfiiify fAsem�nf'. o�,,
Cy
81%E 24 p / 16'0 \ ��
p�SFD
io. 0 14 0 24.0
04 14
l c l o► �IPq�'1E' ,
TH9 CITY OF F L 22. OT ` THE
ACCURACY C ' ''hTY LO AT NS IV
THIS DATA i _ '' u0`1`0
,, Ns. fj
0t;;,� MATIO PUP,ON
PERSONS V'.uv; i ,ij SHOULD RIFY TI
ON THE SITE, s
WARNING
Before digging call local utilities
TELEPHONE - ELECTRIC - GAUI% 7)V
REQUIRED BY LAW �,QY
E .e1
r 4 5ca/e'1 91 --YOB -
LOT 5 BLOCA-11 2 ° Deno f es iron monument
�5
-(o ? wow, x977
EDGE WA TER GA RDENS
4NOgA C0UN771, MINNESOTA
I hereby certify that this is a true and correct representation of a survey of the boundaries of the above
described land, and of the location of }1 buildin s, thereon and all visible encroachments, if any, from or on
sold land. As surveyed by me fhis .`L day of ,� s A.D. 19 1'
/-370 USURSAN ENGINEERING, INC.
g8
*C1 Aq i AS J91 s Sujv�yPrs '/
463
�__ �. by .r, �s
O -F ?33, 6060 (AMInul-W
ay.f ' ti, o-�- ////,N.
0/0 0gfe6;:�s1ov (2ps7-
)3/ r, 61-
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
m
NO.
RATE
ay.
e
$3.00
$
u
x
x
v
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
x
$5.00
$
E
L
$5.00
$
100,000 BTU to 199,000 BTU
43
a,
w
01
x
Heater
+1
d!
x
$5.00
C
m
x
$5.00
tl
1M
.4 q
N
@ .9
u
�_ x
'$3.00
$ 3.00,
Additional Fixtures
x
$1.00
V
Gas Range to 199,000 BTU
M
A
$ /0.60
00
3�
W
�
8�
U M
4 9
$5.00
�
each add. $100.00 or fraction
ii
Masiec
$
State Surcharge
$ .50
W
$ 5V Sb
W
a
L7
O
d
1st
u
�.
2nd
3rd
4th
(R) m Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTO
x
$5.00
$
100,000 BTU to 199,000 BTU
_L
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
�_ x
'$3.00
$ 3.00,
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
/ x
$20.00
$ /0.60
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 5V Sb
REINSPECTION FEE
($io.00)
Job Address d 2 (� 41 / r
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Godes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
i
Fridley, Mn. ' , 19
OWNER 12 ® /V/4 D I
KIND OF BUILDING _ /*� A %
USED AS FF 4:1 /`
TO BE COMPLETED ABOUT / SIJ A) ?
ESTIMATED COST /1IZ5L
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCBARGE
CITY Or FRIDLEY
• APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION,.REFRIGERATION AND
$— ZTUCT-
.AIR
CONDITIONING SYSTEMS AND DEVICES _
PARTIAL RATE SCHEDULE,
$
$10.00
$
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell 6 Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs 6 Alterations -up to $500.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARMM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEktif OR HOT WATER SYST51:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each adds. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to 1990999 BTU
(over 199,999 BTU see Fee Schedule)
GAS FITTING FEES:
1st 3 Fixtures
Additional Fixtures
Gas Range to 199,000 BTU
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS
ALTERATIONS & REPAIRS
The undersigned hereby makes application for a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $7 facts and representations stated in this application are true and correct.
7.00 $ JA
4.00 S Fridley, Minn. I -r -A 'nA_r' , 19
OWNER
$12.00
$ /0-()o
4.00
$— ZTUCT-
7.00
6.00
$
$
$10.00
$
10.00
$
$10.00
$ /G 00
S
x S 3.00 $__GYJ
X $ 1.00 $
X $10.00, $
State Surcharge
TOTAL FEE
ROUGH INSP. REINSPECTION FEE
Date (.510.00)
FINAL INSP.
Date p
APPROVAL FOR PERMIT /a
S
MINIMUM FEE FOR ANY HEATING PERMIT IS $7. SO PLUS $.50 STATE SURCHARGE
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
0
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO.) 1./ �J Y� PERMIT NO. J
DESCRIPTION OF FURNACE/BURNER
SEATING or POWER PLANTS,
--//Steam, Hot Water, Warm Air- No.
Trade Name � L, [ /LCL lly>Size No. y ,
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed ByQ�0::22Z,5-T
• Tel. No. U
SUBJECT-PERMIT
NO.
City of Fridley
c.
2 717 4
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
RECEIPT fAO.
_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j4
612-571-3450
910-F15
8/13/98
JOB ADDRESS
25 67 Wav
1 LEGALLOT
NO.
BOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Elaine ileigle
574-7485
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION RR REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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 WORKIS 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT1.46
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL OR CANCEL THE
ERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL REGULATING CON-
STRUCION O THE P5R RMANCE OF CO
$74.75
Fire SC 12.92
PLAN CHECK FEE
TOTAL FEE
0
License SC
p
84.13
GNATURE O TRACTOR A MOR ED GEN MATEi
WHEN PROPERLY A IDATED THIS IS YOUR PERMIT
EsdAu'
_
S.GNATUR OF OWNER OF OWNER BUILDER) IDATEI
BLOC mbS
FATE
AUG -13-19%
L J
ADDN j ]
ALTER [ ]
08:42 FROM CITY OF FRIDLEY
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
8589320 P.01/02
MAIML1VC 1/ 1/`Ja
a -717V
ConstructionAddress:
Legal Description: 14-
Owner Name & Address: t (�, ', V\P-- Tel. # E�M�k --►q bC3
Contractor: MN LICENSE
Address: e a �i �.�tsfz a Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed consauction drawn on it to scale.
DESCRIPTION OF IDmOVF.IVI ENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Width gt/G_round -t— Sq. Ft.
OTHER:
Construction Type; QiFj Estimated Cost: $
,2919_
�-
(Fee Schedule on Back) —
Driveway Curb Cut Width Needed: Ft. +.6 Ft Ft x $ 74, _ $
DATE: o APPLIC ft. -
T Tel. #
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ S-00 $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 [ J Not Necessary [
TOTAL $
. STIPULATIONS: