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PRE 2010 DOCSit Village ®f Fridley, Mm. BUMMING PERIM N? 210 Office of INSPECTOR OF BUILDINGS M Fridley, Minn_ .* 2-0 19 � t LOCATION OF BUILDING No, 3 * ���� Street'"+�� Part of Lot Lot Block Adition or Bub -Division DESCRIPTION OF BUILDING A� Front 3 f %epth Height�S Stories_ _ Manner of Construction To be used as To be completed_ 'i • Estimated CostZ r.Y t Y" N Ii1 Permit is hereb gated to a to the building Y described in. the above statement. This permit is granted upon the express condition that the pe on to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon s d building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. d1'_tj_�_'-"1_Inspector of Buildings. '�I 1 a iii '�..,. ►� ;V Y�1 �1\ M M In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above perno, I hereby agree to do the proposed work in accordance ' with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein sated.; , p Subscribed and! sworn to before me at Fridley, Mimnesote this 4 6 day o '`° A.D. 19 ia . , v� 0 Ka Date OwnerV.17) Address .. 11 o, No. Lot ...... ...... Corner Lot ...... To be Used as: Type of Constr BUILDING PERMIT Wage of Fridley, Minn. N? 2192 .. .....i ......... 77W..X`�. Builder ........................... ................. Address .....---------------------- LOCATION OF BUILDING Street j< 1.17. ;-:............ Part of Lot ....................... Block ................ Addition or Sub -Division ....................................... ... Inside Lot ............ Setback ............ Sideyard ..'1.17.�!!F............... DESCRIPTION OF BUILDING Front . j;rAgIlDepth 1! Height ...+...... Sq. Ft......... Cu. Ft........ . Front ......' Depth_ ........ Height .. ..... Sq. Ft......... Cu. Ft........ . f,ym,. 0. #►,q Est. Cost .. .{j 94 drTo be Completed fA .�..... . In consideratio# of the issuance to me of a permit to construct the building described above, I agree to do the proposed work #�„_ accordance with the description above set forth and in compliance with all provisions of ordinances of the 7 age of Fridley. x ,r' r f H- ........ consid o of the payment of a Pee of $ , permit is hereby granted to 04:00 -VI .. to construct the building orad dition as described above. This en& granted upon r,around n that the person to whom it is p granted and his agents, employees and workmen, in all work done an upon said building, or any part thereof, shall.conform in all respects to the:' ordinances of 1'ridley, Minnesotategarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village lima and this permit may be revoked at any time upon viol of any of the provisions of said ordinances. Z. { 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. CJ City of Fridley, Minn. BUILDING PERMIT N° 6760 Date: Owner: .� - �� Builder Address ` Address No. O�CA OF BUILDING Street Lot --- —__ Block Addition or Sub -Division Corner Lot Inside Lot _ Setback __—_ Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be V --�— -LAA - -maw � �- � Front Depth Height Sq. Ft. Cu. Ft. f Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Co _ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in comp ce with provid of ordinances oP the city of Fridley. In consideration of the payment of a fee of $ permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express conditionthat 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, lepair and moving of buildings within the city limits and this permit may be revoked at any / // on M7 vio of any of the provisions of said ordinances. Building Inspector • NOTICE: ilM perp* dose set cover the construcNon, InatallWon for whing, plumbing, gas 6enthm sewer or water. Be sura to see *o Building hupector for separate permNa for these Rena. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �, _� BUILDER ADDRESS J��� % �G�: z-' ADDRESS o / LOCATION OF BUILDING No. ` Street Part of Lot �-- Lot Block /Addition or Subdivision Corner of Inside Lot r/ Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used ,as �C-t.ti•-c FrontDepth Height oF Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE-`-`— - --- S ZGNATI11tE , (Schedule of Fee Costs can be found on the Reverse Side). r'1c: OF MINNESOTA ease rnv �j'C AST CONCRETE FLOOR AND ROOF SLABS siFu�;. 'vJ 106 Broadway Street Saint Paul Park, Minnesota GLenview 9-9766 CI TT OF FRIDLET 6431 tNXSS%T AVE= M. E. PRIG, MMMOU55421 $60©3450 Mr. Raymond Logid 1340 - 69th Avenue N. S. Fridley. Minnes0ta 55432 December 131, 1966 Ret Buildiag Permit De. 6760 Issued: Se tember 19, Address$34 - 69th Avenue N. E,� F®r: Addition (2 Bedrooms) Doer Sir %his office has been informed by the City Assessor that the aork outlined on the above captioned building permit has not as yet been completed. As you knave, a building permit is valid for a we yew period from the date it was issued. Kindly get in touch with this office for renewal of this permit before January 1. 1967. If any changes of design or extent of work are planned, please subedit this information along with estimated cost of same so that our records will correspond with the City Ass�sssos' a . If there are any questions with reference to this matter, kindly call this office. Tours very truly, W S cats City of Fridley, Minn. BUILDING PERMIT is Date: January 12, 1970 • Owner: Rs,=un E_ Logid Bider Same Address 1340 -69th Avenue N.E. Address Same LOCATION OF BUILDING No. � 1340 Street— 6 9th Av - n - N _ R _ ___ _. Part of Lot N° 10535 Lot 19 Block --Addition or Sub -Division __Auditar's SubdivisaLon Ne-. l0 Corner Lot Inside Lot X Setback ___ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 2 Bedrooms Front �18' Depth 26' Height 20' _ Sq. Ft. 4681 Cu. Ft 93601 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction F-ame Fast. Cost _000.00 __ To be Completed January 1. 1971 This is an extension of permit No. 6760. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above •forth and in compliance with all rovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10- 00 , permit is hereby granted tom &ywund T.agi d 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector HANK F. MUNICH -Building Official NOTICE 7hb permit don not cover the construction, installation for whine, plumbing, gas heeling, sewer or water. Be sun to see the Building Inspector for separate permits for thus hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 7 OWNER 'S NAME ADDRESS/ 3 /V O — _ ADDRESS T LOCATION OF BUILDING NO. STREET LOT BLOCK ADDITION OR U8 M CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: I R"" jZ & 1, Front Depth 2 4 Height 2-,59 Square feet Cubic Feet Z� t� Front Depth Height, Square feet Cubic Feet Type of Construction �y�. -a,,, F Estimated Cc Uo 0 To Be Completed =� ��o �a C L'/, y v C '-I" 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. c DATE l �' — SIGNATURj �E Z , (Schedule of Fee Costs can be found on the Reverse Side.) NOTE: A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. City of Fridley AppliceMonfor Pkm*ln and Gait RM" Dept. of Bldg& Phono 59 "M DESCRIPTION OF WORK Number, Kind and LocaBon of Fixtures i s e wArrw MM. GAS -I 1LV- j 'Fill Base PARTIAL RATE SCHEDULE PLVMBING FIXTURE RATES- NO. RATE TOTAL �° Number Fixtures ................, x $2.00 $ Future Fixture Opening ....:...... x $1.50 S New Fixture Olaf Opening .......... x $1.50 S Catch Basin .... . ............... x $3.25 S Water Beater 'Up to 99,000 BTU). • .. x $3.00 S New Groused Run Old Bldg......... x $3.75 $ Electric Water Heater .............. a $2.00 S GAS FITTING TEEM NO. RATE TOTAL let 3 Fixtures ............ • • • • • x $2.00 $ Additional Fixtures ............... x $ .76 $ On Range to 190,000 BTU ............ x $6.00 $ State Surcharge $ .50 REPAIRS & ALYTERATIONd—Pater to Coda _ Description .. . .... ... ... • ... .... w.► . . ....... . ..........! TOTAL r Cit, of Fridley: The undersigned hereby makes application for a permit for the work hemi. specified, agreeing to de an work in strict accordance with the Qty Ordinance and ming of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Owner z Kind of Building Used as To be completed about ^ �° - qv Estimated Cost, $ 0� New. IIuilding Permit No. / - P..Jt No. �S Signed By Business Phune No ROUGH 19._ CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS I3 q(7 /W. RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - 00city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ a _ that all the facts and representations stated in this application are true and correct. kq- ,1991 Gas Piping (Needed with new.furnace) $ 10.00 $ /0 OWNER '7-9D `i p I l'U-0 t L L iv Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning I Sizes 7o -o-) $ 10.00 $ 6 All Others/Repairs & Alterations IST ON BACK 1 % of Value of Appliance or Work $ CommerciaUlndustrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS ESTIMATED COST PERMIT NO. ZC' � I -Irl DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water),,,Marm Air) Trade Name -3 an , � I Size No. ®O BTU HP EDR Fuel N44 --,41 g s Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING ::7; ANY Signed By Tel No. Approved Byo�� Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date su6,lEcr � P City of Fridley 32361 AT THE TOP OF THE TWINS BUILDING PERMIT O • ______ COMMUNITY DEVELOPMENT DIV. V PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 12/17/01 JOB ADDRESS 1340 69 Avenue NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 (Parcel 2360) Rev. Auditor's Subdivision #10 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Troy Findell, 1340 69th Ave NE, Fridley, MN 55432 763-571-2029 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sean Schimmelman Contracting, 18760 Peridot St, Burns Township, MN 55303 20226402 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-464-0616 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct second accessory building (30' x 261) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. See stipulations for Special Use Permit, SP #01-12, approved by City Council on November 19, 2001. A M ffi IiiRMI SEPARATE FE �`� REQUIRED FOR: Before digging call for WIRING HEAVING all utility locations , PLUMBINd ANc 4540002 ..: REQUIRE® BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $15,966.60 $7.98 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 O HE PERFORMANCE OF CONSTRUCTION $2,65.25 $15.97 Fire SC PLAN CHECK FEE TOTAL FEE �- X02 9/ $5.00 License 294.20 5"G A UAE OFCON'RACTORORAUTNORi NT "DATE" WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S-GNATUAE OF OWNERiiF OWNER BUILDERI MATE" BLDG iNSP MATE NEWEffective 1/1/2001 ADDN CITY OF FRIDLEY (763) 572-3604 Bldg Insp [] ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 3 C0 Cr t'o .ter. N e Legal Description: Owner Name & Address: "C. Tel. # G --W 4 Contractor: S ,j 5c -al ev�-� � r�.��+-1 cm-�v r�.�`�✓CMN LICENSE# Address: / (o ,:z, i2g&j gio = A- A- AJ .�L Tel. # 2 v 0 LO I -y-a'°r P S-5-:3,0 3 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 2 C. Height '-7— Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: SSCP-� Construction Type: L -LA Ocso Estimated Cost: $ tell 02< il Driveway Curb Cut Width Needed: Ft. + 6 FL= Ft x $ _ $ DATE: `�a/ APPLICANT: Lam-- Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ o'? Jam. Fee Schedule on Reverse Side Fire Surcharge $ 27 .001 of Permit Valuation (1/10th%) State Surcharge $ 7#28 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 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 [ ] Not Necessary [ ] TOTAL $�;'/) 44 / LI• STIPULATIONS. — CENOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 CITY COUNCIL ACTION TAKEN NOTICE November 21, 2001 Troy Findell 1340 69' Avenue NE Fridley, MN 55432 Dear Mr. Findell: On November 19, 2001, the Fridley City Council officially approved your request for a Special Use Permit, SP #01-12, for a second accessory structure (garage), legally described as Lot 19, Parcel 2360, REV. Aud Sub #10, generally located at 1340 69' Avenue NE. Approval of this special use permit is contingent upon the following stipulations: 1. Petitioner shall install Code required hard surface driveway within 12 months of issuance of the building permit. 2. Petitioner shall obtain all necessary building permits prior to construction. 3. The structure shall not be used for a home occupation or living area. 4. All vehicles shall be stored on a hard surface as approved by the City. 5. Total square footage of all accessory structures must not exceed 1,400 square feet. 6. Garage shall be architecturally compatible with existing home and finished with complementary siding and color scheme. You have one year from the date of City Council action to initiate construction. If you cannot begin construction in time, you must submit a letter requesting an extension at least three weeks prior to the expiration date. If you have any questions regarding the above action, please call me at 763-572-3590. Sincerely, j 9%0 Scott Hickok Community Development Director SH/jt cc: Special Use Permit File Address Fire --- Mary Hintz Action Taken Letter-Findell Page 2 November 19. 2001 Please review the above, sign the statement below and return one copy to the City of Fridley Planning Department by December 3, 2001. Concur with action taken. 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INSPECTION SEC. % r E PROTECTIVE CITY HALL FRIDLEY 55432 k' NUMBER REV DATE PAGE OF F/ APPROVED BY 1 612-571-3450 910415 16/25/02 / JOB ADDRESS 1340 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 19 Par el 2360 1 Revised Auditor's Subdivision 410 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Troy Findell 1340 69 avenue NE 763-571-2029 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sean Schimmelman Contracting 18760 Peridot St NW Burns Township, NN 55303 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-464-0616 20276402 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 40' x 16' Addition; Remove existing deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMIrSWARIN"ING UIRED FOR: WIRING HFA71NO Before digging call fog locations PLUMBIW AND SIft all utility 4WO02 REQUIRED BY LAVH SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING MOT 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 $ 36,326 $18.16 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 ION PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON - $512.45 Fire SC $36.33 STRUC R THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE TOTAL FEE �— � A®� Lice e S $5.00 571.94 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAT I EN ROPE Y ALIDAT THIS IS YOUR PERMIT _ Ga - .. BLD INSID - ATE S-GNATURE OF OWNER.IF OWNER BUILDERI IDATEJ L NEW (J CITY OF FRIDLEY Effective 1/1%2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 /p=? BUILDING PERMIT APPLICATION ezd�r b l Construction Address: y° � (n AWA ^1' Ir Legal Description: Owner Name & Address: Tel. # i Contractor. 57-4N a S'."ow•ANa4.A^tavJ MNLICENSE# dc)2-?C0V0;, Address: /?c- .As T --4-P Tel. # 2 4P ;? e 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: �i�e�c� R.. %2 x �s 4 ism. Construction Type: w � Estimated Cost: $ /�s—a ®' !4 3 0(19 Driveway Crb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ C 'I ?-01 DATE: 9 S -4--A ® P -APPLICANT: Tel. # 'Ag 1 iP Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 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 - 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: MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Software Version 3.3 Release lb Data filename: Untitled TITLE: Room Addition COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 06/20/02 DATE OF PLANS: 6/15/02 PROJECT INFORMATION: Findell 1340 69th Ave NE fridley MN 55432 COMPANY INFORMATION: Sean Schimmelman Contracting 18760 Peridot St NW Bums Twp. MN 55303 COMPLIANCE: Passes Maximum UA = 102 Your Home = 102 0.0% Better Than Code Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R Value U Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 640 40.0 1.5 18 Wall 1: Wood Frame, 16" o.c. 576 19.0 2.0 24 Door 1: Solid 20 0.320 6 Door 2: Glass 42 0.320 13 Window 2: Above Grade, Wood Frame, Double Pane with Low -E 18 0.330 6 Window 3: Above Grade, Wood Frame, Double Pane with Low -E 18 0.330 6 Window 4: Above Grade, Wood Frame, Double Pane with Low -E 18 0.330 6 Window 5: Above Grade, Wood Frame, Double Pane with Low -E 27 0.340 9 Crawl 1: Masonry Block with Empty Cells, 4.0' ht/3.0' bg/5.0' insul 288 19.0 0.0 14 Proposed and Maximum U Factor Averages Proposed Maximum Average U -Factor Allowed U -Factor Above -Grade Windows and Glass Doors 0.329 0.370 Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Mmnesota Ynergy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements li ed in the MECcheck Inspection Checklist. Builder/Designer k , v �Date 4g j+rA)-1C- a ;PL—